Description:
This is a Phase I dose-finding study of FT538 as monotherapy in acute myeloid leukemia (AML)
and in combination with monoclonal antibodies in multiple myeloma (MM). The study will
consist of a dose-escalation stage and an expansion stage where participants will be enrolled
into indication-specific cohorts.
Title
- Brief Title: FT538 in Subjects With Advanced Hematologic Malignancies
- Official Title: A Phase I, Open-Label, Multicenter Study of FT538 as Monotherapy in Relapsed/Refractory Acute Myelogenous Leukemia and in Combination With Monoclonal Antibodies in Relapsed/Refractory Multiple Myeloma
Clinical Trial IDs
- ORG STUDY ID:
FT538-101
- NCT ID:
NCT04614636
Conditions
- Acute Myeloid Leukemia
- AML, Adult
- Multiple Myeloma
- Myeloma
Interventions
Drug | Synonyms | Arms |
---|
FT538 | | FT538 Monotherapy |
Cyclophosphamid | | FT538 Monotherapy |
Fludarabine | | FT538 Monotherapy |
Daratumumab | Darzalex | FT538 in Combination with Daratumumab |
Elotuzumab | Empliciti | FT538 in Combination with Elotuzumab |
Purpose
This is a Phase I dose-finding study of FT538 as monotherapy in acute myeloid leukemia (AML)
and in combination with monoclonal antibodies in multiple myeloma (MM). The study will
consist of a dose-escalation stage and an expansion stage where participants will be enrolled
into indication-specific cohorts.
Trial Arms
Name | Type | Description | Interventions |
---|
FT538 Monotherapy | Experimental | FT538 monotherapy in subjects with r/r AML | - FT538
- Cyclophosphamid
- Fludarabine
|
FT538 in Combination with Daratumumab | Experimental | FT538 in combination with daratumumab in subjects with r/r MM | - FT538
- Cyclophosphamid
- Fludarabine
- Daratumumab
|
FT538 in Combination with Elotuzumab | Experimental | FT538 in combination with elotuzumab in subjects with r/r MM | - FT538
- Cyclophosphamid
- Fludarabine
- Elotuzumab
|
Eligibility Criteria
Inclusion Criteria:
1. Diagnosis of one of the following by treatment regimen:
Regimen A (FT538 monotherapy in r/r AML)
- Primary refractory AML, or
- Relapsed AML, defined as not in CR after one or more re-induction attempts; if
>60 years of age, prior re-induction therapy is not required
Regimens B or C (FT538 + mAb in r/r MM)
- Regimen B only: MM that has relapsed or progressed after at least two lines of
therapies, including a proteasome inhibitor and an immunomodulatory drug
- Regimen C only: MM that has relapsed or progressed after proteasome inhibitor
therapy, and immunomodulatory therapy
- Regimen B and Regimen C: Measurable disease as defined in the protocol
2. Capable of giving signed informed consent
3. Age ≥18 years old
4. Agreement to comply with study procedures as described in the Schedule of Activities
5. Contraceptive use as described in the protocol
Exclusion Criteria:
1. Females who are pregnant or breastfeeding
2. ECOG Performance Status ≥ 2
3. Evidence of insufficient hematologic function as defined in the protocol
4. Evidence of insufficient organ function defined as defined by the protocol
5. Clinically significant cardiovascular disease as defined by the protocol
6. Known active central nervous system (CNS) involvement by malignancy
7. Non-malignant CNS disease such as stroke, epilepsy, CNS vasculitis, or
neurodegenerative disease or receipt of medications for these conditions in the 2-year
period leading up to study enrollment
8. Currently receiving or likely to require systemic immunosuppressive therapy for any
reason during the treatment period
9. Clinically significant infections including HIV, HBV and HCV
10. Live vaccine <6 weeks prior to start of lympho-conditioning
11. Receipt of an allograft organ transplant
12. Prior allogeneic HSCT or allogeneic CAR-T within 6 months of Day 1, or ongoing
requirement for systemic graft-versus-host therapy
13. Known allergy to albumin (human) or DMSO
14. Presence of any medical or social issues that are likely to interfere with study
conduct or may cause increased risk to subject
15. Any medical condition or clinical laboratory abnormality that per investigator or
Medical Monitor judgement precludes safe participation in and completion of the study,
or which could affect compliance with protocol conduct or interpretation of results
Exclusion Criteria Specific to Regimen A (r/r AML)
16. Diagnosis of promyelocytic leukemia with t(15;17) translocation
17. Receipt of any biological therapy, chemotherapy, or radiation therapy, except for
palliative purposes, within 2 weeks prior to Day 1 or five half-lives, whichever is
shorter; or any investigational therapy within 28 days prior to Day 1
Exclusion Criteria Specific to Regimens B and C (r/r MM)
18. Plasma cell leukemia defined as a plasma cell count >2000/mm3
19. Leptomeningeal involvement of MM
20. Receipt of any biological therapy, chemotherapy, or radiation therapy, except for
palliative purposes, within 2 weeks prior to Day 1 or five half-lives, whichever is
shorter; or any investigational therapy within 28 days prior to the first dose of mAb
21. Allergy or hypersensitivity to antibodies or antibody-related proteins
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Incidence of dose-limiting toxicities within each dose level cohort |
Time Frame: | Cycle 1, Day 29 |
Safety Issue: | |
Description: | |
Secondary Outcome Measures
Measure: | Incidence, nature, and severity of adverse events (AEs) of FT538 as monotherapy in r/r AML and in combination with daratumumab or elotuzumab in r/r multiple myeloma |
Time Frame: | Up to 5 years |
Safety Issue: | |
Description: | |
Measure: | Objective response rate (ORR) of FT538 as monotherapy in r/r AML and in combination with daratumumab or elotuzumab in r/r MM |
Time Frame: | From baseline tumor assessment up to approximately 2 years after last dose of FT538 |
Safety Issue: | |
Description: | Proportion of subjects who achieve a CR, CRMRD-, CRi, MLFS, or PR, as determined by the investigator according to 2017 ELN criteria for AML, and the proportion of subjects with a best overall response of sCR, CR, VGPR, or PR, as determined by the investigator according to standard IMWG for MM response criteria |
Measure: | Duration of response (DOR) of FT538 in combination with daratumumab or elotuzumab in r/r MM |
Time Frame: | Up to 15 years |
Safety Issue: | |
Description: | Defined as the duration from the first occurrence of a documented objective response until the time of disease progression or relapse, or death due to progressive disease, as determined by the investigator according to standard IMWG response criteria |
Measure: | Progression-free survival (PFS) of FT538 in combination with daratumumab or elotuzumab in r/r MM |
Time Frame: | Up to 15 years |
Safety Issue: | |
Description: | Defined as the time from first dose of study treatment to disease progression or relapse, or to the day of death from any cause, as determined by the investigator according to standard IMWG response criteria |
Measure: | Relapse-free survival (RFS) of FT538 as monotherapy in r/r AML and in combination with daratumumab or elotuzumab in r/r MM |
Time Frame: | Up to 15 years |
Safety Issue: | |
Description: | Defined as the time from initial CR (including CRMRD-, CR, and CRi) to hematologic relapse or death due to any cause, as determined by the investigator according to 2017 ELN criteria for AML, and defined as the duration from the start of sCR or CR until the time of relapse from sCR or CR, as determined by the investigator according to standard IMWG response criteria for MM |
Measure: | Event-free survival (EFS) of FT538 as monotherapy in r/r AML |
Time Frame: | Up to 15 years |
Safety Issue: | |
Description: | defined as the time from first dose of lympho-conditioning to the date of PD, or relapse from CR or CRi, or death from any cause, according to 2017 ELN criteria |
Measure: | Overall survival (OS) of FT538 as monotherapy in r/r AML and in combination with daratumumab or elotuzumab in r/r MM |
Time Frame: | Up to 15 years |
Safety Issue: | |
Description: | defined as the time from first dose of lympho-conditioning to death from any cause |
Measure: | Time-to-best response of FT538 as monotherapy in r/r AML |
Time Frame: | Up to 15 years |
Safety Issue: | |
Description: | defined as the time from first dose of lympho-conditioning to best response |
Measure: | Determination of the pharmacokinetics (PK) of FT538 cells in peripheral blood |
Time Frame: | Study Days: 1, 2, 4, 8, 11, 15, 18, 22, 29 |
Safety Issue: | |
Description: | The PK of FT538 in peripheral blood will be reported as the relative percentage of product (FT538) DNA versus patient DNA (% chimerism) measured from blood samples at the specified time points |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Fate Therapeutics |
Trial Keywords
- Acute Myeloid Leukemia
- AML
- Multiple Myeloma
- daratumumab
- elotuzumab
- NK cell
- cellular therapy
Last Updated
March 5, 2021