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Completed

NCT Number: NCT05653271

ACE1831 in Adult Subjects With Relapsed/ Refractory CD20-expressing B-cell Malignancies

ACE1831 is an off-the-shelf, allogeneic gamma delta T (gdT) cell therapy derived from healthy donors, that is under investigation for the treatment of CD20-expressing B-cell malignancies.

The ACE1831-001 study is an open-label, Phase I, first-in-human (FIH) study that aims to evaluate the safety and tolerability, pharmacokinetics and pharmacodynamics, and efficacy of ACE1831 in patients with CD20-expressing Non-Hodgkin lymphoma.

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Key information

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Key Inclusion Criteria:

  • CD20-positive B-cell NHL that is persistent or progressive after having received at least 2 prior systemic therapies per NCCN guidelines
  • At least 1 measurable lesion according to the revised International Working Group (IWG) Response Criteria for Malignant Lymphoma
  • Eastern Cooperative Oncology Group (ECOG) Performance Status 0-1 or subjects with ECOG scores of 2 with a serum albumin of >3.5
  • Adequate hematologic and renal, hepatic, and cardiac function
  • Oxygen saturation via pulse oxygenation ≥ 92% at rest on room air

Key Exclusion Criteria:

  • Prior treatment with a genetically modified cell therapy product targeting CD20
  • Autologous stem cell transplant within 6 weeks of informed consent or history of allogeneic stem cell transplantation
  • History of central nervous system (CNS) lymphoma or primary CNS lymphoma
  • History or presence of clinically relevant CNS disorder (e.g. epilepsy)
  • Clinically significant active infection
  • Currently active, clinically significant cardiovascular disease
  • Human Immunodeficiency virus (HIV) infection (however, subjects on anti-retroviral therapy for at least 4 weeks and with HIV viral loads of <400 copies/mL are eligible), active hepatitis B infection, or hepatitis C infection
  • History of other malignancies with the exception of certain treated malignancies with no evidence of disease
  • Primary immunodeficiency disorder
  • Pregnant or lactating female
  • Any medical, psychological, familial, or sociological conditions that, in the opinion of the Investigator or Sponsor Medical Monitor, would impair the ability of the subject to receive study treatment, comply with study requirements, or understanding of the informed consent

Treatment and study plan

Cyclophosphamide

Drug

Lymphodepleting agent

Fludarabine

Drug

Lymphodepleting agent

ACE1831

Drug

Allogeneic gamma delta T (gdT) cell therapy

Obinutuzumab

Drug

Anti-CD20 monoclonal antibody

Primary outcomes

  1. Incidence of adverse events (AEs), Dose Limiting Toxicities (DLTs), adverse events of special interest (AESIs), and serious adverse events (SAEs)

    Time frame: 2 years

  2. Change from baseline in ECOG status

    Time frame: 1 year

  3. Change from baseline in physical examination results

    Time frame: 1 year

    Number of subject with change from baseline clinically significant physical examination findings by dose level (descriptive)

  4. Change from baseline clinical laboratory tests results

    Time frame: 1 year

    Number of subjects with change from baseline clinically significant lab findings by dose level (descriptive)

  5. Change from baseline in urinalysis results

    Time frame: 1 year

    Number of subjects with change from baseline clinically significant urinalysis findings by dose level (descriptive)

  6. Change from baseline in vital signs results

    Time frame: 1 year

    Number of subjects with change from baseline clinical significant vital signs findings by dose level (descriptive)

  7. Change from baseline in electrocardiogram (ECG) results

    Time frame: 1 month

    Number of subjects with change from baseline clinically significant ECG findings by dose level (descriptive)

  8. Maximum Tolerated Dose (MTD)

    Time frame: 1 month

Secondary outcomes

  1. Persistence of ACE1831 after administration

    Time frame: 1 month

    Half-life of ACE1831

  2. Measure of anti-ACE1831 antibodies after administration

    Time frame: 1 month

    Titration of anti-ACE1831 antibodies after administration

  3. Objective Response Rate (ORR)

    Time frame: 2 years

    Objective response of each patient's underlying lymphoma, duration of response, and progression-free survival all based on the revised IWG Response Criteria for Malignant Lymphoma

Other outcomes

  1. Pharmacodynamics of ACE1831

    Time frame: 2 years

    Serum levels of interferon-γ, TNF-α, IL-2, IL-6, IL-8 and IL-10, as well as other potential biomarkers

Sponsors and collaborators

Lead sponsor

Acepodia Biotech, Inc.

Industry

Registry information

Official study title

A Phase 1 Multicenter Study Evaluating the Safety and Efficacy of ACE1831, an Allogeneic Anti-CD20 Antibody-Conjugated Gamma Delta T-cell Therapy, in Adult Subjects With Relapsed/Refractory CD20-expressing B-cell Malignancies

Important dates

Study start
2023
Primary completion
2026
Study completion
2026
First posted
Dec 16, 2022
Registry last updated
Jun 30, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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