Trial Outcomes & Findings for Umbilical & Cord Blood (CB) Derived CAR-Engineered NK Cells for B Lymphoid Malignancies (NCT NCT03056339)

NCT ID: NCT03056339

Last Updated: 2024-03-25

Results Overview

Toxicity is defined as a grade 3 or 4 within 40 days of NK cell infusion.

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

49 participants

Primary outcome timeframe

40 days

Results posted on

2024-03-25

Participant Flow

Recruitment period: June 2017 to May 2021. All participants were registered at The University of Texas MD Anderson Cancer Center.

Patient accession #3 and #21 are the same patient. The patient was taken off protocol and re-consented for a second infusion. Patient was only evaluated in regards to safety and efficacy as 1 subject.

Participant milestones

Participant milestones
Measure
Group 1: 1x105 NK Cells /kg
On Days -5, -4, and -3, participants receive Fludarabine and Cyclophosphamide. Participants also receive Mesna before and after the cyclophosphamide dose. On Day 0, participants receive genetically modified NK cells as a cell infusion. If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they receive AP1903 by vein and possibly steroids by mouth or by vein. Fludarabine: 30 mg/m2 by vein on Days -5 to -3. Cyclophosphamide: 300 mg/m2 by vein on Days -5 to -3. Mesna: 300 mg/m2 by vein on Days -5 to -3 before and after the cyclophosphamide dose. iC9/CAR.19/IL15-Transduced CB-NK Cells: Infusion of iC9/CAR.19/IL15-transduced CB-NK cells on Day 0 by vein. Starting dose: 10E5 AP1903: If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they will receive AP1903 0.4 mg/kg administered as an intravenous infusion.
Group 2: 1x106 NK Cells /kg
On Days -5, -4, and -3, participants receive Fludarabine and Cyclophosphamide. Participants also receive Mesna before and after the cyclophosphamide dose. On Day 0, participants receive genetically modified NK cells as a cell infusion. If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they receive AP1903 by vein and possibly steroids by mouth or by vein. Fludarabine: 30 mg/m2 by vein on Days -5 to -3. Cyclophosphamide: 300 mg/m2 by vein on Days -5 to -3. Mesna: 300 mg/m2 by vein on Days -5 to -3 before and after the cyclophosphamide dose. iC9/CAR.19/IL15-Transduced CB-NK Cells: Infusion of iC9/CAR.19/IL15-transduced CB-NK cells on Day 0 by vein. Starting dose: 106 AP1903: If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they will receive AP1903 0.4 mg/kg administered as an intravenous infusion.
Group 3: 1x107 NK Cells /kg
On Days -5, -4, and -3, participants receive Fludarabine and Cyclophosphamide. Participants also receive Mesna before and after the cyclophosphamide dose. On Day 0, participants receive genetically modified NK cells as a cell infusion. If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they receive AP1903 by vein and possibly steroids by mouth or by vein. Fludarabine: 30 mg/m2 by vein on Days -5 to -3. Cyclophosphamide: 300 mg/m2 by vein on Days -5 to -3. Mesna: 300 mg/m2 by vein on Days -5 to -3 before and after the cyclophosphamide dose. iC9/CAR.19/IL15-Transduced CB-NK Cells: Infusion of iC9/CAR.19/IL15-transduced CB-NK cells on Day 0 by vein. Starting dose: 107 AP1903: If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they will receive AP1903 0.4 mg/kg administered as an intravenous infusion.
Group 4: 8x108 Flat NK Cell Dose
On Days -5, -4, and -3, participants receive Fludarabine and Cyclophosphamide. Participants also receive Mesna before and after the cyclophosphamide dose. On Day 0, participants receive genetically modified NK cells as a cell infusion. If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they receive AP1903 by vein and possibly steroids by mouth or by vein. Fludarabine: 30 mg/m2 by vein on Days -5 to -3. Cyclophosphamide: 300 mg/m2 by vein on Days -5 to -3. Mesna: 300 mg/m2 by vein on Days -5 to -3 before and after the cyclophosphamide dose. iC9/CAR.19/IL15-Transduced CB-NK Cells: Infusion of iC9/CAR.19/IL15-transduced CB-NK cells on Day 0 by vein. Starting dose: 108 AP1903: If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they will receive AP1903 0.4 mg/kg administered as an intravenous infusion.
Overall Study
STARTED
3
6
23
17
Overall Study
COMPLETED
3
4
16
16
Overall Study
NOT COMPLETED
0
2
7
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Group 1: 1x105 NK Cells /kg
On Days -5, -4, and -3, participants receive Fludarabine and Cyclophosphamide. Participants also receive Mesna before and after the cyclophosphamide dose. On Day 0, participants receive genetically modified NK cells as a cell infusion. If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they receive AP1903 by vein and possibly steroids by mouth or by vein. Fludarabine: 30 mg/m2 by vein on Days -5 to -3. Cyclophosphamide: 300 mg/m2 by vein on Days -5 to -3. Mesna: 300 mg/m2 by vein on Days -5 to -3 before and after the cyclophosphamide dose. iC9/CAR.19/IL15-Transduced CB-NK Cells: Infusion of iC9/CAR.19/IL15-transduced CB-NK cells on Day 0 by vein. Starting dose: 10E5 AP1903: If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they will receive AP1903 0.4 mg/kg administered as an intravenous infusion.
Group 2: 1x106 NK Cells /kg
On Days -5, -4, and -3, participants receive Fludarabine and Cyclophosphamide. Participants also receive Mesna before and after the cyclophosphamide dose. On Day 0, participants receive genetically modified NK cells as a cell infusion. If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they receive AP1903 by vein and possibly steroids by mouth or by vein. Fludarabine: 30 mg/m2 by vein on Days -5 to -3. Cyclophosphamide: 300 mg/m2 by vein on Days -5 to -3. Mesna: 300 mg/m2 by vein on Days -5 to -3 before and after the cyclophosphamide dose. iC9/CAR.19/IL15-Transduced CB-NK Cells: Infusion of iC9/CAR.19/IL15-transduced CB-NK cells on Day 0 by vein. Starting dose: 106 AP1903: If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they will receive AP1903 0.4 mg/kg administered as an intravenous infusion.
Group 3: 1x107 NK Cells /kg
On Days -5, -4, and -3, participants receive Fludarabine and Cyclophosphamide. Participants also receive Mesna before and after the cyclophosphamide dose. On Day 0, participants receive genetically modified NK cells as a cell infusion. If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they receive AP1903 by vein and possibly steroids by mouth or by vein. Fludarabine: 30 mg/m2 by vein on Days -5 to -3. Cyclophosphamide: 300 mg/m2 by vein on Days -5 to -3. Mesna: 300 mg/m2 by vein on Days -5 to -3 before and after the cyclophosphamide dose. iC9/CAR.19/IL15-Transduced CB-NK Cells: Infusion of iC9/CAR.19/IL15-transduced CB-NK cells on Day 0 by vein. Starting dose: 107 AP1903: If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they will receive AP1903 0.4 mg/kg administered as an intravenous infusion.
Group 4: 8x108 Flat NK Cell Dose
On Days -5, -4, and -3, participants receive Fludarabine and Cyclophosphamide. Participants also receive Mesna before and after the cyclophosphamide dose. On Day 0, participants receive genetically modified NK cells as a cell infusion. If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they receive AP1903 by vein and possibly steroids by mouth or by vein. Fludarabine: 30 mg/m2 by vein on Days -5 to -3. Cyclophosphamide: 300 mg/m2 by vein on Days -5 to -3. Mesna: 300 mg/m2 by vein on Days -5 to -3 before and after the cyclophosphamide dose. iC9/CAR.19/IL15-Transduced CB-NK Cells: Infusion of iC9/CAR.19/IL15-transduced CB-NK cells on Day 0 by vein. Starting dose: 108 AP1903: If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they will receive AP1903 0.4 mg/kg administered as an intravenous infusion.
Overall Study
Failed Requirements
0
2
7
1

Baseline Characteristics

Umbilical & Cord Blood (CB) Derived CAR-Engineered NK Cells for B Lymphoid Malignancies

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Group 1: 1x105 NK Cells /kg
n=3 Participants
On Days -5, -4, and -3, participants receive Fludarabine and Cyclophosphamide. Participants also receive Mesna before and after the cyclophosphamide dose. On Day 0, participants receive genetically modified NK cells as a cell infusion. If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they receive AP1903 by vein and possibly steroids by mouth or by vein. Fludarabine: 30 mg/m2 by vein on Days -5 to -3. Cyclophosphamide: 300 mg/m2 by vein on Days -5 to -3. Mesna: 300 mg/m2 by vein on Days -5 to -3 before and after the cyclophosphamide dose. iC9/CAR.19/IL15-Transduced CB-NK Cells: Infusion of iC9/CAR.19/IL15-transduced CB-NK cells on Day 0 by vein. Starting dose: 10E5 AP1903: If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they will receive AP1903 0.4 mg/kg administered as an intravenous infusion.
Group 2: 1x106 NK Cells /kg
n=6 Participants
On Days -5, -4, and -3, participants receive Fludarabine and Cyclophosphamide. Participants also receive Mesna before and after the cyclophosphamide dose. On Day 0, participants receive genetically modified NK cells as a cell infusion. If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they receive AP1903 by vein and possibly steroids by mouth or by vein. Fludarabine: 30 mg/m2 by vein on Days -5 to -3. Cyclophosphamide: 300 mg/m2 by vein on Days -5 to -3. Mesna: 300 mg/m2 by vein on Days -5 to -3 before and after the cyclophosphamide dose. iC9/CAR.19/IL15-Transduced CB-NK Cells: Infusion of iC9/CAR.19/IL15-transduced CB-NK cells on Day 0 by vein. Starting dose: 106 AP1903: If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they will receive AP1903 0.4 mg/kg administered as an intravenous infusion.
Group 3: 1x107 NK Cells /kg
n=23 Participants
On Days -5, -4, and -3, participants receive Fludarabine and Cyclophosphamide. Participants also receive Mesna before and after the cyclophosphamide dose. On Day 0, participants receive genetically modified NK cells as a cell infusion. If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they receive AP1903 by vein and possibly steroids by mouth or by vein. Fludarabine: 30 mg/m2 by vein on Days -5 to -3. Cyclophosphamide: 300 mg/m2 by vein on Days -5 to -3. Mesna: 300 mg/m2 by vein on Days -5 to -3 before and after the cyclophosphamide dose. iC9/CAR.19/IL15-Transduced CB-NK Cells: Infusion of iC9/CAR.19/IL15-transduced CB-NK cells on Day 0 by vein. Starting dose: 107 AP1903: If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they will receive AP1903 0.4 mg/kg administered as an intravenous infusion.
Group 4: 8x108 Flat NK Cell Dose
n=17 Participants
On Days -5, -4, and -3, participants receive Fludarabine and Cyclophosphamide. Participants also receive Mesna before and after the cyclophosphamide dose. On Day 0, participants receive genetically modified NK cells as a cell infusion. If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they receive AP1903 by vein and possibly steroids by mouth or by vein. Fludarabine: 30 mg/m2 by vein on Days -5 to -3. Cyclophosphamide: 300 mg/m2 by vein on Days -5 to -3. Mesna: 300 mg/m2 by vein on Days -5 to -3 before and after the cyclophosphamide dose. iC9/CAR.19/IL15-Transduced CB-NK Cells: Infusion of iC9/CAR.19/IL15-transduced CB-NK cells on Day 0 by vein. Starting dose: 108 AP1903: If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they will receive AP1903 0.4 mg/kg administered as an intravenous infusion.
Total
n=49 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Age, Categorical
Between 18 and 65 years
3 Participants
n=5 Participants
5 Participants
n=7 Participants
11 Participants
n=5 Participants
9 Participants
n=4 Participants
28 Participants
n=21 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
1 Participants
n=7 Participants
12 Participants
n=5 Participants
8 Participants
n=4 Participants
21 Participants
n=21 Participants
Sex: Female, Male
Female
1 Participants
n=5 Participants
3 Participants
n=7 Participants
8 Participants
n=5 Participants
6 Participants
n=4 Participants
18 Participants
n=21 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
3 Participants
n=7 Participants
15 Participants
n=5 Participants
11 Participants
n=4 Participants
31 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
2 Participants
n=5 Participants
6 Participants
n=7 Participants
21 Participants
n=5 Participants
16 Participants
n=4 Participants
45 Participants
n=21 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
n=5 Participants
0 Participants
n=7 Participants
2 Participants
n=5 Participants
1 Participants
n=4 Participants
4 Participants
n=21 Participants
Region of Enrollment
United States
3 participants
n=5 Participants
6 participants
n=7 Participants
23 participants
n=5 Participants
17 participants
n=4 Participants
49 participants
n=21 Participants

PRIMARY outcome

Timeframe: 40 days

Toxicity is defined as a grade 3 or 4 within 40 days of NK cell infusion.

Outcome measures

Outcome measures
Measure
Group 1: 1x105 NK Cells /kg
n=3 Participants
On Days -5, -4, and -3, participants receive Fludarabine and Cyclophosphamide. Participants also receive Mesna before and after the cyclophosphamide dose. On Day 0, participants receive genetically modified NK cells as a cell infusion. If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they receive AP1903 by vein and possibly steroids by mouth or by vein. Fludarabine: 30 mg/m2 by vein on Days -5 to -3. Cyclophosphamide: 300 mg/m2 by vein on Days -5 to -3. Mesna: 300 mg/m2 by vein on Days -5 to -3 before and after the cyclophosphamide dose. iC9/CAR.19/IL15-Transduced CB-NK Cells: Infusion of iC9/CAR.19/IL15-transduced CB-NK cells on Day 0 by vein. Starting dose: 10E5 AP1903: If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they will receive AP1903 0.4 mg/kg administered as an intravenous infusion.
Group 2: 1x106 NK Cells /kg
n=6 Participants
On Days -5, -4, and -3, participants receive Fludarabine and Cyclophosphamide. Participants also receive Mesna before and after the cyclophosphamide dose. On Day 0, participants receive genetically modified NK cells as a cell infusion. If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they receive AP1903 by vein and possibly steroids by mouth or by vein. Fludarabine: 30 mg/m2 by vein on Days -5 to -3. Cyclophosphamide: 300 mg/m2 by vein on Days -5 to -3. Mesna: 300 mg/m2 by vein on Days -5 to -3 before and after the cyclophosphamide dose. iC9/CAR.19/IL15-Transduced CB-NK Cells: Infusion of iC9/CAR.19/IL15-transduced CB-NK cells on Day 0 by vein. Starting dose: 106 AP1903: If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they will receive AP1903 0.4 mg/kg administered as an intravenous infusion.
Group 3: 1x107 NK Cells /kg
n=23 Participants
On Days -5, -4, and -3, participants receive Fludarabine and Cyclophosphamide. Participants also receive Mesna before and after the cyclophosphamide dose. On Day 0, participants receive genetically modified NK cells as a cell infusion. If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they receive AP1903 by vein and possibly steroids by mouth or by vein. Fludarabine: 30 mg/m2 by vein on Days -5 to -3. Cyclophosphamide: 300 mg/m2 by vein on Days -5 to -3. Mesna: 300 mg/m2 by vein on Days -5 to -3 before and after the cyclophosphamide dose. iC9/CAR.19/IL15-Transduced CB-NK Cells: Infusion of iC9/CAR.19/IL15-transduced CB-NK cells on Day 0 by vein. Starting dose: 107 AP1903: If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they will receive AP1903 0.4 mg/kg administered as an intravenous infusion.
Group 4: 8x108 Flat NK Cell Dose
n=17 Participants
On Days -5, -4, and -3, participants receive Fludarabine and Cyclophosphamide. Participants also receive Mesna before and after the cyclophosphamide dose. On Day 0, participants receive genetically modified NK cells as a cell infusion. If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they receive AP1903 by vein and possibly steroids by mouth or by vein. Fludarabine: 30 mg/m2 by vein on Days -5 to -3. Cyclophosphamide: 300 mg/m2 by vein on Days -5 to -3. Mesna: 300 mg/m2 by vein on Days -5 to -3 before and after the cyclophosphamide dose. iC9/CAR.19/IL15-Transduced CB-NK Cells: Infusion of iC9/CAR.19/IL15-transduced CB-NK cells on Day 0 by vein. Starting dose: 108 AP1903: If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they will receive AP1903 0.4 mg/kg administered as an intravenous infusion.
Number of Events That Was Grade 3-4 Toxicities
Grade 3 - Toxicities
4 events
1 events
22 events
1 events
Number of Events That Was Grade 3-4 Toxicities
Grade 4 - Toxicities
0 events
0 events
0 events
0 events

SECONDARY outcome

Timeframe: 30 days

Participants response was defined as partial or complete response by Efftox assessment below. * Acute lymphoblastic leukemia: Complete response will be defined as bone marrow with \< 5% blasts, the absence of circulating blasts, and no extramedullary sites of disease (as assessed by means of computed tomography or positron-emission tomography), regardless of cell-count recovery. * CLL: Response will be defined based on the NCI-WG/IWCLL 2008 criteria, Guidelines for the diagnosis and treatment of chronic lymphocytic leukemia. Lymphomas: Response will be defined based on the Lugano criteria- Recommendations for Initial Evaluation, Staging, and Response Assessment of Hodgkin and Non-Hodgkin Lymphoma:

Outcome measures

Outcome measures
Measure
Group 1: 1x105 NK Cells /kg
n=3 Participants
On Days -5, -4, and -3, participants receive Fludarabine and Cyclophosphamide. Participants also receive Mesna before and after the cyclophosphamide dose. On Day 0, participants receive genetically modified NK cells as a cell infusion. If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they receive AP1903 by vein and possibly steroids by mouth or by vein. Fludarabine: 30 mg/m2 by vein on Days -5 to -3. Cyclophosphamide: 300 mg/m2 by vein on Days -5 to -3. Mesna: 300 mg/m2 by vein on Days -5 to -3 before and after the cyclophosphamide dose. iC9/CAR.19/IL15-Transduced CB-NK Cells: Infusion of iC9/CAR.19/IL15-transduced CB-NK cells on Day 0 by vein. Starting dose: 10E5 AP1903: If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they will receive AP1903 0.4 mg/kg administered as an intravenous infusion.
Group 2: 1x106 NK Cells /kg
n=6 Participants
On Days -5, -4, and -3, participants receive Fludarabine and Cyclophosphamide. Participants also receive Mesna before and after the cyclophosphamide dose. On Day 0, participants receive genetically modified NK cells as a cell infusion. If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they receive AP1903 by vein and possibly steroids by mouth or by vein. Fludarabine: 30 mg/m2 by vein on Days -5 to -3. Cyclophosphamide: 300 mg/m2 by vein on Days -5 to -3. Mesna: 300 mg/m2 by vein on Days -5 to -3 before and after the cyclophosphamide dose. iC9/CAR.19/IL15-Transduced CB-NK Cells: Infusion of iC9/CAR.19/IL15-transduced CB-NK cells on Day 0 by vein. Starting dose: 106 AP1903: If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they will receive AP1903 0.4 mg/kg administered as an intravenous infusion.
Group 3: 1x107 NK Cells /kg
n=23 Participants
On Days -5, -4, and -3, participants receive Fludarabine and Cyclophosphamide. Participants also receive Mesna before and after the cyclophosphamide dose. On Day 0, participants receive genetically modified NK cells as a cell infusion. If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they receive AP1903 by vein and possibly steroids by mouth or by vein. Fludarabine: 30 mg/m2 by vein on Days -5 to -3. Cyclophosphamide: 300 mg/m2 by vein on Days -5 to -3. Mesna: 300 mg/m2 by vein on Days -5 to -3 before and after the cyclophosphamide dose. iC9/CAR.19/IL15-Transduced CB-NK Cells: Infusion of iC9/CAR.19/IL15-transduced CB-NK cells on Day 0 by vein. Starting dose: 107 AP1903: If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they will receive AP1903 0.4 mg/kg administered as an intravenous infusion.
Group 4: 8x108 Flat NK Cell Dose
n=17 Participants
On Days -5, -4, and -3, participants receive Fludarabine and Cyclophosphamide. Participants also receive Mesna before and after the cyclophosphamide dose. On Day 0, participants receive genetically modified NK cells as a cell infusion. If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they receive AP1903 by vein and possibly steroids by mouth or by vein. Fludarabine: 30 mg/m2 by vein on Days -5 to -3. Cyclophosphamide: 300 mg/m2 by vein on Days -5 to -3. Mesna: 300 mg/m2 by vein on Days -5 to -3 before and after the cyclophosphamide dose. iC9/CAR.19/IL15-Transduced CB-NK Cells: Infusion of iC9/CAR.19/IL15-transduced CB-NK cells on Day 0 by vein. Starting dose: 108 AP1903: If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they will receive AP1903 0.4 mg/kg administered as an intravenous infusion.
Overall Response Rate of Participants Analyzed
Complete Response
2 participants
3 participants
3 participants
5 participants
Overall Response Rate of Participants Analyzed
Partial Response
0 participants
0 participants
5 participants
3 participants
Overall Response Rate of Participants Analyzed
Progressive Disease
1 participants
1 participants
6 participants
2 participants
Overall Response Rate of Participants Analyzed
Not Evaluable
0 participants
2 participants
7 participants
2 participants
Overall Response Rate of Participants Analyzed
Stable Disease
0 participants
0 participants
2 participants
5 participants

SECONDARY outcome

Timeframe: Up to 100 days after NK cell infusion

Number of participants that had Complete and Partial Response.

Outcome measures

Outcome measures
Measure
Group 1: 1x105 NK Cells /kg
n=3 Participants
On Days -5, -4, and -3, participants receive Fludarabine and Cyclophosphamide. Participants also receive Mesna before and after the cyclophosphamide dose. On Day 0, participants receive genetically modified NK cells as a cell infusion. If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they receive AP1903 by vein and possibly steroids by mouth or by vein. Fludarabine: 30 mg/m2 by vein on Days -5 to -3. Cyclophosphamide: 300 mg/m2 by vein on Days -5 to -3. Mesna: 300 mg/m2 by vein on Days -5 to -3 before and after the cyclophosphamide dose. iC9/CAR.19/IL15-Transduced CB-NK Cells: Infusion of iC9/CAR.19/IL15-transduced CB-NK cells on Day 0 by vein. Starting dose: 10E5 AP1903: If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they will receive AP1903 0.4 mg/kg administered as an intravenous infusion.
Group 2: 1x106 NK Cells /kg
n=6 Participants
On Days -5, -4, and -3, participants receive Fludarabine and Cyclophosphamide. Participants also receive Mesna before and after the cyclophosphamide dose. On Day 0, participants receive genetically modified NK cells as a cell infusion. If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they receive AP1903 by vein and possibly steroids by mouth or by vein. Fludarabine: 30 mg/m2 by vein on Days -5 to -3. Cyclophosphamide: 300 mg/m2 by vein on Days -5 to -3. Mesna: 300 mg/m2 by vein on Days -5 to -3 before and after the cyclophosphamide dose. iC9/CAR.19/IL15-Transduced CB-NK Cells: Infusion of iC9/CAR.19/IL15-transduced CB-NK cells on Day 0 by vein. Starting dose: 106 AP1903: If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they will receive AP1903 0.4 mg/kg administered as an intravenous infusion.
Group 3: 1x107 NK Cells /kg
n=23 Participants
On Days -5, -4, and -3, participants receive Fludarabine and Cyclophosphamide. Participants also receive Mesna before and after the cyclophosphamide dose. On Day 0, participants receive genetically modified NK cells as a cell infusion. If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they receive AP1903 by vein and possibly steroids by mouth or by vein. Fludarabine: 30 mg/m2 by vein on Days -5 to -3. Cyclophosphamide: 300 mg/m2 by vein on Days -5 to -3. Mesna: 300 mg/m2 by vein on Days -5 to -3 before and after the cyclophosphamide dose. iC9/CAR.19/IL15-Transduced CB-NK Cells: Infusion of iC9/CAR.19/IL15-transduced CB-NK cells on Day 0 by vein. Starting dose: 107 AP1903: If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they will receive AP1903 0.4 mg/kg administered as an intravenous infusion.
Group 4: 8x108 Flat NK Cell Dose
n=17 Participants
On Days -5, -4, and -3, participants receive Fludarabine and Cyclophosphamide. Participants also receive Mesna before and after the cyclophosphamide dose. On Day 0, participants receive genetically modified NK cells as a cell infusion. If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they receive AP1903 by vein and possibly steroids by mouth or by vein. Fludarabine: 30 mg/m2 by vein on Days -5 to -3. Cyclophosphamide: 300 mg/m2 by vein on Days -5 to -3. Mesna: 300 mg/m2 by vein on Days -5 to -3 before and after the cyclophosphamide dose. iC9/CAR.19/IL15-Transduced CB-NK Cells: Infusion of iC9/CAR.19/IL15-transduced CB-NK cells on Day 0 by vein. Starting dose: 108 AP1903: If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they will receive AP1903 0.4 mg/kg administered as an intravenous infusion.
Number of Participants Achieved an Objective Response
Complete Response
2 participants
3 participants
4 participants
5 participants
Number of Participants Achieved an Objective Response
Partial Response
0 participants
0 participants
1 participants
3 participants

Adverse Events

Group 1: 1x105 NK Cells /kg

Serious events: 1 serious events
Other events: 2 other events
Deaths: 0 deaths

Group 2: 1x106 NK Cells /kg

Serious events: 0 serious events
Other events: 6 other events
Deaths: 0 deaths

Group 3: 1x107 NK Cells /kg

Serious events: 0 serious events
Other events: 12 other events
Deaths: 0 deaths

Group 4: 8x108 Flat NK Cell Dose

Serious events: 0 serious events
Other events: 10 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Group 1: 1x105 NK Cells /kg
n=3 participants at risk
On Days -5, -4, and -3, participants receive Fludarabine and Cyclophosphamide. Participants also receive Mesna before and after the cyclophosphamide dose. On Day 0, participants receive genetically modified NK cells as a cell infusion. If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they receive AP1903 by vein and possibly steroids by mouth or by vein. Fludarabine: 30 mg/m2 by vein on Days -5 to -3. Cyclophosphamide: 300 mg/m2 by vein on Days -5 to -3. Mesna: 300 mg/m2 by vein on Days -5 to -3 before and after the cyclophosphamide dose. iC9/CAR.19/IL15-Transduced CB-NK Cells: Infusion of iC9/CAR.19/IL15-transduced CB-NK cells on Day 0 by vein. Starting dose: 10E5 AP1903: If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they will receive AP1903 0.4 mg/kg administered as an intravenous infusion.
Group 2: 1x106 NK Cells /kg
n=6 participants at risk
On Days -5, -4, and -3, participants receive Fludarabine and Cyclophosphamide. Participants also receive Mesna before and after the cyclophosphamide dose. On Day 0, participants receive genetically modified NK cells as a cell infusion. If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they receive AP1903 by vein and possibly steroids by mouth or by vein. Fludarabine: 30 mg/m2 by vein on Days -5 to -3. Cyclophosphamide: 300 mg/m2 by vein on Days -5 to -3. Mesna: 300 mg/m2 by vein on Days -5 to -3 before and after the cyclophosphamide dose. iC9/CAR.19/IL15-Transduced CB-NK Cells: Infusion of iC9/CAR.19/IL15-transduced CB-NK cells on Day 0 by vein. Starting dose: 106 AP1903: If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they will receive AP1903 0.4 mg/kg administered as an intravenous infusion.
Group 3: 1x107 NK Cells /kg
n=23 participants at risk
On Days -5, -4, and -3, participants receive Fludarabine and Cyclophosphamide. Participants also receive Mesna before and after the cyclophosphamide dose. On Day 0, participants receive genetically modified NK cells as a cell infusion. If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they receive AP1903 by vein and possibly steroids by mouth or by vein. Fludarabine: 30 mg/m2 by vein on Days -5 to -3. Cyclophosphamide: 300 mg/m2 by vein on Days -5 to -3. Mesna: 300 mg/m2 by vein on Days -5 to -3 before and after the cyclophosphamide dose. iC9/CAR.19/IL15-Transduced CB-NK Cells: Infusion of iC9/CAR.19/IL15-transduced CB-NK cells on Day 0 by vein. Starting dose: 107 AP1903: If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they will receive AP1903 0.4 mg/kg administered as an intravenous infusion.
Group 4: 8x108 Flat NK Cell Dose
n=17 participants at risk
On Days -5, -4, and -3, participants receive Fludarabine and Cyclophosphamide. Participants also receive Mesna before and after the cyclophosphamide dose. On Day 0, participants receive genetically modified NK cells as a cell infusion. If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they receive AP1903 by vein and possibly steroids by mouth or by vein. Fludarabine: 30 mg/m2 by vein on Days -5 to -3. Cyclophosphamide: 300 mg/m2 by vein on Days -5 to -3. Mesna: 300 mg/m2 by vein on Days -5 to -3 before and after the cyclophosphamide dose. iC9/CAR.19/IL15-Transduced CB-NK Cells: Infusion of iC9/CAR.19/IL15-transduced CB-NK cells on Day 0 by vein. Starting dose: 108 AP1903: If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they will receive AP1903 0.4 mg/kg administered as an intravenous infusion.
General disorders
General disorders and administration site conditions
33.3%
1/3 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/23 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/17 • Adverse events were collected from the time of infusion up to 40 days.

Other adverse events

Other adverse events
Measure
Group 1: 1x105 NK Cells /kg
n=3 participants at risk
On Days -5, -4, and -3, participants receive Fludarabine and Cyclophosphamide. Participants also receive Mesna before and after the cyclophosphamide dose. On Day 0, participants receive genetically modified NK cells as a cell infusion. If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they receive AP1903 by vein and possibly steroids by mouth or by vein. Fludarabine: 30 mg/m2 by vein on Days -5 to -3. Cyclophosphamide: 300 mg/m2 by vein on Days -5 to -3. Mesna: 300 mg/m2 by vein on Days -5 to -3 before and after the cyclophosphamide dose. iC9/CAR.19/IL15-Transduced CB-NK Cells: Infusion of iC9/CAR.19/IL15-transduced CB-NK cells on Day 0 by vein. Starting dose: 10E5 AP1903: If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they will receive AP1903 0.4 mg/kg administered as an intravenous infusion.
Group 2: 1x106 NK Cells /kg
n=6 participants at risk
On Days -5, -4, and -3, participants receive Fludarabine and Cyclophosphamide. Participants also receive Mesna before and after the cyclophosphamide dose. On Day 0, participants receive genetically modified NK cells as a cell infusion. If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they receive AP1903 by vein and possibly steroids by mouth or by vein. Fludarabine: 30 mg/m2 by vein on Days -5 to -3. Cyclophosphamide: 300 mg/m2 by vein on Days -5 to -3. Mesna: 300 mg/m2 by vein on Days -5 to -3 before and after the cyclophosphamide dose. iC9/CAR.19/IL15-Transduced CB-NK Cells: Infusion of iC9/CAR.19/IL15-transduced CB-NK cells on Day 0 by vein. Starting dose: 106 AP1903: If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they will receive AP1903 0.4 mg/kg administered as an intravenous infusion.
Group 3: 1x107 NK Cells /kg
n=23 participants at risk
On Days -5, -4, and -3, participants receive Fludarabine and Cyclophosphamide. Participants also receive Mesna before and after the cyclophosphamide dose. On Day 0, participants receive genetically modified NK cells as a cell infusion. If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they receive AP1903 by vein and possibly steroids by mouth or by vein. Fludarabine: 30 mg/m2 by vein on Days -5 to -3. Cyclophosphamide: 300 mg/m2 by vein on Days -5 to -3. Mesna: 300 mg/m2 by vein on Days -5 to -3 before and after the cyclophosphamide dose. iC9/CAR.19/IL15-Transduced CB-NK Cells: Infusion of iC9/CAR.19/IL15-transduced CB-NK cells on Day 0 by vein. Starting dose: 107 AP1903: If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they will receive AP1903 0.4 mg/kg administered as an intravenous infusion.
Group 4: 8x108 Flat NK Cell Dose
n=17 participants at risk
On Days -5, -4, and -3, participants receive Fludarabine and Cyclophosphamide. Participants also receive Mesna before and after the cyclophosphamide dose. On Day 0, participants receive genetically modified NK cells as a cell infusion. If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they receive AP1903 by vein and possibly steroids by mouth or by vein. Fludarabine: 30 mg/m2 by vein on Days -5 to -3. Cyclophosphamide: 300 mg/m2 by vein on Days -5 to -3. Mesna: 300 mg/m2 by vein on Days -5 to -3 before and after the cyclophosphamide dose. iC9/CAR.19/IL15-Transduced CB-NK Cells: Infusion of iC9/CAR.19/IL15-transduced CB-NK cells on Day 0 by vein. Starting dose: 108 AP1903: If participant has graft-versus-host disease (GvHD) or cytokine release syndrome after the NK cell infusion, they will receive AP1903 0.4 mg/kg administered as an intravenous infusion.
Skin and subcutaneous tissue disorders
Rash maculo-papular
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/23 • Adverse events were collected from the time of infusion up to 40 days.
5.9%
1/17 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
Hepatobiliary disorders
Portal vein thrombosis
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/23 • Adverse events were collected from the time of infusion up to 40 days.
5.9%
1/17 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
Nervous system disorders
Presyncope
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
8.7%
2/23 • Number of events 2 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/17 • Adverse events were collected from the time of infusion up to 40 days.
Reproductive system and breast disorders
Prostatic obstruction
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
4.3%
1/23 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/17 • Adverse events were collected from the time of infusion up to 40 days.
Reproductive system and breast disorders
Prostatic pain
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
4.3%
1/23 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/17 • Adverse events were collected from the time of infusion up to 40 days.
Respiratory, thoracic and mediastinal disorders
Pulmonary edema
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
4.3%
1/23 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/17 • Adverse events were collected from the time of infusion up to 40 days.
Respiratory, thoracic and mediastinal disorders
Respiratory, thoracic and mediastinal disorders
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
43.5%
10/23 • Number of events 10 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/17 • Adverse events were collected from the time of infusion up to 40 days.
Cardiac disorders
Sinus tachycardia
33.3%
1/3 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
8.7%
2/23 • Number of events 2 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/17 • Adverse events were collected from the time of infusion up to 40 days.
Skin and subcutaneous tissue disorders
Skin and subcutaneous tissue disorders
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
17.4%
4/23 • Number of events 4 • Adverse events were collected from the time of infusion up to 40 days.
5.9%
1/17 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
Respiratory, thoracic and mediastinal disorders
Sore throat
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/23 • Adverse events were collected from the time of infusion up to 40 days.
5.9%
1/17 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
Nervous system disorders
Stroke
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
4.3%
1/23 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/17 • Adverse events were collected from the time of infusion up to 40 days.
Nervous system disorders
Syncope
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
4.3%
1/23 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/17 • Adverse events were collected from the time of infusion up to 40 days.
Infections and infestations
Urinary tract infection
33.3%
1/3 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/23 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/17 • Adverse events were collected from the time of infusion up to 40 days.
Vascular disorders
Vascular disorders
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
17.4%
4/23 • Number of events 4 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/17 • Adverse events were collected from the time of infusion up to 40 days.
Cardiac disorders
Ventricular tachycardia
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
16.7%
1/6 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/23 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/17 • Adverse events were collected from the time of infusion up to 40 days.
Metabolism and nutrition disorders
Vomiting
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
8.7%
2/23 • Number of events 2 • Adverse events were collected from the time of infusion up to 40 days.
17.6%
3/17 • Number of events 3 • Adverse events were collected from the time of infusion up to 40 days.
Investigations
Weight gain
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
16.7%
1/6 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/23 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/17 • Adverse events were collected from the time of infusion up to 40 days.
General disorders
Fever
33.3%
1/3 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
34.8%
8/23 • Number of events 8 • Adverse events were collected from the time of infusion up to 40 days.
5.9%
1/17 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
General disorders
Gastrointestinal disorders
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
8.7%
2/23 • Number of events 2 • Adverse events were collected from the time of infusion up to 40 days.
11.8%
2/17 • Number of events 2 • Adverse events were collected from the time of infusion up to 40 days.
Nervous system disorders
Nervous system disorders
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/23 • Adverse events were collected from the time of infusion up to 40 days.
11.8%
2/17 • Number of events 2 • Adverse events were collected from the time of infusion up to 40 days.
General disorders
Pain
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
8.7%
2/23 • Number of events 2 • Adverse events were collected from the time of infusion up to 40 days.
11.8%
2/17 • Number of events 2 • Adverse events were collected from the time of infusion up to 40 days.
Musculoskeletal and connective tissue disorders
Pain in extremity
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/23 • Adverse events were collected from the time of infusion up to 40 days.
5.9%
1/17 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
Nervous system disorders
Paresthesia
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/23 • Adverse events were collected from the time of infusion up to 40 days.
5.9%
1/17 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
General disorders
General disorders and administration site conditions
33.3%
1/3 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
4.3%
1/23 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
23.5%
4/17 • Number of events 4 • Adverse events were collected from the time of infusion up to 40 days.
Cardiac disorders
Pleural effusion
33.3%
1/3 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
4.3%
1/23 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/17 • Adverse events were collected from the time of infusion up to 40 days.
Musculoskeletal and connective tissue disorders
Generalized muscle weakness
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
8.7%
2/23 • Number of events 2 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/17 • Adverse events were collected from the time of infusion up to 40 days.
Nervous system disorders
Headache
66.7%
2/3 • Number of events 2 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/23 • Adverse events were collected from the time of infusion up to 40 days.
23.5%
4/17 • Number of events 4 • Adverse events were collected from the time of infusion up to 40 days.
Ear and labyrinth disorders
Hearing impaired
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/23 • Adverse events were collected from the time of infusion up to 40 days.
5.9%
1/17 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
Vascular disorders
Hematoma
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
4.3%
1/23 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/17 • Adverse events were collected from the time of infusion up to 40 days.
Gastrointestinal disorders
Hemorrhoids
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
4.3%
1/23 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
11.8%
2/17 • Number of events 2 • Adverse events were collected from the time of infusion up to 40 days.
Metabolism and nutrition disorders
Hyperglycemia
33.3%
1/3 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/23 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/17 • Adverse events were collected from the time of infusion up to 40 days.
Cardiac disorders
Hypertension
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
4.3%
1/23 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
23.5%
4/17 • Number of events 5 • Adverse events were collected from the time of infusion up to 40 days.
Metabolism and nutrition disorders
Hyperuricemia
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
4.3%
1/23 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/17 • Adverse events were collected from the time of infusion up to 40 days.
Metabolism and nutrition disorders
Hypoalbuminemia
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
33.3%
2/6 • Number of events 2 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/23 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/17 • Adverse events were collected from the time of infusion up to 40 days.
Metabolism and nutrition disorders
Hypocalcemia
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
16.7%
1/6 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/23 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/17 • Adverse events were collected from the time of infusion up to 40 days.
Metabolism and nutrition disorders
Hypomagnesemia
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
16.7%
1/6 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/23 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/17 • Adverse events were collected from the time of infusion up to 40 days.
Metabolism and nutrition disorders
Hyponatremia
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/23 • Adverse events were collected from the time of infusion up to 40 days.
5.9%
1/17 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
Vascular disorders
Hypotension
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
16.7%
1/6 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
17.4%
4/23 • Number of events 4 • Adverse events were collected from the time of infusion up to 40 days.
5.9%
1/17 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
Endocrine disorders
Hypothyroidism
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
4.3%
1/23 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
5.9%
1/17 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
Gastrointestinal disorders
Ileus
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
4.3%
1/23 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/17 • Adverse events were collected from the time of infusion up to 40 days.
Immune system disorders
Immune system disorders
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
13.0%
3/23 • Number of events 3 • Adverse events were collected from the time of infusion up to 40 days.
11.8%
2/17 • Number of events 2 • Adverse events were collected from the time of infusion up to 40 days.
Infections and infestations
Infections and infestations
66.7%
2/3 • Number of events 2 • Adverse events were collected from the time of infusion up to 40 days.
50.0%
3/6 • Number of events 3 • Adverse events were collected from the time of infusion up to 40 days.
17.4%
4/23 • Number of events 4 • Adverse events were collected from the time of infusion up to 40 days.
5.9%
1/17 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
Injury, poisoning and procedural complications
Injury, poisoning and procedural complications
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
17.4%
4/23 • Number of events 4 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/17 • Adverse events were collected from the time of infusion up to 40 days.
Psychiatric disorders
Insomnia
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
21.7%
5/23 • Number of events 5 • Adverse events were collected from the time of infusion up to 40 days.
11.8%
2/17 • Number of events 2 • Adverse events were collected from the time of infusion up to 40 days.
Investigations
Investigations - (Other)
66.7%
2/3 • Number of events 2 • Adverse events were collected from the time of infusion up to 40 days.
100.0%
6/6 • Number of events 8 • Adverse events were collected from the time of infusion up to 40 days.
13.0%
3/23 • Number of events 3 • Adverse events were collected from the time of infusion up to 40 days.
5.9%
1/17 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
Metabolism and nutrition disorders
Metabolism and nutrition disorders - (Other)
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
8.7%
2/23 • Number of events 2 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/17 • Adverse events were collected from the time of infusion up to 40 days.
Musculoskeletal and connective tissue disorders
Musculoskeletal and connective tissue disorder
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
8.7%
2/23 • Number of events 2 • Adverse events were collected from the time of infusion up to 40 days.
5.9%
1/17 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
Musculoskeletal and connective tissue disorders
Myalgia
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
8.7%
2/23 • Number of events 2 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/17 • Adverse events were collected from the time of infusion up to 40 days.
Respiratory, thoracic and mediastinal disorders
Nasal congestion
33.3%
1/3 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/23 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/17 • Adverse events were collected from the time of infusion up to 40 days.
Gastrointestinal disorders
Nausea
33.3%
1/3 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
33.3%
2/6 • Number of events 2 • Adverse events were collected from the time of infusion up to 40 days.
52.2%
12/23 • Number of events 12 • Adverse events were collected from the time of infusion up to 40 days.
41.2%
7/17 • Number of events 7 • Adverse events were collected from the time of infusion up to 40 days.
Musculoskeletal and connective tissue disorders
Neck pain
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/23 • Adverse events were collected from the time of infusion up to 40 days.
5.9%
1/17 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
Cardiac disorders
Abdominal Pain
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/23 • Adverse events were collected from the time of infusion up to 40 days.
11.8%
2/17 • Number of events 2 • Adverse events were collected from the time of infusion up to 40 days.
Renal and urinary disorders
Acute kidney injury
33.3%
1/3 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/23 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/17 • Adverse events were collected from the time of infusion up to 40 days.
Investigations
Alanine aminotransferase increased
33.3%
1/3 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
16.7%
1/6 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/23 • Adverse events were collected from the time of infusion up to 40 days.
17.6%
3/17 • Number of events 3 • Adverse events were collected from the time of infusion up to 40 days.
Investigations
Alkaline phosphatase increased
33.3%
1/3 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
4.3%
1/23 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
11.8%
2/17 • Number of events 2 • Adverse events were collected from the time of infusion up to 40 days.
Immune system disorders
Allergic reaction
33.3%
1/3 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/23 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/17 • Adverse events were collected from the time of infusion up to 40 days.
Respiratory, thoracic and mediastinal disorders
Allergic rhinitis
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
4.3%
1/23 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/17 • Adverse events were collected from the time of infusion up to 40 days.
Blood and lymphatic system disorders
Anemia
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
8.7%
2/23 • Number of events 2 • Adverse events were collected from the time of infusion up to 40 days.
11.8%
2/17 • Number of events 2 • Adverse events were collected from the time of infusion up to 40 days.
Musculoskeletal and connective tissue disorders
Anorexia
33.3%
1/3 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
4.3%
1/23 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
11.8%
2/17 • Number of events 2 • Adverse events were collected from the time of infusion up to 40 days.
Psychiatric disorders
Anxiety
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
13.0%
3/23 • Number of events 3 • Adverse events were collected from the time of infusion up to 40 days.
11.8%
2/17 • Number of events 2 • Adverse events were collected from the time of infusion up to 40 days.
Immune system disorders
Arthralgia
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
4.3%
1/23 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/17 • Adverse events were collected from the time of infusion up to 40 days.
Investigations
Aspartate aminotransferase increased
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/23 • Adverse events were collected from the time of infusion up to 40 days.
17.6%
3/17 • Number of events 3 • Adverse events were collected from the time of infusion up to 40 days.
Cardiac disorders
Atrial flutter
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
4.3%
1/23 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/17 • Adverse events were collected from the time of infusion up to 40 days.
Injury, poisoning and procedural complications
Back pain
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
4.3%
1/23 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
5.9%
1/17 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
Blood and lymphatic system disorders
Blood and lymphatic system disorders - (Other)
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/23 • Adverse events were collected from the time of infusion up to 40 days.
5.9%
1/17 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
Investigations
Blood bilirubin increased
33.3%
1/3 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
4.3%
1/23 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
5.9%
1/17 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
Investigations
Blood and lymphatic system disorders
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
4.3%
1/23 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/17 • Adverse events were collected from the time of infusion up to 40 days.
Cardiac disorders
Cardiac disorders - (Other), specify
33.3%
1/3 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
16.7%
1/6 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
17.4%
4/23 • Number of events 4 • Adverse events were collected from the time of infusion up to 40 days.
5.9%
1/17 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
Cardiac disorders
Chest pain
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
16.7%
1/6 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/23 • Adverse events were collected from the time of infusion up to 40 days.
5.9%
1/17 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
General disorders
Chills
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/23 • Adverse events were collected from the time of infusion up to 40 days.
11.8%
2/17 • Number of events 2 • Adverse events were collected from the time of infusion up to 40 days.
Hepatobiliary disorders
Cholecystitis
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
4.3%
1/23 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/17 • Adverse events were collected from the time of infusion up to 40 days.
Psychiatric disorders
Confusion
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
8.7%
2/23 • Number of events 2 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/17 • Adverse events were collected from the time of infusion up to 40 days.
Respiratory, thoracic and mediastinal disorders
Cough
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/23 • Adverse events were collected from the time of infusion up to 40 days.
5.9%
1/17 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
Gastrointestinal disorders
Constipation
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
21.7%
5/23 • Number of events 5 • Adverse events were collected from the time of infusion up to 40 days.
23.5%
4/17 • Number of events 4 • Adverse events were collected from the time of infusion up to 40 days.
Investigations
Creatinine increased
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
8.7%
2/23 • Number of events 2 • Adverse events were collected from the time of infusion up to 40 days.
23.5%
4/17 • Number of events 4 • Adverse events were collected from the time of infusion up to 40 days.
Renal and urinary disorders
Cystitis noninfective
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
4.3%
1/23 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/17 • Adverse events were collected from the time of infusion up to 40 days.
Psychiatric disorders
Depression
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
4.3%
1/23 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
11.8%
2/17 • Number of events 2 • Adverse events were collected from the time of infusion up to 40 days.
Gastrointestinal disorders
Diarrhea
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
8.7%
2/23 • Number of events 2 • Adverse events were collected from the time of infusion up to 40 days.
35.3%
6/17 • Number of events 6 • Adverse events were collected from the time of infusion up to 40 days.
Cardiac disorders
Dizziness
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/23 • Adverse events were collected from the time of infusion up to 40 days.
11.8%
2/17 • Number of events 2 • Adverse events were collected from the time of infusion up to 40 days.
Gastrointestinal disorders
Dry mouth
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
4.3%
1/23 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/17 • Adverse events were collected from the time of infusion up to 40 days.
Gastrointestinal disorders
Dysphagia
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/23 • Adverse events were collected from the time of infusion up to 40 days.
5.9%
1/17 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
Immune system disorders
Dyspnea
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
4.3%
1/23 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
11.8%
2/17 • Number of events 2 • Adverse events were collected from the time of infusion up to 40 days.
Hepatobiliary disorders
Encephalopathy
0.00%
0/3 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
4.3%
1/23 • Number of events 1 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/17 • Adverse events were collected from the time of infusion up to 40 days.
Cardiac disorders
Fatigue
66.7%
2/3 • Number of events 2 • Adverse events were collected from the time of infusion up to 40 days.
0.00%
0/6 • Adverse events were collected from the time of infusion up to 40 days.
43.5%
10/23 • Number of events 10 • Adverse events were collected from the time of infusion up to 40 days.
58.8%
10/17 • Number of events 10 • Adverse events were collected from the time of infusion up to 40 days.

Additional Information

Dr. Loretta Nastoupil, M.D. / Stem Cell Transplantation and Cellular Therapy Department

The University of Texas MD Anderson Cancer Center

Phone: 713-792-2860

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place