Phase 1 Study of CK0801 in Treatment of Bone Marrow Failure Syndromes.


Journal

NEJM evidence
ISSN: 2766-5526
Titre abrégé: NEJM Evid
Pays: United States
ID NLM: 9918317485806676

Informations de publication

Date de publication:
Jun 2024
Historique:
medline: 28 5 2024
pubmed: 28 5 2024
entrez: 28 5 2024
Statut: ppublish

Résumé

An inflammatory bone marrow microenvironment contributes to acquired bone marrow failure syndromes. CK0801, an allogeneic T regulatory (Treg) cell therapy product, can potentially interrupt this continuous loop of inflammation and restore hematopoiesis. In this phase 1 dose-escalation study of CK0801 Treg cells, we enrolled patients with bone marrow failure syndromes with suboptimal response to their prior therapy to determine the safety and efficacy of this treatment for bone marrow failure syndromes. We enrolled nine patients with a median age of 57 years (range, 19 to 74) with an underlying diagnosis of aplastic anemia (n=4), myelofibrosis (n=4), or hypoplastic myelodysplasia (n=1). Patients had a median of three prior therapies for a bone marrow failure syndrome. Starting dose levels of CK0801 were 1 × 10 In previously treated patients, CK0801 demonstrated no dose-limiting toxicity and showed evidence of efficacy, providing proof of concept for targeting inflammation as a therapy for bone marrow failure. (Funded by Cellenkos Inc.; Clinicaltrials.gov number, NCT03773393.).

Sections du résumé

BACKGROUND BACKGROUND
An inflammatory bone marrow microenvironment contributes to acquired bone marrow failure syndromes. CK0801, an allogeneic T regulatory (Treg) cell therapy product, can potentially interrupt this continuous loop of inflammation and restore hematopoiesis.
METHODS METHODS
In this phase 1 dose-escalation study of CK0801 Treg cells, we enrolled patients with bone marrow failure syndromes with suboptimal response to their prior therapy to determine the safety and efficacy of this treatment for bone marrow failure syndromes.
RESULTS RESULTS
We enrolled nine patients with a median age of 57 years (range, 19 to 74) with an underlying diagnosis of aplastic anemia (n=4), myelofibrosis (n=4), or hypoplastic myelodysplasia (n=1). Patients had a median of three prior therapies for a bone marrow failure syndrome. Starting dose levels of CK0801 were 1 × 10
CONCLUSIONS CONCLUSIONS
In previously treated patients, CK0801 demonstrated no dose-limiting toxicity and showed evidence of efficacy, providing proof of concept for targeting inflammation as a therapy for bone marrow failure. (Funded by Cellenkos Inc.; Clinicaltrials.gov number, NCT03773393.).

Identifiants

pubmed: 38804782
doi: 10.1056/EVIDoa2300362
doi:

Banques de données

ClinicalTrials.gov
['NCT03773393']

Types de publication

Journal Article Clinical Trial, Phase I

Langues

eng

Sous-ensembles de citation

IM

Pagination

EVIDoa2300362

Auteurs

Tapan M Kadia (TM)

Department of Leukemia, MD Anderson Cancer Center, Houston.

Meixian Huang (M)

Department of Lymphoma/Myeloma, MD Anderson Cancer Center, Houston.

Naveen Pemmaraju (N)

Department of Leukemia, MD Anderson Cancer Center, Houston.

Hussein A Abbas (HA)

Department of Leukemia, MD Anderson Cancer Center, Houston.

Christopher Ly (C)

Department of Leukemia, MD Anderson Cancer Center, Houston.

Lucia Masarova (L)

Department of Leukemia, MD Anderson Cancer Center, Houston.

Musa Yilmaz (M)

Department of Leukemia, MD Anderson Cancer Center, Houston.

Mi-Ae Lyu (MA)

Department of Lymphoma/Myeloma, MD Anderson Cancer Center, Houston.

Ke Zeng (K)

Department of Lymphoma/Myeloma, MD Anderson Cancer Center, Houston.

Tara Sadeghi (T)

Cellenkos Inc., Houston.

Robin Cook (R)

Department of Leukemia, MD Anderson Cancer Center, Houston.

Courtney D DiNardo (CD)

Department of Leukemia, MD Anderson Cancer Center, Houston.

Naval Daver (N)

Department of Leukemia, MD Anderson Cancer Center, Houston.

Ghayas C Issa (GC)

Department of Leukemia, MD Anderson Cancer Center, Houston.

Elias Jabbour (E)

Department of Leukemia, MD Anderson Cancer Center, Houston.

Gautam Borthakur (G)

Department of Leukemia, MD Anderson Cancer Center, Houston.

Nitin Jain (N)

Department of Leukemia, MD Anderson Cancer Center, Houston.

Guillermo Garcia-Manero (G)

Department of Leukemia, MD Anderson Cancer Center, Houston.

Simrit Parmar (S)

Department of Lymphoma/Myeloma, MD Anderson Cancer Center, Houston.

Christopher Flowers (C)

Department of Lymphoma/Myeloma, MD Anderson Cancer Center, Houston.

Hagop Kantarjian (H)

Department of Leukemia, MD Anderson Cancer Center, Houston.

Srdan Verstovsek (S)

Department of Leukemia, MD Anderson Cancer Center, Houston.
Kartos Therapeutics, Redwood City, CA.

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Classifications MeSH