RecruitingPhase 1NCT04960579

P-BCMA-ALLO1 Allogeneic CAR-T Cells in the Treatment of Subjects With Multiple Myeloma

Open-Label, Multicenter, Phase 1 Study to Assess the Safety of P-BCMA-ALLO1 in Subjects With Relapsed / Refractory Multiple Myeloma (MM)


Sponsor

Poseida Therapeutics, Inc.

Enrollment

275 participants

Start Date

May 5, 2022

Study Type

INTERVENTIONAL

Conditions

Summary

Phase 1 study comprised of open-label, dose escalation, multiple cohorts of P-BCMA-ALLO1 allogeneic T stem cell memory (Tscm) CAR-T cells in subjects with relapsed / refractory Multiple Myeloma (RRMM).


Eligibility

Min Age: 18 Years

Inclusion Criteria11

  • Must have signed written, informed consent.
  • Males or females, ≥18 years of age.
  • Must have a confirmed diagnosis of active MM.
  • Must have measurable MM.
  • Must have relapsed / refractory MM, having received treatment with a proteasome inhibitor, immunomodulatory agent (IMiD), and anti-CD38 therapy.
  • Must be willing to practice birth control from the time of Screening and throughout the first year of the study after P-BCMA-ALLO1 administration.
  • Must have a negative serum pregnancy test at Screening and a negative urine pregnancy test within 3 days prior to initiating the lymphodepletion therapy regimen (females of childbearing potential).
  • Must be at least 90 days since autologous stem cell transplant, if performed.
  • Must have adequate vital organ function within pre-determined parameters.
  • Must have recovered from toxicities due to prior therapies.
  • Must have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1.

Exclusion Criteria22

  • Is pregnant or lactating.
  • Has inadequate venous access.
  • Has active hemolytic anemia, plasma cell leukemia, Waldenstrom\'s macroglobulinemia, POEMS syndrome, disseminated intravascular coagulation, leukostasis, or amyloidosis.
  • Has an active second malignancy (not disease-free for at least 5 years) in addition to MM, excluding low-risk neoplasms such as non-metastatic basal cell or squamous cell skin carcinoma.
  • Has active autoimmune disease.
  • Has a history of significant central nervous system (CNS) disease, such as stroke, epilepsy, etc.
  • Has an active systemic infection.
  • Has a history of hepatitis B, hepatitis C virus, human immunodeficiency virus (HIV), or human T-lymphotropic virus (HTLV) infection, or any immunodeficiency syndrome. Subjects with a history of treated hepatitis C can be enrolled if negative by Hepatitis C PCR on multiple occasions.
  • Is positive for cytomegalovirus (CMV) by PCR, CMV immunoglobulin M (IgM) antibody, or Coronavirus disease 2019 (COVID-19) by PCR.
  • Has New York Heart Association (NYHA) Class III or IV heart failure, unstable angina, or a history of myocardial infarction or significant arrhythmia.
  • Has any psychiatric or medical disorder that would preclude safe participation in and/or adherence to the protocol.
  • Has received prior allogeneic cellular therapy or gene therapy.
  • Has received anti-cancer medications within 2 weeks of the time of initiating conditioning LD therapy.
  • Has received monoclonal antibody therapy within 4 weeks of initiating conditioning LD therapy.
  • Has received immunosuppressive medications within 2 weeks of the time of administration of P-BCMA-ALLO1, and/or expected to require them while on study.
  • Has received systemic corticosteroid therapy within 1 week or 5 half-lives (whichever is shorter) of the administration of P-BCMA-ALLO1 or is expected to require it during the course of the study.
  • Has CNS metastases or symptomatic CNS involvement of their myeloma.
  • Has a history of severe immediate hypersensitivity reaction to any of the agents used in this study.
  • Has a history of having undergone allogeneic stem cell transplantation, or any other allogeneic or xenogeneic transplant, or has undergone autologous transplantation within 90 days.
  • Arms R, RS, RP1, RP1.5 and RP2 Only: a) Has received a live vaccine within the last 28 days of the first administration of agents used in Arm R or RS, b) Has any known hypersensitivity or severe reactions or toxicity to agents used in Arms R or RS.
  • Has received radiation within 1 week of initiating conditioning LD therapy.
  • Administration of a live vaccine within the last 28 days prior to administration of LD therapy.

Interventions

BIOLOGICALP-BCMA-ALLO1 CAR-T cells

Allogeneic BCMA-targeted chimeric antigen receptor (CAR) T-cell therapy

DRUGRimiducid

Safety switch activator

DRUGMethotrexate

Anti-metabolite


Locations(23)

City of Hope

Goodyear, Arizona, United States

University of California San Diego

San Diego, California, United States

University of California San Francisco

San Francisco, California, United States

Emory University

Atlanta, Georgia, United States

Blood Marrow and Transplant Group of Georgia

Atlanta, Georgia, United States

City of Hope

Chicago, Illinois, United States

Advocate Aurora Health

Park Ridge, Illinois, United States

University of Iowa

Iowa City, Iowa, United States

University of Kansas Medical Center

Kansas City, Kansas, United States

University of Maryland Greenebaum Comprehensive Cancer Center

Baltimore, Maryland, United States

Wayne State - Karmanos Cancer Institute

Detroit, Michigan, United States

Hackensack Meridian Health

Hackensack, New Jersey, United States

Roswell Park Comprehensive Cancer Center

Buffalo, New York, United States

Mount Sinai

New York, New York, United States

University of North Carolina at Chapel Hill

Chapel Hill, North Carolina, United States

University of Cincinnati

Cincinnati, Ohio, United States

Cleveland Clinic

Cleveland, Ohio, United States

University of Oklahoma, Health Sciences Center

Oklahoma City, Oklahoma, United States

University of Pennsylvania

Philadelphia, Pennsylvania, United States

Vanderbilt University Medical Center

Nashville, Tennessee, United States

Sarah Cannon Research Institute - St. David's South Austin Medical Center

Austin, Texas, United States

Houston Methodist Research Institute

Houston, Texas, United States

Sarah Cannon Research Institute - Methodist Healthcare

San Antonio, Texas, United States

View Full Details on ClinicalTrials.gov

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NCT04960579


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