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Phase 2 N=96 Randomized Quadruple-blind Prevention

Study of ProTmune for Allogeneic HCT in Adult Patients With Hematologic Malignancies

Hematologic Malignancies · Acute Myeloid Leukemia · Acute Lymphoblastic Leukemia · Myelodysplastic Syndromes · Chronic Myelogenous Leukemia

Enrolled (actual)
96
Serious AEs
53.4%
Results posted
Feb 2023
Primary outcome: Primary: Percentage of Participants With Cumulative Incidence of Grade II to IV aGvHD Through Day +100 Based on Investigator Assessment — 42.9; 44.4; 24.9 percentage of participants

Study Design & Population

Study type
Interventional
Phase
Phase 2
Interventions
ProTmune (Biological); Control Arm (Biological)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Fate Therapeutics
Primary completion
Dec 2020

Outcome Measures

OutcomeResultp-value
PRIMARY
Percentage of Participants With Cumulative Incidence of Grade II to IV aGvHD Through Day +100 Based on Investigator Assessment
42.9; 44.4; 24.9
SECONDARY
1-year GvHD-free, Relapse-free Survival (GRFS)
218.0; 209.0; 296.0
SECONDARY
Percentage of Subjects Alive Without Relapse and Without Moderate or Severe cGvHD at Day +365 - mITT Population
42.9; 65.0; 53.7

Summary

This study is a Phase 1, non-randomized, open-label/Phase 2 randomized, blinded study of ProTmune (ex vivo programmed mobilized peripheral blood cells) versus non-programmed mobilized peripheral blood cells for allogeneic hematopoietic cell transplantation (HCT) in adult subjects aged 18 years and older with hematologic malignancies. A total of 88 study subjects were treated in the trial at approximately 15 centers in the US.

Eligibility Criteria

Key Inclusion Criteria

  • Male and female patients aged 18 years and older, inclusive;
  • Patients must have a hematologic malignancy for which allogeneic hematopoietic peripheral blood cell transplantation is deemed clinically appropriate.

Eligible diseases and stages include the following:

  • Acute myeloid leukemia
  • Acute lymphoblastic leukemia, including T lymphoblastic lymphoma with a history of marrow involvement
  • Myelodysplastic Syndrome
  • Chronic myelogenous leukemia
  • Availability of a suitable 8/8 HLA-A, -B, -C, and -DRB1-matched unrelated mPB donor;
  • mBP donor collection that meets protocol specifications;
  • Adequate performance status, defined as Karnofsky score greater than or equal to 70%;
  • For female patients of childbearing potential, all of the following criteria must be met:
  • They are not pregnant (i.e., female patients must have a negative serum pregnancy test at screening);
  • They are not breastfeeding;
  • They do not plan to become pregnant during the study; and
  • They are using an effective method of contraception from screening to the end of the study, unless their sexual partner is surgically sterile.
  • For male patients, agreement to use condoms with spermicide during sexual intercourse from screening to the end of study; and
  • Willingness and ability to sign an IRB/IEC-approved ICF before performance of any study-specific procedures or tests and to comply with protocol visits, and study procedures.

Key Exclusion Criteria

  • Phase 1 only: Known bone marrow fibrosis; Phase 2 only: Bone marrow fibrosis grade 3 (severe) or greater;
  • Positive serology for human immunodeficiency virus (HIV) or human T-cell lymphotropic virus (HTLV) at any time prior to enrollment;
  • Currently uncontrolled bacterial, viral, or fungal infection (progression of clinical symptoms despite therapy);
  • Prior autologous or allogeneic HCT;
  • Active malignancy, other than the one for which the allogeneic mPB transplant is being performed, within 12 months of enrollment, excluding superficial basal cell and carcinoma in situ cervical cancer;
  • Pulmonary disease, renal dysfunction, hepatic disease, cardiac disease, neurologic disease;
  • Participation in another clinical trial involving an investigational product within 30 days prior to screening; or
  • Any condition or therapy, which, in the opinion of the Investigator, might pose a risk to the patient or make participation in the study not in the best interest of the patient.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02743351). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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