Phase 1/1b study of T-allo10 infusion after HLA-partially matched abdepleted-HSCT in children and young adults with hematologic malignancies.
Grant Award Details
Grant Type:
Grant Number:
CLIN2-12563
Investigator(s):
Disease Focus:
Human Stem Cell Use:
Award Value:
$10,563,822
Status:
Active
Grant Application Details
Application Title:
Phase 1/1b study of T-allo10 infusion after HLA-partially matched abdepleted-HSCT in children and young adults with hematologic malignancies.
Public Abstract:
Therapeutic Candidate or Device
An immunotherapy cell product, T-allo10, that is enriched for specialized immune cells called type I regulatory T (Tr1) cells
Indication
Children and young adults with relapse/refractory acute leukemia receiving a specialized stem cell transplant, αβdepleted-HSCT
Therapeutic Mechanism
αβdepleted-HSCT has increased the number of patients who can safely receive transplants, however this strategy cannot provide a fast reconstitution of the immune system which is critical for infection fighting functions and prevention of leukemia relapse. The proposed therapy, T-allo10, when given after αβdepleted-HSCT has the potential to accelerate recovery of immune responses without graft versus host disease, thus improving cancer-free outcomes for children with leukemia.
Unmet Medical Need
Hematologic malignancies are the most common cancer in children and young adults, and current treatment options do not offer long-term cure. We propose that post-αβdepleted HSCT infusion of T-allo10 will improve the probability of being alive and disease free, thus addressing an unmet medical need.
Project Objective
Phase 1/1b to select dose, safety & pilot efficacy
Major Proposed Activities
An immunotherapy cell product, T-allo10, that is enriched for specialized immune cells called type I regulatory T (Tr1) cells
Indication
Children and young adults with relapse/refractory acute leukemia receiving a specialized stem cell transplant, αβdepleted-HSCT
Therapeutic Mechanism
αβdepleted-HSCT has increased the number of patients who can safely receive transplants, however this strategy cannot provide a fast reconstitution of the immune system which is critical for infection fighting functions and prevention of leukemia relapse. The proposed therapy, T-allo10, when given after αβdepleted-HSCT has the potential to accelerate recovery of immune responses without graft versus host disease, thus improving cancer-free outcomes for children with leukemia.
Unmet Medical Need
Hematologic malignancies are the most common cancer in children and young adults, and current treatment options do not offer long-term cure. We propose that post-αβdepleted HSCT infusion of T-allo10 will improve the probability of being alive and disease free, thus addressing an unmet medical need.
Project Objective
Phase 1/1b to select dose, safety & pilot efficacy
Major Proposed Activities
- Determine recommended Phase 2 dose (RP2D) of T-allo10 cell product for for high risk patients with hematologic malignancies receiving αβdepleted-HSCT
- Evaluate the safety, and explore the potential for clinical efficacy of infusion of T-allo10 at the RP2D (or highest dose) after αβdepleted-HSCT
- Perform immune monitoring to establish immune criteria that predict successful patient outcomes.
Statement of Benefit to California:
Almost 500 children/year receive stem cell transplants in California. A durable cure for these children can provide a great economic benefit to the state. A successful outcome of our trial will significantly reduce the length of hospitalization, thus reducing patient care costs, as well as the risk of the need for a second transplant. Thus, the benefit to California is the improved lives of its citizens (both patients and family members) while simultaneously decreasing the societal costs.
Publications
- Transplantation and Cellular Therapy (2022): Phase 1/1b Study of T-allo10 Infusion after HLA-Partially Matched αβ depleted-HSCT in Children and Young Adults with Hematologic Malignancies: Preliminary Results.
- Transplantation and Cellular Therapy (2023): T-allo10 Infusion after αβ depleted-HSCT in Children and Young Adults with Hematologic Malignancies: Improved Immune Reconstitution in the Absence of Severe GvHD