Prevention of Acute Graft Versus Host Disease in Patients Undergoing Allogeneic ApoGraft Stem Cell Transplantation

Last updated: November 24, 2019
Sponsor: Cellect Biotechnology
Overall Status: Active - Recruiting

Phase

1/2

Condition

Hematological Disorders

Treatment

N/A

Clinical Study ID

NCT02828878
ApoGraft 01
  • Ages 18-70
  • All Genders

Study Summary

Interventional, open label, Phase I/II, Safety and Proof-of-Concept Study, with a follow up period of 180 days after the transplantation of ApoGraft.

Eligibility Criteria

Inclusion

Recipient/patient main inclusion criteria:

  1. Adult male or female subjects, 18-70 years of age.

  2. Subjects are eligible for allogeneic HLA-matched related HSCT for any hematologicalmalignancies for which transplantation is appropriate with corresponding relateddonor. One of the following hemato-oncology disorders diagnosis is required:

  • Acute myelogenous leukemia (AML) and Acute lymphoblastic leukemia (ALL) in 1st orsubsequent complete remission (CR)

  • Non-Hodgkin's disease (NHD) in CR by CT or PET/CT

  • Hodgkin's disease (HD) in 1st or subsequent CR by CT or PET/CT

  • Intermediate, High or Very High Risk Myelodysplastic syndrome (MDS) (IPSS-Rcriteria)

  1. The donor and recipient must have full match at the HLA A, B, C, DR and DQ loci.

  2. ECOG performance status score 0-1 at time of the screening visit.

  3. Subjects must have adequate organ function as defined in the study protocol

  4. Signed written informed consent to participate in the study.

  5. If female of childbearing potential, agree to use an acceptable method of birthcontrol or be surgically sterile, and have a negative pregnancy test. Donor main inclusion criteria:

  6. Adult male or female subjects, 18-65 years of age.

  7. Donor criteria according to standard WMDA criteria for donor selection. 3 Must havefull match at the HLA A, B, C, DR and DQ loci with the recipient.

  8. Signed written informed consent

Exclusion

Recipient/patient main exclusion criteria:

  1. Use of non-myeloabletive conditioning.

  2. Uncontrolled infections including sepsis, pneumonia with hypoxemia, persistentbacteremia, or meningitis within two weeks of the screening visit.

  3. Current known acute or chronic infection with HBV or HCV.

  4. Known human immunodeficiency virus (HIV) infection or AIDS.

  5. Subjects with severe or symptomatic restrictive or obstructive lung disease orrespiratory failure requiring ventilator support.

  6. Subjects with other concurrent severe and/or uncontrolled medical condition, whichcould compromise participation in the study (i.e. active infection, uncontrolleddiabetes, uncontrolled hypertension, congestive cardiac failure, unstable angina,ventricular arrhythmias, active ischemic heart disease, myocardial infarction withinsix months and chronic liver or renal disease.

  7. Any form of substance abuse (including drug or alcohol abuse), psychiatric disorder orany chronic condition susceptible, in the opinion of the investigator, of interferingwith the conduct of the study.

  8. Organ allograft or previous history of allogeneic stem cell transplantation.

  9. Pregnancy or lactation. Donor main exclusion criteria:

  10. HIV, HBV or HCV positive subjects.

  11. Pregnant or lactating women.

  12. Uncontrolled intercurrent illness including, but not limited to, ongoing or activeinfection, symptomatic congestive heart failure, unstable angina pectoris, cardiacarrhythmia, or psychiatric illness/social situations that would limit compliance withstudy requirements.

Study Design

Total Participants: 12
Study Start date:
January 01, 2017
Estimated Completion Date:
July 31, 2020

Study Description

ApoGraft product is a mobilized peripheral blood cell product of a matched Related donor, collected via apheresis, which is exposed to the apoptotic mediator Fas Ligand (CD95L) prior to transplantation (Ex Vivo).

The study is designed to address the aspects of engraftment and Prevention of Acute Graft versus Host Disease (aGvHD) rate and/or severity in 12 Patients

STUDY DESIGN:

This is a phase 1/2, open-label, proof-of-concept, staggered 4-cohort clinical study. Each cohort will include 3 patients with hemato-oncology disorders eligible for allogeneic HLA-matched HSCT. Patients in all cohorts will undergo similar study procedures and evaluation. The cohorts will differ from each other in the amount of apoptotic mediator Fas Ligand (APO010) to which the graft is exposed during incubation prior to ApoGraft transplantation and HSCT, ranging from 10 ng/ml APO010 in Cohort 1, 25 ng/ml APO010 in Cohort 2, 50 ng/ml APO010 in Cohort 3 and 100 ng/ml APO010 in Cohort 4. APO010 is washed-out as part of the ApoGraft process and only trace amounts of APO010 are present in the final ApoGraft product

The study consists of a screening phase (subject and donor clinical assessment and screening tests), transplantation of ApoGraft, and a follow-up period of 180 days during and after hospitalization.

The study will progress from one cohort to the next based on an independent data safety monitoring board (DSMB) review and analysis of safety data

Connect with a study center

  • Rambam Health Care Campus

    Haifa,
    Israel

    Active - Recruiting

  • Hadassah Medical Center, Ein Kerem, Jerusalem

    Jerusalem,
    Israel

    Active - Recruiting

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