This EAP was designed to provide ELI-002 7P access to patients when all of the following
apply: patient has a serious or immediately life-threatening disease or condition; there
is no comparable or satisfactory alternative therapy to diagnose, monitor, or treat the
disease or condition; patient enrollment in a clinical trial is not possible; potential
patient benefit justifies the potential risks of treatment; and providing the
investigational medical product will not interfere with investigational trials that could
support a medical product's development or marketing approval for the treatment
indication. In addition, the protocol will include patients participating in Study
ELI-002-201 who might benefit from receiving doses beyond the protocol-specified schedule
for that study. As such, this EAP will include 2 cohorts: Cohort 1A will include patients
unable to participate in other clinical trial protocols and will receive ELI-002 7P for
the first time; and Cohort 1B will include patients who have completed the dosing
specified in Study ELI-002-201 and are receiving additional booster doses.
The protocol consists of a Screening Period, an Immunization Period, a 2-Month No Dosing
Period, a Booster Period, and a Follow-up Period. Patients who have not previously
received ELI-002 7P (Cohort 1A) will participate in all periods of the protocol. Patients
who have completed previous treatment with ELI-002 7P and are only receiving additional
booster doses (Cohort 1B) will skip the Immunization Period and 2-Month No Dosing Period.
All patients will receive booster doses unless they have unresolved toxicity (specific to
Cohort 1A).
All patients will be observed for safety and tolerability. Laboratory assessments
(hematology, blood chemistry), vital signs, physical examinations, and radiographic
imaging and other assessments will be performed per institution standard of care practice
and per treating physician judgement. Patients with confirmed radiographic relapse (using
iRECIST criteria; not judged as pseudoprogression) during treatment with ELI-002 7P may
either discontinue trial treatment or continue trial treatment if the treating physician
determines that continued use of ELI-002 7P is appropriate treatment for the current
clinical situation, the patient is tolerating ELI-002 7P, and the patient has stable
performance status.