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A Study of GC012F, a CAR T Therapy Targeting CD19 and BCMA in Subjects With Relapsed/Refractory Multiple Myeloma

Primary Purpose

Relapsed/ Refractory Multiple Myeloma

Status
Recruiting
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
GC012F
Sponsored by
Gracell Biopharmaceuticals, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Relapsed/ Refractory Multiple Myeloma

Eligibility Criteria

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

Inclusion Criteria: Males and females ≥18 years of age at the time of consent Written informed consent in accordance with federal, local, and institutional guidelines Have an ECOG performance status of 0 or 1 Documented diagnosis of MM per IMWG diagnostic criteria Received at least three prior MM treatment lines of therapy Have received as part of their previous therapy a PI and IMiD and an antiCD38 antibody. Have documented evidence of progressive disease by the IMWG criteria. Subjects must have measurable disease at screening. Adequate bone marrow and organ function Exclusion Criteria: Diagnosed or treated for invasive malignancy other than multiple myeloma, except: Malignancy treated with curative intent and with no known active disease present for ≥2 years before enrollment; or Adequately treated non-melanoma skin cancer without evidence of disease. The following cardiac conditions: New York Heart Association (NYHA) stage III or IV congestive heart failure Myocardial infarction or coronary artery bypass graft (CABG) ≤6 months prior to enrollment History of clinically significant ventricular arrhythmia or unexplained syncope, not believed to be vasovagal in nature or due to dehydration History of severe non-ischemic cardiomyopathy Received either of the following: An allogenic stem cell transplant within 6 months before apheresis. Subjects who received an allogeneic transplant must be off all immunosuppressive medications for 6 weeks without signs of graft-versus-host disease (GVHD). An autologous stem cell transplant ≤12 weeks before apheresis Known active, or prior history of central nervous system (CNS) involvement or exhibits clinical signs of meningeal involvement of multiple myeloma. Plasma cell leukemia at the time of screening (>2.0×109 /L plasma cells by standard differential), Waldenström's macroglobulinemia, POEMS syndrome (polyneuropathy, organomegaly, endocrinopathy, monoclonal protein, and skin changes), or primary AL amyloidosis.

Sites / Locations

  • Colorado Blood and Cancer Institute
  • Icahn School of Medicine at Mount SinaiRecruiting
  • SCRI Tennessee Oncology
  • SAMC South Austin Medical Center

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

GC012F

Arm Description

GC012F will be administrated in one infusion

Outcomes

Primary Outcome Measures

Phase 1b Adverse Events (AEs)
The incidence and severity of adverse events (AEs)
Phase 1b Dose-limiting toxicities
The DLT evaluation period is defined as the first 28 days of Cycle 1
Phase 2 Overall response rate (ORR)
Overall response rate (ORR) as defined by the International Myeloma Working Group (IMWG)

Secondary Outcome Measures

Phase 1b Pharmacokinetic - AUC
Area under the curve of the GC012F level
Phase 1b Pharmacokinetic - Cmax
Maximum GC012F level
Phase 1b Pharmacokinetic - half-life
The elimination half-life of GC012F level
Phase 1b Pharmacokinetic - Tmax
Time to reach Maximum GC012F level
Phase 2: Adverse Events (AEs)
Further characterization of the safety of GC012F by measuring the incidence and severity of AEs
Phase 1b and 2: Overall Response Rate (ORR)
Overall response rate (ORR) is defined as the proportion of subjects who achieve a PR or better according to the IMWG criteria.
Phase 1b and 2: Duration of response (DOR)
Duration of response (DOR) will be calculated among responders from the date of initial documentation of a response to the date of first documented evidence of progressive disease, as defined in the IMWG criteria, or death due to any cause, whichever occurs first.
Phase 1b and 2: PFS
Progression-free survival (PFS) defined as the time from the date of the initial infusion of GC012F to the date of first documented disease progression, as defined in the IMWG criteria, or death due to any cause, whichever occurs first.
Phase 1b and 2: OS
Overall survival (OS) is measured from the date of the initial infusion of GC012F to the date of the subject's death.

Full Information

First Posted
April 18, 2023
Last Updated
August 7, 2023
Sponsor
Gracell Biopharmaceuticals, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT05850234
Brief Title
A Study of GC012F, a CAR T Therapy Targeting CD19 and BCMA in Subjects With Relapsed/Refractory Multiple Myeloma
Official Title
A Phase 1b/2 Study of GC012F, a Chimeric Antigen Receptor T-cell (CAR T) Therapy Targeting CD19 and B-cell Maturation Antigen (BCMA) in Subjects With Relapsed/Refractory Multiple Myeloma
Study Type
Interventional

2. Study Status

Record Verification Date
April 2023
Overall Recruitment Status
Recruiting
Study Start Date
July 20, 2023 (Actual)
Primary Completion Date
March 2026 (Anticipated)
Study Completion Date
June 2026 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Gracell Biopharmaceuticals, Inc.

4. Oversight

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

5. Study Description

Brief Summary
This trial is a phase 1b/2, open-label, multicenter study of GC012F, a CD19/BCMA dual CART-cell therapy, in adult subjects with relapsed/refractory Multiple Myeloma.
Detailed Description
For Phase Ib It aims to evaluate the safety, tolerability, pharmacokinetic characteristics, pharmacodynamic effect, immunogenicity in subjects with relapsed/ refractory Multiple Myeloma, and determine the recommended Phase 2 dose of GC012F. For Phase 2, it aims to evaluate the efficacy, pharmacokinetic characteristics, pharmacodynamic effect, and immunogenicity, changes from baseline for subject-reported health-related quality of life, overall health status in subjects with relapsed/ refractory Multiple Myeloma.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Relapsed/ Refractory Multiple Myeloma

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Model Description
GC012F will be administrated in one infusion
Masking
None (Open Label)
Allocation
N/A
Enrollment
68 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
GC012F
Arm Type
Experimental
Arm Description
GC012F will be administrated in one infusion
Intervention Type
Biological
Intervention Name(s)
GC012F
Intervention Description
GC012F is a BCMA/CD19 dual CAR product under investigation for the treatment of patients with RRMM.
Primary Outcome Measure Information:
Title
Phase 1b Adverse Events (AEs)
Description
The incidence and severity of adverse events (AEs)
Time Frame
2 years
Title
Phase 1b Dose-limiting toxicities
Description
The DLT evaluation period is defined as the first 28 days of Cycle 1
Time Frame
28 days
Title
Phase 2 Overall response rate (ORR)
Description
Overall response rate (ORR) as defined by the International Myeloma Working Group (IMWG)
Time Frame
2 years
Secondary Outcome Measure Information:
Title
Phase 1b Pharmacokinetic - AUC
Description
Area under the curve of the GC012F level
Time Frame
2 years
Title
Phase 1b Pharmacokinetic - Cmax
Description
Maximum GC012F level
Time Frame
2 years
Title
Phase 1b Pharmacokinetic - half-life
Description
The elimination half-life of GC012F level
Time Frame
2 years
Title
Phase 1b Pharmacokinetic - Tmax
Description
Time to reach Maximum GC012F level
Time Frame
2 years
Title
Phase 2: Adverse Events (AEs)
Description
Further characterization of the safety of GC012F by measuring the incidence and severity of AEs
Time Frame
2 years
Title
Phase 1b and 2: Overall Response Rate (ORR)
Description
Overall response rate (ORR) is defined as the proportion of subjects who achieve a PR or better according to the IMWG criteria.
Time Frame
2 years
Title
Phase 1b and 2: Duration of response (DOR)
Description
Duration of response (DOR) will be calculated among responders from the date of initial documentation of a response to the date of first documented evidence of progressive disease, as defined in the IMWG criteria, or death due to any cause, whichever occurs first.
Time Frame
2 years
Title
Phase 1b and 2: PFS
Description
Progression-free survival (PFS) defined as the time from the date of the initial infusion of GC012F to the date of first documented disease progression, as defined in the IMWG criteria, or death due to any cause, whichever occurs first.
Time Frame
2 years
Title
Phase 1b and 2: OS
Description
Overall survival (OS) is measured from the date of the initial infusion of GC012F to the date of the subject's death.
Time Frame
2 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Males and females ≥18 years of age at the time of consent Written informed consent in accordance with federal, local, and institutional guidelines Have an ECOG performance status of 0 or 1 Documented diagnosis of MM per IMWG diagnostic criteria Received at least three prior MM treatment lines of therapy Have received as part of their previous therapy a PI and IMiD and an antiCD38 antibody. Have documented evidence of progressive disease by the IMWG criteria. Subjects must have measurable disease at screening. Adequate bone marrow and organ function Exclusion Criteria: Diagnosed or treated for invasive malignancy other than multiple myeloma, except: Malignancy treated with curative intent and with no known active disease present for ≥2 years before enrollment; or Adequately treated non-melanoma skin cancer without evidence of disease. The following cardiac conditions: New York Heart Association (NYHA) stage III or IV congestive heart failure Myocardial infarction or coronary artery bypass graft (CABG) ≤6 months prior to enrollment History of clinically significant ventricular arrhythmia or unexplained syncope, not believed to be vasovagal in nature or due to dehydration History of severe non-ischemic cardiomyopathy Received either of the following: An allogenic stem cell transplant within 6 months before apheresis. Subjects who received an allogeneic transplant must be off all immunosuppressive medications for 6 weeks without signs of graft-versus-host disease (GVHD). An autologous stem cell transplant ≤12 weeks before apheresis Known active, or prior history of central nervous system (CNS) involvement or exhibits clinical signs of meningeal involvement of multiple myeloma. Plasma cell leukemia at the time of screening (>2.0×109 /L plasma cells by standard differential), Waldenström's macroglobulinemia, POEMS syndrome (polyneuropathy, organomegaly, endocrinopathy, monoclonal protein, and skin changes), or primary AL amyloidosis.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Grace Hong, MD
Phone
713-231-8670
Email
grace.hong@gracellbio.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Yingda Wen
Organizational Affiliation
Gracell Biopharmaceuticals, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Colorado Blood and Cancer Institute
City
Denver
State/Province
Colorado
ZIP/Postal Code
80218
Country
United States
Individual Site Status
Not yet recruiting
Facility Name
Icahn School of Medicine at Mount Sinai
City
New York
State/Province
New York
ZIP/Postal Code
10029
Country
United States
Individual Site Status
Recruiting
Facility Name
SCRI Tennessee Oncology
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37203
Country
United States
Individual Site Status
Not yet recruiting
Facility Name
SAMC South Austin Medical Center
City
Austin
State/Province
Texas
ZIP/Postal Code
78745
Country
United States
Individual Site Status
Not yet recruiting

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Study of GC012F, a CAR T Therapy Targeting CD19 and BCMA in Subjects With Relapsed/Refractory Multiple Myeloma

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