AB-1015, an Integrated Circuit T (ICT) Cell Therapy in Patients With Platinum Resistant Epithelial Ovarian Cancer

NCT05617755Active, Not RecruitingPHASE1INTERVENTIONAL

Summary

Key Facts

Lead Sponsor

Arsenal Biosciences, Inc.

Enrollment

19

Start Date

2022-11-29

Completion Date

2024-09-30

Study Type

INTERVENTIONAL

Official Title

An Open-label Phase 1 Study to Evaluate the Safety and Efficacy of AB-1015 in Patients With Resistant/Refractory Epithelial Ovarian Cancer

Interventions

AB-1015

Conditions

CarcinomaOvarian EpithelialOvarian NeoplasmsFallopian Tube NeoplasmsPeritoneal NeoplasmsNeoplasmsGlandular and EpithelialOvarian DiseasesGenital NeoplasmFemaleAbdominal NeoplasmRecurrence

Eligibility

Age Range

18 Years+

Sex

FEMALE

Inclusion Criteria:

* Recurrent, advanced, platinum resistant ovarian, fallopian tube, and primary peritoneal cancer and must have a histological diagnosis of a high-grade serous histology.
* a) Platinum resistant disease is defined as progression of disease within six months of platinum regimen.
* Doubling of cancer antigen 125 (CA-125) level on 2 successive measurements may be considered as meeting the definition of disease progression
* b) Have received at least 2 lines of prior therapy including a platinum-based regimen if eligible and a poly-ADP ribose polymerase (PARP) inhibitor if BRCA1/2 mutated. No more than 3 lines of prior therapy for the treatment of platinum resistant disease is permitted.
* Adequate organ function as per protocol definitions.
* Eastern Cooperative Oncology Group (ECOG) performance status score 0 or 1.
* Evaluable disease (dose escalation cohorts) or measurable disease (backfill cohorts) at time of enrollment as per protocol definitions.
* Negative pregnancy test for women of childbearing potential. Women of non-childbearing potential are those who have been surgically sterilized, have medically confirmed ovarian failure, or have not had menses within the past 12 months.

Exclusion Criteria:

* Cytotoxic chemotherapy within 14 days of time of cell collection.
* Cytotoxic chemotherapy within 14 days of starting of conditioning chemotherapy.
* New York Heart Association functional class II-IV cardiovascular disability
* Clinically significant pericardial effusion
* Pleural or peritoneal effusion that requires drainage for symptom management within 28 days of screening.
* Active autoimmune disease requiring immunosuppressive therapy or uncontrolled with treatment.
* Untreated brain metastasis.
* Subjects unwilling to participate in an extended safety monitoring period.

Outcome Measures

Primary Outcomes

Incidence of adverse events and dose limiting toxicities (DLTs)

Toxicity grading will be evaluated according to the Cancer Therapy Evaluation Program Common Terminology Criteria for Adverse Events version 5.0 and monitoring of adverse events. Cytokine release syndrome (CRS) and immune effector cell-associated neurotoxicity syndrome (ICANS) events will be graded according to the criteria outlined in the protocol.

Time frame: Up to 2 years post treatment

Maximal tolerated dose of AB-1015

Will be determined by a 3x3 dose escalation study

Time frame: Up to 21 days

Secondary Outcomes

Number of AB-1015 cells

Number of AB-1015 cells present in patients treatment with AB-1015

Time frame: Up to 1 year post treatment

Evidence of anti-tumor activity

Assessed according to Response Evaluation Criteria in Solid Tumors (RECIST) 1.1

Time frame: Up to 2 years post treatment

Co-expression of ALPG and MSLN targets on tumor cells

Assessment by immunohistochemistry (or similar method)

Time frame: Up to 2 years post treatment

Locations

UCSF Helen Diller Family Comprehensive Cancer Center, San Francisco, United States

U of Colorado Cancer Center - Anschutz Medical Campus, Aurora, United States

U of Iowa Health Care, Iowa City, United States

Barbara Ann Karmanos Cancer Institute, Detroit, United States

Roswell Park Comprehensive Cancer Center, Buffalo, United States

Memorial Sloan Kettering Cancer Center, New York, United States

MD Anderson Cancer Center, Houston, United States

U of Washington - Fred Hutchinson Cancer Center, Seattle, United States

AB-1015, an Integrated Circuit T (ICT) Cell Therapy in Patients With Platinum Resistant Epithelial Ovarian Cancer