Safety and Efficacy of ALLO-501A Anti-CD19 Allogeneic CAR T Cells in Adults with Relapsed/Refractory Large B Cell Lymphoma, Chronic Lymphocytic Leukemia and Small Lymphocytic Lymphoma (ALPHA2)

NCT ID: NCT04416984

Last Updated: 2025-01-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE1/PHASE2

Total Enrollment

160 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-05-21

Study Completion Date

2029-05-31

Brief Summary

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This is a single-arm, open label, multicenter Phase 1/2 study evaluating ALLO-501A in adult subjects with R/R LBCL and CLL/SLL. The purpose of the ALPHA2 study is to assess the safety, efficacy, and cell kinetics of ALLO-501A in adults with relapsed or refractory large B-cell lymphoma and assess the safety of ALLO-501A in adults with relapsed or refractory chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL) after a lymphodepletion regimen comprising fludarabine, cyclophosphamide, and ALLO-647.

Detailed Description

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Conditions

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Relapsed or Refractory Large B Cell Lymphoma, Relapsed or Refractory Chronic Lymphocytic Leukemia, Relapsed or Refractory Small Lymphocytic Lymphoma

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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ALLO-501A, ALLO-647

Group Type EXPERIMENTAL

ALLO-501A

Intervention Type GENETIC

ALLO-501A is an allogeneic CAR T cell therapy targeting CD19

ALLO-647

Intervention Type BIOLOGICAL

ALLO-647 is a monoclonal antibody that recognizes a CD52 antigen

Fludarabine

Intervention Type DRUG

Chemotherapy for lymphodepletion

Cyclophosphamide

Intervention Type DRUG

Chemotherapy for lymphodepletion

Interventions

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ALLO-501A

ALLO-501A is an allogeneic CAR T cell therapy targeting CD19

Intervention Type GENETIC

ALLO-647

ALLO-647 is a monoclonal antibody that recognizes a CD52 antigen

Intervention Type BIOLOGICAL

Fludarabine

Chemotherapy for lymphodepletion

Intervention Type DRUG

Cyclophosphamide

Chemotherapy for lymphodepletion

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

For subjects with LBCL:

* Histologically confirmed diagnosis of relapsed/refractory large B-cell lymphoma at last relapse per WHO 2017
* At least 1 measurable lesion at time of enrollment
* Relapsed or refractory disease after at least 2 lines of chemotherapy
* Absence of significant donor (product)-specific anti-HLA antibodies (DSA) at screening (Note: Only applicable for Phase 2)

For subjects with CLL/SLL:

* Diagnosis of CLL/SLL
* Relapsed/refractory disease
* Subjects relapsed/refractory to BTKi therapy and high-risk disease
* Subjects relapsed/refractory with 2 or more lines of therapy including BTKi and BCL-2 inhibitor (venetoclax)
* At least 1 measurable lesion at time of enrollment

For all subjects:

* Male or female subjects ≥18 years of age
* Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0 or 1
* Adequate hematological, renal, and liver function

Exclusion Criteria

* Active central nervous system (CNS) involvement by malignancy
* Current thyroid disorder (including hyperthyroidism), except for subjects with hypothyroidism controlled on a stable dose of hormone replacement therapy
* Any other active malignancies that required systemic treatment within 3 years prior to enrollment
* Radiation therapy within 2 weeks prior to ALLO-647
* Prior irradiation to \>25% of the bone marrow
* Hypocellular bone marrow for age by institutional standard as determined from a bone marrow biopsy performed at time of screening (Note: Only applicable for Phase 2).
* Autologous hematopoietic stem cell transplant (HSCT) within last 6 months (24 weeks)
* Systemic anti-cancer therapy within 2 weeks prior to receiving ALLO-647
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Allogene Therapeutics

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Banner MD Anderson Cancer Center

Gilbert, Arizona, United States

Site Status

Mayo Clinic Hospital

Phoenix, Arizona, United States

Site Status

City of Hope

Duarte, California, United States

Site Status

UCLA Medical Center

Los Angeles, California, United States

Site Status

Stanford Cancer Institute

Palo Alto, California, United States

Site Status

Colorado Blood Cancer Institute

Denver, Colorado, United States

Site Status

University of Miami

Miami, Florida, United States

Site Status

Advent Health

Orlando, Florida, United States

Site Status

Moffitt Cancer Center

Tampa, Florida, United States

Site Status

Northside Hospital - Atlanta

Atlanta, Georgia, United States

Site Status

Augusta University

Augusta, Georgia, United States

Site Status

Norton Cancer Institute

Louisville, Kentucky, United States

Site Status

Allegheny General Hospital

Pittsburgh, Pennsylvania, United States

Site Status

Vanderbilt Ingram Cancer Center

Nashville, Tennessee, United States

Site Status

St. David's South Austin Medical Center

Austin, Texas, United States

Site Status

Texas Oncology

Dallas, Texas, United States

Site Status

MD Anderson Cancer Center - University of Texas

Houston, Texas, United States

Site Status

Medical College of Wisconsin

Milwaukee, Wisconsin, United States

Site Status

Princess Alexandra Hospital

Woolloongabba, Queensland, Australia

Site Status

Monash Medical Centre

Clayton, Victoria, Australia

Site Status

St. Vincent's Hospital Melbourne

Fitzroy, Victoria, Australia

Site Status

QEII Health Sciences Centre-VG Site

Halifax, Nova Scotia, Canada

Site Status

CHU de Québec -Université Laval; Hôpital de l'Enfant-Jésus

Québec, Quebec, Canada

Site Status

Countries

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United States Australia Canada

References

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Locke FL, Munoz JL, Tees MT, Lekakis LJ, de Vos S, Nath R, Stevens DA, Malik SA, Shouse GP, Hamadani M, Oluwole OO, Perales MA, Miklos DB, Fisher PW, Feng A, Navale L, Le Gall JB, Neelapu SS. Allogeneic Chimeric Antigen Receptor T-Cell Products Cemacabtagene Ansegedleucel/ALLO-501 in Relapsed/Refractory Large B-Cell Lymphoma: Phase I Experience From the ALPHA2/ALPHA Clinical Studies. J Clin Oncol. 2025 May 10;43(14):1695-1705. doi: 10.1200/JCO-24-01933. Epub 2025 Feb 13.

Reference Type DERIVED
PMID: 39946666 (View on PubMed)

Other Identifiers

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ALLO-501A-201

Identifier Type: -

Identifier Source: org_study_id

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