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Clinical Trial to Evaluate Zevor-cel (CT053) in Patients With Relapsed and/or Refractory Multiple Myeloma (LUMMICAR STUDY 2)

Primary Purpose

Multiple Myeloma

Status
Recruiting
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
zevor-cel
Sponsored by
CARsgen Therapeutics Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Multiple Myeloma focused on measuring CAR-T, Carcinoma, Carcinoma, Multiple Myeloma, CT053, zevor-cel

Eligibility Criteria

18 Years - 79 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Voluntarily signed consent;
  2. Age of ≥ 18 and < 80 years;
  3. Received sufficient prior lines of myeloma therapy;
  4. Received treatment with at least one proteasome inhibitor, one IMiD and CD38 anti body.
  5. The patient must be refractory to the last line of therapy.
  6. The patients should have measurable disease per IMWG definition.
  7. Estimated life expectancy > 12 weeks;
  8. ECOG performance score 0-1;
  9. Patients should have reasonable CBC counts, renal and hepatic functions;
  10. Sufficient venous access for leukapheresis collection, and no other contraindications to leukapheresis;
  11. Women of childbearing age must undergo a serum pregnancy test with negative results before screening, and are willing to use effective and reliable method of contraception for at least 12 months after T cell infusion;
  12. Men must be willing to use effective and reliable method of contraception for at least 12 months after T cell infusion.

Exclusion Criteria:

  1. Pregnant or lactating women;
  2. HIV, active hepatitis C virus (HCV), or active hepatitis B virus (HBV) infection;
  3. Any uncontrolled active infection;
  4. AEs from previous treatment that have not recovered;
  5. Patients who have had anti-BCMA therapy;
  6. Patients who have graft versus host disease (GvHD);
  7. Patients have received stem cell transplantation one year before leukapheresis;
  8. Patients have received any anti-cancer treatment before leukapheresis;
  9. Patients have received steroids before leukapheresis or lymphodepletion;
  10. Patients have plasma cell leukemia, Waldenström macroglobulinemia, POEMS (polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin changes) syndrome or clinically significant symptomatic immunoglobulin light chain (AL) amyloidosis with evidence of end-organ damage;
  11. Patients have been administered live attenuated vaccine before leukapheresis or lymphodepletion;
  12. Patients allergic to Flu, Cy, tocilizumab, dimethyl sulfoxide (DMSO) or zevor-cel CAR BCMA T cell;
  13. Patients have clinical significant cardiac conditions that researchers believe that participating in this clinical trial may endanger the health of the patients;
  14. Patients have clinical significant pulmonary conditions;
  15. Patients are known to have active autoimmune diseases including but not limited to psoriasis, rheumatoid arthritis and other needs of long-term immunosuppressive therapy;
  16. Patients with second malignancies in addition to MM are not eligible;
  17. Patients have central nervous system (CNS) metastases or CNS involvement;
  18. Patients have significant neurologic disorders;
  19. Patients are unable or unwilling to comply with the requirements of clinical trial;
  20. Patients have received major surgery prior to leukapheresis or prior to lymphodepletion.

Sites / Locations

  • Mayo Clinic HospitalRecruiting
  • UCSFRecruiting
  • Colorado Blood Cancer InstituteRecruiting
  • Moffitt Cancer CenterRecruiting
  • Dana Farber Cancer CenterRecruiting
  • University of Michigan
  • MayoRecruiting
  • TriStar CMCRecruiting
  • UT Southwestern Medical CenterRecruiting
  • MD AndersonRecruiting
  • Methodist HosptialRecruiting
  • Huntsman Cancer CenterRecruiting
  • Medical College of WisconsinRecruiting
  • Princess Margaret HospitalRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

CAR-BCMA T Cells

Arm Description

Phase 1b will include a dose escalation followed by an expansion cohort to determine the recommended dose for the expansion part. After recommended Phase 2 is determined, patients in Phase 2 will be treated.

Outcomes

Primary Outcome Measures

Incidence of Treatment Related adverse events (AEs)
Incidence of Treatment Related AEs, AEs of special interest and serious adverse events (SAEs)
Identification of Maximum Tolerated Dose (MTD)
Incidence of dose-limiting toxicities (DLTs)
Objective response rate
Objective response rate (ORR) per IMWG by IRC read

Secondary Outcome Measures

Evaluate additional clinical efficacy outcomes with zevor-cel treatment in patients with rrMM
Disease-specific response criteria including, but not limited to: complete response (CR), MRD, very good partial response (VGPR), and partial response (PR) according to the International Myeloma Working Group (IMWG) Uniform Response Criteria for Multiple Myeloma, Time to Response, Time to Progression, Progression Free Survival, best response and Overall Survival
Determine the efficacy of zevor-cel treatment in patients with rrMM, by investigator assessment
ORR, DOR, FPS, OS, MRD, time to response, time to progression, best tumor response
Evaluate zevor-cel PK profile
CAR transgene copy number, peak value, AUC, in vivo persistence
Evaluate ADA profile
Percentage of patients with anti-zevor-cel drug antibodies
Evaluate HRQoL in patients with rrMM from baseline up to study completion
Change from baseline in HRQoL as measured by EORTC QLQ-C30 and QLQ-MY20
Evaluate utilization of hospital resources
Duration of hospitalization and ICU

Full Information

First Posted
April 3, 2019
Last Updated
May 8, 2023
Sponsor
CARsgen Therapeutics Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT03915184
Brief Title
Clinical Trial to Evaluate Zevor-cel (CT053) in Patients With Relapsed and/or Refractory Multiple Myeloma (LUMMICAR STUDY 2)
Official Title
Open Label, Multi-center, Phase 1b/2 Clinical Trial to Evaluate the Safety and Efficacy of Autologous CAR BCMA T Cells (CT053) in Patients With Relapsed and/or Refractory Multiple Myeloma (LUMMICAR STUDY 2)
Study Type
Interventional

2. Study Status

Record Verification Date
May 2023
Overall Recruitment Status
Recruiting
Study Start Date
September 25, 2019 (Actual)
Primary Completion Date
December 31, 2024 (Anticipated)
Study Completion Date
December 31, 2034 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
CARsgen Therapeutics Co., Ltd.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
A phase 1b/2, open label, multi-center, Clinical Study of Chimeric Antigen Receptor T Cells targeting BCMA in patients with relapsed and or refractory multiple myeloma.
Detailed Description
This is an open label, multi-center, phase 1b/2 clinical trial to evaluate the safety and efficacy of autologous chimeric antigen receptor-B-cell maturation antigen (CAR-BCMA T cell; zevor-cel/CT053) in patients with relapsed and or refractory multiple myeloma. Phase 1b of the study will be dose escalation followed by an expansion cohort. After recommended Phase 2 dose is identified in Phase 1b, the enrollment of Phase 2 will start. Following consent, enrolled subjects will undergo a leukapheresis procedure to collect autologous mononuclear cells for manufacture of investigational drug product (zevor-cel). Following manufacture of the drug product, subjects will receive lymphodepletion prior to zevor-cel infusion. All subjects who complete the study, as well as those who withdraw from the study after receiving zevor-cel for reasons other than death or meeting the early termination criteria, will be asked to continue to undergo a 15-year long-term follow-up study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Multiple Myeloma
Keywords
CAR-T, Carcinoma, Carcinoma, Multiple Myeloma, CT053, zevor-cel

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
105 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
CAR-BCMA T Cells
Arm Type
Experimental
Arm Description
Phase 1b will include a dose escalation followed by an expansion cohort to determine the recommended dose for the expansion part. After recommended Phase 2 is determined, patients in Phase 2 will be treated.
Intervention Type
Biological
Intervention Name(s)
zevor-cel
Other Intervention Name(s)
CAR-BCMA T Cell Infusion
Intervention Description
A single autologous chimeric antigen receptor-B-cell maturation antigen (CAR-BCMA T cell) infusion
Primary Outcome Measure Information:
Title
Incidence of Treatment Related adverse events (AEs)
Description
Incidence of Treatment Related AEs, AEs of special interest and serious adverse events (SAEs)
Time Frame
Day 1 - Month 60
Title
Identification of Maximum Tolerated Dose (MTD)
Description
Incidence of dose-limiting toxicities (DLTs)
Time Frame
Day 1 - Month 60
Title
Objective response rate
Description
Objective response rate (ORR) per IMWG by IRC read
Time Frame
Day 1 - Month 60
Secondary Outcome Measure Information:
Title
Evaluate additional clinical efficacy outcomes with zevor-cel treatment in patients with rrMM
Description
Disease-specific response criteria including, but not limited to: complete response (CR), MRD, very good partial response (VGPR), and partial response (PR) according to the International Myeloma Working Group (IMWG) Uniform Response Criteria for Multiple Myeloma, Time to Response, Time to Progression, Progression Free Survival, best response and Overall Survival
Time Frame
Day 1 - Month 60
Title
Determine the efficacy of zevor-cel treatment in patients with rrMM, by investigator assessment
Description
ORR, DOR, FPS, OS, MRD, time to response, time to progression, best tumor response
Time Frame
Day 1 - Month 60
Title
Evaluate zevor-cel PK profile
Description
CAR transgene copy number, peak value, AUC, in vivo persistence
Time Frame
Day 1 - Month 60
Title
Evaluate ADA profile
Description
Percentage of patients with anti-zevor-cel drug antibodies
Time Frame
Day 1 - Month 60
Title
Evaluate HRQoL in patients with rrMM from baseline up to study completion
Description
Change from baseline in HRQoL as measured by EORTC QLQ-C30 and QLQ-MY20
Time Frame
Day 1 - Month 60
Title
Evaluate utilization of hospital resources
Description
Duration of hospitalization and ICU
Time Frame
Day 1 - Month 60
Other Pre-specified Outcome Measures:
Title
BCMA bone marrow expression and soluble BCMA expression in blood
Description
Myeloma cell BCMA expression and serum soluble BCMA
Time Frame
Day 1 - Month 60
Title
Cytokine profiling
Description
cytokine levels (such as IL-6, INF, et al)
Time Frame
Day 1 - Month 60
Title
zevor-cel product profiling vs clinical safety and efficacy
Description
zevor-cel product characteristics
Time Frame
Day 1 - Month 60

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
79 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Voluntarily signed consent; Age of ≥ 18 and < 80 years; Received sufficient prior lines of myeloma therapy; Received treatment with at least one proteasome inhibitor, one IMiD and CD38 anti body. The patient must be refractory to the last line of therapy. The patients should have measurable disease per IMWG definition. Estimated life expectancy > 12 weeks; ECOG performance score 0-1; Patients should have reasonable CBC counts, renal and hepatic functions; Sufficient venous access for leukapheresis collection, and no other contraindications to leukapheresis; Women of childbearing age must undergo a serum pregnancy test with negative results before screening, and are willing to use effective and reliable method of contraception for at least 12 months after T cell infusion; Men must be willing to use effective and reliable method of contraception for at least 12 months after T cell infusion. Exclusion Criteria: Pregnant or lactating women; HIV, active hepatitis C virus (HCV), or active hepatitis B virus (HBV) infection; Any uncontrolled active infection; AEs from previous treatment that have not recovered; Patients who have had anti-BCMA therapy; Patients who have graft versus host disease (GvHD); Patients have received stem cell transplantation one year before leukapheresis; Patients have received any anti-cancer treatment before leukapheresis; Patients have received steroids before leukapheresis or lymphodepletion; Patients have plasma cell leukemia, Waldenström macroglobulinemia, POEMS (polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin changes) syndrome or clinically significant symptomatic immunoglobulin light chain (AL) amyloidosis with evidence of end-organ damage; Patients have been administered live attenuated vaccine before leukapheresis or lymphodepletion; Patients allergic to Flu, Cy, tocilizumab, dimethyl sulfoxide (DMSO) or zevor-cel CAR BCMA T cell; Patients have clinical significant cardiac conditions that researchers believe that participating in this clinical trial may endanger the health of the patients; Patients have clinical significant pulmonary conditions; Patients are known to have active autoimmune diseases including but not limited to psoriasis, rheumatoid arthritis and other needs of long-term immunosuppressive therapy; Patients with second malignancies in addition to MM are not eligible; Patients have central nervous system (CNS) metastases or CNS involvement; Patients have significant neurologic disorders; Patients are unable or unwilling to comply with the requirements of clinical trial; Patients have received major surgery prior to leukapheresis or prior to lymphodepletion.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Nishan Rajakumaraswamy, MD
Phone
CentralNumber
Email
clinicalUS@carsgen.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Shaji Kumar, MD
Organizational Affiliation
Mayo
Official's Role
Principal Investigator
Facility Information:
Facility Name
Mayo Clinic Hospital
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85054
Country
United States
Individual Site Status
Recruiting
Facility Name
UCSF
City
San Francisco
State/Province
California
ZIP/Postal Code
94143
Country
United States
Individual Site Status
Recruiting
Facility Name
Colorado Blood Cancer Institute
City
Denver
State/Province
Colorado
ZIP/Postal Code
80218
Country
United States
Individual Site Status
Recruiting
Facility Name
Moffitt Cancer Center
City
Tampa
State/Province
Florida
ZIP/Postal Code
33612
Country
United States
Individual Site Status
Recruiting
Facility Name
Dana Farber Cancer Center
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02215
Country
United States
Individual Site Status
Recruiting
Facility Name
University of Michigan
City
Ann Arbor
State/Province
Michigan
ZIP/Postal Code
48109
Country
United States
Individual Site Status
Withdrawn
Facility Name
Mayo
City
Rochester
State/Province
Minnesota
ZIP/Postal Code
55905
Country
United States
Individual Site Status
Recruiting
Facility Name
TriStar CMC
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37203
Country
United States
Individual Site Status
Recruiting
Facility Name
UT Southwestern Medical Center
City
Dallas
State/Province
Texas
ZIP/Postal Code
76021
Country
United States
Individual Site Status
Recruiting
Facility Name
MD Anderson
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Individual Site Status
Recruiting
Facility Name
Methodist Hosptial
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Individual Site Status
Recruiting
Facility Name
Huntsman Cancer Center
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84112
Country
United States
Individual Site Status
Recruiting
Facility Name
Medical College of Wisconsin
City
Milwaukee
State/Province
Wisconsin
ZIP/Postal Code
53226
Country
United States
Individual Site Status
Recruiting
Facility Name
Princess Margaret Hospital
City
Toronto
State/Province
Ontario
ZIP/Postal Code
MSG 2C4
Country
Canada
Individual Site Status
Recruiting

12. IPD Sharing Statement

Learn more about this trial

Clinical Trial to Evaluate Zevor-cel (CT053) in Patients With Relapsed and/or Refractory Multiple Myeloma (LUMMICAR STUDY 2)

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