A Safety and Efficacy Study Evaluating CTX112 in Subjects With Relapsed or Refractory B-Cell Malignancies

Sponsor
CRISPR Therapeutics AG (Industry)
Overall Status
Not yet recruiting
CT.gov ID
NCT05643742
Collaborator
(none)
120
1
85

Study Details

Study Description

Brief Summary

This is an open-label, multicenter, Phase 1/2 study evaluating the safety and efficacy of CTX112™ in subjects with relapsed or refractory B-cell malignancies.

Detailed Description

This is an open-label, multi-center Phase 1/2 study of CTX112 in subjects with relapsed/refractory B cell malignancies. CTX112 is an is allogeneic CD19-directed chimeric antigen receptor (CAR) T cell immunotherapy comprised of allogeneic T cells that are genetically modified ex vivo using CRISPR-Cas9 (clustered regularly interspaced short palindromic repeats/ CRISPR associated protein 9) gene editing components (single guide RNA and Cas9 nuclease).

Study Design

Study Type:
Interventional
Anticipated Enrollment :
120 participants
Allocation:
N/A
Intervention Model:
Sequential Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Phase 1/2, Open-Label, Multicenter, Dose Escalation and Cohort Expansion Study of the Safety and Efficacy of Anti-CD19 Allogeneic CRISPR-Cas9-Engineered T Cells (CTX112) in Subjects With Relapsed or Refractory B Cell Malignancies
Anticipated Study Start Date :
Jan 1, 2023
Anticipated Primary Completion Date :
Jan 1, 2030
Anticipated Study Completion Date :
Feb 1, 2030

Arms and Interventions

Arm Intervention/Treatment
Experimental: CTX112

Administered by IV infusion following lymphodepleting chemotherapy.

Biological: CTX112
CTX112 (CD19-directed T-cell immunotherapy comprised of allogeneic T cells genetically modified ex vivo using CRISPR-Cas9 gene editing components)

Outcome Measures

Primary Outcome Measures

  1. Phase 1 (Dose Escalation): Incidence of adverse events, defined as dose-limiting toxicities [From CTX112 infusion up to 28 days post-infusion]

  2. Phase 2 (Cohort Expansion): Objective response rate [From CTX112 infusion up to 60 months post-infusion]

Secondary Outcome Measures

  1. Duration of Response [From date of first objective response of complete response (CR)/partial response (PR) until date of disease progression or death due to any cause, assessed up to 60 months]

    Duration of Response (DOR) will only be reported for subjects who have had CR/PR events

  2. Duration of Clinical Benefit (DOCB) [From date of first objective response of CR/PR until the relapse or death that followed the last response, assessed up to 60 months]

  3. Progression Free Survival [From date of CTX112 infusion until date of disease progression or death due to any cause, assessed up to 60 months]

  4. Overall Survival [From date of CTX112 infusion until date of death due to any cause, assessed up to 60 months]

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Key Inclusion Criteria:
  1. Age ≥18 years.

  2. Refractory or relapsed B cell malignancy.

  3. Eastern Cooperative Oncology Group performance status 0 or 1.

  4. Adequate renal, liver, cardiac and pulmonary organ function.

  5. Female subjects of childbearing potential and male subjects must agree to use acceptable method(s) of contraception from enrollment through at least 12 months after CTX112 infusion.

Key Exclusion Criteria:
  1. Prior allogeneic hematopoietic stem cell transplant (HSCT).

  2. Active or history of central nervous system (CNS) involvement by malignancy.

  3. History of a seizure disorder, cerebrovascular ischemia/hemorrhage, dementia, cerebellar disease, or any autoimmune disease with CNS involvement.

  4. Presence of bacterial, viral, or fungal infection that is uncontrolled or requires IV anti-infectives.

  5. Active HIV, hepatitis B virus or hepatitis C virus infection.

  6. Previous or concurrent malignancy, except basal cell or squamous cell skin carcinoma, adequately resected and in situ carcinoma of cervix, or a previous malignancy that was completely resected and has been in remission for ≥5 years.

  7. Use of systemic anti-tumor therapy or investigational agent within 14 days or 5 half-lives, whichever is longer, of enrollment.

  8. Primary immunodeficiency disorder or active autoimmune disease requiring steroids and/or other immunosuppressive therapy.

  9. Women who are pregnant or breastfeeding.

Contacts and Locations

Locations

No locations specified.

Sponsors and Collaborators

  • CRISPR Therapeutics AG

Investigators

  • Study Director: Sarah Cohen, MD, CRISPR Therapeutics

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
CRISPR Therapeutics AG
ClinicalTrials.gov Identifier:
NCT05643742
Other Study ID Numbers:
  • CRSP-ONC-006
First Posted:
Dec 9, 2022
Last Update Posted:
Dec 14, 2022
Last Verified:
Dec 1, 2022
Individual Participant Data (IPD) Sharing Statement:
No
Plan to Share IPD:
No
Studies a U.S. FDA-regulated Drug Product:
Yes
Studies a U.S. FDA-regulated Device Product:
No
Keywords provided by CRISPR Therapeutics AG
Additional relevant MeSH terms:

Study Results

No Results Posted as of Dec 14, 2022