A2B101-101: Obtaining Solid Tumor Tissue From Subjects Having Surgical Resection For Certain Tumor Types And Leukapheresis For CAR T-cell Therapy Manufacturing

Overview

About this study

The primary objectives for this study are: 

  • The percentage of subjects who can enroll on an A2 CAR T-cell therapy study within approximately 6 months of documentation of HLA-A LOH status

  • The percentage of subjects who can enroll on an A2 CAR T-cell therapy study within approximately 12 months of documentation of HLA-A LOH status

  • The percentage of subjects who can enroll on an A2 CAR T-cell therapy study within approximately 18 months of documentation of HLA-A LOH status

  • The percentage of subjects who can enroll on an A2 CAR T-cell therapy study within approximately 24 months of HLA-A LOH status

  • Percentage of screened subjects experiencing loss of heterozygosity of HLA-A*02.

Participation eligibility

Participant eligibility includes age, gender, type and stage of disease, and previous treatments or health concerns. Guidelines differ from study to study, and identify who can or cannot participate. There is no guarantee that every individual who qualifies and wants to participate in a trial will be enrolled. Contact the study team to discuss study eligibility and potential participation.

  1.  

Inclusion Criteria - Part 1:

  • Able to provide written informed consent.

  • Pathologically confirmed solid tumors; e.g., Colorectal Cancer (CRC), Non-Small Cell Lung Cancer (NSCLC), Pancreatic Cancer, Gastric and Esophageal Cancer, Ovarian Cancer, Mesothelioma, Breast Cancer, or Head and Neck Cancer and in the Investigator’s opinion the subject is high risk for incurable relapse within two years.

  • Age ≥ 18 years.

  1.  

Exclusion Criteria - Part 1:

  • History of any of other malignancy in the past 5 years other than non-melanoma skin carcinoma, low grade localized prostate cancer, superficial bladder cancer, ductal carcinoma in situ (CIS) of the breast, CIS of the Cervix, or Stage I uterine cancer.

  • Prior allogeneic stem cell transplant.

  • Prior solid organ transplant.

  • In the investigator’s judgement, the subject is unlikely to complete all protocol required study visits, including hospitalization, study visits and procedures, and follow up visits, or comply with the study requirements for participation. 

  •  

Eligibility Criteria - Part 2:

  • Able to provide written informed consent.

  • Pathologically confirmed solid tumors, e.g., Colorectal Cancer (CRC), Non-Small Cell Lung Cancer (NSCLC), Pancreatic Cancer, Gastric and Esophageal Cancer, Ovarian Cancer, Mesothelioma, Breast Cancer, or Head and Neck Cancer and in the Investigator’s opinion the subject is high risk for incurable relapse within two years.

  • Age ≥ 18 years

  • Subjects are germline HLA-A*02 heterozygous confirmed by HLA typing.

  • Primary tumor tissue showing LOH of HLA-A*02 by NGS.

  • Adequate bone marrow reserve, hematological, renal and hepatic function defined as: 

    • Hemoglobin > 9.0 g/dL;

    • ANC 800/µl;

    • Platelet count > 80,000/µl;

    • Serum Creatinine <1.5 x ULN;

    • Calculated Creatinine Clearance > 60 ml/min;

    • Total Serum Bilirubin < 2 x ULN;

    • ALT< 5 x ULN;

    • AST< 5 x ULN.

  • Eastern Cooperative Oncology Group (ECOG) performance status < 1.

  • Baseline oxygen saturation > 92% on room air.

  • No clinically significant pleural effusion.

Exclusion Criteria - Par 2:

  • History of any of other malignancy in the past 5 years other than non-melanoma skin carcinoma, low grade localized prostate cancer, superficial bladder cancer, ductal carcinoma in situ (CIS) of the breast, CIS of the Cervix, or Stage I uterine cancer.

  • Prior allogeneic stem cell transplant.

  • Prior solid organ transplant.

  • Presence of any indwelling catheter or drain (e.g., percutaneous nephrostomy tube, indwelling foley catheter, biliary drain, or pleural/peritoneal, pericardial catheter).  Ommaya reservoirs and dedicated central venous access catheters such as a Port-a-Cath or Hickman catheter are permitted.

  • Subjects who have received any cancer therapy (investigational agent or not), including but not limited to chemotherapy, small molecules, monoclonal antibodies, or radiotherapy (with bone marrow impact) within 3 weeks of planned leukapheresis or 5 half-lives, whichever is shorter.

  • Has a diagnosis of immunodeficiency or autoimmune disease requiring continued systemic therapy (e.g., monoclonal antibody therapy).

  • Known active bacterial, viral, fungal, mycobacterial, parasitic, or other infection (excluding fungal infections of nail beds) at study enrollment necessitating specific treatment, or any major episode of infection requiring treatment with IV antibiotics or hospitalization (relating to completion of antibiotic course).

  • Has known active central nervous system metastases. Subjects with previously treated brain metastases may participate upon sponsor agreement.

  • Known or suspected chronic, active Epstein Barr Virus (EBV).

  • Has known active history of or screened positive for Human Immunodeficiency Virus (HIV).

  • Has known active history of or screened positive for Hepatitis B (HBsAg positive) or C (anti-HCV positive).

  • Unstable angina, myocardial infarction, cardiac angioplasty or stenting, or any other significant cardiac disease within the last 6 months.

  • History of symptomatic deep vein thrombosis or pulmonary embolism within 6 months of enrollment.

  • Requires supplemental home oxygen.

  • Significant pulmonary disease (e.g., idiopathic pulmonary fibrosis, organizing pneumonia, drug induced pneumonitis, idiopathic pneumonitis, or obstructive pulmonary disease).

  • Females of childbearing potential who are pregnant or breastfeeding.

  • In the investigator’s judgement, the subject is unlikely to complete all protocol required study visits, including hospitalization, study visits and procedures, and follow up visits, or comply with the study requirements for participation. 

Eligibility last updated 8/27/21. Questions regarding updates should be directed to the study team contact.

 

Participating Mayo Clinic locations

Study statuses change often. Please contact the study team for the most up-to-date information regarding possible participation.

Mayo Clinic Location Status Contact

Rochester, Minn.

Mayo Clinic principal investigator

Julian Molina, M.D., Ph.D.

Open for enrollment

Contact information:

Cancer Center Clinical Trials Referral Office

(855) 776-0015

Jacksonville, Fla.

Mayo Clinic principal investigator

Hemant Murthy, M.D.

Open for enrollment

Contact information:

Cancer Center Clinical Trials Referral Office

(855) 776-0015

Scottsdale/Phoenix, Ariz.

Mayo Clinic principal investigator

Antonious Hazim, M.D.

Open for enrollment

Contact information:

Cancer Center Clinical Trials Referral Office

(855) 776-0015

More information

Publications

Publications are currently not available

Additional contact information

Cancer-related trials contact form

Phone: 855-776-0015 (toll-free)

International patient clinical studies questions