CLEC2A CAR T for AML

(ADVANCE-01 Trial)

DK
Overseen ByDanielle Kirkey, MD
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 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

If of childbearing or child-fathering potential, agreement to use highly effective contraception from consent through 12 months post infusion
Hepatic function: total bilirubin ≤ 3x ULN for age or conjugated bilirubin ≤ 2 mg/dL and ALT ≤ 5x ULN
Subject or legally authorized representative has signed informed consent form
See 13 more

Exclusion Criteria

Any condition that would prohibit treatment under protocol as per investigator
Pregnancy or lactation
I have a primary immunodeficiency syndrome.
See 9 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Preparation

Participants receive bridging therapy and lymphodepletion to prepare their body for CAR T cell infusion

1-2 weeks

Treatment

Participants receive a single infusion of CLEC2A CAR T cells on Day 0

1 day
1 visit (in-person)

Initial Follow-up

Evaluation of safety, tolerability, and toxicity profile following the infusion

4 weeks
Multiple visits for monitoring

Extended Follow-up

Participants are monitored for persistence of CAR T-cells in the blood, bone marrow, and cerebrospinal fluid

6 weeks

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

Group I: SC-CAR.CLEC2Av1Experimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Seattle Children's Hospital

Lead Sponsor

Trials
319
Recruited
5,232,000+

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).

Leveraging 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 ...

238 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,

Expanding 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 ...