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A Clinical Trial of CK0801 (a New Drug) In Patients With Treatment-Resistant Guillain-Barré Syndrome (GBS)

Primary Purpose

Guillain-Barré Syndrome

Status

Withdrawn

Phase

Phase 1

Locations

Study Type

Interventional

Intervention

CK0801

About this trial

This is an interventional treatment trial for Guillain-Barré Syndrome

Eligibility Criteria

18 Years - 70 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

Subject fulfills the diagnostic criteria for Guillain-Barré syndrome (GBS) (Appendix 1).
HLA matched (≥ 3/6 at HLA-A, HLA-B, and HLA-DRB1) cord blood unit available for CK0801 generation.
Subjects age 18 to 70 years.
Subject has GBS disability scale score of 4 and unchanged 1 week after IVIG or PE treatment (Appendix 2).
Subject has completed IVIG/PE treatment ≥ 4 weeks prior to CK0801 infusion.
Subject has modified Erasmus GBS outcome score (mEGOS score) of ≥7 at the time of presentation and unchanged 1 week after IVIG or PE treatment (Table 3).
Bilirubin ≤ 2 x ULN and, ALT ≤ 2 x ULN (unless Gilbert's syndrome).
Calculated creatinine clearance of > 50mL/min using the Cockroft-Gault equation for adult patients 18 - 70 years old.
Female subjects of child bearing potential (FPCP) must have a negative urine or serum pregnancy test. NOTE: FPCP is defined as premenopausal and not surgically sterilized. FPCP must agree to use maximally effective birth control or to abstain from heterosexual activity throughout the study. Effective contraceptive methods include intra-uterine device, oral and/or injectable hormonal; contraception, or 2 adequate barrier methods (e.g., cervical cap with spermicide, diaphragm with spermicide).
Subject has agreed to abide by all protocol required procedures including study-related assessments, visits and long term follow up.
Subject is willing and able to provide written informed consent. If subject is temporarily unable to sign the consent due to disease-related complications (e.g., upper extremity paralysis), a legally authorized representative (LAR) will be used. The subject will sign the consent as soon as they are capable.

Exclusion Criteria:

Subject has received immunotherapy, chemotherapy, biologic or investigational agent within 4 weeks prior to CK0801 infusion.
Subject has received prior CB Treg therapy.
Subject has uncontrolled infection, not responding to appropriate antimicrobial agents after seven days of therapy. The Protocol PI is the final arbiter of eligibility.
Subject has received a vaccination with a Live virus (e.g., Measles, Mumps, Rubella, Varicella).
Subject is pregnant or breastfeeding.
HIV seropositivity
Subjects who are unable to provide consent or who, in the opinion of the Investigator will be unlikely to fully comply with protocol requirements.

Sites / Locations

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

CK0801, 50ml

Arm Description

All subjects will receive adoptive therapy with an infusion of unrelated cord blood-derived regulatory T cells: CK0801. Subjects will receive one 50mL intravenous dose of CK0801 (Treg cells) on study Day 0. A total of three cohorts will be evaluated. Cohort dosing will be as follows: Dose level 1 = 1x10e6/kg Treg cells per kg recipient ideal body weight (IBW); Dose level 2 = 3x10e6/kg Treg cells per kg recipient ideal body weight (IBW); Dose level 3 = 1x10e7/kg Treg cells per kg recipient ideal body weight (IBW).

Outcomes

Primary Outcome Measures

Number of Participants with Severe Infusion Toxicity as Assessed by CTCAE v4.0

Number of Participants with Severe (Grade 3 or 4) Toxicity

Number of Participants with Regimen Related Death

• severe (grade 3 or 4) cytokine release syndrome (CRS) within 30 days

Number of Participants with Severe Cytokine Release Syndrome (CRS)

Number of Participants with Severe (Grade 3 or 4) CRS

Secondary Outcome Measures

Full Information

NCT ID

NCT03773328

First Posted

October 23, 2018

Last Updated

January 3, 2023

Sponsor

Cellenkos, Inc.

1. Study Identification

Unique Protocol Identification Number

NCT03773328

Brief Title

A Clinical Trial of CK0801 (a New Drug) In Patients With Treatment-Resistant Guillain-Barré Syndrome (GBS)

Official Title

Phase I Trial To Evaluate The Safety Of CK0801 In Treatment-Resistant Guillain-Barré Syndrome (GBS)

Study Type

Interventional

2. Study Status

Record Verification Date

January 2023

Overall Recruitment Status

Withdrawn

Why Stopped

Pending contract negotiations

Study Start Date

November 2022 (Anticipated)

Primary Completion Date

February 2025 (Anticipated)

Study Completion Date

February 2027 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title

Sponsor

Name of the Sponsor

Cellenkos, Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product

Yes

Studies a U.S. FDA-regulated Device Product

Data Monitoring Committee

Yes

5. Study Description

Brief Summary

The goal of this research study is to determine whether it is safe and practical to give CK0801 (a cord-blood derived T-regulatory cell product) to patients with Guillain-Barré Syndrome (GBS). Researchers also want to determine the highest possible dose that is safe to be given and to learn if CK0801 may improve the symptoms of GBS. There will be three doses of CK0801 given during this study. A minimum of three patients will be treated in each dose level. The dose a patient receives is dependent on the timing of when they enter the study, as after each dose level is completed the following patients will receive the next highest dose level.

Detailed Description

CK0801 (Cord blood-derived T-regulatory cells) consists of ex vivo expanded T-regulatory cells with a flow cytometry phenotype of ≥ 60% CD4+CD25+ T-regulatory (Treg) cells and < 10% CD4-CD8+ T-cytotoxic/suppressor cells. The cellular starting material of CK0801 is a single unit of umbilical cord blood (CBU) from a normal, healthy unrelated donor. Because Treg cells are present only at low frequency in circulating blood or umbilical cord blood, production of clinically relevant Treg cell doses requires ex vivo enrichment and expansion of Treg cells with a CD4+CD25+ phenotype. In their natural state, T-regulatory (Treg) cells play an important role in maintaining immune homeostasis and limiting autoimmune responses by modulating both innate and adaptive immunity. Based on literature reports of animal studies showing induction of immune tolerance by Treg cells in autoimmune diseases, graft-versus-host disease, and solid organ transplant rejection, the administration of Treg cells in human clinical trials has become an attractive strategy to induce immune tolerance in patients in a variety of clinical settings.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study

Guillain-Barré Syndrome

7. Study Design

Primary Purpose

Treatment

Study Phase

Phase 1

Interventional Study Model

Single Group Assignment

Model Description

Open-label, single arm study using a Simon 3 + 3 design. Study will utilize 3 dose cohorts with a minimum of 3 patients in each cohort.

Masking

None (Open Label)

Allocation

N/A

Enrollment

0 (Actual)

8. Arms, Groups, and Interventions

Arm Title

CK0801, 50ml

Arm Type

Experimental

Arm Description

Intervention Type

Biological

Intervention Name(s)

CK0801

Intervention Description

CK0801 (Cord blood-derived T-regulatory cells)

Primary Outcome Measure Information:

Title

Number of Participants with Severe Infusion Toxicity as Assessed by CTCAE v4.0

Description

Number of Participants with Severe (Grade 3 or 4) Toxicity

Time Frame

24 hours post-intervention

Title

Number of Participants with Regimen Related Death

Description

• severe (grade 3 or 4) cytokine release syndrome (CRS) within 30 days

Time Frame

30 days post-intervention

Title

Number of Participants with Severe Cytokine Release Syndrome (CRS)

Description

Number of Participants with Severe (Grade 3 or 4) CRS

Time Frame

30 days post-intervention

10. Eligibility

Sex

All

Minimum Age & Unit of Time

18 Years

Maximum Age & Unit of Time

70 Years

Accepts Healthy Volunteers

Eligibility Criteria

Inclusion Criteria: Subject fulfills the diagnostic criteria for Guillain-Barré syndrome (GBS) (Appendix 1). HLA matched (≥ 3/6 at HLA-A, HLA-B, and HLA-DRB1) cord blood unit available for CK0801 generation. Subjects age 18 to 70 years. Subject has GBS disability scale score of 4 and unchanged 1 week after IVIG or PE treatment (Appendix 2). Subject has completed IVIG/PE treatment ≥ 4 weeks prior to CK0801 infusion. Subject has modified Erasmus GBS outcome score (mEGOS score) of ≥7 at the time of presentation and unchanged 1 week after IVIG or PE treatment (Table 3). Bilirubin ≤ 2 x ULN and, ALT ≤ 2 x ULN (unless Gilbert's syndrome). Calculated creatinine clearance of > 50mL/min using the Cockroft-Gault equation for adult patients 18 - 70 years old. Female subjects of child bearing potential (FPCP) must have a negative urine or serum pregnancy test. NOTE: FPCP is defined as premenopausal and not surgically sterilized. FPCP must agree to use maximally effective birth control or to abstain from heterosexual activity throughout the study. Effective contraceptive methods include intra-uterine device, oral and/or injectable hormonal; contraception, or 2 adequate barrier methods (e.g., cervical cap with spermicide, diaphragm with spermicide). Subject has agreed to abide by all protocol required procedures including study-related assessments, visits and long term follow up. Subject is willing and able to provide written informed consent. If subject is temporarily unable to sign the consent due to disease-related complications (e.g., upper extremity paralysis), a legally authorized representative (LAR) will be used. The subject will sign the consent as soon as they are capable. Exclusion Criteria: Subject has received immunotherapy, chemotherapy, biologic or investigational agent within 4 weeks prior to CK0801 infusion. Subject has received prior CB Treg therapy. Subject has uncontrolled infection, not responding to appropriate antimicrobial agents after seven days of therapy. The Protocol PI is the final arbiter of eligibility. Subject has received a vaccination with a Live virus (e.g., Measles, Mumps, Rubella, Varicella). Subject is pregnant or breastfeeding. HIV seropositivity Subjects who are unable to provide consent or who, in the opinion of the Investigator will be unlikely to fully comply with protocol requirements.

Overall Study Officials:

First Name & Middle Initial & Last Name & Degree

Tara Sadeghi

Organizational Affiliation

Sponsor GmbH

Official's Role

Study Director

12. IPD Sharing Statement

Plan to Share IPD

Learn more about this trial

A Clinical Trial of CK0801 (a New Drug) In Patients With Treatment-Resistant Guillain-Barré Syndrome (GBS)

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