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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT04035434
Registration number
NCT04035434
Ethics application status
Date submitted
22/07/2019
Date registered
29/07/2019
Titles & IDs
Public title
A Safety and Efficacy Study Evaluating CTX110 in Subjects With Relapsed or Refractory B-Cell Malignancies (CARBON)
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Scientific title
A Phase 1/2 Dose Escalation and Cohort Expansion Study of the Safety and Efficacy of Allogeneic CRISPR-Cas9-Engineered T Cells (CTX110) in Subjects With Relapsed or Refractory B-Cell Malignancies (CARBON)
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Secondary ID [1]
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CRSP-ONC-001
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
B-cell Malignancy
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Non-Hodgkin Lymphoma
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B-cell Lymphoma
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Adult B Cell ALL
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Condition category
Condition code
Cancer
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Lymphoma (non Hodgkin's lymphoma) - High grade lymphoma
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Cancer
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Lymphoma (non Hodgkin's lymphoma) - Low grade lymphoma
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Other - CTX110
Experimental: CTX110 - Administered by IV infusion following lymphodepleting chemotherapy.
Treatment: Other: CTX110
CTX110 (CD19-directed T-cell immunotherapy comprised of allogeneic T cells genetically modified ex vivo using CRISPR-Cas9 gene editing components
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Intervention code [1]
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Treatment: Other
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Phase 1 Part A (Dose Escalation), for all cohorts: Incidence of adverse events, defined as dose-limiting toxicities
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Assessment method [1]
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Timepoint [1]
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From CTX110 infusion up to 28 days post-infusion
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Primary outcome [2]
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Phase 1 Part B (Cohort Expansion) and Phase 2: Objective response rate
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Assessment method [2]
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Timepoint [2]
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From CTX110 infusion up to 60 months post-infusion
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Secondary outcome [1]
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Duration of Response
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Assessment method [1]
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Duration of Response (DOR) for subjects with objective response events
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Timepoint [1]
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From date of first objective response until date of disease progression or death due to any cause, assessed up to 60 months
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Secondary outcome [2]
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Duration of Clinical Benefit (DOCB)
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Assessment method [2]
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Timepoint [2]
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From date of first objective response until date of last disease progression or death, assessed up to 60 months
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Secondary outcome [3]
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Treatment-Failure-Free Survival (TFFS)
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Assessment method [3]
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Timepoint [3]
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From date of first CTX110 infusion until date of last disease progression or death due to any cause, assessed up to 60 months
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Secondary outcome [4]
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Progression Free Survival (PFS)
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Assessment method [4]
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Timepoint [4]
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From date of first CTX110 infusion until date of first disease progression or death due to any cause, assessed up to 60 months
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Secondary outcome [5]
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Overall Survival (OS)
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Assessment method [5]
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Timepoint [5]
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From date of first CTX110 infusion until date of death due to any cause, assessed up to 60 months
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Secondary outcome [6]
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Objective Response Rate (for B cell ALL)
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Assessment method [6]
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For B cell ALL, objective response rate (ORR) (complete remission + complete remission with incomplete blood count recovery) will be assessed.
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Timepoint [6]
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From CTX110 infusion up to 60 months post-infusion
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Eligibility
Key inclusion criteria
Key
1. For NHL patients: Age =18 years. For B cell ALL patients: age =18 years to =70 years
2. Refractory or relapsed non-Hodgkin lymphoma, as evidenced by 2 or more lines of prior therapy, or histologically confirmed B cell ALL, refractory or relapsed.
3. Eastern Cooperative Oncology Group performance status 0 or 1.
4. Adequate renal, liver, cardiac and pulmonary organ function
5. Female subjects of childbearing potential and male subjects must agree to use acceptable method(s) of contraception from enrollment through at least 12 months after CTX110 infusion.
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Minimum age
18
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. For NHL patients: prior allogeneic HSCT. For B cell ALL patients: prior allogeneic HSCT within 6 months, and/or any evidence of GvHD.
2. History of central nervous system (CNS) involvement by malignancy
3. History of a seizure disorder, cerebrovascular ischemia/hemorrhage, dementia, cerebellar disease, or any autoimmune disease with CNS involvement.
4. Presence of bacterial, viral, or fungal infection that is uncontrolled.
5. Positive for HIV, or active hepatitis B virus or hepatitis C virus infection.
6. Previous or concurrent malignancy, except basal cell or squamous cell skin carcinoma, adequately resected and in situ carcinoma of cervix, or a previous malignancy that was completely resected and has been in remission for =5 years.
7. For NHL patients: Use of systemic anti-tumor therapy or investigational agent within 14 days or 5 half-lives, whichever is longer, of CTX110 infusion. For B cell ALL patients: Use of systemic antitumor therapy within 7 days of CTX110 infusion.
8. Primary immunodeficiency disorder or active autoimmune disease requiring steroids and/or other immunosuppressive therapy.
9. Women who are pregnant or breastfeeding.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Other
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
22/07/2019
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Date of last participant enrolment
Anticipated
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Date of last data collection
Anticipated
1/08/2026
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Actual
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Sample size
Target
227
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW,VIC,WA
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Recruitment hospital [1]
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Royal Prince Alfred Hospital - Sydney
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Recruitment hospital [2]
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Peter MacCallum Cancer Centre - Melbourne
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Recruitment hospital [3]
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Sir Charles Gairdner Hospital - Nedlands
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Recruitment postcode(s) [1]
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2050 - Sydney
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Recruitment postcode(s) [2]
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3000 - Melbourne
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Recruitment postcode(s) [3]
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6009 - Nedlands
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Recruitment outside Australia
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United States of America
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State/province [1]
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California
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Florida
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Georgia
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Illinois
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Kansas
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Kentucky
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Maryland
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Massachusetts
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Missouri
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New York
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North Carolina
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Oregon
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Tennessee
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Texas
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Washington
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Canada
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Ontario
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France
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Lille
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France
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Marseille
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France
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Paris
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Germany
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Hamburg
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Germany
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Würzburg
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Navarra
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Barcelona
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Spain
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Salamanca
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
CRISPR Therapeutics AG
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Address
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Ethics approval
Ethics application status
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Summary
Brief summary
This is an open-label, multicenter, Phase 1/2 study evaluating the safety and efficacy of CTX110 in subjects with relapsed or refractory B-cell malignancies.
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Trial website
https://clinicaltrials.gov/study/NCT04035434
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Annie Weaver, PhD
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Address
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CRISPR Therapeutics
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Phone
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Email
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Contact person for public queries
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT04035434