Phase 1 Study of Autologous CD30.CAR-T in Relapsed or Refractory CD30 Positive Non-Hodgkin Lymphoma (CERTAIN)
Anaplastic Large Cell Lymphoma, Peripheral T Cell Lymphoma, Extranodal NK/T-cell Lymphoma
About this trial
This is an interventional treatment trial for Anaplastic Large Cell Lymphoma focused on measuring CD30, r/r NHL, DLBCL, ALCL, ENKTCL, PMBCL, PTCL, adult
Eligibility Criteria
Inclusion Criteria:
Eligibility is determined priori to leukapheresis. Patients must satisfy the following criteria to be enrolled in this study:
- Signed Informed Consent Form
- Male or female patients who are 18-75 years of age
- Histologically confirmed ALCL, PTCL- NOS, ENKTCL nasal type, DLBCL-NOS and PMBCL
- Relapsed or refractory CD30-positive NHL who have failed all available standards of therapy. Patients may or may not have received an autologous or allogeneic HSCT CD30-positive tumor
- At least 1 measurable lesion according to the Lugano Classification
- ECOG PS of 0 to 1 or equivalent Karnofsky PS Anticipated life expectancy >12 weeks
Exclusion Criteria:
- CNS involvement by malignancy
Inadequate laboratory abnormalities at screening:
Hgb ≤ 8.0 g/dL Total bilirubin > 1.5 x ULN (>2 x ULN for patients with Gilbert's syndrome) AST and ALT ≥ 5 x ULN CrCL ≤ 45 mL/min (as measured by Cockcroft-Gault equation) ANC ≤ 1000/uL Platelets ≤75,000/uL PR or INR >1.5 x ULN aPTT> 1.5 x ULN
- Active uncontrolled bleeding or a known bleeding diathesis
- Inadequate pulmonary function defined as pulse oximetry < 90% on room air
- Ongoing treatment with immunosuppressive drugs including calcineurin inhibitions, TNFalpha, mTOR, etc or chronic systemic corticosteroids (>10 mg/day prednisone or equivalent for >48 hours)
Received prior therapy of:
Anti-CD30 Ab based therapy within the previous 8 weeks Previous CD30.CAR-T investigational product Bi-specific CD30 Ab within the previous 8 weeks Allogenic HSCT in the last 180 days Autologous HSCT within 90 days
- Active GVHD requiring immune suppression regardless of grade
- HIV positive
- Active HBV and/or HCV
Sites / Locations
- City of Hope
- Sarah Cannon Research Institute
- Baylor College of Medicine
- The University of Texas MD Anderson Cancer Centre
Arms of the Study
Arm 1
Experimental
CD30 positive NHL subtypes
(ALCL, PTCL-NOS, ENKTCL, DLBCL-NOS, PMBCL) Dose Level 1 Dose Level 2 Dose Level 3