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Completed

NCT Number: NCT01527838

Single Treatment With FT1050 of an Ex-vivo Modulated Umbilical Cord Blood Unit

This trial is a prospective, open-label, single-arm trial of the safety of a single FT1050-treated CB unit for hematopoietic reconstitution after a reduced-intensity conditioning regimen for hematologic malignancies. A maximum of 40 eligible adult subjects will be enrolled and treated in the trial at approximately 2-4 centers within the U.S.

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Key information

About this study

The trial will be conducted in three sequential cohorts of 6-12 evaluable subjects each.

Cohort 1 will enroll eligible subjects for whom a single CB unit has been identified that meets the minimum HLA-matching criteria and has a minimum pre-cryopreservation total nucleated cell (TNC) dose of at least 2.5 x 10^7 cells/kg. Cohort 2 is identical to Cohort 1, except that the TNC dose of the CB unit must be between 2.0 - <2.5 x 10^7 cells/kg. Finally, Cohort 3 is identical to Cohort 2, except that the TNC dose of the CB unit must be between 1.5 - <2.0 x 10^7 cells/kg. If no safety rules are triggered, the study will proceed to the next dosing cohort. Within a dosing cohort, no more than three subjects may be before Day 42 at any one time, unless they have already engrafted neutrophils. The final dosing cohort is defined as the last cohort where 12 evaluable subjects are treated and no stopping rules are triggered. The corresponding TNC dose level will be considered the minimally acceptable TNC dose level.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Subjects with hematologic malignancies for whom allogeneic stem cell transplantation is deemed clinically appropriate. Eligible diseases and stages include:
  • Non-Hodgkin's lymphoma or Hodgkin's lymphoma
  • Chronic lymphocytic leukemia (CLL)
  • Acute myelogenous leukemia (AML)
  • Chronic myelogenous leukemia (CML)
  • Lack of 5-6/6 HLA-matched related or 8/8 HLA-A, B, C, DRß1 matched unrelated donor; or unrelated donor not available within appropriate timeframe.
  • Identification of suitable backup CB unit(s) (single unit with pre-cryopreservation cell dose ≥ 2.5 x 10^7 TNC/kg or two units with pre-cryopreservation cell dose ≥ 1.5 x 10^7 TNC/kg each) and meeting minimum HLA match criteria.
  • An acceptable alternative to one or two backup CB unit(s) is the identification of an eligible related haploidentical donor that meets minimum HLA match criteria.
  • Age 18-65 years.
  • Eastern Cooperative Oncology Group (ECOG) performance status 0-2.
  • Signed IRB approved Informed Consent Form (ICF).

Exclusion criteria

  • The following hematologic malignancies are excluded:
  • Myelofibrosis (Agnogenic Myeloid Metaplasia)
  • Aplastic anemia.
  • Previous treatment that included an allogeneic transplant
  • Cardiac disease: symptomatic congestive heart failure or evidence of left ventricular
  • dysfunction (Ejection fraction < 40%) as measured by gated radionucleotide ventriculogram or echocardiogram; active angina pectoris, or uncontrolled hypertension; history of myocardial infarction with depressed ejection fraction.
  • Pulmonary disease: symptomatic chronic obstructive lung disease, symptomatic restrictive lung disease, or corrected DLCO of < 50% of predicted, corrected for hemoglobin.
  • Renal disease: serum creatinine > 2.0 mg/dl and calculated creatinine clearance < 40 mL/min
  • Hepatic disease: serum bilirubin > 2.0 mg/dl (except in the case of Gilbert's syndrome or ongoing hemolytic anemia), SGOT or SGPT > 3 x upper limit of normal.
  • Neurologic disease: symptomatic leukoencephalopathy, active CNS malignancy or other neuropsychiatric abnormalities believed to preclude transplantation.
  • HIV antibody.
  • Uncontrolled infection.
  • Pregnancy or breast feeding mother.
  • Inability to comply with the requirements for care after allogeneic stem cell transplantation.
  • Participation in a concurrent clinical trial with a novel, unapproved investigational agent < 30 days prior to Day 0.

Treatment and study plan

Single FT1050 treated UCB unit

Biological

Ex-vivo CXCR4 upregulated hematopoietic progenitor cells, cord blood

Primary outcomes

  1. Neutrophil engraftment/chimerism

    Time frame: Day 42

    To determine the minimally effective TNC dose for a single FT1050-treated CB unit based on neutrophil engraftment/chimerism when used for hematopoietic reconstitution following a reduced-intensity conditioning regimen for hematologic malignancies.

Secondary outcomes

  1. Safety

    Time frame: Day 100

    Define the safety profile of treatment with a single FT1050-treated CB unit. To define the preliminary efficacy of treatment with a single FT1050-treated CB unit.

  2. Immune reconstitution

    Time frame: 2 years

    To assess immune reconstitution (B-, T-, and NK-cells).

  3. Donor search

    Time frame: Day 0

    To determine time from the initiation of donor search to transplantation.

Sponsors and collaborators

Lead sponsor

Fate Therapeutics

Industry

Registry information

Official study title

A Phase I Trial of a Single FT1050 (16,16-Dimethyl Prostaglandin E2) Ex Vivo-Modulated Umbilical Cord Blood (CB) Unit Following a Reduced Intensity Conditioning Regimen For Adults With Hematologic Malignancies

Important dates

Study start
2012
Primary completion
2013
Study completion
2013
First posted
Feb 7, 2012
Registry last updated
Sep 12, 2016

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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