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A Study Evaluating the Safety and Efficacy of BEAM-201 in Relapsed/Refractory T-Cell Acute Lymphoblastic Leukemia (T-ALL) or T-Cell Lymphoblastic Lymphoma (T-LL)

Primary Purpose

Lymphoblastic Lymphoma, T-Cell Lymphoblastic Leukemia/Lymphoma, Lymphoblastic Leukemia

Status
Recruiting
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
BEAM-201
Sponsored by
Beam Therapeutics Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Lymphoblastic Lymphoma focused on measuring Lymphoblastic Leukemia, Lymphoblastic Lymphoma, Base editing, CAR-T

Eligibility Criteria

18 Years - 50 Years (Adult)All SexesDoes not accept healthy volunteers

Key Inclusion Criteria: Ages 18 to ≤ 50 years. Ages ≥ 1 year to < 18 years, after health authority approval. T-ALL/T-LL that is CD7-positive (defined as at least 20% of blasts positive for CD7 by flow cytometry or immunohistochemistry based on assessment of the study site's CLIA [Clinical Laboratory Improvement Amendments of 1988] certified facility) in second or greater relapse, first relapse post-transplant relapse, or chemotherapy-refractory disease. Specifically: Second or greater relapse or post-transplant relapse, defined as: BM with ≥ 5% lymphoblasts by morphologic assessment or evidence of extramedullary disease at screening after second documented CR; OR Flow cytometric confirmation of relapsed T-ALL of at least 0.1% after second CR documented to have been MRD negative < 0.1%; OR Any detectable relapsed disease post-allogeneic HSCT with flow cytometric confirmation of T-ALL of at least 0.1%; OR Biopsy confirmed evidence of relapsed T-LL on lymph node biopsy after second CR; OR Any detectable disease post-allogeneic transplant with biopsy confirmed evidence of T-LL on lymph node biopsy Refractory disease, defined as: Primary refractory T-ALL or T-LL, defined as failure to achieve CR after induction chemotherapy, per investigator assessment and based on biopsy-confirmed evidence of residual T-ALL or T-LL; OR Relapsed, refractory disease, defined as > 5% BM blasts or biopsy-confirmed evidence of residual TLL after 1 course of re-induction chemotherapy for patients who have relapsed after previously achieving a CR NOTE: Patients with mixed phenotype acute leukemia with T-cell dominant phenotype may be enrolled if the aforementioned criteria are met. Eligible for myeloablative conditioning for and allogeneic HSCT based on the investigator's assessment with an available donor identified by a FACT accredited transplant center. Key Exclusion Criteria: CNS involvement meeting any of the following criteria: CNS-3 disease, progressive CNS involvement despite therapy, CNS parenchymal or cranial nerve lesions on imaging. Clinically active CNS dysfunction or known history of irreversible neurological toxicity related to prior antileukemic therapy. Receipt of prior CD7 targeted therapy. Systemic antileukemic therapy intended to induce or maintain remission within 14 days prior to completion of screening.

Sites / Locations

  • Stanford University School of MedicineRecruiting
  • Colorado Blood Cancer Institute - SCRI - PPDSRecruiting
  • The University of Kansas Cancer CenterRecruiting
  • Cleveland Clinic- Taussig Cancer CenterRecruiting
  • Children's Hospital of PhiladelphiaRecruiting
  • Sarah Cannon- TriStar Bone Marrow TransplantRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Fludarabine, cyclophosphamide and alemtuzumab

Fludarabine, cyclophosphamide without alemtuzumab

Arm Description

Lymphodepletion regimen including fludarabine, cyclophosphamide and alemtuzumab

Lymphodepletion regimen without Alz but consisting of the same dose of Flu/Cy as in the other arm

Outcomes

Primary Outcome Measures

Incidence and severity of treatment-emergent adverse events (TEAEs) and treatment-related adverse events, including serious adverse events (SAEs) and dose-limiting toxicities (DLTs; in Phase 1 only)
Overall response rate as defined as proportion of T-ALL patients achieving complete response (CR) or complete response with incomplete hematologic recovery (CRi) or T-LL patients achieving CR or PR at any point after BEAM-201 infusion

Secondary Outcome Measures

Proportion of patients who achieve MRD negative response (defined as < 0.1%) by flow cytometry or next generation sequencing (NGS) in patients achieving morphologic response
Proportion of patients treated with BEAM-201 deemed appropriate for HSCT based on investigator assessment of clinical response
Duration of Response (DOR)
Relapse-free survival (RFS)
Overall survival
Relapse-related mortality

Full Information

First Posted
May 23, 2023
Last Updated
October 24, 2023
Sponsor
Beam Therapeutics Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT05885464
Brief Title
A Study Evaluating the Safety and Efficacy of BEAM-201 in Relapsed/Refractory T-Cell Acute Lymphoblastic Leukemia (T-ALL) or T-Cell Lymphoblastic Lymphoma (T-LL)
Official Title
A Phase 1/2, Dose-Exploration and Dose-Expansion Study Evaluating the Safety and Efficacy of Multiplex Base-Edited, Allogeneic Anti-CD7 CAR-T Cells (BEAM-201) in Relapsed/Refractory T-Cell Acute Lymphoblastic Leukemia (T-ALL) or T-Cell Lymphoblastic Lymphoma (T-LL)
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Recruiting
Study Start Date
May 25, 2023 (Actual)
Primary Completion Date
December 2031 (Anticipated)
Study Completion Date
December 2031 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Beam Therapeutics Inc.

4. Oversight

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

5. Study Description

Brief Summary
This is a Phase 1/2, multicenter, open-label study to evaluate the safety and efficacy of BEAM-201 in patients with relapsed/refractory T-ALL or T-LL. This study consists of Phase 1 dose-exploration cohorts, Phase 1 dose-expansion cohort(s), a Phase 1 pediatric cohort (will enroll patients ages 1 to < 12 years), and a Phase 2 cohort.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Lymphoblastic Lymphoma, T-Cell Lymphoblastic Leukemia/Lymphoma, Lymphoblastic Leukemia
Keywords
Lymphoblastic Leukemia, Lymphoblastic Lymphoma, Base editing, CAR-T

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Model Description
The maximum number of patients for this study is approximately 102 patients: 36 patients in the Phase 1 dose exploration approximately 12 patients in the Phase 1 dose-expansion cohorts 6 patients in the pediatric cohort approximately 48 patients in the Phase 2 cohort.
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
102 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Fludarabine, cyclophosphamide and alemtuzumab
Arm Type
Experimental
Arm Description
Lymphodepletion regimen including fludarabine, cyclophosphamide and alemtuzumab
Arm Title
Fludarabine, cyclophosphamide without alemtuzumab
Arm Type
Experimental
Arm Description
Lymphodepletion regimen without Alz but consisting of the same dose of Flu/Cy as in the other arm
Intervention Type
Biological
Intervention Name(s)
BEAM-201
Intervention Description
A single dose of BEAM-201 administered by IV following one of two lymphodepletion regimens
Primary Outcome Measure Information:
Title
Incidence and severity of treatment-emergent adverse events (TEAEs) and treatment-related adverse events, including serious adverse events (SAEs) and dose-limiting toxicities (DLTs; in Phase 1 only)
Time Frame
Through study completion, an average of 25 months
Title
Overall response rate as defined as proportion of T-ALL patients achieving complete response (CR) or complete response with incomplete hematologic recovery (CRi) or T-LL patients achieving CR or PR at any point after BEAM-201 infusion
Time Frame
From treatment with BEAM-201 through study completion
Secondary Outcome Measure Information:
Title
Proportion of patients who achieve MRD negative response (defined as < 0.1%) by flow cytometry or next generation sequencing (NGS) in patients achieving morphologic response
Time Frame
Starting at Day 28 and multiple time points up to Month 24
Title
Proportion of patients treated with BEAM-201 deemed appropriate for HSCT based on investigator assessment of clinical response
Time Frame
Through study completion, an average of 25 months
Title
Duration of Response (DOR)
Time Frame
Through study completion, an average of 25 months
Title
Relapse-free survival (RFS)
Time Frame
Through study completion, an average of 25 months
Title
Overall survival
Time Frame
Through study completion, an average of 25 months
Title
Relapse-related mortality
Time Frame
Through study completion, an average of 25 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion Criteria: Ages 18 to ≤ 50 years. Ages ≥ 1 year to < 18 years, after health authority approval. T-ALL/T-LL that is CD7-positive (defined as at least 20% of blasts positive for CD7 by flow cytometry or immunohistochemistry based on assessment of the study site's CLIA [Clinical Laboratory Improvement Amendments of 1988] certified facility) in second or greater relapse, first relapse post-transplant relapse, or chemotherapy-refractory disease. Specifically: Second or greater relapse or post-transplant relapse, defined as: BM with ≥ 5% lymphoblasts by morphologic assessment or evidence of extramedullary disease at screening after second documented CR; OR Flow cytometric confirmation of relapsed T-ALL of at least 0.1% after second CR documented to have been MRD negative < 0.1%; OR Any detectable relapsed disease post-allogeneic HSCT with flow cytometric confirmation of T-ALL of at least 0.1%; OR Biopsy confirmed evidence of relapsed T-LL on lymph node biopsy after second CR; OR Any detectable disease post-allogeneic transplant with biopsy confirmed evidence of T-LL on lymph node biopsy Refractory disease, defined as: Primary refractory T-ALL or T-LL, defined as failure to achieve CR after induction chemotherapy, per investigator assessment and based on biopsy-confirmed evidence of residual T-ALL or T-LL; OR Relapsed, refractory disease, defined as > 5% BM blasts or biopsy-confirmed evidence of residual TLL after 1 course of re-induction chemotherapy for patients who have relapsed after previously achieving a CR NOTE: Patients with mixed phenotype acute leukemia with T-cell dominant phenotype may be enrolled if the aforementioned criteria are met. Eligible for myeloablative conditioning for and allogeneic HSCT based on the investigator's assessment with an available donor identified by a FACT accredited transplant center. Key Exclusion Criteria: CNS involvement meeting any of the following criteria: CNS-3 disease, progressive CNS involvement despite therapy, CNS parenchymal or cranial nerve lesions on imaging. Clinically active CNS dysfunction or known history of irreversible neurological toxicity related to prior antileukemic therapy. Receipt of prior CD7 targeted therapy. Systemic antileukemic therapy intended to induce or maintain remission within 14 days prior to completion of screening.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Medical Information
Phone
857-327-8641
Email
clinicalinfo@beamtx.com
Facility Information:
Facility Name
Stanford University School of Medicine
City
Stanford
State/Province
California
ZIP/Postal Code
94304
Country
United States
Individual Site Status
Recruiting
Facility Name
Colorado Blood Cancer Institute - SCRI - PPDS
City
Denver
State/Province
Colorado
ZIP/Postal Code
80218
Country
United States
Individual Site Status
Recruiting
Facility Name
The University of Kansas Cancer Center
City
Fairway
State/Province
Kansas
ZIP/Postal Code
66205
Country
United States
Individual Site Status
Recruiting
Facility Name
Cleveland Clinic- Taussig Cancer Center
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44106
Country
United States
Individual Site Status
Recruiting
Facility Name
Children's Hospital of Philadelphia
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19104
Country
United States
Individual Site Status
Recruiting
Facility Name
Sarah Cannon- TriStar Bone Marrow Transplant
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37203
Country
United States
Individual Site Status
Recruiting

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Study Evaluating the Safety and Efficacy of BEAM-201 in Relapsed/Refractory T-Cell Acute Lymphoblastic Leukemia (T-ALL) or T-Cell Lymphoblastic Lymphoma (T-LL)

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