RecruitingPhase 1NCT03666000

Dose-escalation and Dose-expansion Study of Safety of Azer-cel (PBCAR0191) in Participants With Relapsed/Refractory (r/r) Non-Hodgkin Lymphoma (NHL) and r/r B-cell Acute Lymphoblastic Leukemia (B-ALL)

A Phase 1/1b, Open-label, Dose-escalation, Dose-expansion, Parallel Assignment Study to Evaluate Safety and Clinical Activity of PBCAR0191 (Azercabtagene Zapreleucel or "Azer-cel") in Subjects With Relapsed/Refractory (r/r) Non-Hodgkin Lymphoma (NHL) and r/r B-cell Acute Lymphoblastic Leukemia (B-ALL)


Sponsor

Imugene Limited

Enrollment

135 participants

Start Date

Mar 11, 2019

Study Type

INTERVENTIONAL

Conditions

Summary

This is a Phase 1/1b, nonrandomized, open-label, parallel assignment, dose-escalation, and dose-expansion study to evaluate the safety and clinical activity of azer-cel, an allogeneic anti-CD19 CAR T, in adults with r/r B ALL, r/r B-cell NHL and CLL/SLL.


Eligibility

Min Age: 18 Years

Inclusion Criteria32

  • Criteria for B-ALL:
  • • Participant has confirmed unequivocal r/r CD19+ B-ALL.
  • Criteria for NHL and CLL/SLL:
  • • Participant has unequivocal aggressive CD19+ r/r B-cell NHL that is confirmed by tumor biopsy tissue from last relapse after CD19-directed therapy.
  • For Phase 1 Dose Escalation:
  • Diffuse large B-cell lymphoma (DLBCL) including Richter's transformation
  • Follicular lymphoma (FL) including Grade 3 or transformed FL
  • High-grade B-cell lymphoma (HGBCL)
  • Primary mediastinal lymphoma
  • For Phase 1b Dose Expansion (CAR T-relapsed cohort):
  • DLBCL not otherwise specified (NOS)
  • HGBCL
  • DLBCL transformed from the following indolent lymphoma subtypes (FL, Marginal Zone lymphoma \[MZL\], and Waldenstrom's Macroglobulinemia \[WM\])
  • Other large B-cell lymphoma (LBCL) subtypes may be enrolled with approval from the Medical Monitor.
  • Participants previously treated with CD19-directed autologous CAR T therapies have received no more than 2 lines of therapy after administration of their previous CAR T product.
  • For the expansion CAR T-relapsed cohort only: Participants must have received autologous CD19-directed CAR T therapy and demonstrated clinical response to the treatment at Day 28 or later, followed by relapse or progression.
  • For Phase 1b dose expansion (CAR T-naive cohort):
  • DLBCL NOS
  • DLBCL transformed from the following indolent lymphoma subtypes (FL, MZL, and WM)
  • HGBCL
  • FL (Grade 1-3a)
  • MZL that is fluorodeoxyglucose (FDG)-avid on positron emission tomography (PET) scan
  • WM
  • CLL/SLL
  • Primary central nervous system (CNS) lymphoma (PCNSL)
  • Other LBCL subtypes may be enrolled with approval from the Medical Monitor.
  • Participant must have received at least 1-2 prior lines of therapy, depending on histological subtype but no more than 7 systemic lines of anti-cancer therapy.
  • Criteria for both B-ALL, NHL, and CLL/SLL:
  • Eastern Cooperative Oncology Group performance status score of 0 or 1.
  • An estimated life expectancy of at least 12 weeks according to the investigator's judgment.
  • Seronegative for human immunodeficiency virus antibody.
  • Participant has adequate bone marrow, renal, hepatic, pulmonary, and cardiac function.

Exclusion Criteria24

  • Criteria for B-ALL:
  • • Burkitt cell (L3 ALL) or mixed-lineage acute leukemia.
  • Criteria for NHL:
  • Requirement for urgent therapy due to tumor mass effects such as bowel obstruction or blood vessel compression.
  • Active hemolytic anemia.
  • Criteria for B-ALL and NHL:
  • No active CNS disease, excluding PCNSL
  • History of another primary malignancy
  • Any form of primary immunodeficiency (for example, severe combined immunodeficiency disease).
  • History of hepatitis B or hepatitis C currently receiving ongoing antiviral therapy.
  • Any known uncontrolled cardiovascular disease at the time of Screening that, in the investigator's opinion, renders the participant ineligible
  • History of hypertension crisis or hypertensive encephalopathy within 3 months prior to Screening.
  • History of severe immediate hypersensitivity reaction to any of the agents used in this study.
  • Presence of a CNS disorder that, in the opinion of the investigator, renders the participant ineligible for treatment.
  • History of concomitant genetic syndrome such as Fanconi anemia, Kostmann syndrome, Shwachman-Diamond syndrome, or any other known bone marrow failure syndrome.
  • Active uncontrolled autoimmune disease requiring active immunosuppression at the time of Screening (excluding participants needing steroids for physiologic replacement).
  • Participant has received stem cell transplant within 90 days before Screening.
  • Participant has active graft-versus-host disease (GvHD) symptoms.
  • Participant has received a systemic biologic agent for treatment of the disease under study within 28 days of LD, other systemic anti-cancer therapy within 10 days or 5 half-lives (whichever is shorter) of LD, and no pulse steroid for disease control within 3 days of LD.
  • Radiotherapy within 4 weeks before Screening.
  • Presence of pleural/peritoneal/pericardial catheter, as well as permeant biliary and ureteral stents (does not apply to intravenous lines).
  • Participant has received live vaccine within 4 weeks before Screening. Note: Non-live virus vaccines are not excluded.
  • Participant has received CD19-directed therapy other than autologous CD19-directed CAR T therapy within 90 days of the anticipated start date of LD.
  • Additional criteria apply.

Interventions

BIOLOGICALAzer-cel

Infusion of Allogeneic Anti-CD19 CAR T cells

DRUGFludarabine

Specified dose on specified days

DRUGCyclophosphamide

Specified dose on specified days

DRUGIL-2

Specified dose on specified days


Locations(23)

Banner MD Anderson Cancer Center

Gilbert, Arizona, United States

City of Hope

Duarte, California, United States

H. Lee Moffitt Cancer Center

Tampa, Florida, United States

Winship Cancer Institute Emory University

Atlanta, Georgia, United States

Northside Hospital Cancer Institute

Atlanta, Georgia, United States

University of Maryland

Baltimore, Maryland, United States

Tufts Medical Center

Boston, Massachusetts, United States

Dana-Farber Cancer Institute

Boston, Massachusetts, United States

Barbara Ann Karmanos Cancer Institute (Wayne State University)

Detroit, Michigan, United States

University of Minnesota

Minneapolis, Minnesota, United States

Weill Cornell Medical College - NY Presbyterian Hospital

New York, New York, United States

Columbia University Irving Medical Center/New York Presbyterian Hospital

New York, New York, United States

Duke University

Durham, North Carolina, United States

Ohio State University

Columbus, Ohio, United States

Lifespan Cancer Institute at Rhode Island Hospital

Providence, Rhode Island, United States

Baylor University Medical Center

Dallas, Texas, United States

MD Anderson

Houston, Texas, United States

Medical College of Wisconsin

Milwaukee, Wisconsin, United States

Royal Prince Alfred Hospital

Camperdown, New South Wales, Australia

Liverpool Hospital

Liverpool, New South Wales, Australia

Royal Adelaide Hospital

Adelaide, South Australia, Australia

St Vincent's Hospital Melbourne

Fitzroy, Victoria, Australia

Barwon Health - Andrew Love Cancer Centre

Geelong, Victoria, Australia

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