Breast Cancer Clinical Trial
Safety and Activity Study of HER2-Targeted Dual Switch CAR-T Cells (BPX-603) in Subjects With HER2-Positive Solid Tumors
Summary
This is a Phase 1/2, open-label, multicenter, non-randomized study to investigate the safety, tolerability, and clinical activity of HER2-specific dual-switch CAR-T cells, BPX-603, administered with rimiducid to subjects with previously treated, locally advanced or metastatic solid tumors which are HER2 amplified/overexpressed.
Full Description
Phase 1: Cell dose escalation to identify the maximum dose of BPX-603 administered without or with rimiducid. The first subject in each dose cohort will receive BPX-603 alone (without rimiducid) in order to assess safety of the CAR-T monotherapy.
Phase 2: Indication-specific dose expansion to assess the safety, pharmacodynamics (including BPX-603 persistence and response to temsirolimus as applicable), and clinical activity at the recommended dose for expansion (RDE) identified in Phase 1 in various HER2+ solid tumors.
During Phase 1 or 2, temsirolimus (single IV dose at 25 mg) may be administered following BPX-603 infusion in response to treatment-emergent toxicity in order to activate the iRC9 safety switch.
Eligibility Criteria
Inclusion Criteria:
Documented evidence of HER2 amplification/overexpression by local testing.
Histologically or cytologically confirmed diagnosis of a locally advanced unresectable or metastatic HER2+ solid tumor malignancy for which standard treatment is no longer effective, does not exist, or subject is ineligible.
Subjects with a solid tumor malignancy for which HER2-targeted therapy is approved as a standard treatment (e.g., breast, gastric cancers) must have received prior treatment with approved HER2-directed therapy.
Measurable disease (at least one target lesion) per RECIST v1.1.
Life expectancy > 12 weeks.
ECOG 0-1.
Adequate organ function.
Exclusion Criteria:
Symptomatic, untreated, or actively progressing central nervous system metastases.
Prior CAR T cell or other genetically-modified T cell therapy.
Impaired cardiac function or clinically significant cardiac disease.
Symptomatic intrinsic lung disease or those with extensive tumor involvement of the lungs.
Severe intercurrent infection.
Pregnant or breastfeeding.
Known HIV positivity.
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There are 7 Locations for this study
Duarte California, 91010, United States More Info
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Principal Investigator
La Jolla California, 92093, United States More Info
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Atlanta Georgia, 32297, United States More Info
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Principal Investigator
Hackensack New Jersey, 07601, United States More Info
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Principal Investigator
Buffalo New York, 14263, United States More Info
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Houston Texas, 77030, United States More Info
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Principal Investigator
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