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Autologous Genetically modified T cells

Phase 2

Multiple Myeloma | Gene therapy | Oncology |GSK plc|Trials Updated: Dec 3, 2019

Autologous Genetically modified T cells development status

Highest phase Phase 2
Registered trials 3 across 2 sponsors since May 2011

Autologous Genetically modified T cells target and mechanism

Molecular targetADA
Target classExogenous Gene
ModalityGene therapy

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLEDDMC
Total Trials1
Total Enrollment25

FDA Designations

No designations recorded

Autologous Genetically modified T cells clinical trials

Autologous Genetically modified T cells · 1 trial · 1 indication

Phase 2 1
NCT01352286Redirected Auto T Cells for Advanced MyelomaMultiple Myeloma
COMPLETED25 Analytics
PHASE2COMPLETED
Redirected Auto T Cells for Advanced Myeloma
Multiple MyelomaUnlock trial analytics

Study Endpoints

Primary Endpoints

Adverse Events Related to Study Treatment
Day -40 to Year 1 post-treatment

Number of Participants with Adverse Events related to study treatment

Secondary Endpoints

Number of Participants With Response Per International Myeloma Working Group (IMWG) 2011 Criteria
Change from Baseline at Day 42, 100, 180, 270 and Year 1
Best Objective Response (BOR)
Best Objective Response prior to initiation of lenalidomide and at Year 1
Duration of Response (DOR), Progression Free Survival (PFS), Overall Survival (OS)
DOR: Initial date of response to date of progressive disease or death PFS: Date of first T -cell infusion to earliest date of disease progression of death due to any cause OS: Date of first T-cell infusion to date of death from any cause.
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Autologous Genetically modified T cellsEXPERIMENTALPatients with advanced myeloma and who are candidates for autologous stem cell transplants, or syngeneic stem cell transplants (SSCT), will be eligible. Prior to full screening on this study, patients will undergo prescreening to evaluate HLA-A type and presence of NY-ESO-1c259T/LAGE antigen. Patients will undergo a steady-state mononuclear cell apheresis for T cell collection, with an optional second collection. Once mononuclear cells have been collected, patients (or donors in the case of SSCT) will then undergo hematopoietic stem cell mobilization. Patients will receive a dose \>0.1-1 x 10¹º anti-CD3/anti-CD28-costimulated autologous T cells which have been genetically modified to express high affinity NY-ESO-1c259 TCRs.

Interventions

NameTypeDescription
Autologous Genetically modified T cellsGENETICPatients will undergo myeloma restaging at days +42, +100, 6 months, 9 months and 1 year post infusion. At this point, in accordance with FDA Guidelines, all patients will enter long term follow up (LTFU) and be followed biannually for monitoring for gene transfer delayed adverse events until year 5 post infusion. From year 5, all patients will require annual LTFU visits for monitoring for delayed adverse events until year 15 after receiving the genetically modified T cells. Patients whose disease progresses prior to year 1 will enter LTFU at time of progression; however these patients will be seen quarterly from progression until year 1 post infusion and then follow the LTFU schedule mentioned above.
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Eligibility Criteria

Age Range18 Years to 80 Years
SexALL
Healthy VolunteersNo
Study Sites2

Inclusion Criteria: * Myeloma has relapsed, progressed, or failed to respond after at least one prior course of therapy (consisting of at least 2 treatment cycles or months of therapy) * Myeloma has responded partially to initial therapy but a complete response (immunofixation negative and normal s...

Countries:United States
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Competitive Landscape -Multiple Myeloma 338 trials

Frequently asked questions about Autologous Genetically modified T cells

What is autologous genetically modified T cells?

Autologous genetically modified T cells are a gene therapy approach in which a patient's own T cells are genetically altered outside the body and then returned to the patient. GSK plc is developing this therapy for multiple myeloma, a cancer of plasma cells in the bone marrow.

What is autologous genetically modified T cells used for?

Autologous genetically modified T cells are being studied for the treatment of multiple myeloma. The therapy is designed for patients with this blood cancer, and the clinical program has focused on advanced multiple myeloma in adults.

What does autologous genetically modified T cells target?

This therapy targets ADA, which is an exogenous gene introduced into the patient's T cells. The target class is an exogenous gene, meaning the modified cells are designed to express ADA as part of the treatment approach for multiple myeloma.

Who is developing autologous genetically modified T cells?

GSK plc, which trades under the ticker GSK, is the developer of autologous genetically modified T cells. The company is responsible for the clinical development of this gene therapy candidate in multiple myeloma.

What phase is autologous genetically modified T cells in?

Autologous genetically modified T cells are in Phase 2 clinical development. The program has completed one Phase 2 trial and is not currently listed as having active trials. It is an investigational therapy and has not been approved by the FDA.

What clinical trials is autologous genetically modified T cells in?

The clinical program includes one completed Phase 2 trial, NCT01352286, titled Redirected Auto T Cells for Advanced Myeloma. It enrolled 25 participants in the United States. The study was uncontrolled, non-randomized, and not double-blind, and it included adults aged 18 years and older.