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This is a Phase 1 study to evaluate FIT-CD19-CAR-T (ARM011) safety and tolerability, anti-tumor activity, cellular kinetics, immunogenicity, and exploratory biomarkers.
This is an open-label, single arm, Phase 1 study to evaluate the safety and tolerability of FIT-CD19-CAR-T (ARM011) administered intravenously (IV) following a standard lymphodepleting (LD) chemotherapy regimen of cyclophosphamide and fludarabine in subjects with relapsed/refractory acute lymphoblastic leukemia (ALL). This dose finding study will use a 3+3 design.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ARM011 following lymphodepleting chemotherapy | Experimental | A conditioning chemotherapy regimen of fludarabine and cyclophosphamide will be administered followed by investigational treatment with ARM011 |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ARM011 | Biological | ARM011 is an autologous, CD19 targeted CAR T-cell product developed on fast-in-time (FIT) platform-a non-viral, 2-day rapid manufacturing process |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of adverse events [Safety and Tolerability] | Safety and Tolerability: Proportion of subjects experiencing adverse events and dose-limiting toxicities | Up to 24 months after ARM011 infusion |
| Measure | Description | Time Frame |
|---|---|---|
| Evaluate cellular kinetics and persistence of ARM011 | Cellular kinetics related peak (Cmax) in peripheral blood | Up to 24 months after ARM011 infusion |
| Evaluate cellular kinetics and persistence of ARM011 |
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Key Inclusion Criteria:
Key Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Reta Ruan | Contact | +86 13641883361 | reta@triarm.com | |
| Yiming Gong, MD | Contact | +86 15221835460 | yiming.gong@triarmbio.com |
| Name | Affiliation | Role |
|---|---|---|
| Hosein Kouros-Mehr, MD, PhD | TriArm Inc. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| National Taiwan University Hospital | Recruiting | Taipei | 100229 | Taiwan |
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| ID | Term |
|---|---|
| D054198 | Precursor Cell Lymphoblastic Leukemia-Lymphoma |
| ID | Term |
|---|---|
| D007945 | Leukemia, Lymphoid |
| D007938 | Leukemia |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
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| ID | Term |
|---|---|
| C024352 | fludarabine |
| D003520 | Cyclophosphamide |
| ID | Term |
|---|---|
| D010752 | Phosphoramide Mustards |
| D009588 | Nitrogen Mustard Compounds |
| D009150 | Mustard Compounds |
| D006846 | Hydrocarbons, Halogenated |
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| Fludarabine | Drug | Administered prior to infusion of ARM011 |
|
| Cyclophosphamide | Drug | Administered prior to infusion of ARM011 |
|
Area under the concentration time curve (AUC) in peripheral blood
| Up to 24 months after ARM011 infusion |
| Evaluate preliminary anti-tumor activity of ARM011 | Preliminary anti-tumor activity: Proportion of subjects with an objective response (including complete response or complete remission with incomplete count recovery) | Up to 24 months after ARM011 infusion |
| Evaluate host immunogenicity to ARM011 | Incidence of anti-CD19-directed CAR antibodies | Up to 24 months after ARM011 infusion |
| Evaluate the feasibility of administration of ARM011 | The proportion of subjects for whom a CAR T-cell product meeting specifications could be prepared, which will be computed with a corresponding 95% confidence interval (CI). | 24 months |
| D006402 |
| Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D008232 | Lymphoproliferative Disorders |
| D008206 | Lymphatic Diseases |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
| D063088 | Phosphoramides |
| D009943 | Organophosphorus Compounds |