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Study Evaluating UCART20x22 in B-Cell Non-Hodgkin Lymphoma (NatHaLi-01)

Primary Purpose

B-cell Non-Hodgkin Lymphoma (B-NHL)

Status
Recruiting
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
UCART20x22
CLLS52
Sponsored by
Cellectis S.A.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for B-cell Non-Hodgkin Lymphoma (B-NHL) focused on measuring B-cell Non-Hodgkin Lymphoma (B-NHL), Relapsed/Refractory B-NHL, Universal Chimeric Antigen Receptor T-Cell (UCAR-T) Therapy, Allogeneic, Transcription Activator-Like Effector Nuclease (TALEN®)

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 Relapsed or refractory (R/R) mature B-NHL per 2016 WHO criteria and positive for CD20 and/or CD22 Subjects with NHL subtypes defined by WHO: -Dose-Finding Part: R/R mature B-NHL (except chronic lymphocytic leukemia/small lymphocytic leukemia [CLL/SLL], Richter's transformation from prior CLL/SLL, Burkitt's lymphoma, and Waldenstrom's macroglobulinemia) -Dose-Expansion Part: R/R LBCL, defined as: i. DLBCL; ii. High-grade B-cell lymphoma with MYC and BCL2 and/or BCL6 rearrangements; iii. Transformed FL or transformed marginal zone lymphoma (MZL); iv. Follicular lymphoma Grade 3B R/R disease after at least 2 lines of prior treatment, which must have included: -An Anti-CD20 MoAb and an anthracycline for DLBCL, high-grade B-cell lymphoma with MYC and BCL2 and/or BCL6 rearrangements, primary mediastinal large B-cell lymphoma (PMBCL), or transformed FL or MZL -An alkylating agent in combination with an anti-CD20 MoAb for FL -An anthracycline or bendamustine-containing chemotherapy regimen and a Bruton's tyrosine kinase (BTK) inhibitor for mantle cell lymphoma (MCL) -Autologous anti-CD19 CAR T-cell therapy, if approved and available for the indicated lymphoma subtype, unless the subject is unable or is ineligible to receive approved autologous anti-CD19 CAR T-cell therapy (e.g., fail leukapheresis or manufacture, unable to wait for manufacture, CD19 negative disease, etc.) Exclusion Criteria: Prior use of an investigational product (except for cell or gene therapies and MoAbs) within 5 half-lives or within 14 days, whichever is shorter, prior to start of LD regimen Previous approved therapy including chemotherapy, biologic (except MoAbs), or targeted therapy for R/R B-NHL with 5 half-lives or within 14 days, whichever is shorter, prior to start of the LD regimen Prior MoAb therapy (approved or investigational) within 30 days prior to start of LD Prior systemic immunostimulatory agent within 3 half-lives prior to start of the LD regimen Prior cell or gene therapy (approved or investigational) within 6 weeks of the start of LD Prior cell or gene therapy (approved or investigational) targeting both CD20 and CD22 Autologous HSCT infusion within 6 weeks of the start of LD Allogeneic HSCT within 3 months of the start of LD, or donor lymphocyte infusion within 6 weeks of the start of LD Subjects should be off all immunosuppressive therapies for at least 6 weeks prior to start of LD Radiotherapy within 8 weeks (except for palliative radiotherapy for specific on-target lesions) (prior to start of LD regimen) Active acute or chronic graft versus host disease Evidence of active central nervous system (CNS) lymphoma or previous CNS involvement of R/R B-NHL Presence of an active and clinically relevant CNS disorder Daily treatment with >20 mg prednisone or equivalent Known active infection, or reactivation of a latent infection, whether bacterial or viral, fungal, mycobacterial, or other pathogens History of hypersensitivity to alemtuzumab History of neutralizing anti-drug antibody against alemtuzumab Any known uncontrolled cardiovascular disease within 3 months of enrollment Subjects requiring immunosuppressive treatment Major surgery within 28 days prior to start of LD Evidence of another uncontrolled malignancy within 2 years prior to Screening (except in situ nonmelanoma skin cell cancers and/or carcinoma in-situ of the cervix)

Sites / Locations

  • Massachusetts General HospitalRecruiting
  • Rutgers Cancer Institute of New JerseyRecruiting
  • Sarah Cannon - St. David South Austin Medical CenterRecruiting
  • Hôpital Lyon SudRecruiting
  • Hôpital Saint LouisRecruiting
  • CHU de MontpellierRecruiting
  • Clínica Universidad de NavarraRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Dose finding part

Arm Description

UCART20x22 tested at several dose levels until the Maximum Tolerated Dose (MTD) and/or the Recommended Phase 2 Dose (RP2D) is identified. Dose expansion part: UCART20x22 administered at the RP2D determined during the dose finding part

Outcomes

Primary Outcome Measures

Dose finding and expansion parts: Incidence of adverse events/serious adverse events/dose limiting toxicity [Safety and Tolerability]
Incidence, nature and severity of adverse events and serious adverse events in relation to UCART20x22 and/or lymphodepletion
Dose finding part: Occurrence of Dose Limiting Toxicities (DLTs)

Secondary Outcome Measures

Investigator assessed overall response rate (ORR) according to Lugano Response Criteria for Malignant Lymphoma
Duration of Response
Progression-free survival (PFS)
Overall survival

Full Information

First Posted
October 25, 2022
Last Updated
June 1, 2023
Sponsor
Cellectis S.A.
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1. Study Identification

Unique Protocol Identification Number
NCT05607420
Brief Title
Study Evaluating UCART20x22 in B-Cell Non-Hodgkin Lymphoma
Acronym
NatHaLi-01
Official Title
Open-label Dose-finding and Dose-expansion Study to Evaluate the Safety, Expansion, Persistence, and Clinical Activity of UCART20x22 in Subjects With Relapsed or Refractory B-Cell Non-Hodgkin Lymphoma (B-NHL)
Study Type
Interventional

2. Study Status

Record Verification Date
June 2023
Overall Recruitment Status
Recruiting
Study Start Date
November 1, 2022 (Actual)
Primary Completion Date
November 2027 (Anticipated)
Study Completion Date
November 2027 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Cellectis S.A.

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
First-in-human, open-label, dose-finding and dose-expansion study of UCART20x22 administered intravenously in subjects with relapsed or refractory B-Cell Non-Hodgkin Lymphoma (B-NHL). The purpose of this study is to evaluate the safety and clinical activity of UCART20x22 and determine the Maximum Tolerated Dose (MTD) and Recommended Phase 2 Dose (RP2D).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
B-cell Non-Hodgkin Lymphoma (B-NHL)
Keywords
B-cell Non-Hodgkin Lymphoma (B-NHL), Relapsed/Refractory B-NHL, Universal Chimeric Antigen Receptor T-Cell (UCAR-T) Therapy, Allogeneic, Transcription Activator-Like Effector Nuclease (TALEN®)

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
80 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Dose finding part
Arm Type
Experimental
Arm Description
UCART20x22 tested at several dose levels until the Maximum Tolerated Dose (MTD) and/or the Recommended Phase 2 Dose (RP2D) is identified. Dose expansion part: UCART20x22 administered at the RP2D determined during the dose finding part
Intervention Type
Biological
Intervention Name(s)
UCART20x22
Intervention Description
Allogeneic engineered T-cells expressing anti-CD20 and anti-CD22 Chimeric Antigen Receptors given following a lymphodepletion regimen
Intervention Type
Biological
Intervention Name(s)
CLLS52
Other Intervention Name(s)
Alemtuzumab
Intervention Description
A monoclonal antibody that recognizes a CD52 antigen
Primary Outcome Measure Information:
Title
Dose finding and expansion parts: Incidence of adverse events/serious adverse events/dose limiting toxicity [Safety and Tolerability]
Description
Incidence, nature and severity of adverse events and serious adverse events in relation to UCART20x22 and/or lymphodepletion
Time Frame
From study entry through month 12
Title
Dose finding part: Occurrence of Dose Limiting Toxicities (DLTs)
Time Frame
Up to Day 28 post UCART20x22 infusion
Secondary Outcome Measure Information:
Title
Investigator assessed overall response rate (ORR) according to Lugano Response Criteria for Malignant Lymphoma
Time Frame
At Day 28, Day 84, Month 6, Month 9, Month 12
Title
Duration of Response
Time Frame
From achievement of the initial response to disease relapse/progression or death from any cause, assessed up to Month 12
Title
Progression-free survival (PFS)
Time Frame
From the first day of any study treatment to the date of disease progression or death from any cause, whichever occurs first, assessed up to Month 12
Title
Overall survival
Time Frame
From initiation of any study treatment to death from any cause, assessed up to Year 15

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 Relapsed or refractory (R/R) mature B-NHL per 2016 WHO criteria and positive for CD20 and/or CD22 Subjects with NHL subtypes defined by WHO: -Dose-Finding Part: R/R mature B-NHL (except chronic lymphocytic leukemia/small lymphocytic leukemia [CLL/SLL], Richter's transformation from prior CLL/SLL, Burkitt's lymphoma, and Waldenstrom's macroglobulinemia) -Dose-Expansion Part: R/R LBCL, defined as: i. DLBCL; ii. High-grade B-cell lymphoma with MYC and BCL2 and/or BCL6 rearrangements; iii. Transformed FL or transformed marginal zone lymphoma (MZL); iv. Follicular lymphoma Grade 3B R/R disease after at least 2 lines of prior treatment, which must have included: -An Anti-CD20 MoAb and an anthracycline for DLBCL, high-grade B-cell lymphoma with MYC and BCL2 and/or BCL6 rearrangements, primary mediastinal large B-cell lymphoma (PMBCL), or transformed FL or MZL -An alkylating agent in combination with an anti-CD20 MoAb for FL -An anthracycline or bendamustine-containing chemotherapy regimen and a Bruton's tyrosine kinase (BTK) inhibitor for mantle cell lymphoma (MCL) -Autologous anti-CD19 CAR T-cell therapy, if approved and available for the indicated lymphoma subtype, unless the subject is unable or is ineligible to receive approved autologous anti-CD19 CAR T-cell therapy (e.g., fail leukapheresis or manufacture, unable to wait for manufacture, CD19 negative disease, etc.) Exclusion Criteria: Prior use of an investigational product (except for cell or gene therapies and MoAbs) within 5 half-lives or within 14 days, whichever is shorter, prior to start of LD regimen Previous approved therapy including chemotherapy, biologic (except MoAbs), or targeted therapy for R/R B-NHL with 5 half-lives or within 14 days, whichever is shorter, prior to start of the LD regimen Prior MoAb therapy (approved or investigational) within 30 days prior to start of LD Prior systemic immunostimulatory agent within 3 half-lives prior to start of the LD regimen Prior cell or gene therapy (approved or investigational) within 6 weeks of the start of LD Prior cell or gene therapy (approved or investigational) targeting both CD20 and CD22 Autologous HSCT infusion within 6 weeks of the start of LD Allogeneic HSCT within 3 months of the start of LD, or donor lymphocyte infusion within 6 weeks of the start of LD Subjects should be off all immunosuppressive therapies for at least 6 weeks prior to start of LD Radiotherapy within 8 weeks (except for palliative radiotherapy for specific on-target lesions) (prior to start of LD regimen) Active acute or chronic graft versus host disease Evidence of active central nervous system (CNS) lymphoma or previous CNS involvement of R/R B-NHL Presence of an active and clinically relevant CNS disorder Daily treatment with >20 mg prednisone or equivalent Known active infection, or reactivation of a latent infection, whether bacterial or viral, fungal, mycobacterial, or other pathogens History of hypersensitivity to alemtuzumab History of neutralizing anti-drug antibody against alemtuzumab Any known uncontrolled cardiovascular disease within 3 months of enrollment Subjects requiring immunosuppressive treatment Major surgery within 28 days prior to start of LD Evidence of another uncontrolled malignancy within 2 years prior to Screening (except in situ nonmelanoma skin cell cancers and/or carcinoma in-situ of the cervix)
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Cellectis Central Contact
Phone
+1 (347) 752-4044
Email
clinicaltrials@cellectis.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jeremy Abramson, MD
Organizational Affiliation
Massachusetts General Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Massachusetts General Hospital
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02114
Country
United States
Individual Site Status
Recruiting
Facility Name
Rutgers Cancer Institute of New Jersey
City
New Brunswick
State/Province
New Jersey
ZIP/Postal Code
08901
Country
United States
Individual Site Status
Recruiting
Facility Name
Sarah Cannon - St. David South Austin Medical Center
City
Austin
State/Province
Texas
ZIP/Postal Code
78704
Country
United States
Individual Site Status
Recruiting
Facility Name
Hôpital Lyon Sud
City
Pierre-Bénite
State/Province
Auvergne Rhone Alpe
ZIP/Postal Code
69310
Country
France
Individual Site Status
Recruiting
Facility Name
Hôpital Saint Louis
City
Paris
State/Province
Ile De France
ZIP/Postal Code
75010
Country
France
Individual Site Status
Recruiting
Facility Name
CHU de Montpellier
City
Montpellier
State/Province
Occitanie
ZIP/Postal Code
34295
Country
France
Individual Site Status
Recruiting
Facility Name
Clínica Universidad de Navarra
City
Pamplona
State/Province
Navarra
ZIP/Postal Code
31008
Country
Spain
Individual Site Status
Recruiting

12. IPD Sharing Statement

Plan to Share IPD
No

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Study Evaluating UCART20x22 in B-Cell Non-Hodgkin Lymphoma

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