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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/ct2/show/NCT02895412




Registration number
NCT02895412
Ethics application status
Date submitted
23/02/2016
Date registered
9/09/2016
Date last updated
9/09/2016

Titles & IDs
Public title
Infection and Tumour Antigen Cellular Therapy
Scientific title
A Clinical Trial of Donor-derived WT1 Specific T Cells for Prevention of Relapse in Combination With Multiple Pathogen Specific T Cells for Prevention of Infection in Patients Undergoing Allogeneic Haemopoietic Stem Cell Transplant for AML
Secondary ID [1] 0 0
INTACT-WT1
Universal Trial Number (UTN)
Trial acronym
INTACT-WT1
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Leukemia, Myelocytic, Acute 0 0
Condition category
Condition code
Cancer 0 0 0 0
Leukaemia - Acute leukaemia
Cancer 0 0 0 0
Leukaemia - Chronic leukaemia
Cancer 0 0 0 0
Children's - Leukaemia & Lymphoma

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Other interventions - Donor-derived WT1-CTL and P-CTL

Experimental: Transplant Recipient - The T cell product administration is personalized cellular therapy product, individually prepared for each participant.
Donor-derived WT1-CTL and P-CTL.
It's exact make up and effect is dependent on both donor and recipient characteristics and as such variability is expected in the response. These variations will be adjusted for by multiple samplings over time and collation and analysis of response in both individuals an the group as a whole.
One infusion of 2 x 107/m2 P-CTLs prophylactically on or after day 28 post-allogeneic peripheral blood haemopoietic stem cell transplant (HSCT), combined with up to four infusions of 2x107/m2 WT1-CTLs.


Other interventions: Donor-derived WT1-CTL and P-CTL
Donor-derived WT1-CTL and P-CTL.
P-CTL will be given prophylactically a minimum of 28 days after transplantation followed by administration of monthly infusions of WT1-CTL for up to four doses.
Intervention code [1] 0 0
Other interventions
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Number of participants with treatment-related adverse events as assessed by CTCAE v4.0
Timepoint [1] 0 0
2 Years

Eligibility
Key inclusion criteria
1. Patients undergoing myeloablative or non-myeloablative allogeneic transplantation from
an HLA (A, B and DR) identical or 1-3 antigen mismatched family or unrelated donor

2. Transplant performed for acute myeloid leukaemia

3. Leukaemia blasts express the WT1 tumour antigen as determined by the European
LeukaemiaNet standardised assay described in 16. WT1 overexpression will be defined by
greater than 250 copies/104ABL copies in bone marrow samples or greater than 50
copies/104ABL copies in peripheral blood. This assay will be performed on samples
collected as part of routine clinical care at diagnosis and during initial treatment
prior to transplantation. Testing will be performed after consent for trial
participation has been obtained and negativity for WT1 will be classified as screening
failure

4. Recipients of peripheral blood HSCT

5. Adequate hepatic and renal function (< 3 x upper limit of normal for AST, ALT, < 2 x
upper limit of normal for total bilirubin, serum creatinine)

6. Estimated life expectancy of at least 12 months

7. Patient (or legal representative) has given informed consent
Minimum age
1 Year
Maximum age
70 Years
Sex
Both males and females
Can healthy volunteers participate?
Yes
Key exclusion criteria
1. Use of anti-lymphocyte globulin (ALG, ATG, Campath or other broad spectrum lymphocyte
antibody) given in the 4 weeks immediately prior to infusion or planned within 4 weeks
after infusion

2. Grade II or greater graft versus host disease within 1 week prior to infusion

3. Prednisone or methylprednisone at a dose of > 1 mg/kg (or equivalent in other steroid
preparations) administered within 72 hours prior to cell infusion

4. Prior allogeneic HSCT

5. Privately insured in or outpatients (see Indemnity Issues, Section 11.4)

Study design
Purpose of the study
Prevention
Allocation to intervention
N/A
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Open (masking not used)
Who is / are masked / blinded?



Intervention assignment
Single group
Other design features
Phase
Phase 1
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Unknown status
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
1/08/2016
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
1/12/2020
Actual
Sample size
Target
20
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)
NSW
Recruitment hospital [1] 0 0
Westmead Hospital - Westmead, Sydney
Recruitment postcode(s) [1] 0 0
2145 - Westmead, Sydney

Funding & Sponsors
Primary sponsor type
Other
Name
University of Sydney
Address
Country

Ethics approval
Ethics application status

Summary
Brief summary
This study is to test a new therapy for patients with acute myeloid leukaemia who are
undergoing blood stem cell transplant. In this study, the investigators will take a small
number of your immune cells whose normal function is to give immunity to infections and help
to fight leukaemia. These cells will be stimulated to multiply in the laboratory and will
then be given to the transplant recipient after the transplant. This is a sort of "immunity
transplant". The exact purpose of this study is to investigate if these cells are safe and
effective in patients having a transplant for AML.
Trial website
https://clinicaltrials.gov/ct2/show/NCT02895412
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Address 0 0
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for scientific queries



Summary Results

For IPD and results data, please see https://clinicaltrials.gov/ct2/show/NCT02895412