RecruitingPhase 1Phase 2NCT06090864

ATLCAR.CD30.CCR4 for CD30+ HL ATLCAR.CD30.CCR4 Cells

The Administration of T Lymphocytes Expressing the CD30 Chimeric Antigen Receptor (CAR) and CCR4 for Relapsed/Refractory CD30+ Hodgkin s Lymphoma


Sponsor

UNC Lineberger Comprehensive Cancer Center

Enrollment

31 participants

Start Date

Apr 25, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

Despite the progress in the therapy, Hodgkin's Lymphoma (HL) remains fatal for more than 15% of patients. Even in patients who are cured, the morbidity of therapy is substantial and long-lasting. New therapeutic agents are required therefore not only to further reduce mortality but also to alleviate morbidity. The majority of HL express the CD30 antigens. CD30 expression is routinely used for the diagnosis of HL. Preclinical observations support CD30 as a viable target of CAR-T therapy. This phase Ib/II study was conducted based on these observations. The purpose of this study is to determine the tolerability of ATLCAR.CD30.CCR4 cells in subjects with Hodgkin's Lymphoma and identify a recommended dose for further. This is a single-center, open-label phase Ib/II trial that uses a 3+3 design to identify a recommended phase 2 dose (RP2D) of ATLCAR.CD30.CCR4 cells in Hodgkin's Lymphoma. The phase II portion is designed to determine the PFS of ATLCAR.CD30.CCR4 in Hodgkin's Lymphoma. Subjects will be enrolled on 1 of 3 dose levels as determined by a 3+3 design. Up to 25 evaluable subjects may then be enrolled in the phase II portion of the study. Subjects may have cells procured to manufacture the ATLCAR.CD30.CCR4 cells if they meet eligibility for procurement. During the time period necessary to manufacture the ATLCAR.CD30.CCR4 cells, Subjects will be allowed to receive standard-of-care bridging therapy at the discretion of their local oncologist. Prior to cell infusion, subjects will undergo additional eligibility evaluations, and then if eligible, will undergo lymphodepletion followed by cell infusion 2-14 days later. Subjects will then be followed for 15 years as is required for studies involving gene transfer experiments.


Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study is testing a modified CAR-T cell therapy called ATLCAR.CD30.CCR4 — immune cells engineered to find and destroy a specific type of lymphoma (Hodgkin lymphoma and certain T-cell lymphomas) by targeting the CD30 protein — in people whose cancer has relapsed or not responded to multiple prior treatments. **You may be eligible if...** - You are 18 or older - You have CD30-positive Hodgkin lymphoma or certain T-cell lymphomas that have relapsed or are refractory - Your cancer has not responded to or relapsed after multiple prior treatments - Your physical performance is adequate (Karnofsky score above 60%) - Your organ function (heart, liver, kidneys) is sufficient to tolerate the therapy **You may NOT be eligible if...** - You have uncontrolled active infections - You have active CNS involvement by lymphoma - Your heart function is significantly reduced - You are pregnant or breastfeeding - You have HIV or active hepatitis 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

DRUGChemotherapy

Subjects will receive a lymphodepletion regimen of bendamustine 70 mg/m2 IV and fludarabine 30 mg/m2 each as a daily infusion for 3 consecutive days prior to the ATLCAR.CD30.CCR4 cell infusion.

BIOLOGICALCell infusion

ATLCAR.CD30.CCR4 cells infusion for the eligible subjects after depletion chemotherapy.


Locations(1)

Lineberger Comprehensive Cancer Center

Chapel Hill, North Carolina, United States

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NCT06090864


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