Anti-GPRC5D CAR-T Cells (CT071) in Participants With RRMM or RRpPCL

Study Purpose

A Phase 1/2 Open label, multicenter, clinical trial of autologous CAR T-cell therapy targeting GPRC5D, in participants with relapsed/refractory multiple myeloma or relapsed/refractory primary plasma cell leukemia.

Recruitment Criteria

Accepts Healthy Volunteers

Healthy volunteers are participants who do not have a disease or condition, or related conditions or symptoms

No
Study Type

An interventional clinical study is where participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes.


An observational clinical study is where participants identified as belonging to study groups are assessed for biomedical or health outcomes.


Searching Both is inclusive of interventional and observational studies.

Interventional
Eligible Ages 18 Years and Over
Gender All
More Inclusion & Exclusion Criteria

Inclusion Criteria:

  • - Voluntarily signed consent; - Age of ≥ 18; - Willing and able to adhere to trial visit schedule and other protocol requirements.
  • - Received sufficient prior lines of therapy; - RRMM participants must have received treatment with at least one proteasome inhibitor, one IMiD and CD38 anti body, must be refractory to the last line of therapy, must have achieved a response (PR or better) to a least 1 prior treatment line; - RRpPCL participants must have received at least one prior line of therapy.
  • - Participants must have documented diagnosis of RRMM or RRpPCL.
  • - The participants should have measurable disease.
  • - Estimated life expectancy > 12 weeks; - ECOG performance score 0-1; - Participants should have bone marrow reserve, renal and hepatic functions; - Sufficient venous access for apheresis collection, and no other contraindications to apheresis; - Must be able to stop any anticancer therapy for planned apheresis collection.
  • - Women of childbearing age must undergo a serum pregnancy test with negative results before screening, and are willing to use effective and reliable method of contraception for at least 12 months after T cell infusion; - Men must be willing to use effective and reliable method of contraception for at least 12 months after T cell infusion.

Exclusion Criteria:

  • - Any significant condition(s), laboratory abnormality or psychiatric illness that would impair the ability of the participant to receive or tolerate the planned treatment or in the opinion of the investigator, participation would not be in the best interest of the participant (eg, compromise the well-being) or that could prevent, limit, or confound the protocol-specified assessments.
  • - Pregnant or lactating women; - HIV, active hepatitis C virus (HCV), or active hepatitis B virus (HBV) infection; - Any uncontrolled active infection; - AEs from previous treatment that have not recovered; - Participants who have had anti-GPRC5D targeted agents; - Participants who have received autologous stem cell transplantation 12 weeks before apheresis; - Participants who have received allogenic stem cell transplantation within 6 months of apheresis; - Participants who have graft versus host disease (GvHD); - Participants who have received steroids within 14 days of apheresis or lymphodepletion; - Participants who have plasma cell leukemia secondary to multiple myeloma, Waldenström macroglobulinemia, POEMS (polyneuropathy, organomegaly, endocrinopathy, monoclonal gammopathy, and skin changes) syndrome or clinically significant symptomatic immunoglobulin light chain (AL) amyloidosis with evidence of end-organ damage; - Participants who have been administered live attenuated vaccine 4 weeks before apheresis or lymphodepletion; - Participants who are allergic to fludarabine, cyclophosphamide, tocilizumab, dimethyl sulfoxide (DMSO) or CT071; - Participants who have clinical significant cardiac conditions that researchers believe that participating in this clinical trial may endanger the health of the patients; - Participants who require supplemental oxygen; - Participants who have clinically significant pulmonary conditions; - Participants who are known to have active autoimmune diseases including but not limited to psoriasis, rheumatoid arthritis and other needs of long-term immunosuppressive therapy; - Participants with malignancies in addition to MM/pPCL; - Participants who have central nervous system (CNS) metastases or CNS involvement; - Participants with a history of stroke or seizures within 6 months prior to apheresis; - Participants who have undergone major surgery 14 days prior to apheresis or within 28 days of CT071 administration.

Trial Details

Trial ID:

This trial id was obtained from ClinicalTrials.gov, a service of the U.S. National Institutes of Health, providing information on publicly and privately supported clinical studies of human participants with locations in all 50 States and in 196 countries.

NCT06333509
Phase

Phase 1: Studies that emphasize safety and how the drug is metabolized and excreted in humans.

Phase 2: Studies that gather preliminary data on effectiveness (whether the drug works in people who have a certain disease or condition) and additional safety data.

Phase 3: Studies that gather more information about safety and effectiveness by studying different populations and different dosages and by using the drug in combination with other drugs.

Phase 4: Studies occurring after FDA has approved a drug for marketing, efficacy, or optimal use.

Phase 1/Phase 2
Lead Sponsor

The sponsor is the organization or person who oversees the clinical study and is responsible for analyzing the study data.

CARsgen Therapeutics Co., Ltd.
Principal Investigator

The person who is responsible for the scientific and technical direction of the entire clinical study.

N/A
Principal Investigator Affiliation N/A
Agency Class

Category of organization(s) involved as sponsor (and collaborator) supporting the trial.

Industry
Overall Status Not yet recruiting
Countries
Conditions

The disease, disorder, syndrome, illness, or injury that is being studied.

Multiple Myeloma, Primary Plasma Cell Leukemia
Additional Details

This is an open-label, multicenter, Phase 1/2 trial of CT071 in adult participants with relapsed or refractory multiple myeloma (RRMM) or relapsed or refractory primary plasma cell leukemia (RRpPCL). The study will be conducted in two phases. Phase 1 of the study will be dose escalation followed by dose expansion. After recommended Phase 2 dose is identified in Phase 1, the enrollment of Phase 2 will start. Following consent, enrolled subjects will undergo apheresis to collect cells for manufacture of the CAR-T cells. Following the manufacture of the CAR-T cells, subjects will receive lymphodepletion prior to CAR T-cell infusion. All subjects who complete the study, as well as those who withdraw from the study after receiving CAR T-cell infusion for reasons other than death or meeting the early termination criteria, will be asked to undergo a 15-year long-term follow-up.

Arms & Interventions

Arms

Experimental: Phase 1

Dose Escalation followed a dose expansion.

Experimental: Phase 2

Single group of patients for each indication (rrMM, RRpPCL).

Interventions

Biological: - CT071

a single CAR-T infusion of CT071

Contact Information

This trial has no sites locations listed at this time. If you are interested in learning more, you can contact the trial's primary contact:

CARsgen US

clinicalUS@carsgen.com

CentralNumber

For additional contact information, you can also visit the trial on clinicaltrials.gov.