Descartes-11 in Patients With Relapsed/Refractory Multiple Myeloma

NCT ID: NCT03994705

Last Updated: 2025-05-15

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE1

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-08-01

Study Completion Date

2021-06-11

Brief Summary

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This Phase I study will test the safety and anti-myeloma activity of ascending doses of Descartes-11 (autologous CD8+ T-cells expressing an anti-BCMA chimeric antigen receptor) in eligible patients with active multiple myeloma.

Detailed Description

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Conditions

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Multiple Myeloma

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Dose Level 1

Participants were administered Cyclophosphamide and Fludarabine for preconditioning on Days 1,2,3

Participants were administered 10 million cells of Descartes-11 via intravenous catheter on Days 7,14

Group Type EXPERIMENTAL

Descartes-11

Intervention Type BIOLOGICAL

CAR T-Cells

Fludarabine

Intervention Type DRUG

Pre-conditioning chemotherapy

Cyclophosphamide

Intervention Type DRUG

Pre-conditioning therapy

Dose Level 2

Participants were administered Cyclophosphamide and Fludarabine for preconditioning on Days 1,2,3

Participants were administered 32 million cells of Descartes-11 via intravenous catheter on Days 7,14

Group Type EXPERIMENTAL

Descartes-11

Intervention Type BIOLOGICAL

CAR T-Cells

Fludarabine

Intervention Type DRUG

Pre-conditioning chemotherapy

Cyclophosphamide

Intervention Type DRUG

Pre-conditioning therapy

Dose Level 3

Participants were administered Cyclophosphamide and Fludarabine for preconditioning on Days 1,2,3

Participants were administered 100 million cells of Descartes-11 via intravenous catheter on Days 7,14

Group Type EXPERIMENTAL

Descartes-11

Intervention Type BIOLOGICAL

CAR T-Cells

Fludarabine

Intervention Type DRUG

Pre-conditioning chemotherapy

Cyclophosphamide

Intervention Type DRUG

Pre-conditioning therapy

Dose Level 4 A

Participants were administered Cyclophosphamide and Fludarabine for preconditioning on Days 1,2,3

Participants were administered 150 million cells of Descartes-11 via intravenous catheter on Days 7,14,21

Group Type EXPERIMENTAL

Descartes-11

Intervention Type BIOLOGICAL

CAR T-Cells

Fludarabine

Intervention Type DRUG

Pre-conditioning chemotherapy

Cyclophosphamide

Intervention Type DRUG

Pre-conditioning therapy

Dose Level 4B

Participants were administered Cyclophosphamide and Fludarabine for preconditioning on Days 1,2,3

Participants were administered 150 million cells of Descartes-11 via intravenous catheter on Days 7,10,14,21

Group Type EXPERIMENTAL

Descartes-11

Intervention Type BIOLOGICAL

CAR T-Cells

Fludarabine

Intervention Type DRUG

Pre-conditioning chemotherapy

Cyclophosphamide

Intervention Type DRUG

Pre-conditioning therapy

Dose Level 4C

Participants were not administered Cyclophosphamide and Fludarabine for preconditioning on Days 1,2,3

Participants were administered 150 million cells of Descartes-11 via intravenous catheter on Days 1,4, 7,10,14,21

Group Type EXPERIMENTAL

Descartes-11

Intervention Type BIOLOGICAL

CAR T-Cells

Interventions

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Descartes-11

CAR T-Cells

Intervention Type BIOLOGICAL

Fludarabine

Pre-conditioning chemotherapy

Intervention Type DRUG

Cyclophosphamide

Pre-conditioning therapy

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Active multiple myeloma that is refractory after at least 2 prior lines of therapy;
* measurable disease;
* adequate vital organ function; and
* no active infection.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

Cartesian Therapeutics

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Center for Cancer and Blood Disorders

Bethesda, Maryland, United States

Site Status

Medical College of Wisconsin

Madison, Wisconsin, United States

Site Status

Countries

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United States

References

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Maus MV, Haas AR, Beatty GL, Albelda SM, Levine BL, Liu X, Zhao Y, Kalos M, June CH. T cells expressing chimeric antigen receptors can cause anaphylaxis in humans. Cancer Immunol Res. 2013 Jul;1(1):26-31. doi: 10.1158/2326-6066.CIR-13-0006. Epub 2013 Apr 7.

Reference Type BACKGROUND
PMID: 24777247 (View on PubMed)

Beatty GL, Haas AR, Maus MV, Torigian DA, Soulen MC, Plesa G, Chew A, Zhao Y, Levine BL, Albelda SM, Kalos M, June CH. Mesothelin-specific chimeric antigen receptor mRNA-engineered T cells induce anti-tumor activity in solid malignancies. Cancer Immunol Res. 2014 Feb;2(2):112-20. doi: 10.1158/2326-6066.CIR-13-0170.

Reference Type BACKGROUND
PMID: 24579088 (View on PubMed)

Teachey DT, Lacey SF, Shaw PA, Melenhorst JJ, Maude SL, Frey N, Pequignot E, Gonzalez VE, Chen F, Finklestein J, Barrett DM, Weiss SL, Fitzgerald JC, Berg RA, Aplenc R, Callahan C, Rheingold SR, Zheng Z, Rose-John S, White JC, Nazimuddin F, Wertheim G, Levine BL, June CH, Porter DL, Grupp SA. Identification of Predictive Biomarkers for Cytokine Release Syndrome after Chimeric Antigen Receptor T-cell Therapy for Acute Lymphoblastic Leukemia. Cancer Discov. 2016 Jun;6(6):664-79. doi: 10.1158/2159-8290.CD-16-0040. Epub 2016 Apr 13.

Reference Type BACKGROUND
PMID: 27076371 (View on PubMed)

Lim WA, June CH. The Principles of Engineering Immune Cells to Treat Cancer. Cell. 2017 Feb 9;168(4):724-740. doi: 10.1016/j.cell.2017.01.016.

Reference Type BACKGROUND
PMID: 28187291 (View on PubMed)

Brudno JN, Kochenderfer JN. Toxicities of chimeric antigen receptor T cells: recognition and management. Blood. 2016 Jun 30;127(26):3321-30. doi: 10.1182/blood-2016-04-703751. Epub 2016 May 20.

Reference Type BACKGROUND
PMID: 27207799 (View on PubMed)

Ali SA, Shi V, Maric I, Wang M, Stroncek DF, Rose JJ, Brudno JN, Stetler-Stevenson M, Feldman SA, Hansen BG, Fellowes VS, Hakim FT, Gress RE, Kochenderfer JN. T cells expressing an anti-B-cell maturation antigen chimeric antigen receptor cause remissions of multiple myeloma. Blood. 2016 Sep 29;128(13):1688-700. doi: 10.1182/blood-2016-04-711903. Epub 2016 Jul 13.

Reference Type BACKGROUND
PMID: 27412889 (View on PubMed)

GBD 2013 Mortality and Causes of Death Collaborators. Global, regional, and national age-sex specific all-cause and cause-specific mortality for 240 causes of death, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2015 Jan 10;385(9963):117-71. doi: 10.1016/S0140-6736(14)61682-2. Epub 2014 Dec 18.

Reference Type BACKGROUND
PMID: 25530442 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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5R44CA221432-03

Identifier Type: NIH

Identifier Source: secondary_id

View Link

DC11A

Identifier Type: -

Identifier Source: org_study_id

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