TRAC and Power3 (SPPL3) Genes Knock-out Allogeneic CD19-targeting CAR-T Cell Therapy in r/r B-NHL

Trial statusRecruiting
Trial phasePhase 1, Phase 2
Trial typeInterventional
Biological sexAll
Age18-70
SponsorChinese PLA General Hospital

About this trial

ATHENA chimeric antigen receptor (CAR)-T, a CD19-directed CAR-T cell immunotherapy comprised of allogeneic T cells prepared for the treatment of relapsed or refractory (r/r) B-cell non-Hodgkin's lymphoma (NHL). The cells are from healthy adult volunteer donors that are knocked out of TRAC and Power3 (SPPL3) genes ex vivo using CRISPR-Cas9 gene editing components. In this study, a second-generation anti-CD19 CAR prototype was constructed, bearing murine FMC63 single-chain variant fragment (scFv) together with intracellular CD28 co-stimulatory and CD3ζ signaling domains linked by a CD28 sequence comprising the hinge and transmembrane domains.

This is a single center, prospective, open-label, single-arm, phase 1/2 study. A total of around 30 patients with r/r B-cell NHL will be enrolled in the study and receive allogeneic CD19-CAR-T cell infusion. Phase 1 (n=6 to 18) is a dose escalation part, and phase 2 (n=10 to 12) is a expansion cohort part. The primary objective of this study was to evaluate the safety and efficacy of ATHENA CAR-T cell therapy in patients with r/r B-cell NHL.

Eligibility criteria

Qualifiers

Age 18-70 (inclusive).

Diffuse large B-cell lymphoma (DLBCL) not otherwise specified;

Primary mediastinal (thymic) large B-cell lymphoma (PMBCL);

Transformed follicular lymphoma (TFL);

Disqualifiers

Expected survival time < 3 months per Principal Investigator's opinion.

History of malignancy other than nonmelanoma skin cancer or carcinoma in situ (e.g. cervix, bladder, breast) or follicular lymphoma unless disease free for at least 3 years.

Autologous stem cell transplant with therapeutic intent within 3 months of planned ATHENA CAR-T infusion.

History of allogeneic stem cell transplantation.

Trial design

Treatments tested in this trial

  • TRAC and Power3 (SPPL3) Genes Knock-out Allogeneic CD19-targeting CAR-T cell (ATHENA CAR-T)
  • Fludarabine
  • Cyclophosphamide

Treatment groups

30 Participants
are divided into 1 treatment group

Locations

3
Biotherapeutic Department, Chinese PLA General Hospital Beijing China
EdiGene Inc Beijing China
School of Life Sciences, Peking University Beijing China

Sponsors and collaborators

Chinese PLA General Hospital

Lead sponsor

Peking University

Collaborator

EdiGene Inc.

Collaborator