Non Hodgkin Lymphoma Clinical Trial

Study of IMPT-314 in R/R Aggressive B-cell NHL

Summary

This is a Phase 1/2, multi-center, open-label study evaluating the safety and efficacy of IMPT-314, a bispecific chimeric antigen receptor (CAR) targeting cluster of differentiation (CD)19 and CD20 in participants with aggressive B-cell NHL.

Up to 30 patients will be enrolled in dose finding Phase 1 part of the study, which will determine the recommended phase 2 dose.

Phase 2 will enroll 20 additional participants to evaluate further the safety and efficacy of IMPT-314.

IMPT-314 treatment consists of a single infusion of CAR-transduced autologous T cells administered intravenously after a conditioning chemotherapy regimen consisting of fludarabine and cyclophosphamide, administered over 3 days.

Individual participants will remain in the active post-treatment period for approximately 2 years. Participants will continue in long-term follow-up for 15 years from treatment.

View Eligibility Criteria

Eligibility Criteria

Inclusion Criteria:

Age 18 years or older
Willing and able to provide written informed consent

Histologically confirmed aggressive NHL, including the following types defined by the World Health Organization (WHO) 2017:

DLBCL
DLBCL arising from follicular lymphoma (Transformed FL)
Primary mediastinal (thymic) large B-cell lymphoma
High-grade large B-cell lymphoma with or without MYC and BCL2 and/or BCL6 rearrangement
Grade 3b follicular lymphoma/Large cell follicular lymphoma

Received at least 1 prior line of therapy. Prior therapy must have included:

Anti-CD20 monoclonal antibody
An anthracycline containing chemotherapy regimen
Participants with TFL must have received at least one of their prior lines of therapy after transformation to DLBCL

Relapsed or refractory disease, defined by the following:

Disease progression after last regimen (including salvage therapy after autologous stem cell transplantation [ASCT]). In participants who have only received front-line therapy, progression should be ≤12 months of initiating first-line therapy.
In patients who received two or more lines of therapy, refractory disease is defined as failure to achieve a CR to last line of therapy (including CAR T and/or salvage therapy).
In patients who received one line of therapy, refractory disease is defined as failure to achieve at least a PR after at least 4 cycles of therapy
At least 1 measurable lesion (the Lugano classification). Lesions that have been previously irradiated will be considered measurable only if progression has been documented following completion of radiation therapy
Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
Absolute neutrophil count (ANC) ≥ 1000/uL

Other protocol-defined criteria apply.

Exclusion Criteria:

History of malignancy other than non-melanoma skin cancer or carcinoma in situ (e.g., cervix, bladder, breast) unless disease-free for at least 3 years. Participants who have received therapy for a prior malignancy within the prior 3 years, e.g., in the adjuvant setting, are not excluded
Active central nervous system (CNS) involvement by malignancy on magnetic resonance imaging (MRI) or by lumbar puncture. Participants with prior evidence of brain metastasis successfully treated at least 8 weeks prior to enrollment will not be excluded for participation if CNS disease is deemed stable at the time of study enrolment
History of cardiac lymphoma involvement
Ongoing or impending oncologic emergency (e.g., tumor mass effect, tumor lysis syndrome)

Received the following therapies in the specified time frame prior to enrollment/leukapheresis

Any systemic therapy within 2 weeks

Any systemic inhibitory/stimulatory immune checkpoint molecule therapy within 3 half-lives prior to enrollment (e.g., ipilimumab, nivolumab, pembrolizumab, atezolizumab, OX40 agonists, 4-

1BB agonists)

Fludarabine within 12 weeks
Alemtuzumab, bendamustine or antithymocyte globuline (ATG) within 6 months
Any T cell engager/bispecific antibody therapy such as CD20/CD3 or CD19/CD3 bispecific antibodies within 4 weeks
Any experimental therapy within 4 weeks or 5 half-lives (whichever is shorter)
Received radiation therapy within 3 weeks prior to enrollment
Experiencing non-hematologic toxicities due to prior therapy (stable and recovered to grade ≤ 1 or non- clinically significant toxicities such as alopecia are allowed)
History of allogeneic stem cell or solid organ transplantation
Receipt of autologous stem cell transplantation within 6 weeks prior to enrollment
History of prior genetically modified T cell therapy other than a product targeting CD19 with an FMC63-based CAR (e.g., axicabtagene ciloleucel (axi-cel, YESCARTA®), tisagenlecleucel (tisa-cel, KYMRIAH®), or lisocabtagene maraleucel (liso-cel, BREYANZI®). For all other CAR T cell therapy treatments, discussion with the Sponsor's Medical Monitor is required
Primary immunodeficiency
History of autoimmune disease (e.g., Crohn's disease, rheumatoid arthritis, systemic lupus) resulting in end organ injury or requiring systemic immunosuppression/systemic disease modifying agents within the last 2 years. Participants who have other autoimmune condition(s) considered to be associated with underlying malignancy may be enrolled in the study after discussion with and approval of the Medical Monitor.

Other protocol-defined criteria apply.

Study is for people with:

Non Hodgkin Lymphoma

Phase:

Phase 1

Estimated Enrollment:

150

Study ID:

NCT05826535

Recruitment Status:

Recruiting

Sponsor:

ImmPACT Bio

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There are 20 Locations for this study

See Locations Near You

University of California-Irvine Medical Center
Irvine California, 92697, United States More Info
Blake Johnson
Contact
[email protected]
Stefan Ciurea
Principal Investigator
Cedars-Sinai Medical Center
Los Angeles California, 90048, United States More Info
Akil Merchant
Contact
310-423-5706
[email protected]
Akil Merchant
Principal Investigator
University of California, Los Angeles (UCLA) Medical Center
Los Angeles California, 90095, United States More Info
Christopher M. Hannigan
Contact
310-825-4493
[email protected]
Sara M. Larson
Principal Investigator
University of California (UC) Davis Comprehensive Cancer Center
Sacramento California, 95817, United States More Info
Joseph Tuscano
Principal Investigator
Scripps Clinic
San Diego California, 92037, United States More Info
James Mason
Contact
[email protected]
James Mason
Principal Investigator
Augusta University Medical Center
Augusta Georgia, 30912, United States More Info
Amanda Spires
Contact
706-721-8981
[email protected]
Locke Bryan
Principal Investigator
St Luke's Cancer Institute
Boise Idaho, 83712, United States More Info
William Kreisle
Principal Investigator
Indiana Blood and Marrow Transplantation
Indianapolis Indiana, 46237, United States More Info
Melanie Coleman
Contact
317-528-7298
[email protected]
Felix Mensah
Principal Investigator
University of Iowa
Iowa City Iowa, 52242, United States More Info
Umar Farooq
Contact
319-356-1616
[email protected]
Umar Farooq
Principal Investigator
University of Louisville Brown Cancer Center
Louisville Kentucky, 40202, United States More Info
Mohamed Hegazi
Contact
502-562-3367
[email protected]
Mohamed Hegazi
Principal Investigator
Corewell Health
Grand Rapids Michigan, 49503, United States More Info
Sami Brake
Contact
616-486-5933
[email protected]
Sami brake
Principal Investigator
University of New Mexico Comprehensive Cancer Center
Albuquerque New Mexico, 87131, United States More Info
Valerie Parks
Contact
404-925-0390
[email protected]
Matthew L. Fero
Principal Investigator
Montefiore Medical Center
Bronx New York, 10461, United States More Info
Dennis Cooper
Contact
[email protected]
Dennis Cooper
Principal Investigator
University of Cincinnati (UC) Physicians Company, LLC
Cincinnati Ohio, 45267, United States More Info
Tahir Latif
Contact
513-558-2115
[email protected]
Tahir Latif
Principal Investigator
Baylor University Medical Center
Dallas Texas, 75246, United States More Info
Nebu Koshy
Contact
[email protected]
Nebu Koshy
Principal Investigator
Huntsman Cancer Institute
Salt Lake City Utah, 84112, United States More Info
Lindsay Gilstrap
Contact
801-213-5652
[email protected]
Boyu Hu
Principal Investigator
Intermountain Healthcare
Salt Lake City Utah, 84143, United States More Info
Bradley Hunter
Contact
801-408-1819
[email protected]
Bradley Hunter
Principal Investigator
University of Vermont Cancer Center
Burlington Vermont, 05405, United States More Info
Christa Varnadoe
Contact
863-224-9380
Gargi Joshi
Contact
857-707-8614
James Gerson
Principal Investigator
Virginia Commonwealth University-Massey Cancer Center
Richmond Virginia, 23298, United States More Info
Kristin Lantis
Contact
804-628-6430
[email protected]
William Clark
Principal Investigator
Medical College of Wisconsin
Milwaukee Wisconsin, 53226, United States More Info
Mehdi Hamadani
Contact
[email protected]
Medhi Hamadani
Principal Investigator

How clear is this clinincal trial information?

Study is for people with:

Non Hodgkin Lymphoma

Phase:

Phase 1

Estimated Enrollment:

150

Study ID:

NCT05826535

Recruitment Status:

Recruiting

Sponsor:


ImmPACT Bio

How clear is this clinincal trial information?

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