RecruitingPhase 1NCT05887167

Feasibility and Safety of Collecting and Combining Autologous Hematopoietic Stem Cells With Chimeric Antigen Receptor (CAR) T-Cell Therapy in Subjects With Relapsed/Refractory Hematological Malignancies

IIT2022-04-Sasine-CAR-T: A Phase 1 Single-arm, Open-label Study to Evaluate the Feasibility and Safety of Collecting and Combining Autologous Hematopoietic Stem Cells With Chimeric Antigen Receptor (CAR) T-Cell Therapy in Subjects With Relapsed/Refractory Hematological Malignancies


Sponsor

Joshua Sasine, MD, PhD

Enrollment

20 participants

Start Date

Mar 2, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

The study is designed to examine the feasibility and safety of collecting autologous hematopoietic stem cells (HSCs) to be combined with CAR T-cell therapy for patients with relapsed/refractory (r/r) hematological disease. The study will evaluate feasibility of collecting the target dose of HSCs from at least 50% of enrolled patients. The study will assess safety based on incidence and severity of cytokine release syndrome (CRS) and immune effector cell-associated neurotoxicity syndrome (ICANS) in the first 60 days post CAR T dosing, and also through the collection of adverse events (AEs) and serious adverse events (SAEs) as well as the durability of response after treatment with HSCs with CAR T. The study follows an open-label, single-center and single non-randomized cohort design. 20 subjects with r/r hematological malignancies will be enrolled and treated to evaluate the feasibility and preliminary safety of collecting autologous HSCs and combining them with CAR T-cell therapy.


Eligibility

Min Age: 18 YearsMax Age: 85 Years

Plain Language Summary

Simplified for easier understanding

This study is examining whether combining CAR T-cell therapy (a personalized immune cell treatment) with the patient's own stem cells is safe and feasible for people with blood cancers that have come back or stopped responding to standard treatments. **You may be eligible if...** - You are between 18 and 85 years old - You have a blood cancer (such as certain leukemias or lymphomas) for which an FDA-approved CAR T-cell product exists - Your cancer has relapsed (come back) or is refractory (no longer responding to treatment) - At least 2 weeks have passed since your last cancer treatment - Any side effects from prior treatment have mostly resolved **You may NOT be eligible if...** - You have an active, uncontrolled infection - Your organs (heart, liver, kidneys, lungs) cannot handle the demands of treatment - You have had prior CAR T-cell therapy that caused certain severe reactions - You are pregnant or breastfeeding Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BIOLOGICALautologous hematopoietic stem cells added to planned CAR T

Autologous hematopoietic stem cells (aHSCs) infused on Day 10 after CAR T (any FDA-approved CAR T product) infusion on Day 0.


Locations(1)

Cedars-Sinai Medical Center

Los Angeles, California, United States

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NCT05887167


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