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AB-1015, an Integrated Circuit T (ICT) Cell Therapy in Patients With Platinum Resistant Epithelial Ovarian Cancer

Primary Purpose

Carcinoma, Ovarian Epithelial, Ovarian Neoplasms, Fallopian Tube Neoplasms

Status
Recruiting
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
AB-1015
Sponsored by
Arsenal Biosciences, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Carcinoma, Ovarian Epithelial focused on measuring ovarian cancer, fallopian tube cancer, primary peritoneal cancer, platinum resistant

Eligibility Criteria

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

Inclusion Criteria: Recurrent, advanced, platinum resistant ovarian, fallopian tube, and primary peritoneal cancer and must have a histological diagnosis of a high-grade serous histology. a) Platinum resistant disease is defined as progression of disease within six months of platinum regimen. Doubling of cancer antigen 125 (CA-125) level on 2 successive measurements may be considered as meeting the definition of disease progression b) Have received at least 2 lines of prior therapy including a platinum-based regimen if eligible and a poly-ADP ribose polymerase (PARP) inhibitor if BRCA1/2 mutated. No more than 3 lines of prior therapy for the treatment of platinum resistant disease is permitted. Adequate organ function as per protocol definitions. Eastern Cooperative Oncology Group (ECOG) performance status score 0 or 1. Evaluable disease (dose escalation cohorts) or measurable disease (backfill cohorts) at time of enrollment as per protocol definitions. Negative pregnancy test for women of childbearing potential. Women of non-childbearing potential are those who have been surgically sterilized, have medically confirmed ovarian failure, or have not had menses within the past 12 months. Exclusion Criteria: Cytotoxic chemotherapy within 14 days of time of cell collection. Cytotoxic chemotherapy within 14 days of starting of conditioning chemotherapy. New York Heart Association functional class II-IV cardiovascular disability Clinically significant pericardial effusion Pleural or peritoneal effusion that requires drainage for symptom management within 28 days of screening. Active autoimmune disease requiring immunosuppressive therapy or uncontrolled with treatment. Untreated brain metastasis. Subjects unwilling to participate in an extended safety monitoring period.

Sites / Locations

  • UCSF Helen Diller Family Comprehensive Cancer CenterRecruiting
  • U of Chicago Comprehensive Cancer CenterRecruiting
  • U of Iowa Health CareRecruiting
  • Barbara Ann Karmanos Cancer InstituteRecruiting
  • Roswell Park Comprehensive Cancer CenterRecruiting
  • U of Oklahoma, Stephenson Cancer CenterRecruiting
  • MD Anderson Cancer CenterRecruiting
  • U of Washington - Fred Hutchinson Cancer CenterRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

AB-1015

Arm Description

Patients receive fludarabine and cyclophosphamide intravenously on days -5 to -3. Patients receive a single dose of AB-1015 intravenously on day 0.

Outcomes

Primary Outcome Measures

Incidence of adverse events and dose limiting toxicities (DLTs)
Toxicity grading will be evaluated according to the Cancer Therapy Evaluation Program Common Terminology Criteria for Adverse Events version 5.0 and monitoring of adverse events. Cytokine release syndrome (CRS) and immune effector cell-associated neurotoxicity syndrome (ICANS) events will be graded according to the criteria outlined in the protocol.
Maximal tolerated dose of AB-1015
Will be determined by a 3x3 dose escalation study

Secondary Outcome Measures

Number of AB-1015 cells
Number of AB-1015 cells present in patients treatment with AB-1015
Evidence of anti-tumor activity
Assessed according to Response Evaluation Criteria in Solid Tumors (RECIST) 1.1
Co-expression of ALPG and MSLN targets on tumor cells
Assessment by immunohistochemistry (or similar method)

Full Information

First Posted
November 4, 2022
Last Updated
September 28, 2023
Sponsor
Arsenal Biosciences, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT05617755
Brief Title
AB-1015, an Integrated Circuit T (ICT) Cell Therapy in Patients With Platinum Resistant Epithelial Ovarian Cancer
Official Title
An Open-label Phase 1 Study to Evaluate the Safety and Efficacy of AB-1015 in Patients With Resistant/Refractory Epithelial Ovarian Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Recruiting
Study Start Date
November 29, 2022 (Actual)
Primary Completion Date
March 2024 (Anticipated)
Study Completion Date
February 2027 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Arsenal Biosciences, Inc.

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 multi-center, open-label phase 1 dose escalation trial that uses a modified 3+3 design to identify a recommended phase 2 dose (RP2D) of AB-1015 cell product. Backfill cohorts will enroll additional subjects at doses deemed to be safe for a total enrollment of up to 12 subjects per each backfill cohort on the protocol.
Detailed Description
This study is intended for the patients who have been diagnosed with Epithelial Ovarian Cancer that either came back or did not improve after platinum treatments (platinum resistant). The purpose of this study is to test the safety of using a new treatment called Integrated Circuit T (ICT) cells (AB-1015 cells) in patients with ovarian cancer. This treatment has not been approved by the Food and Drug Administration. The goal of this study is to calculate the maximum tolerated dose of the AB-1015 cells. T cells are part of the immune system that protect the body from infection and may help fight cancer. The T cells given in this study will come from the patient and will have a genetic circuit/logic gate put in them that makes them able to recognize alkaline phosphatase, germ line/placental (ALPG/P) and mesothelin (MSLN), 2 proteins on the surface of tumor cells. These logic-gated T cells may help the body's immune system identify and kill cancer cells while sparing normal healthy tissues from toxicity. The AB-1015 cells are given intravenously, after completing 3 rounds of conditioning chemotherapy administered over 3 consecutive days. Conditioning chemotherapy prepares the body to receive the AB-1015 cells. If they continue to meet the eligibility criteria, AB-1015 cells will be given to them 2 days after the last conditioning chemotherapy round. A single infusion of the AB-1015 cells will be given to the subject intravenously. After completion of study treatment, patients are followed with serial measurements of safety, tolerability and response. This is a research study to obtain new information that may help people in the future.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Carcinoma, Ovarian Epithelial, Ovarian Neoplasms, Fallopian Tube Neoplasms, Peritoneal Neoplasms, Neoplasms, Glandular and Epithelial, Ovarian Diseases, Genital Neoplasm, Female, Abdominal Neoplasm, Recurrence
Keywords
ovarian cancer, fallopian tube cancer, primary peritoneal cancer, platinum resistant

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
60 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
AB-1015
Arm Type
Experimental
Arm Description
Patients receive fludarabine and cyclophosphamide intravenously on days -5 to -3. Patients receive a single dose of AB-1015 intravenously on day 0.
Intervention Type
Biological
Intervention Name(s)
AB-1015
Other Intervention Name(s)
Integrated Circuit T (ICT) cells
Intervention Description
autologous T cell therapy
Primary Outcome Measure Information:
Title
Incidence of adverse events and dose limiting toxicities (DLTs)
Description
Toxicity grading will be evaluated according to the Cancer Therapy Evaluation Program Common Terminology Criteria for Adverse Events version 5.0 and monitoring of adverse events. Cytokine release syndrome (CRS) and immune effector cell-associated neurotoxicity syndrome (ICANS) events will be graded according to the criteria outlined in the protocol.
Time Frame
Up to 2 years post treatment
Title
Maximal tolerated dose of AB-1015
Description
Will be determined by a 3x3 dose escalation study
Time Frame
Up to 21 days
Secondary Outcome Measure Information:
Title
Number of AB-1015 cells
Description
Number of AB-1015 cells present in patients treatment with AB-1015
Time Frame
Up to 1 year post treatment
Title
Evidence of anti-tumor activity
Description
Assessed according to Response Evaluation Criteria in Solid Tumors (RECIST) 1.1
Time Frame
Up to 2 years post treatment
Title
Co-expression of ALPG and MSLN targets on tumor cells
Description
Assessment by immunohistochemistry (or similar method)
Time Frame
Up to 2 years post treatment

10. Eligibility

Sex
Female
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Recurrent, advanced, platinum resistant ovarian, fallopian tube, and primary peritoneal cancer and must have a histological diagnosis of a high-grade serous histology. a) Platinum resistant disease is defined as progression of disease within six months of platinum regimen. Doubling of cancer antigen 125 (CA-125) level on 2 successive measurements may be considered as meeting the definition of disease progression b) Have received at least 2 lines of prior therapy including a platinum-based regimen if eligible and a poly-ADP ribose polymerase (PARP) inhibitor if BRCA1/2 mutated. No more than 3 lines of prior therapy for the treatment of platinum resistant disease is permitted. Adequate organ function as per protocol definitions. Eastern Cooperative Oncology Group (ECOG) performance status score 0 or 1. Evaluable disease (dose escalation cohorts) or measurable disease (backfill cohorts) at time of enrollment as per protocol definitions. Negative pregnancy test for women of childbearing potential. Women of non-childbearing potential are those who have been surgically sterilized, have medically confirmed ovarian failure, or have not had menses within the past 12 months. Exclusion Criteria: Cytotoxic chemotherapy within 14 days of time of cell collection. Cytotoxic chemotherapy within 14 days of starting of conditioning chemotherapy. New York Heart Association functional class II-IV cardiovascular disability Clinically significant pericardial effusion Pleural or peritoneal effusion that requires drainage for symptom management within 28 days of screening. Active autoimmune disease requiring immunosuppressive therapy or uncontrolled with treatment. Untreated brain metastasis. Subjects unwilling to participate in an extended safety monitoring period.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Arsenal Biosciences
Phone
650-446-4874
Email
clinicaltrials@arsenalbio.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Arsenal Biosciences
Organizational Affiliation
Arsenal Biosciences
Official's Role
Study Director
Facility Information:
Facility Name
UCSF Helen Diller Family Comprehensive Cancer Center
City
San Francisco
State/Province
California
ZIP/Postal Code
94158
Country
United States
Individual Site Status
Recruiting
Facility Name
U of Chicago Comprehensive Cancer Center
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60637
Country
United States
Individual Site Status
Recruiting
Facility Name
U of Iowa Health Care
City
Iowa City
State/Province
Iowa
ZIP/Postal Code
52242
Country
United States
Individual Site Status
Recruiting
Facility Name
Barbara Ann Karmanos Cancer Institute
City
Detroit
State/Province
Michigan
ZIP/Postal Code
48201
Country
United States
Individual Site Status
Recruiting
Facility Name
Roswell Park Comprehensive Cancer Center
City
Buffalo
State/Province
New York
ZIP/Postal Code
14203
Country
United States
Individual Site Status
Recruiting
Facility Name
U of Oklahoma, Stephenson Cancer Center
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73117
Country
United States
Individual Site Status
Recruiting
Facility Name
MD Anderson Cancer Center
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Individual Site Status
Recruiting
Facility Name
U of Washington - Fred Hutchinson Cancer Center
City
Seattle
State/Province
Washington
ZIP/Postal Code
98195
Country
United States
Individual Site Status
Recruiting

12. IPD Sharing Statement

Learn more about this trial

AB-1015, an Integrated Circuit T (ICT) Cell Therapy in Patients With Platinum Resistant Epithelial Ovarian Cancer

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