B-cell Non Hodgkin LymphomaPhase 1/2NCT05338931
Safety, Tolerability, and Efficacy of AT101 in Patients With Relapsed or Refractory B-cell Non-Hodgkin's Lymphoma
A Phase 1/2 study testing AT101(Anti-CD19 Chimeric Antigen Receptor T cell) in people with B-cell Non Hodgkin Lymphoma, run by AbClon at 1 site in South Korea.
Trial summary
Determine MTD based on the safety and tolerability of AT101 and the RP2D for patients with recurrent or non-reactive B-cell NHL. Read more about this study
- Who is it for?
- Ages 19 years and older
- Conditions the study is for
- B-cell Non Hodgkin Lymphoma
- What is being tested?
- AT101(Anti-CD19 Chimeric Antigen Receptor T cell)
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 82 participants
- Where
- 1 siteSouth Korea
- Study dates
- 15 Mar 2022to 15 Sep 2030
- Phase
- Phase 1/2
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 19 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- B cell non-Hodgkin lymphoma based on WHO classification 2017
- incompatible with existing standard therapies or have had disease progression, and whose standard therapies do not currently have available standard therapies due to reasons such as intolerance/inadequacies or rejection
- The Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0 or 1
- adequate hematological, kidney, liver, lung, heart and bone marrow function without blood transfusion within two weeks prior to screening
- Those with a minimum life expectancy of 12 weeks or more
- In women with childbearing, clinical response tests (serum- or ure-hCG) were negatively identified during this trial
- Those who have agreed in writing to participate voluntarily in this trial
Who cannot join
- Those who have previously had a history of treating homologic autologous hemoblastitis (allogeneic HSCT)
- At101/adcidmilisers, anticancer chemotherapy/adcidms for lymphodeletion or those who are hypersensitive to tocilizumab
- Those who cannot take autologous blood
- Those who have received chemotherapy or radiotherapy, excluding lymphodeletion, within two weeks prior to IP administration
- Persons who have not been recovered (CTCAE grade ≤1 or baseline) due to previous treatment
- Those who have identified a condition that, at the test's discretion, may affect safety and validation during the trial period.
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- Those who have identified the following forces at the time of screening:
- Those who have been clinically aware of heart disease within 6 months prior to screening
- Those identified as thromboembolic disease, pulmonary embolism or bleeding bleeding diatheses within 6 months prior to screening
- Those who have identified a history of malignant tumors other than B-cell non-Hodgkin's lymphoma within five years prior to screening
- Those who have undergone major surgery within 4 weeks prior to screening
- Those who have undergone non-critical surgery within two weeks prior to screening
- Childbearing women or men who do not have the will to use effective contraception for a longer period of time, either 12 months after clinical trial period and AT101 administration or when AT101 in the body is not identified
- Those who have been administered or applied to other IP/ID within 4 weeks of screening
- Those who are addicted to alcohol and/or medication
- Those who are unfit or unable to participate in this trial when judged by PI
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
South Korea1 site, 1 recruiting
- Recruiting
Asan Medical Center
Seoul
Deok-hyun Yoon
About this study
Official title: An Open-label, Single-arm, Multi-center, Phase I/II Study to Evaluate the Safety, Tolerability, and Efficacy of AT101 (Anti-CD19 Chimeric Antigen Receptor T Cell) in Patients With Relapsed or Refractory B-cell Non-Hodgkin's Lymphoma
Determine MTD based on the safety and tolerability of AT101 and the RP2D for patients with recurrent or non-reactive B-cell NHL.
Read the detailed description
Determine the maximum tolerant dose (MTD) based on the safety and tolerability of AT101 and the recommended dose 2 dose (RP2D) in phase 2 trials for patients with recurrent or non-reactive B cell non-Hodgkin lymphoma (B-cell NHL).
- Conditions
- B-cell Non Hodgkin Lymphoma
- Being tested
- AT101(Anti-CD19 Chimeric Antigen Receptor T cell)
- Keywords
- Anti-CD19 Chimeric Antigen Receptor T cell
- Medical subject headings
- Lymphoma, B-Cell
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
AT101(Anti-CD19 Chimeric Antigen Receptor T cell)Drug
Also called AT101
Anti-CD19 Chimeric Antigen Receptor T cell
| Study group | Role | What they receive |
|---|---|---|
| AT101(Anti-CD19 Chimeric Antigen Receptor T cell) | Experimental | Anti-CD19 Chimeric Antigen Receptor T cell Receives: Drug: AT101(Anti-CD19 Chimeric Antigen Receptor T cell) |
What is being measured
The primary outcome is the main question the study is designed to answer.
Determine the maximum tolerant dose (MTD) and Recommended Phase 2 Dose (RP2D)
Phase I: Tolerability of AT101 and the recommended dose 2 dose (RP2D) in phase 2 trials
Measured: 28 days
Overall response rate (ORR) by Independent assessment
Phase II: Proportion of subjects whose best overall response in tumor evaluation was evaluated as a complete response or a partial response
Measured: 5 years
Secondary outcomes (11)
Overall response rate (ORR) by Investigator assessment
Proportion of subjects whose best overall response in tumor evaluation
Measured: 5 years
Duration of overall response (DOR)
Time from first response (CR or PR) to the date of initial objectively documented progression
Measured: 5 years
Overall survival(OS)
Time from randomization to death
Measured: 5 years
Progression free survival (PFS)
Time from randomization to disease progression or death
Measured: 5 years
Time to response (TTR)
Time from randomization to CR or PR
Measured: 5 years
Event free survival (EFS)
Time from randomization to progression, subsequent chemotherapy or death
Measured: 5 years
Incidence of adverse Event
Measured: 5 years
Peak concentration (Cmax) of AT101
Measured: 5 years
Area under the concentration versus time curve (AUC) of AT101
Measured: 5 years
AT101 transgene expression
Measured: 5 years
Replication-competent lentivirus (RCL) as Assessed by quantitative polymerase
Measured: 5 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted21 Apr 2022
- Study start15 Mar 2022
- Primary completion15 Mar 2030 (estimated)
- Study completion15 Sep 2030 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for B-cell Non Hodgkin LymphomaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1/2
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 82 participants (estimated)
Sponsor and investigators
- Lead sponsor
- AbClon
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Deok-hyun Yoon, Principal investigator, Asan Medical Center, 88, Olympic-ro 43-gil, Songpa-gu, Seoul, South Korea
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05338931
- Sponsor's protocol ID
- AbClon
- Status last verified
- Apr 2022
- First submitted
- 1 Apr 2022
- Last updated
- 26 May 2022
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Zhang Y, Patel RP, Kim KH, Cho H, Jo JC, Jeong SH, Oh SY, Choi YS, Kim SH, Lee JH, Angelos M, Guruprasad P, Cohen I, Ugwuanyi O, Lee YG, Pajarillo R, Cho JH, Carturan A, Paruzzo L, Ghilardi G, Wang M, Kim S, Kim SM, Lee HJ, Park JH, Cui L, Lee TB, Hwang IS, Lee YH, Lee YJ, Porazzi P, Liu D, Lee Y, Kim JH, Lee JS, Yoon DH, Chung J, Ruella M. Safety and efficacy of a novel anti-CD19 chimeric antigen receptor T cell product targeting a membrane-proximal domain of CD19 with fast on- and off-rates against non-Hodgkin lymphoma: a first-in-human study. Mol Cancer. 2023 Dec 9;22(1):200. doi: 10.1186/s12943-023-01886-9.
PubMed 38066564
Study at a glance
From the registry record, last updated by the sponsor on 26 May 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- An Open-label, Single-arm, Multi-center, Phase I/II Study to Evaluate the Safety, Tolerability, and Efficacy of AT101 (Anti-CD19 Chimeric Antigen Receptor T Cell) in Patients With Relapsed or Refractory B-cell Non-Hodgkin's Lymphoma
- ClinicalTrials.gov ID
- NCT05338931
- Acronym / sponsor ID
- AbClon
- Conditions
- B-cell Non Hodgkin Lymphoma
- Keywords
- Anti-CD19 Chimeric Antigen Receptor T cell
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 82 participants (estimated)
- Lead sponsor
- AbClonIndustry (pharma, biotech, devices)
- Study start
- 15 Mar 2022 (actual)
- Primary completion
- 15 Mar 2030 (estimated)
- Study completion
- 15 Sep 2030 (estimated)
- First posted
- 21 Apr 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Determine MTD based on the safety and tolerability of AT101 and the RP2D for patients with recurrent or non-reactive B-cell NHL.
Detailed description
Determine the maximum tolerant dose (MTD) based on the safety and tolerability of AT101 and the recommended dose 2 dose (RP2D) in phase 2 trials for patients with recurrent or non-reactive B cell non-Hodgkin lymphoma (B-cell NHL).
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| AT101(Anti-CD19 Chimeric Antigen Receptor T cell) | Experimental | Drug: AT101(Anti-CD19 Chimeric Antigen Receptor T cell)Anti-CD19 Chimeric Antigen Receptor T cell |
Who may qualify
- Ages
- 19 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- B cell non-Hodgkin lymphoma based on WHO classification 2017
- incompatible with existing standard therapies or have had disease progression, and whose standard therapies do not currently have available standard therapies due to reasons such as intolerance/inadequacies or rejection
- The Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0 or 1
- adequate hematological, kidney, liver, lung, heart and bone marrow function without blood transfusion within two weeks prior to screening
- Those with a minimum life expectancy of 12 weeks or more
Key exclusion criteria (16 listed)
- Those who have previously had a history of treating homologic autologous hemoblastitis (allogeneic HSCT)
- At101/adcidmilisers, anticancer chemotherapy/adcidms for lymphodeletion or those who are hypersensitive to tocilizumab
- Those who cannot take autologous blood
- Those who have received chemotherapy or radiotherapy, excluding lymphodeletion, within two weeks prior to IP administration
- Persons who have not been recovered (CTCAE grade ≤1 or baseline) due to previous treatment
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| AT101(Anti-CD19 Chimeric Antigen Receptor T cell)Also: AT101Anti-CD19 Chimeric Antigen Receptor T cell | Drug | AT101(Anti-CD19 Chimeric Antigen Receptor T cell) |
Primary outcome
Determine the maximum tolerant dose (MTD) and Recommended Phase 2 Dose (RP2D)
Time frame: 28 days
Phase I: Tolerability of AT101 and the recommended dose 2 dose (RP2D) in phase 2 trials
Overall response rate (ORR) by Independent assessment
Time frame: 5 years
Phase II: Proportion of subjects whose best overall response in tumor evaluation was evaluated as a complete response or a partial response
11 secondary outcomes
Overall response rate (ORR) by Investigator assessment
Time frame: 5 years
Duration of overall response (DOR)
Time frame: 5 years
Overall survival(OS)
Time frame: 5 years
Progression free survival (PFS)
Time frame: 5 years
Time to response (TTR)
Time frame: 5 years
Event free survival (EFS)
Time frame: 5 years
Incidence of adverse Event
Time frame: 5 years
Peak concentration (Cmax) of AT101
Time frame: 5 years
Area under the concentration versus time curve (AUC) of AT101
Time frame: 5 years
AT101 transgene expression
Time frame: 5 years
Replication-competent lentivirus (RCL) as Assessed by quantitative polymerase
Time frame: 5 years
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 May 2022.
- Derived from this study: PubMed 38066564Zhang Y, Patel RP, Kim KH, Cho H, Jo JC, Jeong SH, Oh SY, Choi YS, Kim SH, Lee JH, Angelos M, Guruprasad P, Cohen I, Ugwuanyi O, Lee YG, Pajarillo R, Cho JH, Carturan A, Paruzzo L, Ghilardi G, Wang M, Kim S, Kim SM, Lee HJ, Park JH, Cui L, Lee TB, Hwang IS, Lee YH, Lee YJ, Porazzi P, Liu D, Lee Y, Kim JH, Lee JS, Yoon DH, Chung J, Ruella M. Safety and efficacy of a novel anti-CD19 chimeric antigen receptor T cell product targeting a membrane-proximal domain of CD19 with fast on- and off-rates against non-Hodgkin lymphoma: a first-in-human study. Mol Cancer. 2023 Dec 9;22(1):200. doi: 10.1186/s12943-023-01886-9.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Deok-hyun Yoon principal investigator
Asan Medical Center, 88, Olympic-ro 43-gil, Songpa-gu, Seoul, South Korea
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing AT101(Anti-CD19 Chimeric Antigen Receptor T cell) in people with B-cell Non Hodgkin Lymphoma, run by AbClon at 1 site in South Korea.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 7 inclusion and 16 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 26 May 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in South Korea. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this combined phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Young ha Lee (82-2-2109-1283, yhlee@abclon.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Determine the maximum tolerant dose (MTD) and Recommended Phase 2 Dose (RP2D) (time frame: 28 days). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05338931, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 May 2022.