Phase III Study of Intravenous CLIC-1901 CAR-T Cell Therapy for Adults with Relapsed or Refractory CD19 Positive Acute Lymphoblastic Leukemia, Chronic Lymphocytic Leukemia, and Non-Hodgkins Lymphoma
Led by Ottawa Hospital Research Institute · Updated on 2025-08-14
60
Participants Needed
3
Research Sites
808 weeks
Total Duration
AI-Summary
What this Trial Is About
Researchers are evaluating the safety, feasibility, and effectiveness of CLIC-1901 autologous anti-CD19 CAR-T cells in patients with relapsed or refractory CD19-positive Acute Lymphoblastic Leukemia ALL and Non-Hodgkins Lymphoma NHL. This early phase III trial includes an initial stage focusing on safety and feasibility in 20 participants, followed by an extended stage enrolling up to 100 participants to assess treatment response. The study aims to better understand how this therapy works for participants with these blood cancers.
Participants will receive a single intravenous infusion of CLIC-1901 CAR-T cells after undergoing lymphodepletion with cyclophosphamide and fludarabine. The treatment is delivered intravenously, and the study is designed as a two-stage, single-arm, open-label trial. The initial 20 participants will focus on safety and tolerability, and upon successful completion, up to 80 additional participants will be enrolled to evaluate the overall response rate at six months.
During the study, participants will be closely monitored for safety, including the occurrence of severe cytokine release syndrome within the first 28 days after infusion. Researchers will assess treatment response at six months and track enrollment progress. Participants must attend study visits for evaluations, including tissue biopsies, blood tests, and clinical assessments. The total duration of participation depends on the stage of enrollment and follow-up requirements, with safety and efficacy outcomes guiding the study progress.
CONDITIONS
Brief Title
CLIC-1901 for the Treatment of Patients With Relapsed/Refractory CD19 Positive Hematologic Malignancies
Research Team
N
Natasha Kekre, MD
A
Anne Marie Clement
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Diagnosed with relapsed or refractory CD19 positive acute lymphoblastic leukemia, chronic lymphocytic leukemia, or B-cell non-Hodgkin's lymphoma
Documentation of CD19 tumor expression from tissue biopsy, bone marrow, or peripheral blood within 3 months prior to screening
Adequate organ function
Provide written informed consent
You will not qualify if you...
Isolated extra-medullary disease
Genetic syndromes such as Fanconi anemia, Kostmann syndrome, Shwachman syndrome, or other familial bone marrow failure syndromes
Prior malignancy except treated carcinoma in situ of the skin or cervix with no active disease
Prior treatment with any gene therapy product
Positive PCR test for hepatitis B, hepatitis C, or HIV within 8 weeks of screening, or any uncontrolled infection
Active Graft Versus Host Disease requiring systemic therapy
Allogeneic stem cell transplant less than 6 months prior to infusion or donor lymphocyte infusion less than 6 weeks prior
Active central nervous system involvement by malignancy
History of anaphylaxis to gentamicin or derivatives
Received investigational agent within 30 days prior to enrollment
Pregnant or nursing women
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Lymphodepletion and Treatment
Duration - Up to 28 days
Participants receive lymphodepletion chemotherapy followed by a single intravenous infusion of autologous CLIC-1901 CAR-T cells.
1 to 2 visits around infusion
Follow-up and Response Assessment
Duration - 6 months
Participants are monitored to assess safety and treatment response, including evaluation of cytokine release syndrome and tumor response at 6 months after infusion.
Regular visits during first month and periodic visits up to 6 months
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
TREATMENT
Number of Arms
1
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