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OpenTrials
Active, Not Recruiting

NCT Number: NCT04526834

Phase 1 Study of Autologous CD30.CAR-T in Relapsed or Refractory CD30 Positive Non-Hodgkin Lymphoma

This is a phase 1 study to evaluate safety and dose-limiting toxicity of autologous CD30.CAR-T in subjects with relapsed or refractory CD30+ Non-Hodgkin Lymphoma

Active, Not Recruiting

This study is active but is not currently recruiting participants.

Key information

About this study

Adult patients with relapsed or refractory CD30-positive Non-Hodgkin Lymphoma who have failed standard available therapies and who meet eligibility criteria will have blood drawn to manufacture the CD30.CAR-T cells.

CD30.CAR-T cells will be infused once following the completion of lymphodepleting chemotherapy with Bendamustine and Fludarabine.

Subjects will be closely monitored for DLT and safety.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

Eligibility is determined priori to leukapheresis. Patients must satisfy the following criteria to be enrolled in this study:

  • Signed Informed Consent Form
  • Male or female patients who are 18-75 years of age
  • Histologically confirmed ALCL, PTCL- NOS, ENKTCL nasal type, DLBCL-NOS and PMBCL
  • Relapsed or refractory CD30-positive NHL who have failed all available standards of therapy. Patients may or may not have received an autologous or allogeneic HSCT CD30-positive tumor
  • At least 1 measurable lesion according to the Lugano Classification
  • ECOG PS of 0 to 1 or equivalent Karnofsky PS Anticipated life expectancy >12 weeks

Exclusion criteria

  • CNS involvement by malignancy
  • Inadequate laboratory abnormalities at screening:

Hgb ≤ 8.0 g/dL Total bilirubin > 1.5 x ULN (>2 x ULN for patients with Gilbert's syndrome) AST and ALT ≥ 5 x ULN CrCL ≤ 45 mL/min (as measured by Cockcroft-Gault equation) ANC ≤ 1000/uL Platelets ≤75,000/uL PR or INR >1.5 x ULN aPTT> 1.5 x ULN

  • Active uncontrolled bleeding or a known bleeding diathesis
  • Inadequate pulmonary function defined as pulse oximetry < 90% on room air
  • Ongoing treatment with immunosuppressive drugs including calcineurin inhibitions, TNFalpha, mTOR, etc or chronic systemic corticosteroids (>10 mg/day prednisone or equivalent for >48 hours)
  • Received prior therapy of:

Anti-CD30 Ab based therapy within the previous 8 weeks Previous CD30.CAR-T investigational product Bi-specific CD30 Ab within the previous 8 weeks Allogenic HSCT in the last 180 days Autologous HSCT within 90 days

  • Active GVHD requiring immune suppression regardless of grade
  • HIV positive
  • Active HBV and/or HCV

Treatment and study plan

CD30.CAR-T

Drug

Bendamustine and Fludarabine (3 days)

Dose level 1: 2 x 108 cell/m2 CD30.CAR-T (Day 0)

Dose level 2: 4 x 108 cell/m2 CD30.CAR-T (Day 0)

Dose level 3: 6 x 108 cell/m2 CD30.CAR-T (Day 0)

Other names: CD30-directed genetically modified autologous T cells

Primary outcomes

  1. To evaluate safety and dose limiting toxicities (DLT) of autologous CD30.CAR-T and establish the recommended Phase dose

    Time frame: Day 0 to 28 for DLT

    Incidence of DLTs and occurrence of study related adverse events

Secondary outcomes

  1. To evaluate pharmacokinetics of autologous CD30.CAR-T

    Time frame: Start of infusion of CD30.CAR-T (Day 0) until year 5

    AUC (copies/ug DNA over time)

  2. Objective Response Rate (ORR)

    Time frame: Start of CD30.CAR-T (Day 0) until progressive disease or start of new cancer therapy, whichever comes first, up to one year

    ORR

  3. Duration of Response (DOR)

    Time frame: Start of CD30.CAR-T (day 0) until progressive disease or death, whichever comes first, up to one year

    DOR

  4. Progression Free Survival (PFS)

    Time frame: Start of CD30.CAR-T (Day 0) until progressive disease or death, whichever comes first, up to one year

    PFS

Sponsors and collaborators

Lead sponsor

Tessa Therapeutics

Industry

Registry information

Official study title

Phase 1 Study of CD30-Directed Genetically Modified Autologous T-Cells (CD30.CAR-T) in Patients With Relapsed or Refractory CD30 Positive Non-Hodgkin Lymphoma

Acronym: CERTAIN

Important dates

Study start
2021
Primary completion
2022
Study completion
2036
First posted
Aug 26, 2020
Registry last updated
Apr 20, 2023

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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