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A Multi-Center, Open-Label, Phase 1/2 Clinical Trial to Evaluate the Safety and Anti-Tumor Activity of AB-101 Monotherapy and AB-101 With Immunotherapy in Patients With Relapsed/Refractory Non-Hodgkin Lymphoma of B-Cell Origin.


Description

AB-101 is an off-the shelf, allogeneic cell product made of "natural killer" cells, also called NK cells. White blood cells are part of the immune system and NK cells are a type of white blood cell that are known to kill cancer cells. This clinical trial will enroll patients with relapsed/refractory non-Hodgkin lymphoma of B-cell origin and is conducted in two phases. The primary objectives of Phase 1 are as follows: 1) to evaluate the safety of AB-101 given alone or in combination with rituximab (including the DLBCL specific cohort) or in combination with bendamustine and rituximab; 2) to evaluate the potential clinical activity of AB-101 when given in combination with rituximab or in combination with bendamustine and rituximab (combination cohorts only); and 3) to identify the recommended Phase 2 dose (RP2D). The primary objective of Phase 2 is to determine whether AB-101 in combination with rituximab or in combination with bendamustine and rituximab has anti-cancer activity in pati

Trial Eligibility

Inclusion Criteria: * Confirmed diagnosis of aggressive NHL of B-cell origin. For enrollment into the DLBCL specific cohort: DLBCL, High-grade B-cell Lymphoma or PMBCL. * Patient must have progressed or demonstrated intolerance to at least two lines of FDA-approved therapies, one of which must have included anti-CD20 monoclonal antibody therapy. The following are permitted: Prior autologous hematopoietic stem cell transplantation, prior treatment with FDA-approved CAR-T therapy, and/or prior treatment with an investigational agent. Prior treatment(s) with an FDA-approved CAR-T cell therapy or other cell therapies is permitted as long the patients are not considered to be refractory to this previous cell therapy approach (defined as progression within 120 days from the infusion of the cell therapy approach). * Patient must have disease that allows for response assessment using the Lugano classification criteria. * Ability to understand and sign the ICF. Exclusion Criteria: * Active CNS lymphoma or CNS involvement unless there is a history of at least 3 months of sustained remission of treated disease. * History of clinically significant structural cardiac disease. * Cardiac ejection fraction of \< 45% on echocardiogram or MUGA scan at screening assessment. * Inadequate pulmonary function. * History of a solid organ allograft, or an inflammatory or autoimmune disease likely to be exacerbated by IL-2. * Ongoing uncontrolled systemic infections. * Positive HIV PCR test * Positive for Hepatitis B or Hepatitis C * Prior allogeneic stem cell transplant. * Females of childbearing potential must be willing and able to use appropriate contraception for duration of trial and for 6 months following final AB-101 dose. Males must be sterile or commit to using appropriate contraception until 90 days following the final dose of AB-101. * Individuals who are pregnant or lactating are ineligible. * Patients who received a previous genetically modified cell therapy product (e.g., CD19 CAR-T), and progressed within 120 days from the time of the cell therapy infusion

Study Info

Organization

Artiva Biotherapeutics, Inc.


Primary Outcome

Phase 1: Safety and tolerability of AB-101 as monotherapy, and in combination with rituximab (including the DLBCL specific cohort) and in combination with bendamustine and rituximab.


Outcome Timeframe From the ICF signature through 13 weeks after last study drug dose.

NCTID NCT04673617

Phases PHASE1,PHASE2

Primary Purpose TREATMENT

Start Date 2021-03-29

Completion Date 2024-11

Enrollment Target 108

Interventions

DRUG AB-101

DRUG Rituximab

DRUG Interleukin-2

DRUG Cyclophosphamide

DRUG Fludarabine

DRUG Bendamustine

Locations Recruiting

University of Alabama

United States, Alabama, Birmingham


The University of Arizona Cancer Center - North Clinic

United States, Arizona, Tucson


University of California, Irvine

United States, California, Orange


University of California San Diego Moores Cancer Center

United States, California, San Diego


UF Health Shands Cancer Hospital

United States, Florida, Gainesville


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