Actively Recruiting
Phase 1 Study of Allo-RevCAR01-T-CD123 in Patients With Selected CD123 Positive Hematologic Malignancies
Led by AvenCell Europe GmbH · Updated on 2025-05-14
80
Participants Needed
11
Research Sites
208 weeks
Total Duration
On this page
Sponsors
A
AvenCell Europe GmbH
Lead Sponsor
A
Allucent (NL) BV
Collaborating Sponsor
AI-Summary
What this Trial Is About
The Allo-RevCAR01-T-CD123 drug is a combination of a cellular component (Allo-RevCAR01-T) with a recombinant antibody derivative (R-TM123), which together form the active drug. The cellular component Allo-RevCAR01-T consists of an allogeneic human T-cell genetically multi-edited and expressing a reversed, universal chimeric antigen receptor (RevCAR) presenting an extracellular peptide epitope (RevCAR epitope). R-TM123 functions as a bridging module between Allo-RevCAR01-T and a CD123-expressing target cancer cell by selectively binding the RevCAR epitope and CD123.
CONDITIONS
Official Title
Phase 1 Study of Allo-RevCAR01-T-CD123 in Patients With Selected CD123 Positive Hematologic Malignancies
Who Can Participate
Eligibility Criteria
You may qualify if you...
1. Male or female participants, age ≥18 years. 2. HLA type of participant must match at HLA B and C loci 3.
-
For Phase 1a escalation part of the trial Participants with CD123+ AML (defined as ≥20% of leukemic cells expressing CD123 at any point in the course of disease)
(1) for whom all standard or life-extending therapies have failed and for whom no potentially curative therapies are available or who are intolerant to such therapies.
-
For Phase 1b expansion part of the trial (Phase 1b) Participants with CD123+ AML (defined as ≥20% of leukemic cells expressing CD123 at any point in the course of disease)
- up to 3rd relapse for whom all standard or life-extending therapies have failed and for whom no potentially curative therapies are available or who are intolerant to such therapies
- having up to 30% blasts in a bone marrow assessment at either screening or prescreening, or having between 30% and 40% blasts for two consecutive bone marrow assessments with a minimum of one month and no more than two months apart,
- without hyperproliferative disease requiring cytoreductive treatment,
- exceptions to BM blast criterion are only possible in minor deviations in timing and/or blast count in clinically stable patients, and only with written sponsor approval. Exceptions to minimum CD123 expression are not allowed.
-
For Phase 1a escalation and Phase 1b expansion part of the trial
Participants with MRD+ AML are potentially eligible but must meet the following criteria:
- MRD positivity must be based on assays and markers supported by consensus guidelines [Heuser2021] and in the judgment of the investigator must confer negative prognostic risk highly likely to result in relapse.
- must have received or be ineligible for allogeneic stem cell transplant.
- must be approved by the Sponsor for inclusion in the study. 4. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1. 5. Life expectancy of at least 3 months in the judgment of the investigator. 6. Adequate renal and hepatic laboratory assessments: 7. Adequate cardiac function 8. Long-term central venous access existing (e.g., port-system) or willing to have such a device inserted.
9. Able to give written informed consent. 10. Weight ≥45 kg. 11. Negative pregnancy; routinely using a highly effective method of birth control
You will not qualify if you...
- Acute promyelocytic leukemia (t15;17).
- AML with only extramedullary manifestations (e.g., chloroma, primary myeloid sarcoma)
- Acute manifestationof AML in the central nervous system.
- Bone marrow failure syndromes
- Cardiac disease: heart failure (New York Heart Association III or IV); unstable coronary artery disease, myocardial infarction, or serious cardiac ventricular arrhythmias requiring anti-arrhythmic therapy within the last 6 months prior to study entry.
- Active pulmonary disease with clinically relevant hypoxia
- Parkinson's disease or epilepsy with clinical symptoms in the previous 12 months .
- Stroke, seizure, or intracranial hemorrhage in the past 12 months.
- History or presence of disseminated intravascular coagulation (DIC), deep vein thrombosis or thromboembolism within 3 months prior to start of treatment.
- Active infectious disease considered by investigator to be incompatible with protocol or being contraindications for lymphodepletion therapy
- Presence of hemorrhagic cystitis
- Other toxicity from prior anticancer treatment has not resolved to Grade ≤1 or baseline.
- Allogeneic stem cell transplantation within last 2 months or GvHD requiring systemic immunosuppressive therapy.
- Vaccination with live viruses < 2 weeks prior to lymphodepletion therapy.
- Major surgery within 28 days prior to start of R-TM123 infusion.
- Prior malignancy in the past 3 years or any malignancy requiring ongoing active therapy other than adjuvant endocrine therapy. Participants with resected or ablated tumors, such as basal cell carcinoma of skin, carcinoma-in-situ of the cervix, or other tumors considered cured may be considered for the study with Sponsor approval.
- Treatment with any investigational drug substance or experimental therapy within 4 weeks or 5 half-lives (whichever is shorter) of the substance prior to lymphodepletion.
- Treatment with anti-leukemic therapy within 4 weeks or 5 half-lives (whichever is shorter) prior to lymphodepletion.
- Prior treatment with gene modified cell products.
- Use of checkpoint inhibitors within 5 half-lives of the specific drug.
- Autoimmune diseases requiring systemic steroids or other systemic immunosuppressants.
- Pregnant or breastfeeding women.
- Psychologic disorders with treatment modifications required within the last 3 months, drug and/or significant active alcohol abuse as per investigator's medical judgement. Depression or anxiety due to presence of the underlying malignancy may be exempted with Sponsor approval.
- History of human immunodeficiency virus (HIV) or human T-lymphotropic virus (HTLV) or active/chronic infection with hepatitis C virus (HCV) or hepatitis B virus (HBV).
- Presence of autoantibodies against lupus La protein (La)/ Sjögren syndrome type B antigen (SS-B) or presence or history of autoimmune diseases associated with such antibodies
- Known hypersensitivity to cellular component (Allo-RevCAR01-T) and/or TM (R-TM123) excipients or to compounds of the lymphodepletion therapy, tocilizumab, or corticosteroids.
- Evidence that the participant is not likely or able to follow the study protocol (e.g., lacking compliance) in the judgment of the investigator.
- Participant unable to understand the informed consent and possible consequences of the participation in the clinical trial in the judgement of the investigator.
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Trial Site Locations
Total: 11 locations
1
Universitätsklinikum Ulm
Ulm, Baden-Wurttemberg, Germany, 89081
Actively Recruiting
2
Klinikum der Universität München
Munich, Bavaria, Germany, 81377
Actively Recruiting
3
Universitätsklinikum Würzburg
Würzburg, Bavaria, Germany, 97080
Actively Recruiting
4
Universitätsklinikum Marburg
Marburg, Hesse, Germany, 35032
Actively Recruiting
5
Universitätsklinikum Dresden
Dresden, Saxony, Germany, 01307
Actively Recruiting
6
Charité Universitätsmedizin Berlin
Berlin, Germany, 13353
Actively Recruiting
7
Universitätsklinikum Köln
Cologne, Germany, 50937
Actively Recruiting
8
Medizinische Hochschule Hannover
Hanover, Germany
Actively Recruiting
9
Erasmus University Medical Center
Rotterdam, Gelderland, Netherlands, 3015
Actively Recruiting
10
Amsterdam University Medical Center
Amsterdam, HV, Netherlands, 1081
Not Yet Recruiting
11
University Medical Center Groningen (UMCG)
Groningen, RB Groningen, Netherlands, 9700
Not Yet Recruiting
Research Team
K
Katja Jersemann, Dr.
CONTACT
M
Martina Raupach
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
1
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