About this trial
The purpose of this Phase 1, first in human open-label study is to assess the safety and tolerability of TRX-103 in patients with hematological malignancies undergoing HLA-mismatched related or unrelated hematopoietic stem cell transplantation (HSCT). It is anticipated that up to 36 Subjects will be enrolled during a 18-24 month enrollment period. TRX-103 will be infused one time post HSCT.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Subjects with one of the following hematologic malignancies: Acute Lymphoblastic Leukemia (B- or T-ALL), Acute Myeloid Leukemia (AML) and Myelodysplastic Syndrome (MDS), or Chronic myelomonocytic leukemia (CMML)
Males and Females Age ≥ 18 years.
Weight of ≥ 35 Kg.
Karnofsky performance status ≥ 70 %.
Disqualifiers
Prior allogeneic bone marrow, peripheral blood, or cord blood HSCT.
Any subject with a history of significant renal, hepatic, pulmonary, or cardiac dysfunction, or on treatment to support cardiac dysfunction.
HIV positive.
Positive hepatitis-B surface antigen. Subject may be included if they are HBV PCR negative.
Trial design
Sequential
Treatments tested in this trial
TRX103
Biological/VaccineTRX103 infusion via central line.
Treatment groups
Trial outcomes
Primary outcomes
Safety and tolerability of TRX103 cell infusion through incidence of Adverse events.
Safety of TRX103 determined by stem cell engraftment and donor chimerism after HSCT measured by absolute neutrophil counts and percent donor chimerism.
Safety of TRX103 determined by negative Replication Competent Lentivirus (RCL).
Secondary outcomes
Incidence of Grade II-IV acute GvHD (aGvHD).
Incidence of Grade III-IV acute GvHD (aGvHD).
Incidence and severity of chronic GvHD (cGvHD)
Overall survival at Day +365.