About this trial
This study is a Phase 1 multicenter, open-label study evaluating the safety and efficacy of escalating doses of MT-401-OTS in 2 participant populations: 1) Those with intermediate or high-risk AML per 2022 ELN criteria who have evidence of MRD and/or \</= 10% blast following prior induction therapy or at least 4 cycles of nonintensive therapy and 2) those with high- or very-high-risk MDS per 2023 IWG criteria and who have residual disease with \</= 10% blasts following treatment with an HMA-based therapy.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
General
Must be ≥ 65 years of age and capable of giving signed informed consent, which includes compliance with the requirements and restrictions listed in the ICF and in the protocol, at the time of signing the ICF
Must have a life expectancy ≥ 12 weeks
Must have an ECOG performance status of 0-2
Disqualifiers
Disease-Related
Have leukemic involvement in the CNS
Have other extramedullary disease involvement (except hepatosplenic involvement)
Have APL Medical Conditions
Trial design
Sequential
Treatments tested in this trial
MT-401-OTS
DrugMT-401-OTS is an off the shelf cellular therapy product given by IV infusion through either a peripheral or central line.
Treatment groups
Trial outcomes
Primary outcomes
Safety of MT-401-OTS
Assess: * Incidence of DLTs to determine the RP2D * Safety (including but not limited to): TEAEs, SAEs, deaths, and clinical laboratory abnormalities per NCI CTCAE, Version 5.0 * Acute GVHD per 2016 MAGIC criteria * CRS and ICANS per ASTCT criteria
Tolerability of MT-401-OTS
cGVHD per 2014 NIH consensus criteria for cGVHD
Secondary outcomes
To assess the efficacy of MT-401-OTS in participants with high-risk or very-high-risk MDS per IPSS-M who have evidence of disease following at least 4 cycles of a HMA
Per 2023 IWG criteria for higher-risk MDS: * CR rate * DOCR * ORR * DOR
To assess the efficacy of MT-401-OTS in participants with intermediate or high-risk AML per 2022 ELN criteria who have evidence of disease following induction therapy or at least 4 cycles of nonintensive treatment
Per 2022 ELN Criteria for AML: * Rate of MRD negativity * CR, DOCR * ORR, DOR
Sponsors and contacts
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Marker Therapeutics, Inc.
Lead sponsor
University of Kansas Medical Center
Collaborator
H. Lee Moffitt Cancer Center and Research Institute
Collaborator
City of Hope National Medical Center
Collaborator
FDA Office of Orphan Products Development
Collaborator