Lymphoma, B-Cell
Conditions
Brief summary
Phase I/II study to evaluate TAC01-CD19 in subjects with relapsed or refractory B-cell lymphomas. TAC technology is a novel way to genetically modify T cells and to redirect these T cells to target cancer antigens by co-opting the natural T cell receptor. The dose finding portion of this study will evaluate the safety and tolerability of increasing dose levels of TAC01-CD19 to identify a Maximal Tolerated Dose (MTD) or Recommended Phase II Dose (RP2D). The dose expansion portion of the study will further evaluate the safety, efficacy and pharmacokinetics of TAC01-CD19 at the RP2D.
Interventions
Dose-escalating cohorts plus expansion groups
Sponsors
Study design
Eligibility
Inclusion criteria
* Histologically confirmed CD19+ Large B-Cell Lymphoma including Diffuse Large B-cell Lymphoma (DLBCL) not otherwise specified (including de novo and transformed lymphoma), Primary Mediastinal Large B-cell Lymphoma, High-Grade B-cell Lymphoma with MYC and BCL2 and/or BCL6 rearrangement per WHO 2016 classification. * Relapsed or refractory disease after greater than 2 lines of therapy including anthracycline and anti-CD20 therapy and either having failed autologous stem cell transplant (ASCT) or being ineligible for ASCT. * ECOG 0-1. * Adequate organ function.
Exclusion criteria
* Prior treatment with any of the following: allogeneic bone marrow transplantation, gene therapy, adoptive cell transfer of any kind, including CAR T cells. * Active central nervous system (CNS) lymphoma involvement. * History or presence of clinically relevant CNS pathology. * Active inflammatory neurological disorders, autoimmune disease, or infections.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of dose-limiting toxicities (DLTs) | First 28 days after dosing | Measurement of occurrence of study-defined DLTs |
| Incidence of adverse events (AEs) | Informed consent through 2 years after dosing | Type, frequency, and severity of adverse events (AEs) and laboratory abnormalities |