CRISPR-Edited Allogeneic Anti-CD19 CAR-T Cell Therapy for Relapsed/Refractory B Cell Non-Hodgkin Lymphoma (ANTLER)

PHASE1UNKNOWN

CB010A is a study evaluating safety, emerging efficacy, pharmacokinetics and immunogenicity of CB-010 in adults with relapsed/refractory B cell non-Hodgkin lymphoma after lymphodepletion consisting of cyclophosphamide and fludarabine.

Study details:

This clinical trial is a first-in-human, Phase 1, multicenter, open-label evaluation of safety and emerging efficacy of CB-010 in adults with relapsed/refractory B cell non-Hodgkin lymphoma. The study is conducted in two parts: Part A is dose escalation following a 3 + 3 design, with sequential, prespecified, increasing doses. Part B is the expansion portion where patients will receive CB-010 at the dose determined in Part A.

Eligibility criteria

Researchers look for people who fit a certain description, called eligibility criteria. See if you qualify.

Inclusion criteria

  1. Age greater than or equal to 18 at the time of enrollment
  2. Documented diagnosis of relapsed or refractory non-Hodgkin lymphoma after prior standard of care
  3. Eastern Cooperative Oncology Group performance status 0 or 1
  4. Adequate hematologic, renal, liver, cardiac and pulmonary organ function

Exclusion criteria

  1. Prior therapy with an anti-CD19 targeting agent
  2. Active or chronic graft versus host disease requiring therapy
  3. Prior allogeneic stem cell transplantation
  4. Central nervous system (CNS) lymphoma, prior CNS malignancy
  5. Prior seizure disorder, cerebrovascular ischemia, dementia, cerebellar disease or autoimmune disease with CNS involvement.
  6. Primary immunodeficiency
  7. Current or expected need for systemic corticosteroid therapy
  8. Current thyroid disorder. Hypothyroidism controlled with stable hormone replacement is permitted
  9. Other malignancy within 2 years of study entry, except curatively treated malignancies or malignancies with low risk of recurrence
  10. Unwillingness to follow extended safety monitoring

Eligibility

Age eligible for study : NA

Healthy volunteers accepted : No

Gender eligible for study: ALL

Things to know

Study dates

Study start:

Primary completion:

Study completion finish:

study type

Study type

TREATMENT

phase

Phase

    PHASE1

trial

Study ID

NCT04637763

Intervention or treatment

GENETIC: CB-010

DRUG: Cyclophosphamide

DRUG: Fludarabine

Conditions

  • Lymphoma, Non-Hodgkin
  • Relapsed Non Hodgkin Lymphoma
  • Refractory B-Cell Non-Hodgkin Lymphoma
  • Non Hodgkin Lymphoma
  • Lymphoma
  • B Cell Lymphoma
  • B Cell Non-Hodgkin's Lymphoma
  • Condition: Lymphoma, Non-Hodgkin, Relapsed Non Hodgkin Lymphoma and more

  • GENETIC: CB-010 and other drugs

  • Westmead, New South Wales, Australia and more

  • Sponsor: Caribou Biosciences, Inc.

You may be eligible to participate in this trial based on your search. Check eligibility by answering some questions.

Are you running this trial?

If you're a clinic or sponsor, you can claim this study

Research sites nearby

Closest Location:

Westmead Hospital

Select from list below to view details:

  • Westmead Hospital

    Westmead, New South Wales, Australia

  • Epworth Healthcare

    Richmond, Victoria, Australia

  • Royal Perth Hospital

    Perth, Western Australia, Australia

Loading map...

Who is running the clinical trial?

CBI

Caribou Biosciences, Inc.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Participant Group/ArmIntervention/Treatment
EXPERIMENTAL: Dose Escalation of CB-010
  • Patients with relapsed or refractory non-Hodgkin lymphoma will receive CB-010 following lymphodepletion.
Genetic: CB-010, Drug: Cyclophosphamide, Drug: Fludarabine
    EXPERIMENTAL: Expansion of CB-010
    • Patients with relapsed or refractory non-Hodgkin lymphoma will receive CB-010 following lymphodepletion.
    Genetic: CB-010, Drug: Cyclophosphamide, Drug: Fludarabine

      What is the study measuring?

      Primary Outcome

      MeasureDescriptionTime Frame
      Primary outcome measures number of patients with dose-limiting toxicities (Part A).Incidence of adverse events defined as dose-limiting toxicities with onset within 28 days after CB-010 infusion.28 days following CB-010 infusion
      Primary outcome evaluates tumor response (Part B)The primary endpoint is objective response rate.Up to 12 months

      Secondary Outcome

      Are you running this trial?If you're a clinic or sponsor, you can claim this study.

      References

      Clinical Trials Gov: CRISPR-Edited Allogeneic Anti-CD19 CAR-T Cell Therapy for Relapsed/Refractory B Cell Non-Hodgkin Lymphoma (ANTLER)

      Other trials to consider

      Loading suggested trials...

      Top searched conditions