P-BCMA-101 Tscm CAR-T Cells in the Treatment of Patients With Multiple Myeloma (MM)
Purpose
Phase 1 of the study is comprised of an open-label, single ascending dose (SAD), multiple cohort study; a multiple dose cycle administration cohort study; and a combination administration study of P-BCMA-101 autologous T stem cell memory (Tscm) CAR-T cells in patients with relapsed / refractory MM. Followed by a Phase 2, open-label, efficacy and safety study. Rimiducid may be administered as indicated.
Condition
- Multiple Myeloma
Eligibility
- Eligible Ages
- Over 18 Years
- Eligible Genders
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- Males or females, ≥18 years of age - Must have a confirmed diagnosis of active MM - Must have measurable MM - Must have relapsed / refractory MM, having received treatment with proteasome inhibitor and IMiD [Phase 2: Must have relapsed / refractory MM, and refractory to last line of therapy, having received treatment with proteasome inhibitor, an IMiD, CD38 targeted therapy and undergone autologous stem cell transplant (ASCT) or not a candidate for ASCT.] - Must have adequate hepatic, renal, cardiac and hematopoietic function
Exclusion Criteria
- Is pregnant or lactating - Has inadequate venous access and/or contraindications to leukapheresis - Has active hemolytic anemia, plasma cell leukemia, Waldenstrom's macroglobulinemia, POEMS syndrome, disseminated intravascular coagulation, leukostasis, amyloidosis, significant autoimmune, CNS or other malignant disease - Has an active second malignancy (not disease-free for at least 5 years) in addition to MM, excluding low-risk neoplasms such as non-metastatic basal cell or squamous cell skin carcinoma. - Has active autoimmune disease - Has a history of significant central nervous system (CNS) disease, such as stroke, epilepsy, etc. - Has an active systemic infection - Has hepatitis B or C virus, human immunodeficiency virus (HIV), or human T-lymphotropic virus (HTLV) infection, or any immunodeficiency syndrome. - Has any psychiatric or medical disorder that would preclude safe participation in and/or adherence to the protocol - Has receiving immunosuppressive or other contraindicated therapies within the excluded time frame from entry - Has CNS metastases or symptomatic CNS involvement - Has a history of having undergone allogeneic stem cell transplantation, or any other allogeneic or xenogeneic transplant, or has undergone autologous transplantation within 90 days. - Unable to take acetylsalicylic acid (ASA) daily as prophylactic anticoagulation. (Cohorts R and RP only). - History of thromboembolic disease within the past 6 months, regardless of anticoagulation (Cohorts R and RP only).
Study Design
- Phase
- Phase 1/Phase 2
- Study Type
- Interventional
- Allocation
- Non-Randomized
- Intervention Model
- Sequential Assignment
- Intervention Model Description
- Phase 1: open label, 3 + 3 design of dose-escalating cohorts Phase 2: open label, administered as a total dose
- Primary Purpose
- Treatment
- Masking
- None (Open Label)
Arm Groups
Arm | Description | Assigned Intervention |
---|---|---|
Experimental Phase 1: P-BCMA-101 CAR-T cells |
Single ascending dose cohorts, given in a single intravenous infusion of CAR-T cells. Rimiducid may be administered as indicated. |
|
Experimental Phase 1 P-BCMA-101 CAR-T cells (Cohort A) |
Single dose given across two intravenous infusions of CAR-T cells. Rimiducid may be administered as indicated. |
|
Experimental Phase 1 P-BCMA-101 CAR-T cells (Cohort B) |
Single dose given across three intravenous infusions of CAR-T cells. Rimiducid may be administered as indicated. |
|
Experimental Phase 1 P-BCMA-101 CAR-T cells (Cohort C) |
Single dose given across two intravenous infusions of CAR-T cells. Rimiducid may be administered as indicated. |
|
Experimental Phase 1 P-BCMA-101 CAR-T cells with Comb.Therapy (Cohort R) |
Single intravenous infusion of CAR-T cells, with combination therapy, beginning one week before CAR-T infusion. Rimiducid may be administered as indicated. |
|
Experimental Phase 1 P-BCMA-101 CAR-T cells with Comb.Therapy (Cohort RP) |
Single intravenous infusion of CAR-T cells, with combination therapy, beginning one week before apheresis. Rimiducid may be administered as indicated. |
|
Experimental Phase 1 P-BCMA-101 CAR-T cells with Comb.Therapy (Cohort RIT) |
Single intravenous infusion of CAR-T cells, with combination therapy, beginning one week before CAR-T infusion. Rimiducid may be administered as indicated. |
|
Experimental Phase 2: P-BCMA-101 CAR-T Cells |
CAR-T cells administered via intravenous infusion as a total dose |
|
More Details
- Status
- Terminated
- Sponsor
- Poseida Therapeutics, Inc.
Study Contact
Detailed Description
Phase 1 follows a 3 + 3 design of dose-escalating cohorts. Phase 2 of the study is an open-label multi-center efficacy and safety study. After a patient enrolls, leukapheresis will be performed to obtain peripheral blood mononuclear cells which will be sent to a manufacturing site to produce P-BCMA-101 CAR-T cells. The cells will then be returned to the investigational site and, after a standard chemotherapy based conditioning regimen, will be administered to the patient across 1-3 infusions, with or without combination therapy. Treated patients will undergo serial measurements of safety, tolerability and response. Rimiducid may be administered as indicated.