Cytokine Induced Memory-like NK Cell Adoptive Therapy After Haploidentical Donor Hematopoietic Cell Transplantation
NCT02782546 · Status: ACTIVE_NOT_RECRUITING · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 60
Last updated 2025-12-24
Summary
This is a standard phase 2 study powered to demonstrate improvement in the 100 day leukemia free survival to 30% from \<10% expected with the use of reduced intensity haplo-HCT in this extremely high-risk patient cohort (based on the institutional experience using non-myeloablative / reduced intensity conditioning in a similar patient cohort).
A formal safety evaluation will be done after every 6th patient enrolled and the trial will be stopped if noted to have unusually higher engraftment failure (acute GVHD rates (\>60% any grades or \>30% grade III/IV or ≥ 50% severe cGVHD) or engraftment failure rates (≥15%).
Conditions
Interventions
- DRUG
-
ALT-803
-Start approximately 4 hours after CIML NK cell infusion
- PROCEDURE
-
Leukapheresis
-Day +6
- PROCEDURE
-
CIML NK cell infusion
-Day +7
- DRUG
-
Mycophenolate mofetil
-GVHD prophylaxis
- DRUG
-
G-CSF
-Continue until neutrophil engraftment as per institutional guidelines
- PROCEDURE
-
Graft cell infusion
-Day 0
- DRUG
-
-GVHD prophylaxis
Sponsors & Collaborators
-
National Institutes of Health (NIH)
collaborator NIH -
The V Foundation for Cancer Research
collaborator OTHER -
National Cancer Institute (NCI)
collaborator NIH -
ImmunityBio, Inc.
collaborator INDUSTRY -
Washington University School of Medicine
lead OTHER
Principal Investigators
-
Amanda Cashen, M.D. · Washington University School of Medicine
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2017-01-30
- Primary Completion
- 2025-10-27
- Completion
- 2028-02-13
- FDA Drug
- Yes
Countries
- United States
Study Locations
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