A Phase 1/2 Study of the Safety and Efficacy of Anti-CD7 Allogeneic CAR-T Cells (WU-CART-007) in Patients With Relapsed or Refractory T-ALL/LBL

• ClinicalTrials.gov Identifier: NCT04984356
• Recruitment Status: Active, not recruiting
• First Posted: July 30, 2021
• Last Update Posted: November 24, 2023
• Sponsor: Wugen, Inc.
• Information provided by (Responsible Party): Wugen, Inc.

Study Description

Brief Summary:

The main purpose of this study is to evaluate the safety, recommended dose, and preliminary anti-tumor activity of WU-CART-007 in patients with relapsed or refractory (R/R) T-cell acute lymphoblastic leukemia (T-ALL) or lymphoblastic lymphoma (LBL).

Condition or disease	Intervention/treatment	Phase
T-cell Acute Lymphoblastic Leukemia; Lymphoblastic Lymphoma	Biological: WU-CART-007	Phase 1; Phase 2

Detailed Description:

This is a first-in-human, multicenter, Phase 1/2, single-agent study in patients with R/R T-ALL/T-LBL who have exhausted other treatment options. The study will consist of two phases, Phase 1 and Phase 2. During the Dose Escalation segment (Phase 1) up to 24 patients will be treated with 1 dose of WU-CART-007, in up to 4 dose levels until maximum tolerated dose (MTD) or maximum administered dose (MAD) is determined. The dose escalation segment will enroll successive cohorts of 3 to 6 patients using a standard 3 + 3 design. Once the recommended phase 2 dose (RP2D) is defined, the Phase 2 portion (Cohort Expansion) will enroll expansion cohorts.

Study Design

• Study Type: Interventional (Clinical Trial)
• Estimated Enrollment: 44 participants
• Allocation: N/A
• Intervention Model: Sequential Assignment

Intervention Model Description

There are two parts to this study. Phase 1 will comprise of Dose Escalation, and Phase 2 Cohort Expansion.

Phase 1 will determine the safety and tolerability of a single dose of WU-CART-007 and define the RP2D.

The Cohort Expansion Phase, will further define the safety and evaluate the initial efficacy of WU-CART-007 at the dose established from the Phase 1 Dose Escalation segment.

• Masking: None (Open Label)
• Primary Purpose: Treatment
• Official Title: A Phase 1/2 Dose-Escalation and Dose-Expansion Study of the Safety and Efficacy of Anti-CD7 Allogeneic CAR-T Cells (WU-CART-007) in Patients With Relapsed or Refractory T-cell Acute Lymphoblastic Leukemia (T-ALL)/Lymphoblastic Lymphoma (LBL)
• Actual Study Start Date: January 14, 2022
• Estimated Primary Completion Date: May 2026
• Estimated Study Completion Date: August 2026

Arms and Interventions

Arm	Intervention/treatment
Experimental: WU-CART-007; A CD7-directed chimeric antigen receptor (CAR) T-cell product. A single IV infusion of WU-CART-007 Cells on Day 1 after Lymphodepletion(LD) Therapy.	Biological: WU-CART-007; A single IV infusion of WU-CART-007 Cells on Day 1

Outcome Measures

Primary Outcome Measures :

1. Incidence of Adverse Events of WU-CART-007 as assessed by CTCAE v5 [ Time Frame: 24 months ]
   Safety is based on evaluation of adverse events (AEs) and serious adverse events (SAEs) from the time of consent until end of study visit
2. Maximum Tolerated Dose (MTD) [ Time Frame: up to 28 days from first dose ]
   Maximum tolerated or administered dose of WU-CART-007
3. Composite Complete Response Rate [ Time Frame: 24 months ]
   Defined as proportion of patients that achieve a complete remission (CR) + complete remission with incomplete hematologic recover ( CRi) + CR with partial hematologic recovery (CRh)

Secondary Outcome Measures :

1. Overall Survival [ Time Frame: 24 months ]
   Time from study drug administration (Day 1) to death on study
2. Objective Response Rate [ Time Frame: 24 months ]
   ORR is defined as proportion of patients that achieve complete remission (CR) + complete remission with incomplete hematologic recover ( CRi) + CR with partial hematologic recovery (CRh), morphologic leukemia free state (MLFS, and partial response (PR) in patients with EMD only
3. Duration of Response [ Time Frame: 24 months ]
   Time of response to the time of disease relapse, progression or death due to any cause. whichever occurs first
4. Hematopoietic Stem Cell Transplant (HSCT) rate [ Time Frame: 24 months ]
   Rate of successful transition to HSCT through study treatment

Eligibility Criteria

• Ages Eligible for Study: 12 Years and older (Child, Adult, Older Adult)
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: No

Criteria

Key Inclusion/Exclusion Criteria:

Specific inclusion criteria apply to each disease subtype. In general, all patients will have:

• Evidence of relapsed or refractory T-ALL or T-LBL, as defined by World Health Organization (WHO) classification with bone marrow with ≥ 5% lymphoblasts by morphologic assessment or evidence of extramedullary disease at screening.

• Relapsed or refractory disease defined as at least one of the following criteria:

  1. Primary refractory: failure to achieve CR after induction chemotherapy, per investigator.
  2. Early Relapse: relapsed disease within 12 months of initial diagnosis.
  3. Late Relapse (relapsed refractory disease): relapsed disease after 12 months of initial diagnosis AND failure of re-induction therapy after disease recurrence.
  4. Relapsed or refractory disease after allogeneic transplant, and meet the following criteria:

  i. There must be histological confirmation of relapse after HSCT of T-ALL or T-LBL.

ii. Undergone allogeneic HSCT > 90 days prior to enrollment from a match related or unrelated donor, cord blood donor, haplo-identical, or autologous stem cells.

iii. Off all immunosuppressive medications for a minimum of 2 weeks with the exception of physiologic doses of corticosteroids.

iv. No prior history of Grade 2 or greater (per Cairo-Bishop) veno-occlusive disease (VOD)/sinusoidal obstruction syndrome, or active graft versus host disease (GvHD) (see exclusion criteria below for exceptions).

• Adequate renal, hepatic, respiratory, and cardiovascular function, as defined in the body of the protocol.
• Life expectancy >12 weeks
• Age: Lower age limit of 12 years. Adolescent ages 12-17 will be eligible for enrollment beginning at Dose Level 3 of the Dose Escalation phase, after review of safety, efficacy and cellular PK data and after consultation with the appropriate regulatory agencies.
• ECOG/Karnofsky performance status 0 or 1 at screening (Adults age >16) or Lansky Performance Status 60 and above (adolescents ≤ 16),
• Ability to understand the nature of this study, comply with protocol requirements, and give written informed consent. For minors, legal guardian willingness to give written informed consent with patient assent, where appropriate.
• Willing to participate in WUC-007-02 for long-term follow up.

Patients will be excluded from study entry if:

• They have received previous treatment with any prior anti-CD7 therapy.
• Have not recovered from the effects of previous therapy.
• Wash-out period of at least 5 half-lives from the last dose of any investigational therapy prior to screening period and all related toxicities resolved to Grade 1 or baseline.
• Have active or latent hepatitis B or active hepatitis C, any uncontrolled infection, or untreated HIV positive.
• Have any serious active infection at the time of treatment, or another serious underlying medical condition that would impair the ability of the patient to receive protocol treatment.
• Have Grade 2 to 4 acute or extensive chronic GvHD requiring systemic immunosuppression (steroids). Grade 1 GvHD not requiring immunosuppression is acceptable and grade 2 skin GvHD if treated with topical therapy only is acceptable.
• Have psychological, familial, sociological, or geographical conditions that do not permit compliance with the protocol.
• Pregnant or nursing (lactating) women
• Require prohibited medications or treatments, eg, steroids, or anti-neoplastic agents
• Treated with anti-T cell monoclonal antibodies

Contacts and Locations

Locations

United States, California

City of Hope

Duarte, California, United States, 91010

Children's Hospital Los Angeles

Los Angeles, California, United States, 90027

United States, Florida

Moffit Cancer Center

Tampa, Florida, United States, 33612

United States, Missouri

Washington University

Saint Louis, Missouri, United States, 63110

United States, Pennsylvania

Children's Hospital of Philadelphia

Philadelphia, Pennsylvania, United States, 19104

United States, Tennessee

Vanderbilt University

Nashville, Tennessee, United States, 37212

United States, Wisconsin

University of Wisconsin

Madison, Wisconsin, United States, 53792

Australia, Victoria

Peter MacCallum Cancer Centre

Melbourne, Victoria, Australia

France

Hospital Saint- Louis

Paris, France

University Hospital Robert Debre

Paris, France

Netherlands

Erasmus MC

Rotterdam, Netherlands

Prinses Maxima Centrum

Utrecht, Netherlands

Sponsors and Collaborators

Wugen, Inc.

Investigators

• Study Director: Jan Davidson, MD; Wugen, Inc.

More Information

• Responsible Party: Wugen, Inc.
• ClinicalTrials.gov Identifier: NCT04984356
• Other Study ID Numbers: WU-CART-007 1001
• First Posted: July 30, 2021
• Last Update Posted: November 24, 2023
• Last Verified: September 2023

• Studies a U.S. FDA-regulated Drug Product: Yes
• Studies a U.S. FDA-regulated Device Product: No

Keywords provided by Wugen, Inc.:

CAR-T therapy

Additional relevant MeSH terms:

Lymphoma; Leukemia; Precursor Cell Lymphoblastic Leukemia-Lymphoma; Leukemia, Lymphoid; Precursor T-Cell Lymphoblastic Leukemia-Lymphoma; Neoplasms by Histologic Type; Neoplasms; Lymphoproliferative Disorders; Lymphatic Diseases; Immunoproliferative Disorders; Immune System Diseases; Hematologic Diseases