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MPN Clinical Trial Finder

Clinical Trial Finder

Search Results

IIT PH1 KDS-1001 in Patients With CML

Study Purpose

This open label, non-randomized, prospective phase I study is designed to evaluate if the addition of natural killer cell therapy (KDS-1001) to tyrosine kinase inhibitors (TKIs) for chronic myeloid leukemia (CML) patients with persistent or recurrent molecular residual disease (MRD) after at least one year of TKI therapy will allow patients to achieve RT-PCR negativity (MRD negative). This may have implications for future TKI cessation studies.

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 N/A and Over
Gender All
More Inclusion & Exclusion Criteria

Inclusion Criteria:

1. Patients with non-blast phase CML by standard definition. This should be confirmed by presence of the Philadelphia chromosome or variants of the (9;22) translocation by cytogenetics, FISH or with a positive RT-PCR for BCR-ABL. Repeat marrow not required for enrollment although documentation of current chronic phase disease is required. Chronic Phase CML is defined as follows: 1. <15% blasts in peripheral blood and marrow. 2. <30% blasts plus promyelocytes in peripheral blood and marrow. 3. <20% basophils in peripheral blood. 4. >100 x 109/L platelets. 5. No evidence of extramedullary leukemic involvement with the exception of hepatosplenomegaly. Accelerated Phase CML is defined as follows: 1. <30% blasts in blood, marrow or both. 2. No evidence of extramedullary leukemic involvement with the exception of hepatosplenomegaly. 2. > 18 years of age and able to provide informed consent. 3. Patients must have been on TKI therapy for CML for at least 1 year prior to enrollment at minimum goal doses. Imatinib 300mg PO daily Dasatinib 70mg PO daily Nilotinib 200mg PO BID Bosutinib 300mg PO daily Ponatinib 30mg PO daily Lower than goal doses are allowed IF documented by the treating physician that the goal dose was not tolerable due to toxicity. 4. Patient must have been on their most recent TKI consistently for at least 6 months prior to enrollment on study. 5. Must be expected to remain on current TKI for at least 6 months following last infusion, unless there is progression of disease. 6. Detectable BCR-ABL transcripts measured by RT-PCR at a CLIA-approved laboratory and reported on the IS with a value of >0.01% within 28 days prior to study enrollment. The chosen RT-PCR test must be sensitive enough to detect a 4.5 log reduction in BCR/ABL transcripts measured in peripheral blood. 7. Performance status must be ECOG PS 0, 1, or 2. 8. Woman of childbearing potential and is willing to use 2 highly effective methods of contraception while receiving study treatment and for an additional 3 months after the last dose of protocol-specified therapy. Male who has a female partner of childbearing potential, and is willing to use 2 highly effective forms of contraception for at least an additional 3 months after the last dose of protocol-specified therapy.

Exclusion Criteria:

Patients who meet any of the following criteria will be excluded from the study: 1. Current blast crisis phase disease by standard definition from the NCCN. 2. Pregnant or lactating females. 3. On other investigational agents for CML within 4 weeks of study enrollment. 4. Platelets of <50,000/mm3, ANC <500/mm3 or hemoglobin < 7.5 g.dL. 5. Abnormal screening laboratory values as defined below: 1. AST (SGOT) and/or ALT (SGPT) and/or alkaline phosphatase ≥ 5 x upper limit of normal (ULN) 2. Total bilirubin >1.5 x ULN (unless related to Gilbert´s or Meulengracht disease or leukemic infiltration) 3. Creatinine ≥ 3 ULN or creatinine clearance < 50 mL/min (calculated) 4. Those with residual toxicity of >grade 1 from prior therapy in areas that may be expected to worsen over time; those with residual toxicities of grade 2 which are stable prior to enrollment and the natural history of which would be expected to be 'no change' over time are allowed; those with grade 3 or 4 residual toxicities are not. 6. Positive test for human immunodeficiency virus (HIV) infection or known acquired immunodeficiency syndrome (AIDS) 7. Positive hepatitis B virus (HBV) or hepatitis C virus (HCV) indicating acute or chronic infection (those with prior infection that is now post treatment and PCR negative are allowed) 8. Current use of immunosuppressive medications at the time of study enrollment and within 2 weeks of any study treatments, except: 1. Intranasal, inhaled, topical steroids, or local steroid injection. 2. Systemic corticosteroids at physiologic doses ≤10 mg/day of prednisone or equivalent. 3. Steroids as premedication for hypersensitivity reactions at physiologic doses ≤10 mg/day of prednisone or equivalent. 9. Patients with other major medical or psychiatric illnesses, which the treating physician feels, could seriously compromise tolerance or compliance to this protocol. 10. Diagnosis of prior immunodeficiency or organ transplant requiring immunosuppressive therapy. 11. Any of the following in the previous 6 months: myocardial infarction, severe/unstable angina, coronary/peripheral artery bypass graft, symptomatic congestive heart failure, cerebrovascular accident, transient ischemic attack, deep vein thrombosis, or symptomatic pulmonary embolism. 12. Known prior or suspected hypersensitivity to study drugs or any component in their formulations. 13. Active autoimmune disease that might deteriorate when receiving an immunostimulatory agent. Patients with diabetes type I, vitiligo, psoriasis, or hypo- or hyperthyroid disease not requiring immunosuppressive treatment are eligible. 14. Diagnosis of any other malignancy within 3 years, except for adequately treated basal cell or squamous cell skin cancer, carcinoma in situ of the breast or of the cervix, low grade prostate cancer on surveillance without any plans for treatment intervention, or prostate cancer that has been adequately treated with prostatectomy or radiotherapy and currently with no evidence of disease or symptoms. 15. Active infection requiring systemic therapy

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.

NCT04808115
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
Lead Sponsor

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

Lindsay Rein, MD
Principal Investigator

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

Lindsay Rein, MD
Principal Investigator Affiliation Assistant Professor of Medicine, Hematologic Malignancies & Cell Therapy
Agency Class

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

Other, Industry
Overall Status Not yet recruiting
Countries
Conditions

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

CML (Chronic Myelogenous Leukemia
Arms & Interventions

Arms

Experimental: KDS-1001

KDS-1001 is infused on Day 1 of each 14 day cycle. Patients will receive 6 cycles of KDS-1001 treatment.

Interventions

Drug: - KDS-1001

Cycles 1-6 (14 days per cycle) 1 x 109/KDS-1001 cells/infusion administered on day 1 of each cycle

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:

Caitlyn Campbell

[email protected]

919-668-5660

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

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