Safety and Efficacy of ALLO-501A Anti-CD19 Allogeneic CAR T Cells in Adults with Relapsed/Refractory Large B Cell Lymphoma, Chronic Lymphocytic Leukemia and Small Lymphocytic Lymphoma (ALPHA2)
Trial ID or NCT#
Status
Purpose
This is a single-arm, open label, multicenter Phase 1/2 study evaluating ALLO-501A in adult subjects with R/R LBCL and CLL/SLL. The purpose of the ALPHA2 study is to assess the safety, efficacy, and cell kinetics of ALLO-501A in adults with relapsed or refractory large B-cell lymphoma and assess the safety of ALLO-501A in adults with relapsed or refractory chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL) after a lymphodepletion regimen comprising fludarabine, cyclophosphamide, and ALLO-647.
Official Title
A Single-Arm, Open-Label, Phase 1/2 Study Evaluating the Safety, Efficacy, and Cellular Kinetics/Pharmacodynamics of ALLO-501A, an Anti-CD19 Allogeneic CAR T Cell Therapy, and ALLO-647, an Anti-CD52 Monoclonal Antibody, in Subjects with Relapsed/Refractory Large B-Cell Lymphoma (LBCL)
Eligibility Criteria
- For subjects with LBCL:
- * Histologically confirmed diagnosis of relapsed/refractory large B-cell lymphoma at last relapse per WHO 2017* At least 1 measurable lesion at time of enrollment* Relapsed or refractory disease after at least 2 lines of chemotherapy* Absence of significant donor (product)-specific anti-HLA antibodies (DSA) at screening (Note: Only applicable for Phase 2)
- For subjects with CLL/SLL:
- * Diagnosis of CLL/SLL* Relapsed/refractory disease* Subjects relapsed/refractory to BTKi therapy and high-risk disease* Subjects relapsed/refractory with 2 or more lines of therapy including BTKi and BCL-2 inhibitor (venetoclax)* At least 1 measurable lesion at time of enrollment
- For all subjects:
- * Male or female subjects ≥18 years of age* Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0 or 1* Adequate hematological, renal, and liver function
- * Active central nervous system (CNS) involvement by malignancy* Current thyroid disorder (including hyperthyroidism), except for subjects with hypothyroidism controlled on a stable dose of hormone replacement therapy* Any other active malignancies that required systemic treatment within 3 years prior to enrollment* Radiation therapy within 2 weeks prior to ALLO-647* Prior irradiation to \>25% of the bone marrow* Hypocellular bone marrow for age by institutional standard as determined from a bone marrow biopsy performed at time of screening (Note: Only applicable for Phase 2).* Autologous hematopoietic stem cell transplant (HSCT) within last 6 months (24 weeks)* Systemic anti-cancer therapy within 2 weeks prior to receiving ALLO-647
Investigator(s)
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Contact
Linnea Bjornlund Nichols
650-724-9050
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