Anti-CD19, Dual Co-stimulatory (4-1BB, CD3ζ) Chimeric Antigen Receptor T-cells in Patients With Relapsed/Refractory Aggressive Lymphoma or Acute Lymphoblastic Leukemia (ALL)

Trial statusRecruiting
Trial phasePhase 1, Phase 2
Trial typeInterventional
Biological sexAll
Age2-70
SponsorUniversity of Alberta

About this trial

Autologous, unselected CD3+ lymphocytes collected from apheresis, transfected with a lentiviral vector containing a 2nd generation chimeric antigen receptor (CAR) consisting of a scFv recognizing CD19 and dual co-stimulatory intracellular signaling domains (4-1BB and CD3ζ).

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Have given written informed consent prior to any study-specific procedures; children (defined as 17 years of age or less) require guardian consent.

Eastern Cooperative Oncology Group (ECOG) Performance Status 0-2; or Karnofsky > 50%.

Age of 2 to 70 years at time of screening.

A histologically or cytologically documented, CD19+ non-hodgkin's lymphoma or ALL.

Disqualifiers

Prior treatment with immunotherapy directly targeting T-cells (except anti-thymocyte globulin [ATG]), CD19-directed antibody-based therapies (except blinatumomab), or other gene therapy products.

Received any investigational drug/anti-cancer therapy within 30 days.

Concurrent participation in another therapeutic clinical trial.

Therapeutic doses of corticosteroids (defined as > 20 mg/day prednisone or equivalent) within 7 days prior to blood collection for CAR T-cell product manufacture.

Trial design

Design model

Single group

Treatments tested in this trial

  • autologous CD19-directed chimeric antigen receptor (CAR) T-cells

    Biological/Vaccine

    Anti-CD19/4-1BB/CD3ζ CAR T-cell: autologous, unselected CD3+ lymphocytes collected from whole blood or apheresis, transfected with a lentiviral vector containing a 2nd generation chimeric antigen receptor (CAR) consisting of a scFv recognizing CD19 and dual co-stimulatory intracellular signaling domains (4-1BB and CD3ζ). All patients will receive lymphodepleting, conditioning chemotherapy in the form of cyclophosphamide (500 mg/m2/day) and fludarabine (30 mg/m2/day) on Days -5, -4, and -3 prior to a CAR T-cell intravenous, single dose administration on Day 0.

Treatment groups

63 Participants
are divided into 1 treatment group
Group A: CAR T cellsExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Number and type of treatment-related adverse events.

Time frame
3 years
2

Number of dose limiting toxicities of anti-CD19 CAR T-cells

Time frame
3 years
3

Maximum concentration (Cmax).

Time frame
3 years
4

Time to maximum concentration (Tmax).

Time frame
3 years

Secondary outcomes

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

University of Alberta

Lead sponsor

Alberta Cancer Foundation

Collaborator

Canadian Cancer Trials Group

Collaborator