60 Participants NeededMy employer runs this trial

CAR-NK Cells for Hodgkin's Lymphoma

YN
Overseen ByYago Nieto, MD, PHD
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests a new treatment using special immune cells, called CAR-NK cells (a type of cell therapy), to combat certain relapsed or hard-to-treat blood cancers, including Hodgkin's lymphoma. The researchers aim to determine if these cells can safely and effectively target and destroy cancer cells in patients unresponsive to other treatments. Participants will receive chemotherapy followed by the CAR-NK cell treatment over two cycles. This trial may suit individuals with relapsed blood cancers who haven't succeeded with previous therapies. As a Phase 1 trial, the research focuses on understanding how the treatment works in people, offering participants the chance to be among the first to receive this innovative therapy.

Do I have to stop taking my current medications for the trial?

The trial protocol does not specify if you must stop taking your current medications. However, you cannot participate if you have received any anti-cancer treatment within the last 2 weeks or are on certain immunosuppressive therapies. It's best to discuss your specific medications with the trial team.

Is there any evidence suggesting that TGFBR2 KO CAR27/IL-15 NK cells are likely to be safe for humans?

Research has shown that a new treatment using specially engineered cells, called TGFBR2 KO CAR27/IL-15 NK cells, might be safe and well-tolerated for treating certain cancers. In earlier studies, researchers administered these cells to patients with recurrent or hard-to-treat cancers, such as acute myeloid leukemia (AML) and myelodysplastic syndromes (MDS), and the results were promising regarding safety.

These studies primarily aimed to determine a safe dose and observe patient responses to the treatment. The results indicated that patients tolerated the treatment well without serious side effects. However, this treatment remains in the early testing stages, so researchers are focused on ensuring safety and determining the optimal dose.

The TGFBR2 KO CAR27/IL-15 NK cells target and destroy specific cancer cells while attempting to spare healthy cells. This targeted approach aims to minimize harm to the patient, but careful monitoring during trials is crucial to ensure safety.12345

Why do researchers think this study treatment might be promising for Hodgkin's Lymphoma?

Unlike the standard treatments for Hodgkin's Lymphoma, which often include chemotherapy and radiation, the TGFBR2 KO CAR27/IL-15 NK cells offer a novel approach by harnessing the body's immune system. This treatment uses genetically engineered Natural Killer (NK) cells that are designed to better recognize and destroy cancer cells. Researchers are excited because these modified NK cells are less likely to cause severe side effects and may improve targeting of cancer cells, potentially leading to more effective and safer treatment outcomes. The inclusion of IL-15, a cytokine, helps boost the activity and persistence of these NK cells, offering a promising new strategy against Hodgkin's Lymphoma.

What evidence suggests that TGFBR2 KO CAR27/IL-15 NK cells might be an effective treatment for Hodgkin's Lymphoma?

Studies have shown that specially engineered NK cells, known as TGFBR2 KO CAR27/IL-15 NK cells, might effectively fight cancer. In this trial, participants will receive these modified NK cells after lymphodepleting chemotherapy with Fludarabine and Cyclophosphamide. These cells enhance the natural ability of NK cells to locate and destroy cancer cells, particularly those with the CD70 protein. Research suggests that blocking the molecule TGF-β, which can weaken immune responses, boosts NK cell activity against cancer. Early results indicate that these modified NK cells can be safe and may help treat certain types of cancers that have returned or are resistant to treatment. Although still under study, the treatment shows promise in targeting and killing cancer cells.12678

Who Is on the Research Team?

YN

Yago Nieto, MD, PHD

Principal Investigator

M.D. Anderson Cancer Center

Are You a Good Fit for This Trial?

This trial is for adults aged 18-75 with certain types of relapsed or hard-to-treat lymphoid cancers (like Hodgkin's lymphoma, B-NHL, T-NHL, or B-ALL) who have measurable disease and good organ function. People can't join if they have active infections, recent major surgery, uncontrolled health issues, or are in complete remission.

Inclusion Criteria

I am between 18 and 75 years old.
I have at least one cancer lesion confirmed by a PET/CT scan.
I am able to care for myself and do light activities.
See 15 more

Exclusion Criteria

I still have severe side effects from previous treatment.
I have not had major surgery in the past 4 weeks.
I do not have active hepatitis B, hepatitis C, HIV, or a serious infection needing IV antibiotics.
See 7 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment Cycle 1

Participants receive lymphodepleting chemotherapy followed by infusion of TGFBR2 KO CAR27/IL-15 NK cells

6 days
Inpatient admission starting day -6

Treatment Cycle 2

Participants receive a second cycle of lymphodepleting chemotherapy followed by infusion of TGFBR2 KO CAR27/IL-15 NK cells

6 days
Inpatient admission starting day -6

Follow-up

Participants are monitored for safety and effectiveness after treatment

Up to 1 year

What Are the Treatments Tested in This Trial?

Interventions

  • TGFBR2 KO CAR27/IL-15 NK cells

Trial Overview

The study tests a new treatment using specially engineered immune cells (CAR27/IL-15 NK cells with TGFBR2 knocked out), given after chemotherapy drugs fludarabine and cyclophosphamide. The goal is to see if this approach is safe for people whose cancer has come back or not responded to other treatments.

How Is the Trial Designed?

2

Treatment groups

Experimental Treatment

Group I: Cycle 2: Treatment with Fludarabine and Cyclophosphamide + TGFBR2 KO CAR27/IL-15 NK CellsExperimental Treatment3 Interventions
Group II: Cycle 1: Treatment with Fludarabine and Cyclophosphamide + TGFBR2 KO CAR27/IL-15 NK CellsExperimental Treatment3 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

M.D. Anderson Cancer Center

Lead Sponsor

Trials
3,107
Recruited
1,813,000+

Citations

NCT06930651 | A Phase I/II Study of CAR.70-Engineered ...

The goal of this clinical research study is to find the recommended safe dose of TGFBR2 KO CAR27/IL-15 NK cells that can be given to patients with relapsed/ ...

Genetically Engineered Cells (TGFBR2 KO CAR27/IL-15 ...

Giving TGFBR2 KO CAR27/IL-15 NK cells may be safe, tolerable and/or effective in treating patients with relapsed or refractory AML, MDS or CMML. Eligibility ...

TGF-β Decreases NK Cell Mobility and Cytotoxic Efficacy in ...

Blocking TGF-β signaling has been shown to enhance NK cell activity against AML and colon cancer cells and improve AML cell elimination when ...

allogeneic TGFBR2 KO CAR27/IL-15-expressing NK cells

Upon administration, the allogeneic TGFBR2 KO CAR27/IL-15-expressing NK cells target, bind to and induce selective cytotoxicity in CD70-expressing tumor cells.

Generation of an Inhibitory NK Cell Subset by TGF-β1/IL-15 ...

CRISPR-mediated TGFBR2 knockout renders human ovarian cancer tumor-infiltrating lymphocytes resistant to TGF-β signaling. J. Immunother. Cancer 10: e003750.

Clinical Trials Using Allogeneic TGFBR2 KO CAR27/IL-15- ...

Review the clinical trials studying allogeneic tgfbr2 ko car27/il-15-expressing nk cells on this list and use the filters to refine the results by age and ...

TGFBR2 KO CAR27/IL-15 NK cells / UT MD Anderson ...

Phase1 Basket Trial Of CAR.70-Engineered IL15-Transduced With TGFBR2 Knock Out Cord Blood-Derived NK Cells For Relapsed/Refractory Lymphoid Malignancies ...

Disruption of TGF-β signaling pathway is required to mediate ...

These studies indicate that TGF-β signaling blockade is required for effective of NK cell or CAR-expressing NK cell-mediated killing of HCC and potentially ...