About this trial
This is a first in human, multi center, open label, phase 1/1b study to evaluate the safety and preliminary efficacy of CER-1236 in patients with relapsed/refractory (R/R), measurable residual disease (MRD) positive acute myeloid leukemia (AML), or TP53mut disease.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients need to have a confirmed diagnosis of de novo or secondary AML, or myelodysplastic syndrome (MDS)/AML with 10% to 19% blasts, per the International Consensus Classification 2022 or the WHO 2022 classification.
Absolute lymphocyte count >0.3 x 109/L prior to apheresis.
Eastern cooperative oncology group (ECOG) performance status 0 to 1.
Disqualifiers
Prior therapy with a permanently integrated, genetically modified cell product.
No measurable leukemia on the screening bone marrow evaluation prior to any bridging therapy.
Active autoimmune disease or history of autoimmune disease requiring treatment within the prior 2 years. Patients with history of autoimmune thyroiditis or type 1 diabetes well controlled on replacement regimen are eligible.
A known hypersensitivity or severe allergy to fludarabine, cyclophosphamide, or study drug components or diluents.
Trial design
Parallel
Treatments tested in this trial
CER-1236
Drugan autologous chimeric engulfment receptor T-cell
Cyclophosphamide
DrugLymphodepleting chemotherapy
Fludarabine
DrugLymphodepleting chemotherapy
Mesna
DrugChemoprotectant
Treatment groups
Trial outcomes
Primary outcomes
Incidence of adverse events (AEs) and serious adverse events (SAEs) - (Part 1)
Escalation Period
Incidence of dose-limiting toxicities (DLTs) of CER-1236 Monotherapy - (Part 1)
Escalation Period
Estimation of the objective response rate (ORR), complete response (CR), composite complete response (cCR), and measurable residual disease (MRD) negativity rates - (Part 2)
Expansion Period
Secondary outcomes
Estimation of the objective response rate (ORR), complete response (CR), composite complete response (cCR), and measurable residual disease (MRD) negativity rates - (Part 1)
Escalation Period
PK (Cmax) of CER-1236 - (Part 1)
Escalation Period
PK (AUC) of CER-1236 - (Part 1)
Escalation Period
Incidence of adverse events (AEs) and serious adverse events (SAEs) - (Part 2)
Expansion Period
Sponsors and contacts
Click on the lead sponsor to view all of their trials.