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FT538 in Subjects With Advanced Hematologic Malignancies

Primary Purpose

Acute Myeloid Leukemia, AML, Adult, Multiple Myeloma

Status
Terminated
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
FT538
Cyclophosphamide
Fludarabine
Daratumumab
Elotuzumab
Sponsored by
Fate Therapeutics
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Acute Myeloid Leukemia focused on measuring Acute Myeloid Leukemia, AML, Multiple Myeloma, daratumumab, elotuzumab, NK cell, cellular therapy, allogeneic cell therapy, allogeneic cellular therapy, CD38, Anti-CD38

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Diagnosis of one of the following by treatment regimen:

    Regimen A (FT538 monotherapy in r/r AML)

    • Primary refractory AML, or
    • Relapsed AML, defined as not in CR after one or more re-induction attempts; if >60 years of age, prior re-induction therapy is not required

    Regimens B or C (FT538 + mAb in r/r MM)

    • Regimen B only: MM that has relapsed or progressed after at least two lines of therapies, including a proteasome inhibitor and an immunomodulatory drug
    • Regimen C only: MM that has relapsed or progressed after proteasome inhibitor therapy, and immunomodulatory therapy
    • Regimen B and Regimen C: Measurable disease as defined in the protocol
  2. Capable of giving signed informed consent
  3. Age ≥18 years old
  4. Agreement to comply with study procedures as described in the Schedule of Activities
  5. Contraceptive use as described in the protocol

Exclusion Criteria:

  1. Females who are pregnant or breastfeeding
  2. ECOG Performance Status ≥ 2
  3. Evidence of insufficient hematologic function as defined in the protocol
  4. Evidence of insufficient organ function defined as defined by the protocol
  5. Clinically significant cardiovascular disease as defined by the protocol
  6. Known active central nervous system (CNS) involvement by malignancy
  7. Non-malignant CNS disease such as stroke, epilepsy, CNS vasculitis, or neurodegenerative disease or receipt of medications for these conditions in the 2-year period leading up to study enrollment
  8. Currently receiving or likely to require systemic immunosuppressive therapy for any reason during the treatment period
  9. Clinically significant infections including HIV, HBV and HCV
  10. Live vaccine <6 weeks prior to start of lympho-conditioning
  11. Receipt of an allograft organ transplant
  12. Prior allogeneic HSCT or allogeneic CAR-T within 6 months of Day 1, or ongoing requirement for systemic graft-versus-host therapy
  13. Known allergy to albumin (human) or DMSO
  14. Presence of any medical or social issues that are likely to interfere with study conduct or may cause increased risk to subject
  15. Any medical condition or clinical laboratory abnormality that per investigator or Medical Monitor judgement precludes safe participation in and completion of the study, or which could affect compliance with protocol conduct or interpretation of results

    Exclusion Criteria Specific to Regimen A (r/r AML)

  16. Diagnosis of promyelocytic leukemia with t(15;17) translocation
  17. Receipt of any biological therapy, chemotherapy, or radiation therapy, except for palliative purposes, within 2 weeks prior to Day 1 or five half-lives, whichever is shorter; or any investigational therapy within 28 days prior to Day 1

    Exclusion Criteria Specific to Regimens B and C (r/r MM)

  18. Plasma cell leukemia defined as a plasma cell count >2000/mm3
  19. Leptomeningeal involvement of MM
  20. Receipt of any biological therapy, chemotherapy, or radiation therapy, except for palliative purposes, within 2 weeks prior to Day 1 or five half-lives, whichever is shorter; or any investigational therapy within 28 days prior to the first dose of mAb
  21. Allergy or hypersensitivity to antibodies or antibody-related proteins

Sites / Locations

  • Colorado Blood Cancer Institute
  • University of Minnesota Masonic Cancer Center
  • Washington University
  • Memorial Sloan Kettering Cancer Center
  • Sarah Cannon Research Institute at Tennessee Oncology
  • St. David's South Austin Medical Center
  • MD Anderson Cancer Center
  • Texas Transplant Institute

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

FT538 Monotherapy

FT538 in Combination with Daratumumab

FT538 in Combination with Elotuzumab

Arm Description

FT538 monotherapy in subjects with r/r AML

FT538 in combination with daratumumab in subjects with r/r MM

FT538 in combination with elotuzumab in subjects with r/r MM

Outcomes

Primary Outcome Measures

Incidence of dose-limiting toxicities (DLTs) within each dose level cohort
Nature of dose-limiting toxicities within each dose level cohort

Secondary Outcome Measures

Incidence, nature, and severity of adverse events (AEs) of FT538 as monotherapy in r/r AML and in combination with daratumumab or elotuzumab in r/r multiple myeloma
Objective response rate (ORR) of FT538 as monotherapy in r/r AML and in combination with daratumumab or elotuzumab in r/r MM
Proportion of subjects who achieve a CR, CRMRD-, CRi, MLFS, or PR, as determined by the investigator according to 2017 ELN criteria for AML, and the proportion of subjects with a best overall response of sCR, CR, VGPR, or PR, as determined by the investigator according to standard IMWG for MM response criteria
Duration of response (DOR) of FT538 in combination with daratumumab or elotuzumab in r/r MM
Defined as the duration from the first occurrence of a documented objective response until the time of disease progression or relapse, or death due to progressive disease, as determined by the investigator according to standard IMWG response criteria
Progression-free survival (PFS) of FT538 in combination with daratumumab or elotuzumab in r/r MM
Defined as the time from first dose of study treatment to disease progression or relapse, or to the day of death from any cause, as determined by the investigator according to standard IMWG response criteria
Relapse-free survival (RFS) of FT538 as monotherapy in r/r AML and in combination with daratumumab or elotuzumab in r/r MM
Defined as the time from initial CR (including CRMRD-, CR, and CRi) to hematologic relapse or death due to any cause, as determined by the investigator according to 2017 ELN criteria for AML, and defined as the duration from the start of sCR or CR until the time of relapse from sCR or CR, as determined by the investigator according to standard IMWG response criteria for MM
Event-free survival (EFS) of FT538 as monotherapy in r/r AML
defined as the time from first dose of lympho-conditioning to the date of PD, or relapse from CR or CRi, or death from any cause, according to 2017 ELN criteria
Overall survival (OS) of FT538 as monotherapy in r/r AML and in combination with daratumumab or elotuzumab in r/r MM
defined as the time from first dose of lympho-conditioning to death from any cause
Time-to-best response of FT538 as monotherapy in r/r AML
defined as the time from first dose of lympho-conditioning to best response
Determination of the pharmacokinetics (PK) of FT538 cells in peripheral blood
The PK of FT538 in peripheral blood will be reported as the relative percentage of product (FT538) DNA versus patient DNA (% chimerism) measured from blood samples at the specified time points

Full Information

First Posted
October 29, 2020
Last Updated
September 19, 2023
Sponsor
Fate Therapeutics
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1. Study Identification

Unique Protocol Identification Number
NCT04614636
Brief Title
FT538 in Subjects With Advanced Hematologic Malignancies
Official Title
A Phase I, Open-Label, Multicenter Study of FT538 as Monotherapy in Relapsed/Refractory Acute Myelogenous Leukemia and in Combination With Monoclonal Antibodies in Relapsed/Refractory Multiple Myeloma
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Terminated
Why Stopped
This study was terminated by the Sponsor.
Study Start Date
October 17, 2020 (Actual)
Primary Completion Date
July 13, 2023 (Actual)
Study Completion Date
August 8, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Fate Therapeutics

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is a Phase I dose-finding study of FT538 as monotherapy in acute myeloid leukemia (AML) and in combination with monoclonal antibodies in multiple myeloma (MM). The study will consist of a dose-escalation stage and an expansion stage where participants will be enrolled into indication-specific cohorts.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Acute Myeloid Leukemia, AML, Adult, Multiple Myeloma, Myeloma
Keywords
Acute Myeloid Leukemia, AML, Multiple Myeloma, daratumumab, elotuzumab, NK cell, cellular therapy, allogeneic cell therapy, allogeneic cellular therapy, CD38, Anti-CD38

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
42 (Actual)

8. Arms, Groups, and Interventions

Arm Title
FT538 Monotherapy
Arm Type
Experimental
Arm Description
FT538 monotherapy in subjects with r/r AML
Arm Title
FT538 in Combination with Daratumumab
Arm Type
Experimental
Arm Description
FT538 in combination with daratumumab in subjects with r/r MM
Arm Title
FT538 in Combination with Elotuzumab
Arm Type
Experimental
Arm Description
FT538 in combination with elotuzumab in subjects with r/r MM
Intervention Type
Drug
Intervention Name(s)
FT538
Intervention Description
Experimental Interventional Therapy, Allogeneic Cell Therapy NK Cell
Intervention Type
Drug
Intervention Name(s)
Cyclophosphamide
Intervention Description
Lympho-conditioning Agent
Intervention Type
Drug
Intervention Name(s)
Fludarabine
Intervention Description
Lympho-conditioning Agent
Intervention Type
Drug
Intervention Name(s)
Daratumumab
Other Intervention Name(s)
Darzalex
Intervention Description
Monoclonal Antibody, CD38, Anti-CD38
Intervention Type
Drug
Intervention Name(s)
Elotuzumab
Other Intervention Name(s)
Empliciti
Intervention Description
Monoclonal Antibody
Primary Outcome Measure Information:
Title
Incidence of dose-limiting toxicities (DLTs) within each dose level cohort
Time Frame
Cycle 1, Up to Day 29
Title
Nature of dose-limiting toxicities within each dose level cohort
Time Frame
Cycle 1, Up to Day 29
Secondary Outcome Measure Information:
Title
Incidence, nature, and severity of adverse events (AEs) of FT538 as monotherapy in r/r AML and in combination with daratumumab or elotuzumab in r/r multiple myeloma
Time Frame
Up to 5 years
Title
Objective response rate (ORR) of FT538 as monotherapy in r/r AML and in combination with daratumumab or elotuzumab in r/r MM
Description
Proportion of subjects who achieve a CR, CRMRD-, CRi, MLFS, or PR, as determined by the investigator according to 2017 ELN criteria for AML, and the proportion of subjects with a best overall response of sCR, CR, VGPR, or PR, as determined by the investigator according to standard IMWG for MM response criteria
Time Frame
From baseline tumor assessment up to approximately 2 years after last dose of FT538
Title
Duration of response (DOR) of FT538 in combination with daratumumab or elotuzumab in r/r MM
Description
Defined as the duration from the first occurrence of a documented objective response until the time of disease progression or relapse, or death due to progressive disease, as determined by the investigator according to standard IMWG response criteria
Time Frame
Up to 15 years
Title
Progression-free survival (PFS) of FT538 in combination with daratumumab or elotuzumab in r/r MM
Description
Defined as the time from first dose of study treatment to disease progression or relapse, or to the day of death from any cause, as determined by the investigator according to standard IMWG response criteria
Time Frame
Up to 15 years
Title
Relapse-free survival (RFS) of FT538 as monotherapy in r/r AML and in combination with daratumumab or elotuzumab in r/r MM
Description
Defined as the time from initial CR (including CRMRD-, CR, and CRi) to hematologic relapse or death due to any cause, as determined by the investigator according to 2017 ELN criteria for AML, and defined as the duration from the start of sCR or CR until the time of relapse from sCR or CR, as determined by the investigator according to standard IMWG response criteria for MM
Time Frame
Up to 15 years
Title
Event-free survival (EFS) of FT538 as monotherapy in r/r AML
Description
defined as the time from first dose of lympho-conditioning to the date of PD, or relapse from CR or CRi, or death from any cause, according to 2017 ELN criteria
Time Frame
Up to 15 years
Title
Overall survival (OS) of FT538 as monotherapy in r/r AML and in combination with daratumumab or elotuzumab in r/r MM
Description
defined as the time from first dose of lympho-conditioning to death from any cause
Time Frame
Up to 15 years
Title
Time-to-best response of FT538 as monotherapy in r/r AML
Description
defined as the time from first dose of lympho-conditioning to best response
Time Frame
Up to 15 years
Title
Determination of the pharmacokinetics (PK) of FT538 cells in peripheral blood
Description
The PK of FT538 in peripheral blood will be reported as the relative percentage of product (FT538) DNA versus patient DNA (% chimerism) measured from blood samples at the specified time points
Time Frame
Study Days: 1, 2, 4, 8, 11, 15, 18, 22, 29

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Diagnosis of one of the following by treatment regimen: Regimen A (FT538 monotherapy in r/r AML) Primary refractory AML, or Relapsed AML, defined as not in CR after one or more re-induction attempts; if >60 years of age, prior re-induction therapy is not required Regimens B or C (FT538 + mAb in r/r MM) Regimen B only: MM that has relapsed or progressed after at least two lines of therapies, including a proteasome inhibitor and an immunomodulatory drug Regimen C only: MM that has relapsed or progressed after proteasome inhibitor therapy, and immunomodulatory therapy Regimen B and Regimen C: Measurable disease as defined in the protocol Capable of giving signed informed consent Agreement to comply with study procedures as described in the Schedule of Activities Agrees to contraceptive use as described in the protocol Exclusion Criteria: Females who are pregnant or breastfeeding ECOG Performance Status ≥ 2 Evidence of insufficient hematologic function as defined in the protocol Evidence of insufficient organ function defined as defined by the protocol Clinically significant cardiovascular disease as defined by the protocol Known active central nervous system (CNS) involvement by malignancy Non-malignant CNS disease such as stroke, epilepsy, CNS vasculitis, or neurodegenerative disease or receipt of medications for these conditions in the 2-year period leading up to study enrollment Currently receiving or likely to require systemic immunosuppressive therapy for any reason during the treatment period Clinically significant infections including HIV, HBV and HCV Live vaccine <6 weeks prior to start of lympho-conditioning Receipt of an allograft organ transplant Prior allogeneic HSCT or allogeneic CAR-T within 6 months of Day 1, or ongoing requirement for systemic graft-versus-host therapy Known allergy to albumin (human) or DMSO Presence of any medical or social issues that are likely to interfere with study conduct or may cause increased risk to subject Any medical condition or clinical laboratory abnormality that per investigator or Medical Monitor judgement precludes safe participation in and completion of the study, or which could affect compliance with protocol conduct or interpretation of results Exclusion Criteria Specific to Regimen A (r/r AML) Diagnosis of promyelocytic leukemia with t(15;17) translocation Receipt of any biological therapy, chemotherapy, or radiation therapy, except for palliative purposes, within 2 weeks prior to Day 1 or five half-lives, whichever is shorter; or any investigational therapy within 28 days prior to Day 1 Exclusion Criteria Specific to Regimens B and C (r/r MM) Plasma cell leukemia defined as a plasma cell count >2000/mm3 Leptomeningeal involvement of MM Receipt of any biological therapy, chemotherapy, or radiation therapy, except for palliative purposes, within 2 weeks prior to Day 1 or five half-lives, whichever is shorter; or any investigational therapy within 28 days prior to the first dose of mAb Allergy or hypersensitivity to antibodies or antibody-related proteins
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Fate Trial Disclosure
Organizational Affiliation
Fate Therapeutics, Inc
Official's Role
Study Director
Facility Information:
Facility Name
Colorado Blood Cancer Institute
City
Denver
State/Province
Colorado
ZIP/Postal Code
80218
Country
United States
Facility Name
University of Minnesota Masonic Cancer Center
City
Minneapolis
State/Province
Minnesota
ZIP/Postal Code
55455
Country
United States
Facility Name
Washington University
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63110
Country
United States
Facility Name
Memorial Sloan Kettering Cancer Center
City
New York
State/Province
New York
ZIP/Postal Code
10065
Country
United States
Facility Name
Sarah Cannon Research Institute at Tennessee Oncology
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37203
Country
United States
Facility Name
St. David's South Austin Medical Center
City
Austin
State/Province
Texas
ZIP/Postal Code
78704
Country
United States
Facility Name
MD Anderson Cancer Center
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Facility Name
Texas Transplant Institute
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78229
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No
Links:
URL
https://ashpublications.org/blood/article/134/Supplement_1/133/426023/FT538-Preclinical-Development-of-an-Off-the-Shelf
Description
Related Info

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FT538 in Subjects With Advanced Hematologic Malignancies

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