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CD19/CD22 Chimeric Antigen Receptor (CAR) T Cells in Children and Young Adults With Recurrent or Refractory CD19/CD22-expressing B Cell Malignancies

Phase 1 Dose Escalation Study of CD19/CD22 Chimeric Antigen Receptor (CAR) T Cells in Children and Young Adults With Recurrent or Refractory CD19/CD22-expressing B Cell Malignancies

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03448393
Enrollment
54
Registered
2018-02-28
Start date
2018-03-26
Completion date
2025-01-13
Last updated
2025-06-04

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Lymphoma, Non-Hodgkin, Leukemia, Lymphocytic, B Cell, B-Cell Lymphoma, B-Cell Leukemia, Acute Lymphoid Leukemia, B-Non Hodgkin Lymphoma, B-NHL, B-All, Acute Lymphoblastic Leukemia, Acute Lymphocytic Leukemia

Keywords

B-Non Hodgkin Lymphoma, Acute Lymphocytic Leukemia, Acute Lymphoblastic Leukemia, B-precursor ALL, B-All, Philadelphia chromosome + ALL, Lymphoma, CD-22 Expressing Tumor, CD-19 expressing tumor, Adoptive Immunotherapy

Brief summary

Background: B-cell leukemias and lymphomas are cancers that are often difficult to treat. The primary objective of this study is to determine the ability to take a patient's own cells (T lymphocytes) and grow them in the laboratory with the cluster of differentiation 19 (CD19/cluster of differentiation 22-chimeric antigen receptor (CD22-CAR) gene through a process called 'lentiviral transduction (also considered gene therapy) and growing them to large numbers to use as a treatment for hematologic cancers in children and young adults.. Researchers want to see if giving modified CD19/CD22-CAR T cells to people with these cancers can attack cancer cells. In addition, the safety of giving these gene modified cells to humans will be tested at different cell doses. Additional objectives are to determine if this therapy can cause regression of B cell cancers and to measure if the gene modified cells survive in patients' blood. Objective: To study the safety and effects of giving CD19/CD22-CAR T cells to children and young adults with B-cell cancer. Eligibility: People ages 3-39 with certain cancers that have not been cured by standard therapy. Their cancer tissue must express the CD19 protein. Design: A sample of participants blood or bone marrow will be sent to National Institutes of Health (NIH) and tested for leukemia. Participants will be screened with: Medical history Physical exam Urine and blood tests (including for human immunodeficiency virus (HIV) Heart and eye tests Neurologic assessment and symptom checklist. Scans, bone marrow biopsy, and/or spinal tap Some participants will have lung tests. Participants will repeat these tests throughout the study and follow-up. Participants will have leukapheresis. Blood will be drawn from a plastic tube (intravenous (IV) or needle in one arm then go through a machine that removes lymphocytes. The remaining blood will be returned to the participant's other arm. Participants will stay in the hospital about 2 weeks. There they will get: Two chemotherapy drugs by IV Their changed cells by IV Standard drugs for side effects Participants will have frequent follow-up visits for 1 year, then 5 visits for the next 4 years. Then they will answer questions and have blood tests every year for 15 years. ...

Detailed description

Background: * Acute lymphoblastic leukemia (ALL) accounts for approximately 25% of childhood cancer. Survival rates have improved, but outcomes for some subgroups, including infants and young adults remain poor, and survival for patients who relapse is \< 50%, despite allogeneic stem cell transplant following second remission. * Cluster of differentiation 19 (CD19 immune escape has been observed by several groups following CD19-chimeric antigen receptor (CAR) therapy for B-ALL. Investigation of this phenomenon reveals a complex biology responsible for loss or downregulation of CD19 expression observed in these cases. * Sequential therapy using cluster of differentiation 22 (CD22)-CARs to treat CD19 dim/lo escape is associated with rapid development of resistance due to CD22 downregulation. This trial will test whether simultaneous targeting of CD19 and CD22 using a novel bivalent CD19/22-CAR is safe and feasible. Objectives: -Assess the safety of administering escalating doses of autologous CD19/CD22-CAR engineered T cells that meet established release specifications in children and young adults with CD19+CD22+ B cell ALL, isolated central nervous system (CNS) ALL, or lymphoma following a cyclophosphamide/fludarabine conditioning regimen. Eligibility: -Participants between \>= 3 years and \<= 39 years of age, with CD19+/CD22+ B cell ALL, isolated CNS ALL, or lymphoma who have relapsed or have refractory disease after at least one standard chemotherapy regimen and one salvage regimen, with no alternative curative options who meet standard Phase I eligibility criteria. Design: * Phase I, 3 + 3 dose escalation design using the following dose levels: -1: 1 x 10\^5 transduced T cells/kg (+/- 20%); 1: 3 x 10\^5 transduced T cells/kg (+/- 20%); 2: 1 x 10\^6 transduced T cells/kg; and 3: 3 x 10\^6 transduced T cells/kg (+/- 20%); 4: 1 x 10\^7 transduced T cells/kg (+/- 20%). * Participants will receive a lymphodepleting preparative regimen of fludarabine (25 mg/m\^2/day (d) x 3 on Days -4, -3, -2) and cyclophosphamide (900 mg/m\^2/d x 1 on Day -2) followed by infusion of CD19/CD22-CAR T-cells on D0. Participants who are CAR pretreated (with exception for those with an interval hematopoietic stem cell transplantation (HSCT) will receive increased lymphodepleting preparative regimen of fludarabine (30\^mg/m\^2/d x 4 on Days -5, -4, -3, -2) and cyclophosphamide (600 mg/m\^2/d x 2 on Days -3, -2) followed by infusion of CD19/CD22-CAR T-cells on D0. If fludarabine is unavailable, pentostatin may be given as an alternative. * Patients will be evaluated sequentially for toxicity, antitumor effects, CAR expansion and persistence, as well as research correlatives.

Interventions

BIOLOGICALCD19/CD22 CAR T-Cells

Cluster of differentiation 19 (CD19)/cluster of differentiation 22 (CD22) chimeric antigen receptor (CAR) T-cells will be infused on Day 0 after lymphodepleting chemotherapy regimen.

DRUGFludarabine

Fludarabine is administered as an intravenous (IV) infusion in an appropriate solution over 30 minutes. To prevent undue toxicity the dose will be based on body surface area (BSA) (25-30 mg/m\^2/dose) on Days -4, -3, -2 or Days -5, -4, -3, -2.

DRUGCyclophosphamide

Cyclophosphamide will be diluted in an appropriate solution and infused over one hour. The dose will be based on the body surface area (BSA), at 900 mg/m\^2/dose after fludarabine infusion on Day -2 or 600 mg/m\^2/dose on Days -3 & -2.

PROCEDUREApheresis

According to institutional standards.

OTHERAnti-emetic

Prophylaxis and treatment.

DRUGDiphenhydramine

Pre-medication: 0.5-1 mg/kg/dose (maximum 50 mg/dose) by mouth or intravenous over 10-15 minutes.

DRUGAcetaminophen

Pre-medication: 15 mg/kg/dose (maximum 650 mg/dose by mouth).

DIAGNOSTIC_TESTECG

Pre-cell infusion.

DIAGNOSTIC_TESTECHO

Pre-cell infusion.

DIAGNOSTIC_TESTMRI Brain

Pre-cell infusion.

PROCEDUREBone marrow biopsy

Pre-cell infusion.

DIAGNOSTIC_TESTCardiac MRI

Screening

Sponsors

National Cancer Institute (NCI)
Lead SponsorNIH

Study design

Allocation
NON_RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
3 Years to 39 Years
Healthy volunteers
No

Inclusion criteria

* ELIGIBILITY CRITERIA: Study subjects with cluster of differentiation 19 (CD19) + cluster of differentiation 22 (CD22+) expressing B cell malignancies who have relapsed or are treatment refractory may enroll as defined by the following inclusion and

Exclusion criteria

. INCLUSION CRITERIA: * Diagnosis * Participant must have a B cell acute lymphoblastic leukemia (ALL) (inclusive of chronic myeloid leukemia (CML) with ALL transformation) or lymphoma and must have relapsed or refractory disease after at least one standard chemotherapy regimen and one salvage regimen. In view of the principal investigator (PI) and the primary oncologist, there must be no available alternative curative therapies and subjects must be either ineligible for allogeneic stem cell transplant (SCT), have refused SCT, recurred after SCT, or have disease activity that prohibits SCT at the time of enrollment. Participants who have undergone autologous SCT will be eligible, and participants that have undergone allogeneic SCT will be eligible if, in addition to meeting other eligibility criteria, they have no evidence of graft versus host disease (GVHD) and have been without immunosuppressive agents for at least 30 days. Participants with Philadelphia chromosome + ALL must have failed prior tyrosine kinase inhibitor. * Participants must have measurable or evaluable disease at the time of enrollment, which may include any evidence of disease including minimal residual disease detected by flow cytometry, cytogenetics, or polymerase chain reaction (PCR) analysis. For those being considered for reinfusions, measurable or evaluable disease is not required at the time of reinfusion. * CD22/CD19 expression --CD19 expression must be detected on greater than 15% of the malignant cells by immunohistochemistry or greater than 90% by flow cytometry. The choice of whether to use flow cytometry or immunohistochemistry will be determined by what is the most easily available tissue sample in each participant. In general, immunohistochemistry will be used for lymph node biopsies, flow cytometry will be used for peripheral blood and bone marrow samples. CD22+ B cell malignancy is required and CD22 expression levels will be documented when available, but a specific level of expression is not an eligibility requirement; it may be documented as positive or negative. * Age: --Greater than or equal to 3 years of age (and at least 15 kg) and less than or equal to 39 years of age at time of enrollment (greater than or equal to 3 years to less than or equal to 39 years). NOTE: The first participant in each dose cohort must be greater than or equal to 18 years of age. * Clinical Performance --Clinical performance status: Participants greater than or equal to 16 years of age: Karnofsky greater than or equal to 50%; Participants \< 16 years of age: Lansky scale greater than or equal to 50%. Subjects who are unable to walk because of paralysis, but who are upright in a wheelchair will be considered ambulatory for the purpose of calculating the performance score. * Participants must have adequate organ and marrow function as defined below: * leukocytes greater than or equal to 750/mcL\* * platelets greater than or equal to 50,000/mcL\* * total bilirubin less than or equal to 2 X upper limit of normal (ULN) (except in the case of subjects with documented Gilbert's disease \> 3x ULN) * Aspartate aminotransferase (AST)serum glutamic-oxaloacetic transaminase (SGOT)/alanine aminotransferase (ALT)serum glutamate pyruvate transaminase (SGPT) less than or equal to 10 X institutional upper limit of normal * creatinine less than or equal to the maximum for age listed in the table below * Age (Years): less than or equal to 5. Maximum Serum Creatinine (mg/dL): less than or equal to 0.8 * Age (Years): 6 to less than or equal to 10. Maximum Serum Creatinine (mg/dL): less than or equal to 1.0 * Age (Years): \>10. Maximum Serum Creatinine (mg/dL): less than or equal to 1.2 * OR * creatinine clearance greater than or equal to 60 mL/min/1.73 m\^2 for participants with creatinine levels above institutional normal. * if these cytopenias are not judged by the investigator to be due to underlying disease (i.e. potentially reversible with anti-neoplastic therapy); A subject will not be excluded because of pancytopenia greater than or equal to Grade 3 if it is due to disease, based on the results of bone marrow studies. * Subjects with central nervous system (CNS) disease are eligible, with exceptions as noted in the

Design outcomes

Primary

MeasureTime frameDescription
Grades of Toxicity by Type of ToxicityFrom start of lymphodepleting chemotherapy regimen through 30-days after chimeric antigen receptor (CAR) infusion (approximately 5 weeks).Safety analyses will consist of tabulations of grades of toxicity by type of toxicity assessed by the Common Terminology Criteria for Adverse Events (CTCAE) v5.0. Grade 1 is mild, Grade 2 is moderate, Grade 3 is severe, Grade 4 is life-threatening, and Grade 5 is death related to adverse event.
Maximum Tolerated Dose (MTD)First 28 days after cell infusionMTD is defined as the dose level immediately below the level at which the enrollment is stopped due to dose-limiting toxicity (DLT). A DLT is defined as an adverse event that is at least possibly related to the cluster of differentiation 19/cluster of differentiation 22 (CD19/CD22)-chimeric antigen receptor (CAR) T cells with onset within the first 28 days after cell infusion.

Secondary

MeasureTime frameDescription
Overall SurvivalNumber of months from CAR cell infusion until date of death or time of censor (max 66.6 months)Overall survival (OS) will be determined as the time from the date of chimeric antigen receptor (CAR) infusion until death.
Clinical Activity (Response) in Children and Young Adults With B-cell Acute Lymphoblastic Leukemia (B-ALL), Isolated Central Nervous System (CNS) ALL, or Lymphoma Who Previously Received Chimeric Antigen Receptor (CAR) Therapy and Those That Are CAR NaiveAt Day 28 (+/- 4 days) after CAR cell infusionClinical activity (response) in children (age ≥3 years to 17 years) and young adults (age 18 years to ≤ 39 years) was measured by the Response Criteria Lymphoma. Complete Response (CR) is complete metabolic and/or radiographic response. Partial Response (PR) is partial metabolic response or partial remission. Stable Disease (SD) is no metabolic response or 50% decrease from baseline in the sum of products of diameters (SPD) of up to 6 dominant measurable nodes and extra nodal sites. Progressive Disease (PD) is individual node/lesion must be abnormal with longest transverse diameter of a lesion (LDI) \>1.5 cm and increase by ≥50% from product of perpendicular diameters (PPD) nadir and an increase in LDI or shortest axis perpendicular to LDi (SDI) from nadir 0.5 cm for lesions ≤2 cm and/or 1.0 cm for lesions \> 2 cm; also assessed by the International Working Group and PD is defined as worse marrow classification with at least a 50% increase in the percentage of marrow blasts.
Progression-free Survival (PFS)Number of months from CAR cell infusion until time of disease progression, death, or date of censor (up to 67 months)PFS is assessed from the date of chimeric antigen receptor (CAR) infusion until the documentation of disease progression or death due to any cause, whichever occurs first. Disease progression was assessed by the Response Criteria Lymphoma and is defined as individual node/lesion must be abnormal with LDI\>1.5 cm and increase by ≥50% from product of perpendicular diameters (PPD) nadir and an increase in longest transverse diameter of a lesion (LDI) or shortest axis perpendicular to LDi (SDI) from nadir 0.5 cm for lesions ≤2 cm, 1.0 cm for lesions \> 2 cm; and the International Working Group and is defined as worse marrow classification with at least a 50% increase in the percentage of marrow blasts.
Number of Participants That Have Successful Manufacture of the Targeted Dose Number of Chimeric Antigen Receptor (CAR) CellsCAR infusion (Day 0)Number of participants that have the targeted dose number of CAR cells successfully manufactured (i.e., number of participants enrolled where the correct number of cells are produces at the dose level that are enrolled) as measured by total number of viable cluster of differentiation 19 (CD19)/cluster of differentiation 22 (CD22) transduced T cells.

Other

MeasureTime frameDescription
Number of Participants With a Dose-limiting Toxicity (DLT)First 28 daysA DLT is defined as an adverse event that is at least possibly related to the cluster of differentiation 19/cluster of differentiation 22 (CD19/CD22)-chimeric antigen receptor (CAR) T cells with onset within the first 28 days after cell infusion.
Number of Participants With Serious and/or Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v5.0).Adverse Events were monitored/assessed from the first study intervention, Study Day -4, through day 30 after the study agent (s) was/were administered, an average of 5 weeks.Here is the number of participants with serious and/or non-serious adverse events assessed by the Common Terminology Criteria for Adverse Events (CTCAE v5.0). A non-serious adverse event is any untoward medical occurrence. A serious adverse event is an adverse event or suspected adverse reaction that results in death, a life-threatening adverse drug experience, hospitalization, disruption of the ability to conduct normal life functions, congenital anomaly/birth defect or important medical events that jeopardize the patient or subject and may require medical or surgical intervention to prevent one of the previous outcomes mentioned.

Countries

United States

Participant flow

Participants by arm

ArmCount
GROUP 1: Cohort 1, Dose Level 1, 3 x10^5 Transduced T Cells/kg (+Or-20%)
Lymphodepleting chemotherapy regimen with Fludarabine and Cyclophosphamide. Fludarabine: Fludarabine is administered as an intravenous (IV) infusion in an appropriate solution over 30 minutes. The dose will be based on body surface area (BSA) at 25 mg/m\^2/dose on Day -4, -3, -2. Cyclophosphamide: Cyclophosphamide will be diluted in an appropriate solution and infused over one hour. The dose will be based on the body surface area (BSA) at 900 mg/m\^2/dose after fludarabine infusion on Day -2. Cluster of differentiation 19 (CD19)/cluster of differentiation 22 (CD22)-chimeric antigen receptor (CAR)-transduced T cells Dose Level 1, 3 x10\^5 transduced T cells/kg (+or-20%) infused on Day 0 after lymphodepleting chemotherapy regimen.
4
GROUP 2: Cohort 1, Dose Level 2, 1x10^6 Transduced T Cells/kg (+Or-20%)
Lymphodepleting chemotherapy regimen with Fludarabine and Cyclophosphamide. Fludarabine: Fludarabine is administered as an intravenous (IV) infusion in an appropriate solution over 30 minutes. The dose will be based on body surface area (BSA) at 25 mg/m\^2/dose on Day -4, -3, -2. Cyclophosphamide: Cyclophosphamide will be diluted in an appropriate solution and infused over one hour. The dose will be based on the body surface area (BSA) at 900 mg/m\^2/dose after fludarabine infusion on Day -2. Cluster of differentiation 19 (CD19)/cluster of differentiation 22 (CD22)-chimeric antigen receptor (CAR)-transduced T cells at Dose Level 2, 1x10\^6 transduced T cells/kg (+or-20%) infused on Day 0 after lymphodepleting chemotherapy regimen.
4
GROUP 3: Cohort 1, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)
Lymphodepleting chemotherapy regimen with Fludarabine and Cyclophosphamide. Fludarabine: Fludarabine is administered as an intravenous (IV) infusion in an appropriate solution over 30 minutes. The dose will be based on body surface area (BSA) at 25 mg/m\^2/dose on Day -4, -3, -2. Cyclophosphamide: Cyclophosphamide will be diluted in an appropriate solution and infused over one hour. The dose will be based on the body surface area (BSA) at 900 mg/m\^2/dose after fludarabine infusion on Day -2. Cluster of differentiation 19 (CD19)/cluster of differentiation 22 (CD22)-chimeric antigen receptor (CAR)-transduced T cells at Dose Level 3, 3 x10\^6 transduced T cells/kg (+or-20%) infused on Day 0 after lymphodepleting chemotherapy regimen.
5
GROUP 4: Cohort 1A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)
Participants who are chimeric antigen receptor (CAR) naïve or CAR pre-treated and received an interval transplant. Lymphodepleting chemotherapy regimen with Fludarabine and Cyclophosphamide. Fludarabine: Fludarabine is administered as an intravenous (IV) infusion in an appropriate solution over 30 minutes. The dose will be based on body surface area (BSA) at 25 mg/m\^2/dose on Day -4, -3, -2. Cyclophosphamide: Cyclophosphamide will be diluted in an appropriate solution and infused over one hour. The dose will be based on the body surface area (BSA) at 900 mg/m\^2/dose after fludarabine infusion on Day -2. Cluster of differentiation 19 (CD19)/cluster of differentiation 22 (CD22)-chimeric antigen receptor (CAR)-transduced T cells at Dose Level 3, 3 x10\^6 transduced T cells/kg (+or-20%) infused on Day 0 after lymphodepleting chemotherapy regimen.
2
GROUP 5: Cohort 1B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)
Participants who previously received Chimeric Antigen Receptor (CAR) therapy. Lymphodepleting chemotherapy regimen with Fludarabine and Cyclophosphamide. Fludarabine: Fludarabine is administered as an intravenous (IV) infusion in an appropriate solution over 30 minutes. The dose will be based on body surface area (BSA) at 30 mg/m\^2/dose on Day -5, -4, -3, -2. Cyclophosphamide: Cyclophosphamide will be diluted in an appropriate solution and infused over one hour. The dose will be based on the body surface area (BSA) at 600 mg/m\^2/dose after fludarabine infusion on Day -3 & -2. Cluster of differentiation 19 (CD19)/cluster of differentiation 22 (CD22)-chimeric antigen receptor (CAR)-transduced T cells at Dose Level 3, 3 x10\^6 transduced T cells/kg (+or-20%) infused on Day 0 after lymphodepleting chemotherapy regimen.
1
GROUP 6: Cohort 2A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)
Participants who are chimeric antigen receptor (CAR) naïve or CAR pre-treated and received an interval transplant. Lymphodepleting chemotherapy regimen with Fludarabine and Cyclophosphamide. Fludarabine: Fludarabine is administered as an intravenous (IV) infusion in an appropriate solution over 30 minutes. The dose will be based on body surface area (BSA) at 25 mg/m\^2/dose on Day -4, -3, -2. Cyclophosphamide: Cyclophosphamide will be diluted in an appropriate solution and infused over one hour. The dose will be based on the body surface area (BSA) at 900 mg/m\^2/dose after fludarabine infusion on Day -2. Cluster of differentiation 19 (CD19)/cluster of differentiation 22 (CD22)-chimeric antigen receptor (CAR)-transduced T cells at Dose Level 3, 3 x10\^6 transduced T cells/kg (+or-20%) infused on Day 0 after lymphodepleting chemotherapy regimen.
21
GROUP 7: Cohort 2B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%
Participants who previously received Chimeric Antigen Receptor (CAR) therapy. Lymphodepleting chemotherapy regimen with Fludarabine and Cyclophosphamide. Fludarabine: Fludarabine is administered as an intravenous (IV) infusion in an appropriate solution over 30 minutes. The dose will be based on body surface area (BSA) at 30 mg/m\^2/dose on Day -5, -4, -3, -2. Cyclophosphamide: Cyclophosphamide will be diluted in an appropriate solution and infused over one hour. The dose will be based on the body surface area (BSA) at 600 mg/m\^2/dose after fludarabine infusion on Day -3 & -2. Cluster of differentiation 19 (CD19)/cluster of differentiation 22 (CD22)-chimeric antigen receptor (CAR)-transduced T cells at Dose Level 3, 3 x10\^6 transduced T cells/kg (+or-20%) infused on Day 0 after lymphodepleting chemotherapy regimen.
1
GROUP 8: Cohort 2C, Dose Level 3, 3 x 10^6 Transduced T-cells/kg (+Or- 20%)
Participants with isolated central nervous system (CNS) disease. Lymphodepleting chemotherapy regimen with Fludarabine and Cyclophosphamide. Fludarabine: Fludarabine is administered as an intravenous (IV) infusion in an appropriate solution over 30 minutes. The dose will be based on body surface area (BSA) at 25 mg/m\^2/dose on Day -4, -3, -2. Cyclophosphamide: Cyclophosphamide will be diluted in an appropriate solution and infused over one hour. The dose will be based on the body surface area (BSA) at 900 mg/m\^2/dose after fludarabine infusion on Day -2. Cluster of differentiation 19 (CD19)/cluster of differentiation 22 (CD22)-chimeric antigen receptor (CAR)-transduced T cells at Dose Level 3, 3 x10\^6 transduced T cells/kg (+or-20%) infused on Day 0 after lymphodepleting chemotherapy regimen.
1
Enrolled and Not Assigned to a Treatment Assignment Code; Not Treated
Participants were enrolled for screening but were not enrolled on treatment.
15
Total54

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006FG007FG008
Dose EscalationNot Treated - participant did not receive cell infusion.001000008
Dose ExpansionNot treated - screen failure000000007

Baseline characteristics

CharacteristicGROUP 2: Cohort 1, Dose Level 2, 1x10^6 Transduced T Cells/kg (+Or-20%)GROUP 3: Cohort 1, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)GROUP 4: Cohort 1A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)GROUP 5: Cohort 1B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)GROUP 6: Cohort 2A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)GROUP 7: Cohort 2B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%GROUP 8: Cohort 2C, Dose Level 3, 3 x 10^6 Transduced T-cells/kg (+Or- 20%)GROUP 1: Cohort 1, Dose Level 1, 3 x10^5 Transduced T Cells/kg (+Or-20%)Enrolled and Not Assigned to a Treatment Assignment Code; Not TreatedTotal
Age, Categorical
<=18 years
0 Participants2 Participants0 Participants1 Participants8 Participants1 Participants0 Participants1 Participants5 Participants18 Participants
Age, Categorical
>=65 years
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Age, Categorical
Between 18 and 65 years
4 Participants3 Participants2 Participants0 Participants13 Participants0 Participants1 Participants3 Participants10 Participants36 Participants
Age, Continuous24.75 years
STANDARD_DEVIATION 3.97
19.12 years
STANDARD_DEVIATION 8.73
25.75 years
STANDARD_DEVIATION 3.45
9.7 years
STANDARD_DEVIATION 0
21 years
STANDARD_DEVIATION 10.86
18.2 years
STANDARD_DEVIATION 0
22.6 years
STANDARD_DEVIATION 0
15.88 years
STANDARD_DEVIATION 6.06
21.75 years
STANDARD_DEVIATION 10.91
20.69 years
STANDARD_DEVIATION 10.09
Ethnicity (NIH/OMB)
Hispanic or Latino
2 Participants2 Participants0 Participants0 Participants12 Participants0 Participants1 Participants1 Participants6 Participants24 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
2 Participants3 Participants2 Participants1 Participants9 Participants1 Participants0 Participants3 Participants7 Participants28 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants2 Participants2 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants1 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants0 Participants3 Participants0 Participants0 Participants1 Participants1 Participants5 Participants
Race (NIH/OMB)
Black or African American
0 Participants1 Participants1 Participants0 Participants1 Participants0 Participants0 Participants0 Participants1 Participants4 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
2 Participants1 Participants0 Participants0 Participants6 Participants0 Participants0 Participants1 Participants3 Participants13 Participants
Race (NIH/OMB)
White
2 Participants3 Participants1 Participants1 Participants11 Participants1 Participants1 Participants2 Participants9 Participants31 Participants
Region of Enrollment
United States
4 participants5 participants2 participants1 participants21 participants1 participants1 participants4 participants15 participants54 participants
Sex: Female, Male
Female
0 Participants2 Participants1 Participants1 Participants9 Participants1 Participants0 Participants1 Participants6 Participants21 Participants
Sex: Female, Male
Male
4 Participants3 Participants1 Participants0 Participants12 Participants0 Participants1 Participants3 Participants9 Participants33 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
EG007
affected / at risk
deaths
Total, all-cause mortality
4 / 43 / 42 / 42 / 20 / 18 / 211 / 10 / 1
other
Total, other adverse events
4 / 44 / 44 / 42 / 21 / 121 / 211 / 11 / 1
serious
Total, serious adverse events
2 / 42 / 40 / 42 / 21 / 17 / 210 / 11 / 1

Outcome results

Primary

Grades of Toxicity by Type of Toxicity

Safety analyses will consist of tabulations of grades of toxicity by type of toxicity assessed by the Common Terminology Criteria for Adverse Events (CTCAE) v5.0. Grade 1 is mild, Grade 2 is moderate, Grade 3 is severe, Grade 4 is life-threatening, and Grade 5 is death related to adverse event.

Time frame: From start of lymphodepleting chemotherapy regimen through 30-days after chimeric antigen receptor (CAR) infusion (approximately 5 weeks).

Population: 16/54 participants were not treated including 15 participants that were screen failures. Only grade 3, 4, and 5 toxicities at least possibly related to either research and/or investigational new drug application (IND) will be reported.

ArmMeasureGroupValue (NUMBER)
GROUP 1: Cohort 1, Dose Level 1, 3 x10^5 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Platelet count decreased4 toxicities
GROUP 1: Cohort 1, Dose Level 1, 3 x10^5 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 4 Hypokalemia0 toxicities
GROUP 1: Cohort 1, Dose Level 1, 3 x10^5 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Hypoxia0 toxicities
GROUP 1: Cohort 1, Dose Level 1, 3 x10^5 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Aspartate aminotransferase0 toxicities
GROUP 1: Cohort 1, Dose Level 1, 3 x10^5 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Anorexia0 toxicities
GROUP 1: Cohort 1, Dose Level 1, 3 x10^5 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Cytokine release syndrome0 toxicities
GROUP 1: Cohort 1, Dose Level 1, 3 x10^5 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Neutrophil count decreased3 toxicities
GROUP 1: Cohort 1, Dose Level 1, 3 x10^5 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Encephalopathy0 toxicities
GROUP 1: Cohort 1, Dose Level 1, 3 x10^5 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 4 Platelet count decreased2 toxicities
GROUP 1: Cohort 1, Dose Level 1, 3 x10^5 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Seizure0 toxicities
GROUP 1: Cohort 1, Dose Level 1, 3 x10^5 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Alanine aminotransferase1 toxicities
GROUP 1: Cohort 1, Dose Level 1, 3 x10^5 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 4 Neutrophil count decreased3 toxicities
GROUP 1: Cohort 1, Dose Level 1, 3 x10^5 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Nervous system disorder, other (Neurotoxicity)0 toxicities
GROUP 1: Cohort 1, Dose Level 1, 3 x10^5 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Immune system disorders, other (GVHD)0 toxicities
GROUP 1: Cohort 1, Dose Level 1, 3 x10^5 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Back pain0 toxicities
GROUP 1: Cohort 1, Dose Level 1, 3 x10^5 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Headache0 toxicities
GROUP 1: Cohort 1, Dose Level 1, 3 x10^5 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Sepsis0 toxicities
GROUP 1: Cohort 1, Dose Level 1, 3 x10^5 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Nervous system disorder, other (ICANS)0 toxicities
GROUP 1: Cohort 1, Dose Level 1, 3 x10^5 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Hypertriglyceridemia2 toxicities
GROUP 1: Cohort 1, Dose Level 1, 3 x10^5 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 4 Lymphocyte count decreased3 toxicities
GROUP 1: Cohort 1, Dose Level 1, 3 x10^5 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Anemia2 toxicities
GROUP 1: Cohort 1, Dose Level 1, 3 x10^5 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Hypotension0 toxicities
GROUP 1: Cohort 1, Dose Level 1, 3 x10^5 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 4 Fibrinogen decreased0 toxicities
GROUP 1: Cohort 1, Dose Level 1, 3 x10^5 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Diarrhea0 toxicities
GROUP 1: Cohort 1, Dose Level 1, 3 x10^5 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 White blood cell decreased3 toxicities
GROUP 1: Cohort 1, Dose Level 1, 3 x10^5 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Lymphocyte count decreased2 toxicities
GROUP 1: Cohort 1, Dose Level 1, 3 x10^5 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Abdominal pain0 toxicities
GROUP 1: Cohort 1, Dose Level 1, 3 x10^5 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Febrile neutropenia1 toxicities
GROUP 1: Cohort 1, Dose Level 1, 3 x10^5 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Hypocalcemia0 toxicities
GROUP 1: Cohort 1, Dose Level 1, 3 x10^5 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 4 Anemia0 toxicities
GROUP 1: Cohort 1, Dose Level 1, 3 x10^5 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Myalgia0 toxicities
GROUP 1: Cohort 1, Dose Level 1, 3 x10^5 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Gastric hemorrhage0 toxicities
GROUP 1: Cohort 1, Dose Level 1, 3 x10^5 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Hypokalemia0 toxicities
GROUP 1: Cohort 1, Dose Level 1, 3 x10^5 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Sinus tachycardia0 toxicities
GROUP 1: Cohort 1, Dose Level 1, 3 x10^5 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 4 White blood cell decreased3 toxicities
GROUP 1: Cohort 1, Dose Level 1, 3 x10^5 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 GGT increased0 toxicities
GROUP 1: Cohort 1, Dose Level 1, 3 x10^5 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 4 Hypertriglyceridemia0 toxicities
GROUP 1: Cohort 1, Dose Level 1, 3 x10^5 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Hypertension0 toxicities
GROUP 1: Cohort 1, Dose Level 1, 3 x10^5 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Dysphasia0 toxicities
GROUP 1: Cohort 1, Dose Level 1, 3 x10^5 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Fever1 toxicities
GROUP 2: Cohort 1, Dose Level 2, 1x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 4 Neutrophil count decreased1 toxicities
GROUP 2: Cohort 1, Dose Level 2, 1x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Abdominal pain0 toxicities
GROUP 2: Cohort 1, Dose Level 2, 1x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Hypoxia0 toxicities
GROUP 2: Cohort 1, Dose Level 2, 1x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Myalgia0 toxicities
GROUP 2: Cohort 1, Dose Level 2, 1x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Hypokalemia1 toxicities
GROUP 2: Cohort 1, Dose Level 2, 1x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Back pain0 toxicities
GROUP 2: Cohort 1, Dose Level 2, 1x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 4 Fibrinogen decreased0 toxicities
GROUP 2: Cohort 1, Dose Level 2, 1x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Diarrhea0 toxicities
GROUP 2: Cohort 1, Dose Level 2, 1x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 4 White blood cell decreased2 toxicities
GROUP 2: Cohort 1, Dose Level 2, 1x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 4 Anemia0 toxicities
GROUP 2: Cohort 1, Dose Level 2, 1x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Hypotension2 toxicities
GROUP 2: Cohort 1, Dose Level 2, 1x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Gastric hemorrhage0 toxicities
GROUP 2: Cohort 1, Dose Level 2, 1x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Hypertension0 toxicities
GROUP 2: Cohort 1, Dose Level 2, 1x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Fever2 toxicities
GROUP 2: Cohort 1, Dose Level 2, 1x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Seizure0 toxicities
GROUP 2: Cohort 1, Dose Level 2, 1x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Cytokine release syndrome1 toxicities
GROUP 2: Cohort 1, Dose Level 2, 1x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Nervous system disorder, other (Neurotoxicity)0 toxicities
GROUP 2: Cohort 1, Dose Level 2, 1x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Immune system disorders, other (GVHD)0 toxicities
GROUP 2: Cohort 1, Dose Level 2, 1x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Nervous system disorder, other (ICANS)0 toxicities
GROUP 2: Cohort 1, Dose Level 2, 1x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Sepsis0 toxicities
GROUP 2: Cohort 1, Dose Level 2, 1x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 4 Platelet count decreased1 toxicities
GROUP 2: Cohort 1, Dose Level 2, 1x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Headache0 toxicities
GROUP 2: Cohort 1, Dose Level 2, 1x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Encephalopathy0 toxicities
GROUP 2: Cohort 1, Dose Level 2, 1x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Alanine aminotransferase0 toxicities
GROUP 2: Cohort 1, Dose Level 2, 1x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 4 Hypokalemia0 toxicities
GROUP 2: Cohort 1, Dose Level 2, 1x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Aspartate aminotransferase0 toxicities
GROUP 2: Cohort 1, Dose Level 2, 1x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Dysphasia0 toxicities
GROUP 2: Cohort 1, Dose Level 2, 1x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 GGT increased0 toxicities
GROUP 2: Cohort 1, Dose Level 2, 1x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Febrile neutropenia2 toxicities
GROUP 2: Cohort 1, Dose Level 2, 1x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Anemia2 toxicities
GROUP 2: Cohort 1, Dose Level 2, 1x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Hypocalcemia0 toxicities
GROUP 2: Cohort 1, Dose Level 2, 1x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Lymphocyte count decreased2 toxicities
GROUP 2: Cohort 1, Dose Level 2, 1x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Sinus tachycardia0 toxicities
GROUP 2: Cohort 1, Dose Level 2, 1x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Hypertriglyceridemia1 toxicities
GROUP 2: Cohort 1, Dose Level 2, 1x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Neutrophil count decreased2 toxicities
GROUP 2: Cohort 1, Dose Level 2, 1x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 4 Lymphocyte count decreased3 toxicities
GROUP 2: Cohort 1, Dose Level 2, 1x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Anorexia0 toxicities
GROUP 2: Cohort 1, Dose Level 2, 1x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Platelet count decreased1 toxicities
GROUP 2: Cohort 1, Dose Level 2, 1x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 4 Hypertriglyceridemia0 toxicities
GROUP 2: Cohort 1, Dose Level 2, 1x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 White blood cell decreased0 toxicities
GROUP 3: Cohort 1, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 4 Lymphocyte count decreased4 toxicities
GROUP 3: Cohort 1, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Fever0 toxicities
GROUP 3: Cohort 1, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 4 Neutrophil count decreased2 toxicities
GROUP 3: Cohort 1, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Hypoxia0 toxicities
GROUP 3: Cohort 1, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Febrile neutropenia1 toxicities
GROUP 3: Cohort 1, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Hypertension0 toxicities
GROUP 3: Cohort 1, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Abdominal pain0 toxicities
GROUP 3: Cohort 1, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 GGT increased0 toxicities
GROUP 3: Cohort 1, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Gastric hemorrhage0 toxicities
GROUP 3: Cohort 1, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Neutrophil count decreased3 toxicities
GROUP 3: Cohort 1, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 4 Anemia0 toxicities
GROUP 3: Cohort 1, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Anemia1 toxicities
GROUP 3: Cohort 1, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Hypokalemia0 toxicities
GROUP 3: Cohort 1, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Diarrhea0 toxicities
GROUP 3: Cohort 1, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Sinus tachycardia0 toxicities
GROUP 3: Cohort 1, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Platelet count decreased0 toxicities
GROUP 3: Cohort 1, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Lymphocyte count decreased4 toxicities
GROUP 3: Cohort 1, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Myalgia0 toxicities
GROUP 3: Cohort 1, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 4 Fibrinogen decreased0 toxicities
GROUP 3: Cohort 1, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Nervous system disorder, other (ICANS)0 toxicities
GROUP 3: Cohort 1, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Headache0 toxicities
GROUP 3: Cohort 1, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 4 Platelet count decreased0 toxicities
GROUP 3: Cohort 1, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Hypertriglyceridemia0 toxicities
GROUP 3: Cohort 1, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Sepsis0 toxicities
GROUP 3: Cohort 1, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Hypotension0 toxicities
GROUP 3: Cohort 1, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 4 Hypertriglyceridemia0 toxicities
GROUP 3: Cohort 1, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Immune system disorders, other (GVHD)0 toxicities
GROUP 3: Cohort 1, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Encephalopathy0 toxicities
GROUP 3: Cohort 1, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Back pain0 toxicities
GROUP 3: Cohort 1, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Nervous system disorder, other (Neurotoxicity)0 toxicities
GROUP 3: Cohort 1, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 White blood cell decreased3 toxicities
GROUP 3: Cohort 1, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Alanine aminotransferase0 toxicities
GROUP 3: Cohort 1, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 4 White blood cell decreased0 toxicities
GROUP 3: Cohort 1, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Cytokine release syndrome0 toxicities
GROUP 3: Cohort 1, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Dysphasia0 toxicities
GROUP 3: Cohort 1, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 4 Hypokalemia0 toxicities
GROUP 3: Cohort 1, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Hypocalcemia0 toxicities
GROUP 3: Cohort 1, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Seizure0 toxicities
GROUP 3: Cohort 1, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Anorexia0 toxicities
GROUP 3: Cohort 1, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Aspartate aminotransferase0 toxicities
GROUP 4: Cohort 1A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 4 Fibrinogen decreased0 toxicities
GROUP 4: Cohort 1A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Sinus tachycardia0 toxicities
GROUP 4: Cohort 1A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Fever0 toxicities
GROUP 4: Cohort 1A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Febrile neutropenia1 toxicities
GROUP 4: Cohort 1A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Abdominal pain1 toxicities
GROUP 4: Cohort 1A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Diarrhea1 toxicities
GROUP 4: Cohort 1A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Gastric hemorrhage0 toxicities
GROUP 4: Cohort 1A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Cytokine release syndrome1 toxicities
GROUP 4: Cohort 1A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Immune system disorders, other (GVHD)1 toxicities
GROUP 4: Cohort 1A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Sepsis0 toxicities
GROUP 4: Cohort 1A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Alanine aminotransferase0 toxicities
GROUP 4: Cohort 1A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Aspartate aminotransferase0 toxicities
GROUP 4: Cohort 1A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 GGT increased0 toxicities
GROUP 4: Cohort 1A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Lymphocyte count decreased2 toxicities
GROUP 4: Cohort 1A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Neutrophil count decreased2 toxicities
GROUP 4: Cohort 1A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Platelet count decreased2 toxicities
GROUP 4: Cohort 1A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Hypocalcemia0 toxicities
GROUP 4: Cohort 1A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Hypokalemia0 toxicities
GROUP 4: Cohort 1A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Back pain1 toxicities
GROUP 4: Cohort 1A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Myalgia1 toxicities
GROUP 4: Cohort 1A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Hypertension0 toxicities
GROUP 4: Cohort 1A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 4 Neutrophil count decreased2 toxicities
GROUP 4: Cohort 1A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Hypoxia0 toxicities
GROUP 4: Cohort 1A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 White blood cell decreased2 toxicities
GROUP 4: Cohort 1A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Anorexia1 toxicities
GROUP 4: Cohort 1A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Hypertriglyceridemia0 toxicities
GROUP 4: Cohort 1A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Anemia1 toxicities
GROUP 4: Cohort 1A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 4 Hypokalemia0 toxicities
GROUP 4: Cohort 1A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Dysphasia0 toxicities
GROUP 4: Cohort 1A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Encephalopathy0 toxicities
GROUP 4: Cohort 1A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Headache1 toxicities
GROUP 4: Cohort 1A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Nervous system disorder, other (ICANS)0 toxicities
GROUP 4: Cohort 1A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Nervous system disorder, other (Neurotoxicity)0 toxicities
GROUP 4: Cohort 1A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Seizure0 toxicities
GROUP 4: Cohort 1A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Hypotension1 toxicities
GROUP 4: Cohort 1A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 4 Anemia0 toxicities
GROUP 4: Cohort 1A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 4 Lymphocyte count decreased2 toxicities
GROUP 4: Cohort 1A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 4 Platelet count decreased0 toxicities
GROUP 4: Cohort 1A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 4 White blood cell decreased1 toxicities
GROUP 4: Cohort 1A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 4 Hypertriglyceridemia0 toxicities
GROUP 5: Cohort 1B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Lymphocyte count decreased1 toxicities
GROUP 5: Cohort 1B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 4 Fibrinogen decreased0 toxicities
GROUP 5: Cohort 1B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Febrile neutropenia1 toxicities
GROUP 5: Cohort 1B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 4 Neutrophil count decreased0 toxicities
GROUP 5: Cohort 1B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 4 Platelet count decreased1 toxicities
GROUP 5: Cohort 1B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 4 Hypokalemia1 toxicities
GROUP 5: Cohort 1B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Hypoxia0 toxicities
GROUP 5: Cohort 1B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Platelet count decreased0 toxicities
GROUP 5: Cohort 1B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 White blood cell decreased0 toxicities
GROUP 5: Cohort 1B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Neutrophil count decreased0 toxicities
GROUP 5: Cohort 1B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Anorexia0 toxicities
GROUP 5: Cohort 1B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Hypertriglyceridemia0 toxicities
GROUP 5: Cohort 1B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Anemia1 toxicities
GROUP 5: Cohort 1B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 GGT increased0 toxicities
GROUP 5: Cohort 1B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Aspartate aminotransferase1 toxicities
GROUP 5: Cohort 1B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Fever1 toxicities
GROUP 5: Cohort 1B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Dysphasia1 toxicities
GROUP 5: Cohort 1B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Alanine aminotransferase1 toxicities
GROUP 5: Cohort 1B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Encephalopathy1 toxicities
GROUP 5: Cohort 1B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Sepsis0 toxicities
GROUP 5: Cohort 1B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 4 White blood cell decreased0 toxicities
GROUP 5: Cohort 1B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Headache0 toxicities
GROUP 5: Cohort 1B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Immune system disorders, other (GVHD)0 toxicities
GROUP 5: Cohort 1B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Nervous system disorder, other (ICANS)0 toxicities
GROUP 5: Cohort 1B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Nervous system disorder, other (Neurotoxicity)1 toxicities
GROUP 5: Cohort 1B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Cytokine release syndrome0 toxicities
GROUP 5: Cohort 1B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Seizure0 toxicities
GROUP 5: Cohort 1B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Gastric hemorrhage0 toxicities
GROUP 5: Cohort 1B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Sinus tachycardia1 toxicities
GROUP 5: Cohort 1B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Hypotension0 toxicities
GROUP 5: Cohort 1B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Diarrhea0 toxicities
GROUP 5: Cohort 1B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 4 Anemia0 toxicities
GROUP 5: Cohort 1B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Abdominal pain0 toxicities
GROUP 5: Cohort 1B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 4 Hypertriglyceridemia0 toxicities
GROUP 5: Cohort 1B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 4 Lymphocyte count decreased1 toxicities
GROUP 5: Cohort 1B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Hypokalemia0 toxicities
GROUP 5: Cohort 1B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Back pain0 toxicities
GROUP 5: Cohort 1B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Myalgia0 toxicities
GROUP 5: Cohort 1B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Hypertension1 toxicities
GROUP 5: Cohort 1B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Hypocalcemia0 toxicities
GROUP 6: Cohort 2A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 4 Anemia0 toxicities
GROUP 6: Cohort 2A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Anemia13 toxicities
GROUP 6: Cohort 2A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 GGT increased1 toxicities
GROUP 6: Cohort 2A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Aspartate aminotransferase1 toxicities
GROUP 6: Cohort 2A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Hypocalcemia1 toxicities
GROUP 6: Cohort 2A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Alanine aminotransferase1 toxicities
GROUP 6: Cohort 2A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Sinus tachycardia0 toxicities
GROUP 6: Cohort 2A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Febrile neutropenia13 toxicities
GROUP 6: Cohort 2A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Dysphasia0 toxicities
GROUP 6: Cohort 2A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Encephalopathy0 toxicities
GROUP 6: Cohort 2A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Sepsis1 toxicities
GROUP 6: Cohort 2A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Hypokalemia4 toxicities
GROUP 6: Cohort 2A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Headache0 toxicities
GROUP 6: Cohort 2A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Immune system disorders, other (GVHD)0 toxicities
GROUP 6: Cohort 2A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 4 White blood cell decreased10 toxicities
GROUP 6: Cohort 2A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Hypertension0 toxicities
GROUP 6: Cohort 2A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Nervous system disorder, other (ICANS)2 toxicities
GROUP 6: Cohort 2A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Cytokine release syndrome2 toxicities
GROUP 6: Cohort 2A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Nervous system disorder, other (Neurotoxicity)0 toxicities
GROUP 6: Cohort 2A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Back pain0 toxicities
GROUP 6: Cohort 2A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Seizure2 toxicities
GROUP 6: Cohort 2A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Fever3 toxicities
GROUP 6: Cohort 2A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Hypoxia1 toxicities
GROUP 6: Cohort 2A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Gastric hemorrhage1 toxicities
GROUP 6: Cohort 2A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Hypotension6 toxicities
GROUP 6: Cohort 2A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Diarrhea0 toxicities
GROUP 6: Cohort 2A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Myalgia1 toxicities
GROUP 6: Cohort 2A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 4 Lymphocyte count decreased17 toxicities
GROUP 6: Cohort 2A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Hypertriglyceridemia3 toxicities
GROUP 6: Cohort 2A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 4 Neutrophil count decreased14 toxicities
GROUP 6: Cohort 2A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Platelet count decreased8 toxicities
GROUP 6: Cohort 2A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 4 Hypokalemia0 toxicities
GROUP 6: Cohort 2A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 4 Hypertriglyceridemia1 toxicities
GROUP 6: Cohort 2A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 4 Platelet count decreased6 toxicities
GROUP 6: Cohort 2A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Abdominal pain0 toxicities
GROUP 6: Cohort 2A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 White blood cell decreased16 toxicities
GROUP 6: Cohort 2A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Neutrophil count decreased17 toxicities
GROUP 6: Cohort 2A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 4 Fibrinogen decreased1 toxicities
GROUP 6: Cohort 2A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Anorexia0 toxicities
GROUP 6: Cohort 2A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Grades of Toxicity by Type of ToxicityGrade 3 Lymphocyte count decreased13 toxicities
GROUP 7: Cohort 2B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%Grades of Toxicity by Type of ToxicityGrade 3 Abdominal pain0 toxicities
GROUP 7: Cohort 2B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%Grades of Toxicity by Type of ToxicityGrade 3 Seizure0 toxicities
GROUP 7: Cohort 2B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%Grades of Toxicity by Type of ToxicityGrade 3 GGT increased0 toxicities
GROUP 7: Cohort 2B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%Grades of Toxicity by Type of ToxicityGrade 3 Back pain0 toxicities
GROUP 7: Cohort 2B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%Grades of Toxicity by Type of ToxicityGrade 4 Platelet count decreased1 toxicities
GROUP 7: Cohort 2B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%Grades of Toxicity by Type of ToxicityGrade 3 Nervous system disorder, other (Neurotoxicity)0 toxicities
GROUP 7: Cohort 2B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%Grades of Toxicity by Type of ToxicityGrade 3 Anemia1 toxicities
GROUP 7: Cohort 2B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%Grades of Toxicity by Type of ToxicityGrade 4 Fibrinogen decreased0 toxicities
GROUP 7: Cohort 2B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%Grades of Toxicity by Type of ToxicityGrade 3 Neutrophil count decreased1 toxicities
GROUP 7: Cohort 2B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%Grades of Toxicity by Type of ToxicityGrade 3 Anorexia0 toxicities
GROUP 7: Cohort 2B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%Grades of Toxicity by Type of ToxicityGrade 3 Hypoxia0 toxicities
GROUP 7: Cohort 2B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%Grades of Toxicity by Type of ToxicityGrade 3 Sinus tachycardia0 toxicities
GROUP 7: Cohort 2B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%Grades of Toxicity by Type of ToxicityGrade 3 Aspartate aminotransferase1 toxicities
GROUP 7: Cohort 2B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%Grades of Toxicity by Type of ToxicityGrade 4 Lymphocyte count decreased1 toxicities
GROUP 7: Cohort 2B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%Grades of Toxicity by Type of ToxicityGrade 3 Cytokine release syndrome0 toxicities
GROUP 7: Cohort 2B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%Grades of Toxicity by Type of ToxicityGrade 3 Gastric hemorrhage0 toxicities
GROUP 7: Cohort 2B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%Grades of Toxicity by Type of ToxicityGrade 3 Alanine aminotransferase0 toxicities
GROUP 7: Cohort 2B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%Grades of Toxicity by Type of ToxicityGrade 4 Hypokalemia0 toxicities
GROUP 7: Cohort 2B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%Grades of Toxicity by Type of ToxicityGrade 3 Hypertriglyceridemia0 toxicities
GROUP 7: Cohort 2B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%Grades of Toxicity by Type of ToxicityGrade 3 Lymphocyte count decreased1 toxicities
GROUP 7: Cohort 2B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%Grades of Toxicity by Type of ToxicityGrade 3 Hypocalcemia0 toxicities
GROUP 7: Cohort 2B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%Grades of Toxicity by Type of ToxicityGrade 3 Myalgia0 toxicities
GROUP 7: Cohort 2B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%Grades of Toxicity by Type of ToxicityGrade 3 Dysphasia0 toxicities
GROUP 7: Cohort 2B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%Grades of Toxicity by Type of ToxicityGrade 3 Fever0 toxicities
GROUP 7: Cohort 2B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%Grades of Toxicity by Type of ToxicityGrade 4 Neutrophil count decreased1 toxicities
GROUP 7: Cohort 2B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%Grades of Toxicity by Type of ToxicityGrade 3 Febrile neutropenia0 toxicities
GROUP 7: Cohort 2B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%Grades of Toxicity by Type of ToxicityGrade 3 Sepsis0 toxicities
GROUP 7: Cohort 2B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%Grades of Toxicity by Type of ToxicityGrade 4 Hypertriglyceridemia0 toxicities
GROUP 7: Cohort 2B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%Grades of Toxicity by Type of ToxicityGrade 3 Hypertension0 toxicities
GROUP 7: Cohort 2B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%Grades of Toxicity by Type of ToxicityGrade 4 White blood cell decreased1 toxicities
GROUP 7: Cohort 2B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%Grades of Toxicity by Type of ToxicityGrade 3 Encephalopathy0 toxicities
GROUP 7: Cohort 2B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%Grades of Toxicity by Type of ToxicityGrade 3 Hypotension0 toxicities
GROUP 7: Cohort 2B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%Grades of Toxicity by Type of ToxicityGrade 3 Nervous system disorder, other (ICANS)0 toxicities
GROUP 7: Cohort 2B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%Grades of Toxicity by Type of ToxicityGrade 3 Hypokalemia0 toxicities
GROUP 7: Cohort 2B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%Grades of Toxicity by Type of ToxicityGrade 3 Diarrhea0 toxicities
GROUP 7: Cohort 2B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%Grades of Toxicity by Type of ToxicityGrade 4 Anemia1 toxicities
GROUP 7: Cohort 2B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%Grades of Toxicity by Type of ToxicityGrade 3 White blood cell decreased1 toxicities
GROUP 7: Cohort 2B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%Grades of Toxicity by Type of ToxicityGrade 3 Platelet count decreased1 toxicities
GROUP 7: Cohort 2B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%Grades of Toxicity by Type of ToxicityGrade 3 Headache0 toxicities
GROUP 7: Cohort 2B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%Grades of Toxicity by Type of ToxicityGrade 3 Immune system disorders, other (GVHD)0 toxicities
GROUP 8: Cohort 2C, Dose Level 3, 3 x 10^6 Transduced T-cells/kg (+Or- 20%)Grades of Toxicity by Type of ToxicityGrade 3 Headache0 toxicities
GROUP 8: Cohort 2C, Dose Level 3, 3 x 10^6 Transduced T-cells/kg (+Or- 20%)Grades of Toxicity by Type of ToxicityGrade 4 Neutrophil count decreased0 toxicities
GROUP 8: Cohort 2C, Dose Level 3, 3 x 10^6 Transduced T-cells/kg (+Or- 20%)Grades of Toxicity by Type of ToxicityGrade 4 Anemia0 toxicities
GROUP 8: Cohort 2C, Dose Level 3, 3 x 10^6 Transduced T-cells/kg (+Or- 20%)Grades of Toxicity by Type of ToxicityGrade 3 Nervous system disorder, other (ICANS)0 toxicities
GROUP 8: Cohort 2C, Dose Level 3, 3 x 10^6 Transduced T-cells/kg (+Or- 20%)Grades of Toxicity by Type of ToxicityGrade 3 Cytokine release syndrome0 toxicities
GROUP 8: Cohort 2C, Dose Level 3, 3 x 10^6 Transduced T-cells/kg (+Or- 20%)Grades of Toxicity by Type of ToxicityGrade 4 Hypokalemia0 toxicities
GROUP 8: Cohort 2C, Dose Level 3, 3 x 10^6 Transduced T-cells/kg (+Or- 20%)Grades of Toxicity by Type of ToxicityGrade 3 Back pain0 toxicities
GROUP 8: Cohort 2C, Dose Level 3, 3 x 10^6 Transduced T-cells/kg (+Or- 20%)Grades of Toxicity by Type of ToxicityGrade 4 Platelet count decreased0 toxicities
GROUP 8: Cohort 2C, Dose Level 3, 3 x 10^6 Transduced T-cells/kg (+Or- 20%)Grades of Toxicity by Type of ToxicityGrade 3 Nervous system disorder, other (Neurotoxicity)0 toxicities
GROUP 8: Cohort 2C, Dose Level 3, 3 x 10^6 Transduced T-cells/kg (+Or- 20%)Grades of Toxicity by Type of ToxicityGrade 3 Abdominal pain0 toxicities
GROUP 8: Cohort 2C, Dose Level 3, 3 x 10^6 Transduced T-cells/kg (+Or- 20%)Grades of Toxicity by Type of ToxicityGrade 3 Fever0 toxicities
GROUP 8: Cohort 2C, Dose Level 3, 3 x 10^6 Transduced T-cells/kg (+Or- 20%)Grades of Toxicity by Type of ToxicityGrade 4 White blood cell decreased0 toxicities
GROUP 8: Cohort 2C, Dose Level 3, 3 x 10^6 Transduced T-cells/kg (+Or- 20%)Grades of Toxicity by Type of ToxicityGrade 3 Hypocalcemia0 toxicities
GROUP 8: Cohort 2C, Dose Level 3, 3 x 10^6 Transduced T-cells/kg (+Or- 20%)Grades of Toxicity by Type of ToxicityGrade 3 Seizure0 toxicities
GROUP 8: Cohort 2C, Dose Level 3, 3 x 10^6 Transduced T-cells/kg (+Or- 20%)Grades of Toxicity by Type of ToxicityGrade 3 Neutrophil count decreased1 toxicities
GROUP 8: Cohort 2C, Dose Level 3, 3 x 10^6 Transduced T-cells/kg (+Or- 20%)Grades of Toxicity by Type of ToxicityGrade 3 Gastric hemorrhage0 toxicities
GROUP 8: Cohort 2C, Dose Level 3, 3 x 10^6 Transduced T-cells/kg (+Or- 20%)Grades of Toxicity by Type of ToxicityGrade 3 Hypoxia0 toxicities
GROUP 8: Cohort 2C, Dose Level 3, 3 x 10^6 Transduced T-cells/kg (+Or- 20%)Grades of Toxicity by Type of ToxicityGrade 3 Anorexia0 toxicities
GROUP 8: Cohort 2C, Dose Level 3, 3 x 10^6 Transduced T-cells/kg (+Or- 20%)Grades of Toxicity by Type of ToxicityGrade 3 Diarrhea0 toxicities
GROUP 8: Cohort 2C, Dose Level 3, 3 x 10^6 Transduced T-cells/kg (+Or- 20%)Grades of Toxicity by Type of ToxicityGrade 3 Lymphocyte count decreased1 toxicities
GROUP 8: Cohort 2C, Dose Level 3, 3 x 10^6 Transduced T-cells/kg (+Or- 20%)Grades of Toxicity by Type of ToxicityGrade 3 Hypotension0 toxicities
GROUP 8: Cohort 2C, Dose Level 3, 3 x 10^6 Transduced T-cells/kg (+Or- 20%)Grades of Toxicity by Type of ToxicityGrade 3 White blood cell decreased0 toxicities
GROUP 8: Cohort 2C, Dose Level 3, 3 x 10^6 Transduced T-cells/kg (+Or- 20%)Grades of Toxicity by Type of ToxicityGrade 3 GGT increased0 toxicities
GROUP 8: Cohort 2C, Dose Level 3, 3 x 10^6 Transduced T-cells/kg (+Or- 20%)Grades of Toxicity by Type of ToxicityGrade 3 Myalgia0 toxicities
GROUP 8: Cohort 2C, Dose Level 3, 3 x 10^6 Transduced T-cells/kg (+Or- 20%)Grades of Toxicity by Type of ToxicityGrade 4 Hypertriglyceridemia0 toxicities
GROUP 8: Cohort 2C, Dose Level 3, 3 x 10^6 Transduced T-cells/kg (+Or- 20%)Grades of Toxicity by Type of ToxicityGrade 3 Anemia0 toxicities
GROUP 8: Cohort 2C, Dose Level 3, 3 x 10^6 Transduced T-cells/kg (+Or- 20%)Grades of Toxicity by Type of ToxicityGrade 3 Sinus tachycardia0 toxicities
GROUP 8: Cohort 2C, Dose Level 3, 3 x 10^6 Transduced T-cells/kg (+Or- 20%)Grades of Toxicity by Type of ToxicityGrade 3 Aspartate aminotransferase0 toxicities
GROUP 8: Cohort 2C, Dose Level 3, 3 x 10^6 Transduced T-cells/kg (+Or- 20%)Grades of Toxicity by Type of ToxicityGrade 3 Febrile neutropenia0 toxicities
GROUP 8: Cohort 2C, Dose Level 3, 3 x 10^6 Transduced T-cells/kg (+Or- 20%)Grades of Toxicity by Type of ToxicityGrade 3 Alanine aminotransferase0 toxicities
GROUP 8: Cohort 2C, Dose Level 3, 3 x 10^6 Transduced T-cells/kg (+Or- 20%)Grades of Toxicity by Type of ToxicityGrade 4 Lymphocyte count decreased1 toxicities
GROUP 8: Cohort 2C, Dose Level 3, 3 x 10^6 Transduced T-cells/kg (+Or- 20%)Grades of Toxicity by Type of ToxicityGrade 3 Platelet count decreased0 toxicities
GROUP 8: Cohort 2C, Dose Level 3, 3 x 10^6 Transduced T-cells/kg (+Or- 20%)Grades of Toxicity by Type of ToxicityGrade 3 Dysphasia0 toxicities
GROUP 8: Cohort 2C, Dose Level 3, 3 x 10^6 Transduced T-cells/kg (+Or- 20%)Grades of Toxicity by Type of ToxicityGrade 3 Sepsis0 toxicities
GROUP 8: Cohort 2C, Dose Level 3, 3 x 10^6 Transduced T-cells/kg (+Or- 20%)Grades of Toxicity by Type of ToxicityGrade 3 Hypokalemia0 toxicities
GROUP 8: Cohort 2C, Dose Level 3, 3 x 10^6 Transduced T-cells/kg (+Or- 20%)Grades of Toxicity by Type of ToxicityGrade 3 Hypertriglyceridemia0 toxicities
GROUP 8: Cohort 2C, Dose Level 3, 3 x 10^6 Transduced T-cells/kg (+Or- 20%)Grades of Toxicity by Type of ToxicityGrade 3 Encephalopathy0 toxicities
GROUP 8: Cohort 2C, Dose Level 3, 3 x 10^6 Transduced T-cells/kg (+Or- 20%)Grades of Toxicity by Type of ToxicityGrade 4 Fibrinogen decreased0 toxicities
GROUP 8: Cohort 2C, Dose Level 3, 3 x 10^6 Transduced T-cells/kg (+Or- 20%)Grades of Toxicity by Type of ToxicityGrade 3 Immune system disorders, other (GVHD)0 toxicities
GROUP 8: Cohort 2C, Dose Level 3, 3 x 10^6 Transduced T-cells/kg (+Or- 20%)Grades of Toxicity by Type of ToxicityGrade 3 Hypertension0 toxicities
Primary

Maximum Tolerated Dose (MTD)

MTD is defined as the dose level immediately below the level at which the enrollment is stopped due to dose-limiting toxicity (DLT). A DLT is defined as an adverse event that is at least possibly related to the cluster of differentiation 19/cluster of differentiation 22 (CD19/CD22)-chimeric antigen receptor (CAR) T cells with onset within the first 28 days after cell infusion.

Time frame: First 28 days after cell infusion

Population: 16/54 participants were not treated. Only participants in the dose escalation phase of the study are included in this analysis (Groups 1-5).

ArmMeasureValue (NUMBER)
GROUP 1: Cohort 1, Dose Level 1, 3 x10^5 Transduced T Cells/kg (+Or-20%)Maximum Tolerated Dose (MTD)3 10^6 CAR T cells/kg
Secondary

Clinical Activity (Response) in Children and Young Adults With B-cell Acute Lymphoblastic Leukemia (B-ALL), Isolated Central Nervous System (CNS) ALL, or Lymphoma Who Previously Received Chimeric Antigen Receptor (CAR) Therapy and Those That Are CAR Naive

Clinical activity (response) in children (age ≥3 years to 17 years) and young adults (age 18 years to ≤ 39 years) was measured by the Response Criteria Lymphoma. Complete Response (CR) is complete metabolic and/or radiographic response. Partial Response (PR) is partial metabolic response or partial remission. Stable Disease (SD) is no metabolic response or 50% decrease from baseline in the sum of products of diameters (SPD) of up to 6 dominant measurable nodes and extra nodal sites. Progressive Disease (PD) is individual node/lesion must be abnormal with longest transverse diameter of a lesion (LDI) \>1.5 cm and increase by ≥50% from product of perpendicular diameters (PPD) nadir and an increase in LDI or shortest axis perpendicular to LDi (SDI) from nadir 0.5 cm for lesions ≤2 cm and/or 1.0 cm for lesions \> 2 cm; also assessed by the International Working Group and PD is defined as worse marrow classification with at least a 50% increase in the percentage of marrow blasts.

Time frame: At Day 28 (+/- 4 days) after CAR cell infusion

Population: 16/54 participants were not treated. Participants treated in Group 1-3 will be excluded from this outcome measure as assignment to CAR naïve versus CAR pre-treated did not occur in the beginning of the trial. The study was not looking at response in children vs young adults separately. It was looking at response in children and young adults only (no adults over 39). Also, it is not powered to look at children and young adults separately.

ArmMeasureGroupValue (NUMBER)
GROUP 1: Cohort 1, Dose Level 1, 3 x10^5 Transduced T Cells/kg (+Or-20%)Clinical Activity (Response) in Children and Young Adults With B-cell Acute Lymphoblastic Leukemia (B-ALL), Isolated Central Nervous System (CNS) ALL, or Lymphoma Who Previously Received Chimeric Antigen Receptor (CAR) Therapy and Those That Are CAR NaiveCR in children and young adults50 percentage of participants
GROUP 1: Cohort 1, Dose Level 1, 3 x10^5 Transduced T Cells/kg (+Or-20%)Clinical Activity (Response) in Children and Young Adults With B-cell Acute Lymphoblastic Leukemia (B-ALL), Isolated Central Nervous System (CNS) ALL, or Lymphoma Who Previously Received Chimeric Antigen Receptor (CAR) Therapy and Those That Are CAR NaivePR in children and young adults50 percentage of participants
GROUP 1: Cohort 1, Dose Level 1, 3 x10^5 Transduced T Cells/kg (+Or-20%)Clinical Activity (Response) in Children and Young Adults With B-cell Acute Lymphoblastic Leukemia (B-ALL), Isolated Central Nervous System (CNS) ALL, or Lymphoma Who Previously Received Chimeric Antigen Receptor (CAR) Therapy and Those That Are CAR NaivePD in children and young adults0 percentage of participants
GROUP 1: Cohort 1, Dose Level 1, 3 x10^5 Transduced T Cells/kg (+Or-20%)Clinical Activity (Response) in Children and Young Adults With B-cell Acute Lymphoblastic Leukemia (B-ALL), Isolated Central Nervous System (CNS) ALL, or Lymphoma Who Previously Received Chimeric Antigen Receptor (CAR) Therapy and Those That Are CAR NaiveSD in children and young adults0 percentage of participants
GROUP 2: Cohort 1, Dose Level 2, 1x10^6 Transduced T Cells/kg (+Or-20%)Clinical Activity (Response) in Children and Young Adults With B-cell Acute Lymphoblastic Leukemia (B-ALL), Isolated Central Nervous System (CNS) ALL, or Lymphoma Who Previously Received Chimeric Antigen Receptor (CAR) Therapy and Those That Are CAR NaiveSD in children and young adults0 percentage of participants
GROUP 2: Cohort 1, Dose Level 2, 1x10^6 Transduced T Cells/kg (+Or-20%)Clinical Activity (Response) in Children and Young Adults With B-cell Acute Lymphoblastic Leukemia (B-ALL), Isolated Central Nervous System (CNS) ALL, or Lymphoma Who Previously Received Chimeric Antigen Receptor (CAR) Therapy and Those That Are CAR NaivePR in children and young adults0 percentage of participants
GROUP 2: Cohort 1, Dose Level 2, 1x10^6 Transduced T Cells/kg (+Or-20%)Clinical Activity (Response) in Children and Young Adults With B-cell Acute Lymphoblastic Leukemia (B-ALL), Isolated Central Nervous System (CNS) ALL, or Lymphoma Who Previously Received Chimeric Antigen Receptor (CAR) Therapy and Those That Are CAR NaivePD in children and young adults0 percentage of participants
GROUP 2: Cohort 1, Dose Level 2, 1x10^6 Transduced T Cells/kg (+Or-20%)Clinical Activity (Response) in Children and Young Adults With B-cell Acute Lymphoblastic Leukemia (B-ALL), Isolated Central Nervous System (CNS) ALL, or Lymphoma Who Previously Received Chimeric Antigen Receptor (CAR) Therapy and Those That Are CAR NaiveCR in children and young adults100 percentage of participants
GROUP 3: Cohort 1, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Clinical Activity (Response) in Children and Young Adults With B-cell Acute Lymphoblastic Leukemia (B-ALL), Isolated Central Nervous System (CNS) ALL, or Lymphoma Who Previously Received Chimeric Antigen Receptor (CAR) Therapy and Those That Are CAR NaivePR in children and young adults0 percentage of participants
GROUP 3: Cohort 1, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Clinical Activity (Response) in Children and Young Adults With B-cell Acute Lymphoblastic Leukemia (B-ALL), Isolated Central Nervous System (CNS) ALL, or Lymphoma Who Previously Received Chimeric Antigen Receptor (CAR) Therapy and Those That Are CAR NaiveCR in children and young adults90.5 percentage of participants
GROUP 3: Cohort 1, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Clinical Activity (Response) in Children and Young Adults With B-cell Acute Lymphoblastic Leukemia (B-ALL), Isolated Central Nervous System (CNS) ALL, or Lymphoma Who Previously Received Chimeric Antigen Receptor (CAR) Therapy and Those That Are CAR NaiveSD in children and young adults0 percentage of participants
GROUP 3: Cohort 1, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Clinical Activity (Response) in Children and Young Adults With B-cell Acute Lymphoblastic Leukemia (B-ALL), Isolated Central Nervous System (CNS) ALL, or Lymphoma Who Previously Received Chimeric Antigen Receptor (CAR) Therapy and Those That Are CAR NaivePD in children and young adults9.5 percentage of participants
GROUP 4: Cohort 1A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Clinical Activity (Response) in Children and Young Adults With B-cell Acute Lymphoblastic Leukemia (B-ALL), Isolated Central Nervous System (CNS) ALL, or Lymphoma Who Previously Received Chimeric Antigen Receptor (CAR) Therapy and Those That Are CAR NaiveSD in children and young adults0 percentage of participants
GROUP 4: Cohort 1A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Clinical Activity (Response) in Children and Young Adults With B-cell Acute Lymphoblastic Leukemia (B-ALL), Isolated Central Nervous System (CNS) ALL, or Lymphoma Who Previously Received Chimeric Antigen Receptor (CAR) Therapy and Those That Are CAR NaivePD in children and young adults0 percentage of participants
GROUP 4: Cohort 1A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Clinical Activity (Response) in Children and Young Adults With B-cell Acute Lymphoblastic Leukemia (B-ALL), Isolated Central Nervous System (CNS) ALL, or Lymphoma Who Previously Received Chimeric Antigen Receptor (CAR) Therapy and Those That Are CAR NaiveCR in children and young adults100 percentage of participants
GROUP 4: Cohort 1A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Clinical Activity (Response) in Children and Young Adults With B-cell Acute Lymphoblastic Leukemia (B-ALL), Isolated Central Nervous System (CNS) ALL, or Lymphoma Who Previously Received Chimeric Antigen Receptor (CAR) Therapy and Those That Are CAR NaivePR in children and young adults0 percentage of participants
GROUP 5: Cohort 1B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Clinical Activity (Response) in Children and Young Adults With B-cell Acute Lymphoblastic Leukemia (B-ALL), Isolated Central Nervous System (CNS) ALL, or Lymphoma Who Previously Received Chimeric Antigen Receptor (CAR) Therapy and Those That Are CAR NaiveCR in children and young adults100 percentage of participants
GROUP 5: Cohort 1B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Clinical Activity (Response) in Children and Young Adults With B-cell Acute Lymphoblastic Leukemia (B-ALL), Isolated Central Nervous System (CNS) ALL, or Lymphoma Who Previously Received Chimeric Antigen Receptor (CAR) Therapy and Those That Are CAR NaivePR in children and young adults0 percentage of participants
GROUP 5: Cohort 1B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Clinical Activity (Response) in Children and Young Adults With B-cell Acute Lymphoblastic Leukemia (B-ALL), Isolated Central Nervous System (CNS) ALL, or Lymphoma Who Previously Received Chimeric Antigen Receptor (CAR) Therapy and Those That Are CAR NaiveSD in children and young adults0 percentage of participants
GROUP 5: Cohort 1B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Clinical Activity (Response) in Children and Young Adults With B-cell Acute Lymphoblastic Leukemia (B-ALL), Isolated Central Nervous System (CNS) ALL, or Lymphoma Who Previously Received Chimeric Antigen Receptor (CAR) Therapy and Those That Are CAR NaivePD in children and young adults0 percentage of participants
Secondary

Number of Participants That Have Successful Manufacture of the Targeted Dose Number of Chimeric Antigen Receptor (CAR) Cells

Number of participants that have the targeted dose number of CAR cells successfully manufactured (i.e., number of participants enrolled where the correct number of cells are produces at the dose level that are enrolled) as measured by total number of viable cluster of differentiation 19 (CD19)/cluster of differentiation 22 (CD22) transduced T cells.

Time frame: CAR infusion (Day 0)

Population: 16/54 participants were not treated.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
GROUP 1: Cohort 1, Dose Level 1, 3 x10^5 Transduced T Cells/kg (+Or-20%)Number of Participants That Have Successful Manufacture of the Targeted Dose Number of Chimeric Antigen Receptor (CAR) Cells4 Participants
GROUP 2: Cohort 1, Dose Level 2, 1x10^6 Transduced T Cells/kg (+Or-20%)Number of Participants That Have Successful Manufacture of the Targeted Dose Number of Chimeric Antigen Receptor (CAR) Cells4 Participants
GROUP 3: Cohort 1, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Number of Participants That Have Successful Manufacture of the Targeted Dose Number of Chimeric Antigen Receptor (CAR) Cells5 Participants
GROUP 4: Cohort 1A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Number of Participants That Have Successful Manufacture of the Targeted Dose Number of Chimeric Antigen Receptor (CAR) Cells2 Participants
GROUP 5: Cohort 1B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Number of Participants That Have Successful Manufacture of the Targeted Dose Number of Chimeric Antigen Receptor (CAR) Cells1 Participants
GROUP 6: Cohort 2A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Number of Participants That Have Successful Manufacture of the Targeted Dose Number of Chimeric Antigen Receptor (CAR) Cells21 Participants
GROUP 7: Cohort 2B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%Number of Participants That Have Successful Manufacture of the Targeted Dose Number of Chimeric Antigen Receptor (CAR) Cells1 Participants
GROUP 8: Cohort 2C, Dose Level 3, 3 x 10^6 Transduced T-cells/kg (+Or- 20%)Number of Participants That Have Successful Manufacture of the Targeted Dose Number of Chimeric Antigen Receptor (CAR) Cells1 Participants
Secondary

Overall Survival

Overall survival (OS) will be determined as the time from the date of chimeric antigen receptor (CAR) infusion until death.

Time frame: Number of months from CAR cell infusion until date of death or time of censor (max 66.6 months)

Population: 16/54 participants were not treated.

ArmMeasureValue (MEDIAN)
GROUP 1: Cohort 1, Dose Level 1, 3 x10^5 Transduced T Cells/kg (+Or-20%)Overall Survival12.2 Months
GROUP 2: Cohort 1, Dose Level 2, 1x10^6 Transduced T Cells/kg (+Or-20%)Overall Survival17.8 Months
GROUP 3: Cohort 1, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Overall Survival45.4 Months
GROUP 4: Cohort 1A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Overall Survival15.3 Months
GROUP 5: Cohort 1B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Overall Survival60 Months
GROUP 6: Cohort 2A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Overall Survival20.7 Months
GROUP 7: Cohort 2B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%Overall Survival9.2 Months
GROUP 8: Cohort 2C, Dose Level 3, 3 x 10^6 Transduced T-cells/kg (+Or- 20%)Overall Survival8.3 Months
Secondary

Progression-free Survival (PFS)

PFS is assessed from the date of chimeric antigen receptor (CAR) infusion until the documentation of disease progression or death due to any cause, whichever occurs first. Disease progression was assessed by the Response Criteria Lymphoma and is defined as individual node/lesion must be abnormal with LDI\>1.5 cm and increase by ≥50% from product of perpendicular diameters (PPD) nadir and an increase in longest transverse diameter of a lesion (LDI) or shortest axis perpendicular to LDi (SDI) from nadir 0.5 cm for lesions ≤2 cm, 1.0 cm for lesions \> 2 cm; and the International Working Group and is defined as worse marrow classification with at least a 50% increase in the percentage of marrow blasts.

Time frame: Number of months from CAR cell infusion until time of disease progression, death, or date of censor (up to 67 months)

Population: 16/54 participants were not treated.

ArmMeasureValue (MEDIAN)
GROUP 1: Cohort 1, Dose Level 1, 3 x10^5 Transduced T Cells/kg (+Or-20%)Progression-free Survival (PFS)6.4 Months
GROUP 2: Cohort 1, Dose Level 2, 1x10^6 Transduced T Cells/kg (+Or-20%)Progression-free Survival (PFS)2.6 Months
GROUP 3: Cohort 1, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Progression-free Survival (PFS)20.1 Months
GROUP 4: Cohort 1A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Progression-free Survival (PFS)5.3 Months
GROUP 5: Cohort 1B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Progression-free Survival (PFS)60 Months
GROUP 6: Cohort 2A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Progression-free Survival (PFS)14.2 Months
GROUP 7: Cohort 2B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%Progression-free Survival (PFS)5.7 Months
GROUP 8: Cohort 2C, Dose Level 3, 3 x 10^6 Transduced T-cells/kg (+Or- 20%)Progression-free Survival (PFS)8.3 Months
Other Pre-specified

Number of Participants With a Dose-limiting Toxicity (DLT)

A DLT is defined as an adverse event that is at least possibly related to the cluster of differentiation 19/cluster of differentiation 22 (CD19/CD22)-chimeric antigen receptor (CAR) T cells with onset within the first 28 days after cell infusion.

Time frame: First 28 days

Population: 16/54 participants were not treated.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
GROUP 1: Cohort 1, Dose Level 1, 3 x10^5 Transduced T Cells/kg (+Or-20%)Number of Participants With a Dose-limiting Toxicity (DLT)0 Participants
GROUP 2: Cohort 1, Dose Level 2, 1x10^6 Transduced T Cells/kg (+Or-20%)Number of Participants With a Dose-limiting Toxicity (DLT)0 Participants
GROUP 3: Cohort 1, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Number of Participants With a Dose-limiting Toxicity (DLT)0 Participants
GROUP 4: Cohort 1A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Number of Participants With a Dose-limiting Toxicity (DLT)0 Participants
GROUP 5: Cohort 1B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Number of Participants With a Dose-limiting Toxicity (DLT)1 Participants
GROUP 6: Cohort 2A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Number of Participants With a Dose-limiting Toxicity (DLT)2 Participants
GROUP 7: Cohort 2B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%Number of Participants With a Dose-limiting Toxicity (DLT)0 Participants
GROUP 8: Cohort 2C, Dose Level 3, 3 x 10^6 Transduced T-cells/kg (+Or- 20%)Number of Participants With a Dose-limiting Toxicity (DLT)0 Participants
Other Pre-specified

Number of Participants With Serious and/or Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v5.0).

Here is the number of participants with serious and/or non-serious adverse events assessed by the Common Terminology Criteria for Adverse Events (CTCAE v5.0). A non-serious adverse event is any untoward medical occurrence. A serious adverse event is an adverse event or suspected adverse reaction that results in death, a life-threatening adverse drug experience, hospitalization, disruption of the ability to conduct normal life functions, congenital anomaly/birth defect or important medical events that jeopardize the patient or subject and may require medical or surgical intervention to prevent one of the previous outcomes mentioned.

Time frame: Adverse Events were monitored/assessed from the first study intervention, Study Day -4, through day 30 after the study agent (s) was/were administered, an average of 5 weeks.

Population: 16/54 participants were not treated.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
GROUP 1: Cohort 1, Dose Level 1, 3 x10^5 Transduced T Cells/kg (+Or-20%)Number of Participants With Serious and/or Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v5.0).4 Participants
GROUP 2: Cohort 1, Dose Level 2, 1x10^6 Transduced T Cells/kg (+Or-20%)Number of Participants With Serious and/or Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v5.0).4 Participants
GROUP 3: Cohort 1, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Number of Participants With Serious and/or Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v5.0).4 Participants
GROUP 4: Cohort 1A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Number of Participants With Serious and/or Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v5.0).2 Participants
GROUP 5: Cohort 1B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Number of Participants With Serious and/or Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v5.0).1 Participants
GROUP 6: Cohort 2A, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%)Number of Participants With Serious and/or Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v5.0).21 Participants
GROUP 7: Cohort 2B, Dose Level 3, 3 x10^6 Transduced T Cells/kg (+Or-20%Number of Participants With Serious and/or Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v5.0).1 Participants
GROUP 8: Cohort 2C, Dose Level 3, 3 x 10^6 Transduced T-cells/kg (+Or- 20%)Number of Participants With Serious and/or Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v5.0).1 Participants

Source: ClinicalTrials.gov · Data processed: Feb 23, 2026