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Trial record 1 of 2 for:    SC291
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Study Evaluating SC291 in Subjects With r/r B-cell Malignancies (ARDENT)

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ClinicalTrials.gov Identifier: NCT05878184
Recruitment Status : Recruiting
First Posted : May 26, 2023
Last Update Posted : April 4, 2024
Sponsor:
Information provided by (Responsible Party):
Sana Biotechnology

Brief Summary:
SC291-101 is a Phase 1 study to evaluate SC291 safety and tolerability, anti-tumor activity, cellular kinetics, immunogenicity, and exploratory biomarkers.

Condition or disease Intervention/treatment Phase
Non Hodgkin Lymphoma Chronic Lymphocytic Leukemia Drug: SC291 Phase 1

Detailed Description:
This is an open-label, single arm, Phase 1, first-in-human (FIH) study to evaluate the safety and tolerability of SC291 administered intravenously (IV) following a standard lymphodepleting chemotherapy regimen of cyclophosphamide and fludarabine in subjects with NHL or CLL who have received two or more prior systemic treatments per standard of care (or after autologous stem cell transplant [ASCT] for NHL). This study will be conducted in 2 parts. Phase 1a: dose finding using a 3+3 design in subjects with NHL or CLL. Phase 1b: dose expansion to further evaluate safety and efficacy at the RP2D in subjects with LBCL and CLL.

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 57 participants
Allocation: N/A
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A Phase 1 Study Evaluating SC291, a Hypoimmune, Allogeneic CD19-directed CAR T Cell Therapy, in Relapsed and/or Refractory B-cell Malignancies (ARDENT)
Actual Study Start Date : May 2, 2023
Estimated Primary Completion Date : December 2026
Estimated Study Completion Date : December 2027


Arm Intervention/treatment
Experimental: SC291 Plus Chemotherapy Regimen
A conditioning chemotherapy regimen of fludarabine and cyclophosphamide will be administered followed by investigational treatment with SC291
Drug: SC291
SC291 is an allogeneic CAR-T cell therapy
Other Names:
  • Cyclophosphamide
  • Fludarabine




Primary Outcome Measures :
  1. Evaluate safety and tolerability of SC291 [ Time Frame: 24 months ]
    Safety and Tolerability: Proportion of subjects experiencing adverse events and dose-limiting toxicities


Secondary Outcome Measures :
  1. Evaluate preliminary anti-tumor activity of SC291 [ Time Frame: 24 months ]
    Preliminary anti-tumor activity: Proportion of subjects with an objective response (including partial response or complete response)

  2. Evaluate cellular kinetics and persistence of SC291 [ Time Frame: 24 months ]
    Cellular kinetics-related parameters evaluated by CAR T cell copy number

  3. Evaluate cellular kinetics and persistence of SC291 [ Time Frame: 24 months ]
    Cellular kinetics related peak (Cmax) in peripheral blood

  4. Evaluate cellular kinetics and persistence of SC291 [ Time Frame: 24 months ]
    Area under the concentration time curve (AUC) in peripheral blood

  5. Evaluate host immunogenicity to SC291 [ Time Frame: 24 months ]
    Incidence of anti-CD19-directed CAR antibodies



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Ages Eligible for Study:   18 Years to 80 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Male or female subjects aged 18-80 years at the time of signing informed consent.
  • Diagnosis of NHL (WHO 2016 criteria) or CLL (iwCLL criteria), including:
  • Large B-cell lymphoma, including diffuse large B-cell lymphoma (DLBCL) not otherwise - - specified (including DLBCL arising from indolent lymphoma), primary mediastinal large -- - B-cell lymphoma, high grade B-cell lymphoma, follicular lymphoma grade 3B
  • Follicular lymphoma (dose escalation only except for follicular lymphoma grade 3B)
  • Marginal zone lymphoma (dose escalation only)
  • Mantle cell lymphoma (dose escalation only)
  • CLL or SLL
  • Relapsed/refractory disease after at least 2 prior systemic regimens per standard of care or after autologous stem cell transplant
  • ECOG performance status of 0 or 1.
  • At least one measurable lesion per Lugano Classification (NHL); CLL subjects must meet iwCLL treatment criteria
  • Life expectancy ≥12 weeks

Exclusion Criteria:

  • Prior anti-CD19 therapy including CD19-directed CAR T treatment or other CD19-directed antibody or cell therapy (e.g., NK cell). (Part 2 dose expansion only - prior approved CD19-directed CAR T therapy required)
  • History of primary central nervous system (CNS) lymphoma or presence of CNS metastases
  • Systemic anticancer therapy (including platinum-based chemotherapies and I/O therapies) or radiotherapy within 14 days of SC291 (28 days for biologics)
  • Autologous HSCT within 6 weeks of treatment with SC291 (or allogeneic HSCT at any time).
  • Active autoimmune disease or any other diseases requiring immunosuppressive therapy or corticosteroid therapy (defined as >20 mg/day prednisone or equivalent).
  • History or presence of cardiac or CNS disorders as defined in the protocol

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT05878184


Contacts
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Contact: Ndidi Onwudiwe 206 791 3731 ardent@sana.com
Contact: Barbara Metallo ardent@sana.com

Locations
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United States, California
City of Hope Recruiting
Duarte, California, United States, 91010
Contact: Sylvia Dulan       sdulan@coh.org   
Contact: Teresa Kim       teresakim@coh.org   
Principal Investigator: Elizabeth Budde, MD         
Stanford Cancer Institute Recruiting
Palo Alto, California, United States, 94304
Contact: Vivian Leung       vivian0@stanford.edu   
Principal Investigator: Saurabh Dahiya, MD         
United States, Georgia
Northside Hospital Recruiting
Atlanta, Georgia, United States, 30342
Contact: Caitlin Guzowski       caitlin.guzowski@northside.com   
Principal Investigator: Scott Solomon, MD         
United States, Kansas
University of Kansas Medical Center Recruiting
Fairway, Kansas, United States, 66205
Contact: Aleks Kostic       akostic@kumc.edu   
Contact: Melissa Youngberg       myoungberg@kumc.edu   
Principal Investigator: Joseph McGuirk, MD         
United States, Michigan
Karmanos Cancer Institute Recruiting
Detroit, Michigan, United States, 48201
Contact: Grace Bae       baeg@karmanos.org   
Contact: Sarah Park       parks@karmanos.org   
Principal Investigator: Abhinav Deol, MD         
United States, Nebraska
University of Nebraska Medical Center Recruiting
Omaha, Nebraska, United States, 68198
Contact: Linda Chee       linda.chee@unmc.edu   
Contact: Susan Blumel       sblumel@unmc.edu   
Principal Investigator: Matthew Lunning, DO         
United States, Texas
MD Anderson Cancer Center Recruiting
Houston, Texas, United States, 77030
Contact: Swapna Johncy, MD       sjjohncy@mdanderson.org   
Contact: Grace Balada       wgwatson@mdanderson.org   
Principal Investigator: Sattva Neelapu, MD         
Australia, Victoria
Peter MacCallum Cancer Centre Recruiting
Melbourne, Victoria, Australia, 3000
Contact: Meg Scully       Meg.scully@petermac.org   
Contact: Felicity McLeay       felicity.mcleay@petermac.org   
Principal Investigator: Philip Thompson, MD         
Sponsors and Collaborators
Sana Biotechnology
Investigators
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Study Director: Paul Brunetta, MD Sana Biotechnology, Inc.
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Responsible Party: Sana Biotechnology
ClinicalTrials.gov Identifier: NCT05878184    
Other Study ID Numbers: SC291-101
First Posted: May 26, 2023    Key Record Dates
Last Update Posted: April 4, 2024
Last Verified: April 2024
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: Yes
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Sana Biotechnology:
Large B cell lymphoma
CAR T Cell Therapy
Mantle cell lymphoma
Indolent follicular lymphoma
Marginal zone lymphoma
High-grade B cell lymphoma
Primary mediastinal B cell lymphoma
Diffuse large B cell lymphoma
Non-Hodgkin's Lymphoma
Chronic Lymphocytic Leukemia
Allogeneic
Hypoimmune
CD19
Additional relevant MeSH terms:
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Lymphoma
Lymphoma, Non-Hodgkin
Leukemia, Lymphoid
Leukemia, Lymphocytic, Chronic, B-Cell
Neoplasms by Histologic Type
Neoplasms
Lymphoproliferative Disorders
Lymphatic Diseases
Immunoproliferative Disorders
Immune System Diseases
Leukemia
Hematologic Diseases
Leukemia, B-Cell
Chronic Disease
Disease Attributes
Pathologic Processes
Cyclophosphamide
Fludarabine
Immunosuppressive Agents
Immunologic Factors
Physiological Effects of Drugs
Antirheumatic Agents
Antineoplastic Agents, Alkylating
Alkylating Agents
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Myeloablative Agonists