Engineering allogeneic type 1 regulatory T cells: a scalable, off-the-shelf platform for restoring immune tolerance.
Molly Javier Uyeda, Audrey Re, Chunyi Tang...
https://pubmed.ncbi.nlm.nih.gov/42495646/Actively Recruiting
Led by Tr1X, Inc. · Updated on 2025-04-15
36
Participants Needed
5
Research Sites
52 weeks
Total Duration
Researchers are evaluating the safety and tolerability of TRX-103 in patients with hematological cancers undergoing hematopoietic stem cell transplantation HSCT using donors who are not fully matched. This Phase 1, open-label study aims to understand how TRX-103 affects patients after receiving HSCT, focusing on safety outcomes over a period of up to one year. The study plans to enroll up to 36 participants over 18 to 24 months. Participants will receive a single infusion of TRX-103 via a central line after their HSCT procedure. The infusion is given once, and the study observes patients for safety and potential side effects related to the treatment. This study involves no placebo or comparison group and is focused solely on evaluating TRX-103 in this specific transplant setting. Throughout the study, participants will be monitored through various safety assessments including tracking adverse events, examining stem cell engraftment and donor chimerism up to 42 days post-transplant, and testing for replication-competent lentivirus at 3, 6, and 12 months. Researchers will also assess occurrences of acute and chronic graft-versus-host disease GvHD and overall survival for up to a year. Participants will undergo regular visits and tests to track these outcomes during the study period.
CONDITIONS
Prevention of GvHD in Participants With Hematological Malignancies Undergoing Hematopoietic Stem Cell Transplant (HSCT)
T
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Tr1X, Inc.
Lead Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | TRX103 (investigational) | Current‑standard GVHD prophylaxis |
|---|---|---|
| What it is | An investigational, off‑the‑shelf allogeneic Type 1 regulatory T-cell (Tr1) infusion (TRX103) given after mismatched donor HSCT. | Common prophylaxis regimens include post‑transplant cyclophosphamide or rabbit anti‑T‑cell globulin (ATG) to reduce graft‑versus‑host disease after HSCT. |
| Primary use | Studied to prevent acute and chronic graft‑versus‑host disease following HLA‑mismatched HSCT. | Used routinely to prevent graft‑versus‑host disease in HLA‑mismatched HSCT settings. |
| How it is given or performed | Infusion of engineered Tr1 cells through a central line following conditioning and stem cell infusion. | Cyclophosphamide or ATG given per institutional protocols during peri‑transplant period. |
| Evidence status | Early phase clinical data suggest tolerability, engraftment, expansion and persistence of TRX103 without dose‑limiting toxicity at day 28. | Widely supported by consensus guidelines and routine clinical use for reducing GVHD in mismatched HSCT. |
| Important risks | Potential for acute or chronic GVHD and relapse; early data shows grade 1 infusion reactions in some patients. | Risks include immunosuppression‑related infection, drug toxicity, organ dysfunction depending on regimen. |
| Important limitations | Phase 1 single‑arm study with small population; dose escalation design limits efficacy conclusions. | Not tested in this trial under identical conditions and may not reflect emerging prophylaxis combinations. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Up to 100 days post-transplant
Participants receive an infusion of TRX-103 cells via central line following hematopoietic stem cell transplant (HSCT) to prevent graft-versus-host disease (GvHD).
1 infusion visit and multiple follow-up visits for safety assessments
Duration - Up to 1 year
Participants are monitored for safety, tolerability, and incidence of acute and chronic GvHD, as well as overall survival for up to one year after treatment.
Visits at Day 42, 3 months, 6 months, and 1 year post-treatment
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SEQUENTIAL
Primary Purpose
PREVENTION
Number of Arms
1
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Molly Javier Uyeda, Audrey Re, Chunyi Tang...
https://pubmed.ncbi.nlm.nih.gov/42495646/Tr1X, Inc.
Lead Sponsor