CLEC2A CAR T for AML
(ADVANCE-01 Trial)
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial explores a new treatment for individuals with acute myeloid leukemia (AML) that hasn't responded to treatment or has returned. It uses a type of immune cell from the patient's own blood, specially modified to better target and fight their cancer. This treatment, called SC-CAR.CLEC2Av1, is a form of CAR T-cell therapy. The main goals are to determine the treatment's safety and production feasibility. Suitable candidates for this trial include those with AML that has not improved with standard treatments or has recurred, and who can undergo a blood collection process called apheresis.
As a Phase 1 trial, this research aims to understand how the treatment works in people, offering participants the opportunity to be among the first to receive this innovative therapy.
Is there any evidence suggesting that this treatment is likely to be safe for humans?
Research has shown that CLEC2A CAR T cell treatments are safe for people with acute myeloid leukemia (AML). Studies found that patients did not experience major side effects unrelated to blood cells. This finding is encouraging, indicating that the treatment is generally well-tolerated. Additionally, the treatment effectively targets cancer cells without seriously harming normal cells. This evidence suggests that CLEC2A CAR T therapy is safe and potentially effective for patients with AML.12345
Why do researchers think this study treatment might be promising?
Most treatments for acute myeloid leukemia (AML) involve chemotherapy or stem cell transplantation. But SC-CAR.CLEC2Av1 works differently, targeting the CLEC2A antigen on cancer cells. This approach is unique because it uses genetically modified T cells, known as CAR T cells, to seek out and destroy specific cancer cells, potentially offering a more targeted and effective treatment. Researchers are excited because this could mean fewer side effects compared to traditional chemotherapy and a powerful new way to attack cancer at its core.
What evidence suggests that this treatment might be an effective treatment for AML?
Research has shown that CAR T cell therapies hold promise for treating acute leukemias, with complete remission rates between 70% and 90%. One specific CAR T cell therapy targeting a similar marker (CLEC12A) demonstrated an overall response rate of 82.5%. In this trial, the SC-CAR.CLEC2Av1 treatment aims to attack and eliminate AML cancer cells without harming normal blood cells, a common issue with other treatments. Although specific data on SC-CAR.CLEC2Av1 remains limited, findings from related studies suggest it could effectively treat hard-to-treat or recurrent acute myeloid leukemia (AML).678910
Are You a Good Fit for This Trial?
This trial is for children and adults with acute myeloid leukemia (AML) that has come back or hasn't responded to previous treatments, and whose cancer cells have the CLEC2A marker. Participants must be able to undergo cell collection and preparatory treatments.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Preparation
Participants receive bridging therapy and lymphodepletion to prepare their body for CAR T cell infusion
Treatment
Participants receive a single infusion of CLEC2A CAR T cells on Day 0
Initial Follow-up
Evaluation of safety, tolerability, and toxicity profile following the infusion
Extended Follow-up
Participants are monitored for persistence of CAR T-cells in the blood, bone marrow, and cerebrospinal fluid
What Are the Treatments Tested in This Trial?
Interventions
- SC-CAR.CLEC2Av1
Trial Overview
The study tests a new treatment using the patient's own immune cells, which are modified in a lab (CLEC2A CAR T cells) to better recognize and attack AML. After preparation therapy, participants receive one infusion of these engineered cells.
How Is the Trial Designed?
1
Treatment groups
Experimental Treatment
Autologous T cell product that has been genetically modified to express chimeric antigen receptor (CAR) targeting (SC-CAR.CLEC2Av1).
Find a Clinic Near You
Who Is Running the Clinical Trial?
Seattle Children's Hospital
Lead Sponsor
Citations
Cytotoxic effect of CLL-1 CAR-T cell immunotherapy with PD-1 ...
CAR-T derived from healthy donor T cells was more effective in killing THP-1 cells (a human acute monocytic leukemia cell line) than those from patient-derived ...
CAR-T CELL THERAPY IN ACUTE LEUKEMIAS
CAR-T cell therapies have demonstrated complete remission (CR) rates of 70–90%. Event-free survival and overall survival rates were 73% and 90% at 6 months and ...
Novel CLEC12A scFv Targeting CAR-T cells for Acute ...
As a result, the 5-year overall survival rate is 27%, and is less than 10% for patients over age 60. The trial had an overall response rate of 82.5% (52/63).
4.
wewillcure.com
wewillcure.com/insights/oncology/cell-and-gene-therapeutics/mvp-insights_article-leveraging-car-t-therapy-to-tackle-acute-myeloidLeveraging CAR T Therapy to Tackle Acute Myeloid Leukemia
The hope is that the novel CAR T will eliminate AML cells without depleting normal blood cells, which is a common side effect of existing cell ...
5.
semanticscholar.org
semanticscholar.org/paper/238%E2%80%85Therapeutic-targeting-of-CLEC2A-with-CAR-T-for-Kirkey-Hawkins/3abcac71c879afee09e14d7ede8416635ca47c2e238 Therapeutic targeting of CLEC2A with CAR T cells for ...
238 Therapeutic targeting of CLEC2A with CAR T cells for KMT2A-rearranged acute myeloid leukemia · Danielle C. Kirkey, Grace Hawkins, +10 authors. S. Meshinchi ...
238 Therapeutic targeting of CLEC2A with CAR T cells ...
CLEC2A CART treatment significantly extended survival (mean survival: 76 days; range: 46–127 days vs. 31 days in controls), resulting in ...
A Study of CLEC2A CAR T for Pediatric and Adult Patients ...
Also called a data safety and monitoring board, The goal is to evaluate the safety, feasibility, and efficacy of administering T cell products. ...
Breakthroughs of CAR T-cell therapy in acute myeloid leukemia
AML patients showed a high safety profile, without severe non-hematological toxicities, and remarkable efficacy, with a 100% response rate,
9.
bloodcancerunited.org
bloodcancerunited.org/research/award/expanding-therapeutic-potential-clec2a-car-t-cells-acute-myeloid-leukemiaExpanding the Therapeutic Potential of CLEC2A CAR T ...
I aim to expand the therapeutic potential of CLEC2A CAR T cells to safely and effectively treat AML and explore how prior treatments influence ...
Recent advances of CAR-T cells in acute myeloid leukemia
Anti-B7-H3 CAR-T cells demonstrated significant antitumor activity without unacceptable toxicity to normal myeloid progenitor cells in vitro and ...
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