Hematologic Malignancies Clinical Trial
Official title:
A Phase I/II Safety Study of Planned BPX-501 T Cell Infusion After Partially Mismatched, Related, HSCT in Adults With Advanced Hematologic Malignances at High Risk for Relapse
This is an open-label, non-randomized study to evaluate the safety of two planned infusions of BPX-501 T cells after partially mismatched, related (haploidentical) HSCT in adults with hematologic malignancies.
The objective is to evaluate the safety of two planned infusions of BPX-501 after partially
mismatched, related HSCT with post-transplant cyclophosphamide and to evaluate the safety and
efficacy of the treatment of dimerizer drug, rimiducid (AP1903), to subjects who received
BPX-501 and have uncontrolled GvHD. Assuming no toxicity, enrollment will proceed
sequentially for the initial 9 patients (following the 3+3 design), who will be followed for
100 days, prior to enrolling the subsequent 31 patients. Toxicity may increase the number of
initial group of patients). As multiple dose levels may be administered among the first 9 (or
more) patients, toxicity will be assessed on the cohort with the maximum tolerated dose
(MTD).
The Medical Monitoring committee will review the data with the investigators and determine
whether to proceed and or implement any changes to the protocol
BPX-501 contains genetically modified donor T cells that have an inducible safety switch
iCasp9 suicide gene. In the event of acute GvHD, administration of rimiducid dimerizes and
activates caspase 9; this activates downstream caspases, obligating cellular apoptosis within
24 hours.
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