P-MUC1C-ALLO1 Allogeneic CAR-T Cells in the Treatment of Subjects With Advanced or Metastatic Solid Tumors
A Phase 1 Dose Escalation and Expanded Cohort Study of P-MUC1C-ALLO1 in Adult Subjects With Advanced or Metastatic Solid Tumors
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
This is an open label, multi-center Phase 1 study that will follow a 3 + 3 design of dose-escalating cohorts of single and multiple doses of P-MUC1C-ALLO1 to determine a Recommended Phase 2 Dose (RP2D). P-MUC1C-ALLO1 is an allogeneic chimeric antigen receptor (CAR) T cell therapy designed to target cancer cells expressing Mucin1 cell surface associated C-Terminal (MUC1-C) antigen. Additional participants will be treated with P-MUC1C-ALLO1 at the determined RP2D.
Following enrollment, subjects will be treated with P-MUC1C-ALLO1 and will undergo serial measurements of safety, tolerability and response. Rimiducid may be administered as indicated.
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Angie Schinkel
- Phone Number: 858-779-3103
- Email: clinicaltrials@poseida.com
Study Locations
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-
California
-
Irvine, California, United States, 92868
- University of California, Irvine Medical Center
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Los Angeles, California, United States, 90048
- Cedars Sinai Medical Center
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San Diego, California, United States, 92037
- University of California, San Diego
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San Francisco, California, United States, 94143
- University of California, San Francisco
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Colorado
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Denver, Colorado, United States, 80218
- Sarah Cannon Research Institute at HealthOne
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Iowa
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Iowa City, Iowa, United States, 52242
- University of Iowa Hospitals and Clinics
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Kansas
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Westwood, Kansas, United States, 66205
- University of Kansas Cancer Center
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Wichita, Kansas, United States, 67214
- Cancer Center of Kansas
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-
Maryland
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Baltimore, Maryland, United States, 21201
- University of Maryland Cancer Center
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-
Massachusetts
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Boston, Massachusetts, United States, 02215
- Dana Farber Cancer Institute
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Nebraska
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Omaha, Nebraska, United States, 68198
- University of Nebraska Medical Center
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New York
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The Bronx, New York, United States, 10467
- Montefiore Medical Center
-
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Texas
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Houston, Texas, United States, 77030
- MD Anderson Cancer Center
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San Antonio, Texas, United States, 78229
- NEXT Oncology
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Males or females, Subjects ≥18 years with life expectancy >3 months
- Must have a confirmed diagnosis of unresectable, locally advanced or metastatic epithelial-derived cancer
- Must have progressed during or after last therapy, developed intolerance/toxicity to current treatment, or ineligible or refused other existing treatment options, and have measurable disease
- Must have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1 or Karnofsky performance status ≥70%
- Must have adequate vital organ function within pre-determined parameters
- Must have archived tumor tissue available or consent to a biopsy collection
- Must be willing to practice birth control
- Must have a negative pregnancy test at screening and prior to initiating lymphodepletion chemotherapy or study drug administration
- Must have recovered from toxicities due to prior therapies
Exclusion Criteria:
- Has inadequate venous access
- Has an active second malignancy (not disease free for at least 5 years) in addition to the studied malignancy, excluding low-risk neoplasms such as non-metastatic basal cell or squamous cell skin carcinoma
- Is pregnant or lactating
- Has a history of or active autoimmune disease
- Has a history of significant central nervous system (CNS) disease, such as stroke, epilepsy
- Has an active systemic (viral, bacterial, or fungal) infection
- Has New York Heart Association (NYHA) Class III or IV heart failure, unstable angina, or a history of myocardial infarction or significant arrhythmia
- Has any psychiatric or medical disorder that would preclude safe participation in and/or adherence to the protocol
- Has received anticancer medications within 2 weeks of the time of initiating lymphodepletion
- Has received immunosuppressive medications within 2 weeks of administration of P-MUC1C-ALLO1, and/or expected to require them while enrolled in the study
- Has received systemic corticosteroid therapy within 1 week of the administration of P-MUC1C-ALLO1 or is expected to require it during the course of the study
- Has known CNS metastases or symptomatic CNS involvement
- Has a history of significant liver disease or active liver disease
- Has a history of known genetic predisposition to HLH/MAS
- Has received anti-cancer monoclonal antibody therapy within 4 weeks of initiating LD therapy
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Sequential Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: P-MUC1C-ALLO1 CAR-T cells (Single Dose - Arm A)
|
Rimiducid (safety switch activator) may be administered as indicated.
P-MUC1C-ALLO1 is an allogeneic CAR-T cell therapy designed to target cancer cells expressing MUC1-C.
|
|
Experimental: P-MUC1C-ALLO1 CAR-T cells (Multiple Dose - Arm B)
|
Rimiducid (safety switch activator) may be administered as indicated.
P-MUC1C-ALLO1 is an allogeneic CAR-T cell therapy designed to target cancer cells expressing MUC1-C.
|
|
Experimental: P-MUC1C-ALLO1 CAR-T cells (Single Dose - Arm C)
|
Rimiducid (safety switch activator) may be administered as indicated.
P-MUC1C-ALLO1 is an allogeneic CAR-T cell therapy designed to target cancer cells expressing MUC1-C.
|
|
Experimental: P-MUC1C-ALLO1 CAR-T cells (Multiple Dose - Arm D)
|
Rimiducid (safety switch activator) may be administered as indicated.
P-MUC1C-ALLO1 is an allogeneic CAR-T cell therapy designed to target cancer cells expressing MUC1-C.
|
|
Experimental: P-MUC1C-ALLO1 CAR-T cells (Single Dose - Arm A1)
|
Rimiducid (safety switch activator) may be administered as indicated.
P-MUC1C-ALLO1 is an allogeneic CAR-T cell therapy designed to target cancer cells expressing MUC1-C.
|
|
Experimental: P-MUC1C-ALLO1 CAR-T cells (Single Dose - Arm E)
|
Rimiducid (safety switch activator) may be administered as indicated.
P-MUC1C-ALLO1 is an allogeneic CAR-T cell therapy designed to target cancer cells expressing MUC1-C.
|
|
Experimental: P-MUC1C-ALLO1 CAR-T cells (Multiple Dose - Arm F)
|
Rimiducid (safety switch activator) may be administered as indicated.
P-MUC1C-ALLO1 is an allogeneic CAR-T cell therapy designed to target cancer cells expressing MUC1-C.
|
|
Experimental: P-MUC1C-ALLO1 CAR-T cells (Single Dose - Arm M)
|
Rimiducid (safety switch activator) may be administered as indicated.
P-MUC1C-ALLO1 is an allogeneic CAR-T cell therapy designed to target cancer cells expressing MUC1-C.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Determine the maximum tolerated dose (MTD) and/or recommended phase 2 dose (RP2D) of P-MUC1C-ALLO1
Time Frame: Baseline through Day 28
|
Number of subjects with a dose limiting toxicity (DLT)
|
Baseline through Day 28
|
|
Evaluate the overall safety and tolerability profile of P-MUC1C-ALLO1
Time Frame: Baseline through 15 years
|
Frequency and severity of adverse events
|
Baseline through 15 years
|
|
Evaluate the preliminary efficacy of P-MUC1C-ALLO1
Time Frame: Baseline through 15 years
|
According to the Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1, secondarily Immune Response Evaluation Criteria in Solid Tumors (iRECIST): Overall Response Rate (ORR)
|
Baseline through 15 years
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Simon Heidegger, M.D., Lead Medical Director, Oncology, Genentech Research Early Development
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Urogenital Diseases
- Genital Diseases
- Endocrine System Diseases
- Stomatognathic Diseases
- Urogenital Neoplasms
- Neoplasms by Site
- Neoplasms
- Male Urogenital Diseases
- Kidney Diseases
- Urologic Diseases
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Intestinal Diseases
- Respiratory Tract Diseases
- Neoplasms by Histologic Type
- Gastrointestinal Neoplasms
- Digestive System Neoplasms
- Digestive System Diseases
- Gastrointestinal Diseases
- Stomach Diseases
- Intestinal Neoplasms
- Rectal Diseases
- Genital Diseases, Female
- Lung Diseases
- Endocrine Gland Neoplasms
- Head and Neck Neoplasms
- Pancreatic Diseases
- Neoplasms, Glandular and Epithelial
- Adenocarcinoma
- Respiratory Tract Neoplasms
- Thoracic Neoplasms
- Colonic Diseases
- Lung Neoplasms
- Ovarian Diseases
- Adnexal Diseases
- Genital Neoplasms, Female
- Gonadal Disorders
- Skin Diseases
- Breast Diseases
- Urologic Neoplasms
- Carcinoma
- Otorhinolaryngologic Diseases
- Kidney Neoplasms
- Carcinoma, Bronchogenic
- Bronchial Neoplasms
- Pharyngeal Neoplasms
- Otorhinolaryngologic Neoplasms
- Nasopharyngeal Diseases
- Pharyngeal Diseases
- Carcinoma, Squamous Cell
- Skin and Connective Tissue Diseases
- Squamous Cell Carcinoma of Head and Neck
- Stomach Neoplasms
- Colorectal Neoplasms
- Ovarian Neoplasms
- Breast Neoplasms
- Pancreatic Neoplasms
- Carcinoma, Renal Cell
- Carcinoma, Non-Small-Cell Lung
- Nasopharyngeal Neoplasms
Other Study ID Numbers
Other Study ID Numbers
- P-MUC1C-ALLO1-001
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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