Infusion of Genetically Modified T Cell for Post Transplant Patients With Relapsed Disease
NCT00871702 · Status: COMPLETED · Phase: PHASE1 · Type: INTERVENTIONAL · Enrollment: 12
Last updated 2013-07-11
Summary
Primary Objective:
* To determine if there is significant toxicity associated with the administration of CD34-TK75 transduced donor lymphocytes after allogeneic BMT for relapsed hematologic malignancies
Secondary Objectives:
* To determine if the patient develops any evidence of anti-leukemic effect from the administration of CD34-TK75 transduced donor lymphocytes
* To determine if ganciclovir administration to patients who develop Graft versus Host Disease (GVHD)results in clinical improvement after infusions of CD34-TK75 transduced lymphocytes.
Sub-Study Objective
The primary purpose is to perform PET imaging of CD34-TK transduced allogeneic donor T cells in patients who have relapsed hematologic malignancies after allogeneic hematopoietic stem cell transplantation (SCT). At this time the limited amount of cGMP quality virus produced by the NGVL will likely permit the imaging of only 3 patients. Consequently our current objective will be to establish that the TK-expressing cells can be detected by 18FHBG-PET in patient organs relevant for performing additional studies that are currently in the planning stages and for which we are working to produce additional virus.
The ultimate objective will be to use the TK substrate 18FHBG to locate the donor T cells within the recipient as they exert anti-leukemic effects, and the T cells can then be eliminated in response to in vivo administration of ganciclovir, before morbidity and mortality from GvHD occurs. We will use the imaging strategy to define patterns of T cell trafficking in humans pre and post-DLI infusion, and to determine where the cells reside while they mediate GVL in contrast to GvHD. We expect to obtain in vivo PET imaging markers predictive of GvHD before clinical symptoms occur.
Conditions
- Leukemia
- Lymphoma, Non-Hodgkin
- Hodgkin Disease
- Myelodysplastic Syndromes
- Multiple Myeloma
Interventions
- GENETIC
-
CD34-TK75 transduced donor lymphocytes
- RADIATION
-
Sub Study - 18 FHBG PET/CT Scans
Three 18 FHBG PET/CT Scans will be performed first one at pre-DLI infusion, second 14 days post-DLI infusion and third 30 days post-DLI infusion - patients #3 - #8
Sponsors & Collaborators
-
Washington University School of Medicine
lead OTHER
Principal Investigators
-
John F. DiPersio, M.D., Ph.D. · Washington University School of Medicine
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2010-10-31
- Primary Completion
- 2012-11-30
- Completion
- 2012-11-30
Countries
- United States
Study Locations
More Related Trials
-
GVAX vs. Placebo for MDS/AML After Allo HSCT
NCT01773395 ·Status: TERMINATED ·Phase: PHASE2
-
Donor Lymphocyte Infusion in Treating Patients With Persistent, Relapsed, or Progressing Cancer After Donor Hematopoietic Cell Transplant
NCT00068718 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Rituximab in Preventing Acute Graft-Versus-Host Disease in a Donor Stem Cell Transplant for Hematologic Cancer
NCT01044745 ·Status: TERMINATED ·Phase: PHASE2
-
Genetically Modified T-cell Immunotherapy in Treating Patients With Relapsed/Refractory Acute Myeloid Leukemia and Persistent/Recurrent Blastic Plasmacytoid Dendritic Cell Neoplasm
NCT02159495 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE1
-
Vaccination in the Peripheral Stem Cell Transplant Setting for Acute Myelogenous Leukemia
NCT00116467 ·Status: COMPLETED ·Phase: PHASE2
-
Selective T-Cell Depletion to Reduce GVHD (Patients) Receiving Stem Cell Tx to Treat Leukemia, Lymphoma or MDS
NCT00025662 ·Status: COMPLETED ·Phase: PHASE2
-
T-Lymphocyte Infusion or Standard Therapy in Treating Patients at Risk of Cytomegalovirus Infection After a Donor Stem Cell Transplant
NCT00986557 ·Status: UNKNOWN ·Phase: PHASE2
-
Chemoimmunotherapy and Allogeneic Stem Cell Transplant for NK T-cell Leukemia/Lymphoma
NCT03719105 ·Status: RECRUITING ·Phase: EARLY_PHASE1
-
Chemotherapy and Unrelated Donor Stem Cell Transplantation for Patients With Cancers of the Blood and Immune System
NCT00520130 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Removal of T Cells to Prevent Graft-Versus-Host Disease in Patients Undergoing Bone Marrow Transplantation
NCT00005641 ·Status: TERMINATED ·Phase: PHASE2
-
GM-CSF Vaccinations After Allogeneic Blood Stem Cell Transplantation in Patients With Advanced Myeloid Malignancies
NCT00426205 ·Status: COMPLETED ·Phase: NA
-
Naive T Cell Depletion for Preventing Chronic Graft-versus-Host Disease in Children and Young Adults With Blood Cancers Undergoing Donor Stem Cell Transplant
NCT03779854 ·Status: RECRUITING ·Phase: PHASE2
-
Donor Th2 Cells to Prevent Graft-Versus-Host Disease in Bone Marrow Transplants
NCT00001830 ·Status: COMPLETED ·Phase: PHASE1
-
Graft-Versus-Host Disease Prophylaxis in Treating Patients With Hematologic Malignancies Undergoing Unrelated Donor Peripheral Blood Stem Cell Transplant
NCT01231412 ·Status: COMPLETED ·Phase: PHASE3
-
IS-free Treg HaploHCT
NCT04678401 ·Status: RECRUITING ·Phase: PHASE1
-
Pharmacokinetics-based Mycophenolate Mofetil Dosing for GVHD Prevention
NCT01487577 ·Status: COMPLETED ·Phase: PHASE2
-
Biological Therapy in Treating Patients With Advanced Myelodysplastic Syndrome, Acute or Chronic Myeloid Leukemia, or Acute Lymphoblastic Leukemia Who Are Undergoing Stem Cell Transplantation
NCT00052520 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
A Two Step Approach to Allogeneic Hematopoietic Stem Cell Transplantation for Patients With Hematologic Malignancies-Increasing GVT Effects Without Increasing Toxicity
NCT03032783 ·Status: COMPLETED ·Phase: PHASE2
-
Donor T Cells After Donor Stem Cell Transplant in Treating Patients With Hematologic Malignancies
NCT01839916 ·Status: COMPLETED ·Phase: PHASE2
-
Reduced-Intensity Conditioning Before Donor Stem Cell Transplant in With High-Risk Hematologic Malignancies
NCT01760655 ·Status: COMPLETED ·Phase: PHASE2
-
Chemotherapy Plus Donor White Blood Cell Infusion in Treating Patients With Relapsed Hematologic Cancer Following Donor Peripheral Stem Cell Transplantation
NCT00005946 ·Status: COMPLETED ·Phase: PHASE1
-
A Phase I Study of NK Cell Infusion Following Allogeneic Peripheral Blood Stem Cell Transplantation From Related or Matched Unrelated Donors in Pediatric Patients With Solid Tumors and Leukemias
NCT01287104 ·Status: COMPLETED ·Phase: PHASE1
-
Bone Marrow Transplant From Partially Matched Donors and Nonmyeloablative Conditioning for Blood Cancers (BMT CTN 0603)
NCT00849147 ·Status: COMPLETED ·Phase: PHASE2
-
Tocilizumab for Chronic Graft-versus-Host Disease Treatment
NCT02174263 ·Status: WITHDRAWN ·Phase: PHASE2
-
Treatment of Relapsed or Chemotherapy Refractory Chronic Lymphocytic Leukemia or Indolent B Cell Lymphoma Using Autologous T Cells Genetically Targeted to the B Cell Specific Antigen CD19
NCT00466531 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE1/PHASE2