CRISPR-Edited Allogeneic Anti-CD19 CAR-T Cell Therapy for Relapsed/Refractory B Cell Non-Hodgkin Lymphoma (ANTLER)
Purpose
CB010A is a study evaluating safety, emerging efficacy, pharmacokinetics and immunogenicity of CB-010 in adults with relapsed/refractory B cell non-Hodgkin lymphoma after lymphodepletion consisting of cyclophosphamide and fludarabine.
Conditions
- Lymphoma, Non-Hodgkin
- Relapsed Non Hodgkin Lymphoma
- Refractory B-Cell Non-Hodgkin Lymphoma
- Non Hodgkin Lymphoma
- Lymphoma
- B Cell Lymphoma
- B Cell Non-Hodgkin's Lymphoma
Eligibility
- Eligible Ages
- Over 18 Years
- Eligible Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- Age greater than or equal to 18 at the time of enrollment - Documented diagnosis of relapsed or refractory non-Hodgkin lymphoma after prior standard of care - Eastern Cooperative Oncology Group performance status 0 or 1 - Adequate hematologic, renal, liver, cardiac and pulmonary organ function
Exclusion Criteria
- Prior therapy with an anti-CD19 targeting agent - Active or chronic graft versus host disease requiring therapy - Prior allogeneic stem cell transplantation - Central nervous system (CNS) lymphoma, prior CNS malignancy - Prior seizure disorder, cerebrovascular ischemia, dementia, cerebellar disease or autoimmune disease with CNS involvement. - Primary immunodeficiency - Current or expected need for systemic corticosteroid therapy - Current thyroid disorder. Hypothyroidism controlled with stable hormone replacement is permitted - Other malignancy within 2 years of study entry, except curatively treated malignancies or malignancies with low risk of recurrence - Unwillingness to follow extended safety monitoring
Study Design
- Phase
- Phase 1
- Study Type
- Interventional
- Allocation
- Non-Randomized
- Intervention Model
- Single Group Assignment
- Intervention Model Description
- The CB10A clinical study consists of (Part A) 3 + 3 design with three dose levels. (Part B) Expansion portion patients will receive CB-010 at the dose determined in Part A.
- Primary Purpose
- Treatment
- Masking
- None (Open Label)
Arm Groups
Arm | Description | Assigned Intervention |
---|---|---|
Experimental Dose Escalation of CB-010 |
Patients with relapsed or refractory non-Hodgkin lymphoma will receive CB-010 following lymphodepletion. |
|
Experimental Expansion of CB-010 |
Patients with relapsed or refractory non-Hodgkin lymphoma will receive CB-010 following lymphodepletion. |
|
Recruiting Locations
Banner MD Anderson Cancer Center
Gilbert 5295903, Arizona 5551752 85234
Gilbert 5295903, Arizona 5551752 85234
HonorHealth
Scottsdale 5313457, Arizona 5551752 85258
Scottsdale 5313457, Arizona 5551752 85258
University of Arizona Cancer Center
Tucson 5318313, Arizona 5551752 85724
Tucson 5318313, Arizona 5551752 85724
University of Arkansas
Little Rock 4119403, Arkansas 4099753 72205
Little Rock 4119403, Arkansas 4099753 72205
University of California San Diego Moores Cancer Center
La Jolla 5363943, California 5332921 92073
La Jolla 5363943, California 5332921 92073
University of Southern California, Norris Comprehensive Cancer Center
Los Angeles 5368361, California 5332921 90089
Los Angeles 5368361, California 5332921 90089
Chao Family Comprehensive Cancer Center/University of California Irvine
Orange 5379513, California 5332921 92868
Orange 5379513, California 5332921 92868
Advent Health
Orlando 4167147, Florida 4155751 32803
Orlando 4167147, Florida 4155751 32803
Bone and Marrow Transplant Group of Georgia
Atlanta 4180439, Georgia 4197000 30342
Atlanta 4180439, Georgia 4197000 30342
Georgia Cancer Center at Augusta University
Augusta 4180531, Georgia 4197000 30912
Augusta 4180531, Georgia 4197000 30912
Holden Comprehensive Cancer Center at the University of Iowa
Iowa City 4862034, Iowa 4862182 52242
Iowa City 4862034, Iowa 4862182 52242
University of Kentucky Markey Cancer
Lexington 4297983, Kentucky 6254925 40536
Lexington 4297983, Kentucky 6254925 40536
Norton Cancer Institute
Louisville 4299276, Kentucky 6254925 40207
Louisville 4299276, Kentucky 6254925 40207
Tufts Medical Center
Boston 4930956, Massachusetts 6254926 02111
Boston 4930956, Massachusetts 6254926 02111
Hackensack Medical Center
Hackensack 5098706, New Jersey 5101760 07601
Hackensack 5098706, New Jersey 5101760 07601
Atlantic Health System
Morristown 5101427, New Jersey 5101760 07960
Morristown 5101427, New Jersey 5101760 07960
Nyu Langone Health
New York 5128581, New York 5128638 10016
New York 5128581, New York 5128638 10016
Montefiore Medical Center
The Bronx 5110266, New York 5128638 10461
The Bronx 5110266, New York 5128638 10461
Oncology Hematology Care
Cincinnati 4508722, Ohio 5165418 45242
Cincinnati 4508722, Ohio 5165418 45242
Oregon Health & Science University
Portland 5746545, Oregon 5744337 97239
Portland 5746545, Oregon 5744337 97239
University of Pennsylvania
Philadelphia 4560349, Pennsylvania 6254927 19104
Philadelphia 4560349, Pennsylvania 6254927 19104
Vanderbilt University Medical Center
Nashville 4644585, Tennessee 4662168 37323
Nashville 4644585, Tennessee 4662168 37323
Baylor Charles A. Sammons Cancer Center
Dallas 4684888, Texas 4736286 75246
Dallas 4684888, Texas 4736286 75246
MD Anderson Cancer Center
Houston 4699066, Texas 4736286 77030-4009
Houston 4699066, Texas 4736286 77030-4009
Huntsman Cancer Institute at the University of Utah
Salt Lake City 5780993, Utah 5549030 84112
Salt Lake City 5780993, Utah 5549030 84112
Virginia Oncology Associates
Norfolk 4776222, Virginia 6254928 23502
Norfolk 4776222, Virginia 6254928 23502
Virginia Commonwealth University (VCU)
Richmond 4781708, Virginia 6254928 23219
Richmond 4781708, Virginia 6254928 23219
Medical College of Wisconsin
Milwaukee 5263045, Wisconsin 5279468 53226
Milwaukee 5263045, Wisconsin 5279468 53226
More Details
- NCT ID
- NCT04637763
- Status
- Recruiting
- Sponsor
- Caribou Biosciences, Inc.
Detailed Description
This clinical trial is a first-in-human, Phase 1, multicenter, open-label evaluation of safety and emerging efficacy of CB-010 in adults with relapsed/refractory B cell non-Hodgkin lymphoma. The study is conducted in two parts: Part A is dose escalation following a 3 + 3 design, with sequential, prespecified, increasing doses. Part B is the expansion portion where patients will receive CB-010 at the dose determined in Part A.