- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04420754
Study of AIC100 CAR T Cells in Relapsed/Refractory Thyroid Cancer
A Multicenter Phase I Study of AIC100 CAR T Cells in Relapsed and/or Refractory Advanced Thyroid Cancer or Anaplastic Thyroid Cancer
Study Overview
Status
Intervention / Treatment
Detailed Description
The primary objective of this study is to assess the safety and tolerability of AIC100 CAR T Cells and determine the recommended Phase 2 dose of AIC100 in patients with relapsed/refractory poorly differentiated thyroid cancer and in patients with anaplastic thyroid cancer that are BRAF wild-type, including newly diagnosed, or BRAF mutant anaplastic thyroid cancer after failure of BRAF mutant specific therapy.
Upon enrollment, patients will undergo apheresis for collection of autologous lymphocytes. The autologous T cells will be transfected and expanded in vitro to generate the AIC100 CAR T Cell product. After lymphodepleting chemotherapy, AIC100 CAR T Cells will be infused.
The study drug product, AIC100, consists of autologous CAR T cells targeting intercellular adhesion molecule-1 (ICAM-1) on thyroid cancer. In addition, AIC100 cells express the somatostatin receptor subtype 2 (SSTR2), which should enable imaging of AIC100 CAR T Cells.
Study Type
Enrollment (Estimated)
Phase
- Phase 1
Contacts and Locations
Study Contact
- Name: Sonal Gupta, MD PhD
- Phone Number: 3 508-654-3600
- Email: sgupta@affyimmune.com
Study Contact Backup
- Name: Dawn Buchanan
- Phone Number: 5 508-654-3600
- Email: dbuchanan@affyimmune.com
Study Locations
-
-
California
-
Duarte, California, United States, 91010
- Recruiting
- City of Hope National Medical Center, City of Hope Medical Center
-
Contact:
- Victoria Villaflor, MD
- Phone Number: 800-826-4673
- Email: vvillaflor@coh.org
-
Principal Investigator:
- Victoria Villaflor, MD
-
-
Illinois
-
Chicago, Illinois, United States, 60611
- Recruiting
- Northwestern Memorial Hospital
-
Principal Investigator:
- Jochen Lorch, MD
-
Contact:
- Lori Ackatz, RN
- Phone Number: 312-695-3101
- Email: cancer@northwestern.edu
-
-
New York
-
New York, New York, United States, 10065
- Active, not recruiting
- Weill Cornell Medical College
-
-
Texas
-
Houston, Texas, United States, 77030
- Recruiting
- MD Anderson Cancer Center
-
Contact:
- Shehanie Brana, RN
- Phone Number: 713-563-4406
- Email: SHBrana@mdanderson.org
-
Principal Investigator:
- Samer Srour, MB ChB
-
Sub-Investigator:
- Maria E Cabanillas, MD
-
Sub-Investigator:
- Mark Zafereo, MD, FACS
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Willing and able to participate in the study and provide written informed consent
- Be ≥ 18 years of age on the day of signing the Informed Consent Form
Patients must have thyroid cancer that expresses ICAM-1 and that meets one of the following diagnoses:
- Anaplastic Thyroid Cancer BRAF wild-type at any stage, including newly diagnosed
- Anaplastic Thyroid Cancer BRAF mutant after failure of or inability to tolerate BRAF- specific therapy
- Poorly Differentiated Thyroid Cancer that has failed any of the following treatments: surgery radioactive iodine, chemotherapy, radiation therapy, and/or targeted therapies
Measurable disease by Computed Tomography (CT) or Positron Emission Tomography (PET) PET/CT per RECIST v1.1
a. For ATC patients who do not have measurable disease at Screening, they are required to have measurable disease at Baseline Day -7 to proceed in the study.
- Eastern Cooperative Oncology Group (ECOG) performance status 0 to 2
- Life expectancy greater than 8 weeks
Overall adequate hepatic, renal, bone marrow, cardiac, and coagulation function, defined as the following:
- Estimated creatinine clearance ≥ 50 mL/minute
- Alanine Aminotransferase (ALT) and Aspartate Aminotransferase (AST): normal or Grade 1. Note: Lymphodepleting Chemotherapy (LDC) agents can cause fluctuations in hepatic enzymes.
- Serum total bilirubin: normal or Grade 1. Note: LDC agents can cause fluctuations in hepatic enzymes.
- Serum albumin: normal or Grade 1. (human albumin supplementation is not allowed within 2 weeks prior to Screening assessment)
- Hemodynamically stable and left ventricular ejection fraction ≥ 45%
- Hematological parameters
i. Absolute neutrophil count > 1000/μL without myeloid growth factor support for ≥ 2 weeks
ii. Absolute lymphocyte count ≥ 100/μL at screening and at apheresis
iii. Platelet count ≥ 50 × 1000/μL without platelet transfusion for ≥ 2 weeks
iv. Hemoglobin concentration > 8 g/dL without red blood cell transfusion for ≥ 2 weeks
- Has met the minimum washout time for previous cancer treatments before undergoing apheresis or LDC, and in the Investigator's judgement, the patient is able to safely undergo the procedure
- (incorporated into inclusion criterion #7)
- Females of reproductive potential (defined as all females physiologically capable of becoming pregnant) must agree to use 1 highly effective method of contraception and 1 additional effective method from at least 28 days before enrollment/apheresis and for at least 1 year after the infusion of AIC100 CAR T Cells.
- Females of reproductive potential must have a negative serum beta-human chorionic gonadotropin pregnancy test result at Screening
- (incorporated into inclusion criterion #3)
Exclusion Criteria:
- Women who are pregnant or breastfeeding
Clinically significant, active, uncontrolled, systemic infection; the following are not exclusionary:
- Patients with HIV must have been on effective antiretroviral therapy for ≥ 4 weeks prior to enrollment; must have an HIV viral load < 400 copies/µL; no acquired immunodeficiency syndrome related opportunistic infections in the previous 12 months; and a CD4+ cell count ≥ 350 cells/µL
- Patients with chronic hepatitis B virus (HBV) infection must be on antiviral therapy and have an HBV viral load below the limits of detection
- Patients with chronic hepatitis C virus (HCV) infection must have completed therapy and have an HCV viral load below the limits of detection
- Prior treatment with investigational gene therapy or CAR T cell therapy
- Presence of active and clinically relevant central nervous system disorder such as epilepsy, stroke, or symptomatic or uncontrolled brain metastases
- Evidence of another malignancy within 2 years prior to Screening (except in-situ non melanoma skin cancers, localized controlled prostate cancer, adequately treated Stage 1 uterine cancer that has a low risk of recurrence, or any other malignancies with similar outcome)
- (incorporated into exclusion criterion #2)
- Active autoimmune disease (including but not limited to systemic lupus erythematosus, Sjögren's Syndrome, rheumatoid arthritis (RA), psoriasis, multiple sclerosis, inflammatory bowel disease) requiring immunosuppressive therapy within 4 weeks prior to eligibility confirmation
- Patients with severe chronic diseases of the kidney, liver, heart, lung; or any other serious illness that, in the opinion of the Investigator, may affect the patient's treatment, follow up, or assessments, including but not limited to uncontrolled clinically significant neurological or psychiatric disorders or metabolic diseases
- Patients who need long-term use of systemic corticosteroids > 10 mg/day prednisone or equivalent
- Allergy to any of the chemotherapy drugs given during lymphodepletion or known hypersensitivity to any component of AIC100 CAR T Cells, including excipients
- Receipt of a COVID-19 vaccine within 4 weeks before Screening
Concurrent participation in another interventional clinical study during participation in this study
- Prior treatment with any gene therapy or genetically modified cell therapy, including CAR T cells
- Prior treatment with ICAM-1 directed antibody, bispecific T cell engager, or antibody drug conjugate, unless there is confirmed ICAM-1 expression (by immunohistochemistry) after progression or relapse following most recent ICAM-1 directed treatment.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Sequential Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Cohort -1
AIC100 CAR T Cell Dose Level -1 (Flat Dose): 1 x 10e6 CAR T cells
|
Autologous CAR T cells directed against ICAM-1
Other Names:
|
Experimental: Cohort 1
AIC100 CAR T Cell Dose Level 1 (Flat Dose): 1 x 10e7 CAR T cells
|
Autologous CAR T cells directed against ICAM-1
Other Names:
|
Experimental: Cohort 2
AIC100 CAR T Cell Dose Level 2 (Flat Dose): 1 x 10e8 CAR T cells
|
Autologous CAR T cells directed against ICAM-1
Other Names:
|
Experimental: Cohort 3
AIC100 CAR T Cell Dose Level 3 (Flat Dose): 5 x 10e8 CAR T cells
|
Autologous CAR T cells directed against ICAM-1
Other Names:
|
Experimental: Cohort 2.5
AIC100 CAR T Cell Dose Level 2.5 (Flat Dose): 2.5 x 10e8 CAR T cells.
The interim step-down dose of Cohort 2.5 may be evaluated, if needed, based on ongoing safety and efficacy data.
|
Autologous CAR T cells directed against ICAM-1
Other Names:
|
Experimental: Cohort 4
AIC100 CAR T Cell Dose Level 4 (Flat Dose): 7.5 x 10e8 CAR T cells.
The proposed escalation dose of Cohort 4 may be evaluated, if needed, based on ongoing safety and efficacy data.
|
Autologous CAR T cells directed against ICAM-1
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Incidence of overall Grade >=3 Adverse Events (AE) and Serious Adverse Events (SAE)
Time Frame: Up to 15 years post-infusion
|
The number of Grade 3, 4 and 5 AEs and SAEs that occur throughout the study.
|
Up to 15 years post-infusion
|
Incidence of anticipated AIC100 CAR T Cell related AEs, SAEs and adverse events of special interest (AESI)
Time Frame: Up to 15 years post-infusion
|
The number of CAR T related adverse events that occur throughout the study, including AESIs, infusion-related reactions, cytokine release syndrome (CRS), immune effector cell-associated neurotoxicity syndrome (ICANS), hemophagocytic lymphohistiocytosis/macrophage activation syndrome (HLH/MAS), tumor lysis syndrome (TLS) and new malignancies.
|
Up to 15 years post-infusion
|
Determine recommended phase 2 dose
Time Frame: Up to 15 years post-infusion
|
The recommended phase 2 dose will be determined through the dose escalation process
|
Up to 15 years post-infusion
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Assessment of presence and frequency of AIC100 CAR T cells in peripheral blood and tumor samples (when available)
Time Frame: Up to 15 years post-infusion
|
Patients will be monitored for expansion and persistence of AIC100 CAR transgenes after infusion by vector copy number (VCN) analysis
|
Up to 15 years post-infusion
|
Collaborators and Investigators
Sponsor
Investigators
- Study Director: Sonal Gupta, MD PhD, AffyImmune Therapeutics, Inc.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 19-12021154
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Anaplastic Thyroid Cancer
-
Saint Petersburg State University, RussiaWithdrawnThyroid Gland Anaplastic CarcinomaRussian Federation
-
Memorial Sloan Kettering Cancer CenterAstraZenecaCompletedMetastatic Anaplastic Thyroid CancerUnited States
-
University of Texas Southwestern Medical CenterNovartisWithdrawnMetastatic Anaplastic Thyroid Cancer | Locally Advanced Anaplastic, Undifferentiated Thyroid CancerUnited States
-
National Cancer Institute (NCI)NRG OncologyCompletedThyroid Gland Anaplastic CarcinomaUnited States
-
University of PennsylvaniaCompletedMetastatic Medullary Thyroid Cancer | Metastatic Differentiated Thyroid Cancer | Metastatic Anaplastic Thyroid Cancer | Metastatic Poorly Differentiated Thyroid CancerUnited States
-
Fujian Medical UniversityCompleted
-
Northwestern UniversityNational Cancer Institute (NCI)RecruitingLocally Advanced Thyroid Gland Anaplastic Carcinoma | Metastatic Thyroid Gland Anaplastic Carcinoma | Metastatic Thyroid Gland Oncocytic CarcinomaUnited States
-
City of Hope Medical CenterNational Cancer Institute (NCI)RecruitingThyroid Gland Anaplastic Carcinoma | BRAF V600K Mutation Present | BRAF NP_004324.2:p.V600EUnited States
-
M.D. Anderson Cancer CenterRecruitingThyroid Gland Anaplastic Carcinoma | Thyroid Gland Squamous Cell CarcinomaUnited States
-
Eisai Inc.TerminatedThyroid Carcinoma, AnaplasticItaly, United States, France, Australia, United Kingdom
Clinical Trials on AIC100 CAR T Cells
-
Southwest Hospital, ChinaUnknownLymphoma, Large B-Cell, DiffuseChina
-
Medical College of WisconsinChildren's Hospital and Health System Foundation, WisconsinCompletedLymphoma, B-Cell | Lymphoma, Non-Hodgkin | Chronic Lymphocytic Leukemia | Small Lymphocytic LymphomaUnited States
-
Zhejiang UniversityYake Biotechnology Ltd.RecruitingMultiple Myeloma | New Diagnosis TumorChina
-
Peking University People's HospitalNot yet recruitingT-cell Non-Hodgkin's Lymphoma
-
Zhejiang UniversityYake Biotechnology Ltd.Not yet recruitingAcute Myeloid LeukemiaChina
-
University College, LondonEnrolling by invitationMultiple MyelomaUnited Kingdom
-
Medical College of WisconsinChildren's Hospital and Health System Foundation, WisconsinRecruitingAcute Lymphoblastic Leukemia | Acute Lymphoblastic Leukemia, Pediatric | Acute Lymphoblastic Leukemia, in Relapse | Acute Lymphoblastic Leukemia Recurrent | Acute Lymphoblastic Leukemia With Failed Remission | Acute Lymphoblastic Leukemia Not Having Achieved RemissionUnited States
-
Wuhan Sian Medical Technology Co., LtdWuhan Union Hospital, China; Xiangyang Central Hospital; Jingzhou Central Hospital and other collaboratorsUnknownB Cell Lymphoma | Acute Lymphoblastic LeukemiaChina
-
Zhejiang UniversityYake Biotechnology Ltd.RecruitingNon-hodgkin Lymphoma,B CellChina
-
Zhejiang UniversityYake Biotechnology Ltd.Not yet recruitingInfectious Diseases | Hematological MalignanciesChina