T-Cell Therapy (EB103) in Adults With Relapsed/Refractory B-Cell Non-Hodgkin's Lymphoma (NHL)

Study Purpose

This is an open-label, dose escalation, multi-center, Phase I/II clinical trial to assess the safety of an autologous T-cell therapy (EB103) and to determine the Recommended Phase II Dose (RP2D) in adult subjects (≥ 18 years of age) who have relapsed/refractory (R/R) B-cell NHL. The study will include a dose escalation phase followed by an expansion phase.

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 18 Years and Over
Gender All
More Inclusion & Exclusion Criteria

Inclusion Criteria:

  • - Age 18 years or older at the time of informed consent.
  • - Histologically confirmed R/R B-cell non-Hodgkin's lymphoma (NHL) - Adequate organ function.
  • - Relapsed or refractory (R/R) disease defined as ONE OR MORE of the following: - R/R after ≥ 2 lines of systemic therapy.
  • - For the following NHL types: Burkitt lymphoma, Precursor B-cell lymphoblastic lymphoma, or Mantle cell lymphoma: R/R after ≥ 1 lines of systemic therapy.
  • - Disease progression or recurrence ≤ 12 months after autologous hematopoietic stem cell transplantation (HSCT) - For subjects who are considered transplant-ineligible: progressive disease as best response after ≥ 4 cycles of first-line therapy and stable disease as best response after ≥ 2 cycles of second-line (salvage) therapy; subject must have received an anti-CD20 monoclonal antibody and an anthracycline as one of their qualifying regimens.
  • - All subjects must have received an appropriate chemoimmunotherapy regimen which at a minimum includes an: - Anti-CD20 monoclonal antibody AND.
  • - An anthracycline-containing chemotherapy regimen.
  • - Positron emission tomography (PET)-positive disease according to Cheson 2014.
  • - Eastern Cooperative Oncology Group (ECOG) ≤ 2.
  • - Toxicities due to prior therapy must be stable and recovered to Grade 1 or less.

Exclusion Criteria:

  • - Prior CD19-targeted cellular therapy.
  • - History of Richter's transformation of chronic lymphocytic leukemia (CLL) - History of another primary malignancy that has not been in remission for ≥ 2 years.
  • - History or presence of clinically relevant Central Nervous System (CNS) pathology.
  • - CNS disease which is progressing on most recent therapy or with a parenchymal mass which is likely to cause clinical symptoms.
  • - Subjects with active cardiac lymphoma involvement which is not responding to treatment.
  • - History of myocardial infarction, cardiac angioplasty and stenting, unstable angina, or other clinically significant cardiac disease within 6 months of informed consent.
  • - Active, uncontrolled systemic bacterial, fungal, or viral infection.
Patients with HIV, hepatitis B, or hepatitis C are eligible provided their infection is being treated and the viral load is controlled.
  • - History of autoimmune disease resulting in end organ injury or requiring systemic immunosuppression/systemic disease modifying agents within the last 2 years.
  • - History of severe, immediate hypersensitivity reaction to any agents used in this study, including the conditioning chemotherapeutic agents.
  • - Venous thrombosis or embolism not managed on a stable regimen of anticoagulation.
  • - Autologous HSCT within 3 months of informed consent.
  • - Subjects with a prior allogeneic transplant at least 6 months prior to study enrollment are eligible unless experienced graft-versus-host disease (GvHD) that requires ongoing treatment with systemic steroids or other systemic GvHD therapy, such as a calcineurin inhibitor, within 12 weeks of initial screening.
- Live vaccine within 3 months prior to planned start of conditioning regimen

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.

NCT06343311
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/Phase 2
Lead Sponsor

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

Estrella Biopharma, Inc.
Principal Investigator

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

Pei Wang, PhD
Principal Investigator Affiliation Eureka Therapeutics Inc.
Agency Class

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

Industry
Overall Status Not yet recruiting
Countries
Conditions

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

B-Cell Non-Hodgkin's Lymphoma (NHL), Lymphoma, Non-Hodgkins, Lymphomas Non-Hodgkin's B-Cell, Non-Hodgkin Lymphoma, Non-Hodgkin's Lymphoma, Large B-Cell Lymphoma, Lymphoma, Non-Hodgkin's, Adult, Lymphoma, Refractory Non-Hodgkin Lymphoma, Relapsed Non-Hodgkin Lymphoma, Lymphoma, Non-Hodgkin, HIV Associated Lymphoma, CNS Lymphoma, High-grade B-cell Lymphoma, Refractory B-Cell Non-Hodgkin Lymphoma
Additional Details

This is an open-label, dose escalation, multi-center, Phase I/II clinical trial to assess the safety of EB103 and determine the RP2D in adult subjects (≥ 18 years of age) who have R/R B-cell NHL. The study will include a dose escalation phase followed by an expansion phase. A traditional dose escalation model (3+3 design) will be used to determine the RP2D, and once determined, the expansion phase will commence. Additional subjects will be enrolled in the expansion phase to further confirm the safety profile of EB103 at the RP2D and evaluate the preliminary efficacy of EB103.

Arms & Interventions

Arms

Other: EB103

Approximately six (6) subjects will be treated to determine the RP2D. At the designated RP2D, approximately fifteen (15) additional subjects will be treated.

Interventions

Biological: - EB103

EB103 is an autologous T-cell therapy whereby a subject's own T cells are transduced with a lentiviral vector expressing the EB103 transgene.

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:

Teresa Klask, MBA

[email protected]

925-949-9314

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

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