Eligibility |
Key Inclusion Criteria:
- Age 18 years and older
- Eastern Cooperative Oncology Group (ECOG) score of 0 or 1; or Karnofsky Performance
Status (KPS) of = 70%.
- Life expectancy = 12 weeks from the time of enrollment
- Must have adequate organ function, as defined in protocol.
- Patients must be at least 2 weeks or 5 half-lives (whichever is shorter)post systemic
steroids prior to enrollment except as premedication for contrast allergy
- Negative serum pregnancy test for women of child bearing potential (WOCBP). Fertile
male and female patients must be willing to use a contraceptive method before, during,
and for at least 12 months after the last T cell infusion
- All patients must have the ability to understand and willingness to sign a written
informed consent form (ICF).
Exclusion Criteria:
- Patient has received any of the following treatments prior to leukapheresis: cytotoxic
chemotherapy or radiation therapy within 14 days; an antineoplastic monoclonal
antibody within prior 4 weeks; prior targeted therapy 14 days or 5 half-lives from the
last dose whichever is shorter; or prior systemic inhibitory/stimulatory immune
checkpoint molecule therapy (eg, ipilimumab, nivolumab, pembrolizumab, atezolizumab,
OX40 agonists, 4-1BB agonists) within 3 half-lives; or has not recovered from (i.e., =
grade 1) adverse event (AE) caused by prior treatment. Exceptions include hydroxyurea,
single agent vincristine or steroids for uncontrolled ALL.
- Burkitt lymphoma is excluded.
- Prior allogeneic hematopoietic stem cell transplant (HSCT) or donor lymphocyte
infusion within 6 months prior to enrollment, current acute graft versus host disease
grade 2-4 by Glucksberg criteria or severity B-D by by International Bone Marrow
Transplant Registry (IBMTR) index or history of severe (grade 3-4) acute graft versus
host disease.
- Patients with a history of immunodeficiency (except for acquired
hypogammaglobulinemia), patients with active autoimmune disease requiring systemic
immunosuppressive therapy (i.e., > 15 mg of prednisone daily or equivalent), or
patients who have received any other form of immunosuppressive therapy within 7 days
prior to leukapheresis.
- Patients with a history of autoimmune disease resulting in end-organ injury are not
eligible unless attributable to primary disease which is target of this study
- Patient requires treatment with warfarin.
- Patients who have contraindication to the lymphodepletion chemotherapy regimen
- Patient received a live vaccine administration within 4 weeks prior to leukapheresis
- Patient is currently participating in another investigation treatment study, or has
participated in a study of an investigational agent within 4 weeks prior to
leukapheresis.
- Patients with clinically significant pulmonary dysfunction, as determined by medical
history and physical exam should undergo pulmonary function testing; those with a
forced expiratory volume at one second(FEV1) of = 65% or diffuse capacity lung for
carbon monoxide (DLCO; corrected) < 40% will be excluded
- Patients with history of other active malignancy within 1 year prior to enrollment.
- Patients with adequately resected basal or squamous cell carcinoma of the skin,
non-melanoma skin cancer or carcinoma in situ (e.g., skin, cervix, bladder, breast),
superficial bladder cancer, asymptomatic localized low grade prostate cancer for which
watch-and-wait approach is standard of care, or any other cancer that has been in
remission are eligible
- History of concomitant genetic syndrome associated with bone marrow failure such as
Fanconi anemia, Kostmann syndrome, Shwachman-Diamond syndrome
- Known human immunodeficiency virus (HIV) seropositivity or active hepatitis B or C
infection. A history of hepatitis B or C is permitted if the viral load is
undetectable by quantitative assay
- Ongoing uncontrolled serious infection, clinically significant cardiac disease
(i.e.,symptomatic congestive heart failure, myocardial infarction, cardiac angioplasty
or stenting, unstable angina pectoris, uncontrolled cardiac arrhythmia), poorly
controlled pulmonary disease (no clinically significant pleural effusion), or
psychiatric illness/social situations that would limit compliance with study
requirements within 12 months prior to enrollment.
- History of any central nervous system (CNS) disorder such as seizure disorder,
cerebrovascular ischemia/hemorrhage, dementia, cerebellar disease, any autoimmune
disease with CNS involvement, posterior reversible encephalopathy syndrome, or
cerebral edema
- History of symptomatic deep vein thrombosis or pulmonary embolism within 6 months
prior to enrollment
- CNS lymphoma, untreated CNS metastases, leptomeningeal disease and/or carcinomatous
meningitis; patients with a history of brain metastases that are previously treated,
stable, and off systemic steroids for over 30 days prior to screening are eligible
- Patients that have not recovered from major acute infections and/or recent surgical
procedures
- Toxicities due to prior therapy must be stable and recovered to = grade 1 (except for
clinically non-significant toxicities such as alopecia)
- Patients, who in the opinion of the investigator, may not be able to comply with the
monitoring requirements of the study
|