P-BCMA-ALLO1 Allogeneic CAR-T Cells in the Treatment of Subjects With Multiple Myeloma

NCT ID: NCT04960579

Last Updated: 2025-11-12

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

RECRUITING

Clinical Phase

PHASE1

Total Enrollment

275 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-05-05

Study Completion Date

2042-03-31

Brief Summary

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Phase 1 study comprised of open-label, dose escalation, multiple cohorts of P-BCMA-ALLO1 allogeneic T stem cell memory (Tscm) CAR-T cells in subjects with relapsed / refractory Multiple Myeloma (RRMM).

Detailed Description

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Phase 1/1b study: Phase 1 Part 1 is a weight-based dose escalation following a 3+3 design of dose-escalating cohorts. Phase 1 Part 2 includes administration at fixed doses. After enrollment, subjects may receive a lymphodepletion therapy regimen before administration of allogeneic CAR-T cells, administered as a single or multiple dose(s). Treated subjects will undergo serial measurements of safety, tolerability and response. Rimiducid may be administered as indicated. Phase 1b of the study will undergo further expansion of cohorts/arms from Phase 1 Parts 1 or 2 or an intermediate dose between cohort levels.

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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P-BCMA-ALLO1 CAR-T cells (Arm160)

Single fixed dose IV administration of P-BCMA-ALLO1 following conditioning chemotherapy regimen S, P1, P1.5 or P2.

Rimiducid may be administered as indicated.

Group Type EXPERIMENTAL

P-BCMA-ALLO1 CAR-T cells

Intervention Type BIOLOGICAL

Allogeneic BCMA-targeted chimeric antigen receptor (CAR) T-cell therapy

Rimiducid

Intervention Type DRUG

Safety switch activator

P-BCMA-ALLO1 CAR-T cells (Arm480)

Single fixed dose IV administration of P-BCMA-ALLO1 following conditioning chemotherapy regimen S, P1, P1.5 or P2.

Rimiducid may be administered as indicated.

Group Type EXPERIMENTAL

P-BCMA-ALLO1 CAR-T cells

Intervention Type BIOLOGICAL

Allogeneic BCMA-targeted chimeric antigen receptor (CAR) T-cell therapy

Rimiducid

Intervention Type DRUG

Safety switch activator

P-BCMA-ALLO1 CAR-T cells (Arm P1.5)

Single weight-based IV administration of P-BCMA-ALLO1 following conditioning chemotherapy regimen P1.5.

Rimiducid may be administered as indicated.

Group Type EXPERIMENTAL

P-BCMA-ALLO1 CAR-T cells

Intervention Type BIOLOGICAL

Allogeneic BCMA-targeted chimeric antigen receptor (CAR) T-cell therapy

Rimiducid

Intervention Type DRUG

Safety switch activator

P-BCMA-ALLO1 CAR-T cells (Arm RP1)

Single weight-based IV administration of P-BCMA-ALLO1 following conditioning chemotherapy regimen RP1.

Rimiducid may be administered as indicated.

Group Type EXPERIMENTAL

P-BCMA-ALLO1 CAR-T cells

Intervention Type BIOLOGICAL

Allogeneic BCMA-targeted chimeric antigen receptor (CAR) T-cell therapy

Rimiducid

Intervention Type DRUG

Safety switch activator

P-BCMA-ALLO1 CAR-T cells (Arm RP1.5)

Single weight-based IV administration of P-BCMA-ALLO1 following conditioning chemotherapy regimen RP1.5.

Rimiducid may be administered as indicated.

Group Type EXPERIMENTAL

P-BCMA-ALLO1 CAR-T cells

Intervention Type BIOLOGICAL

Allogeneic BCMA-targeted chimeric antigen receptor (CAR) T-cell therapy

Rimiducid

Intervention Type DRUG

Safety switch activator

P-BCMA-ALLO1 CAR-T cells (Arm RP2)

Single weight-based IV administration of P-BCMA-ALLO1 following conditioning chemotherapy regimen RP2.

Rimiducid may be administered as indicated.

Group Type EXPERIMENTAL

P-BCMA-ALLO1 CAR-T cells

Intervention Type BIOLOGICAL

Allogeneic BCMA-targeted chimeric antigen receptor (CAR) T-cell therapy

Rimiducid

Intervention Type DRUG

Safety switch activator

P-BCMA-ALLO1 CAR-T cells (Arm CP1)

Cyclic weight-based IV administration of P-BCMA-ALLO1 following conditioning chemotherapy regimen CP1.

Rimiducid may be administered as indicated.

Group Type EXPERIMENTAL

P-BCMA-ALLO1 CAR-T cells

Intervention Type BIOLOGICAL

Allogeneic BCMA-targeted chimeric antigen receptor (CAR) T-cell therapy

Rimiducid

Intervention Type DRUG

Safety switch activator

P-BCMA-ALLO1 CAR-T cells (Arm CP1.5)

Cyclic weight-based IV administration of P-BCMA-ALLO1 following conditioning chemotherapy regimen CP1.5.

Rimiducid may be administered as indicated.

Group Type EXPERIMENTAL

P-BCMA-ALLO1 CAR-T cells

Intervention Type BIOLOGICAL

Allogeneic BCMA-targeted chimeric antigen receptor (CAR) T-cell therapy

Rimiducid

Intervention Type DRUG

Safety switch activator

P-BCMA-ALLO1 CAR-T cells (Arm CP2)

Cyclic weight-based IV administration of P-BCMA-ALLO1 following conditioning chemotherapy regimen CP2.

Rimiducid may be administered as indicated.

Group Type EXPERIMENTAL

P-BCMA-ALLO1 CAR-T cells

Intervention Type BIOLOGICAL

Allogeneic BCMA-targeted chimeric antigen receptor (CAR) T-cell therapy

Rimiducid

Intervention Type DRUG

Safety switch activator

P-BCMA-ALLO1 CAR-T cells (Arm MP1.5)

Single weight based IV administration of P-BCMA-ALLO1 and methotrexate following conditioning chemotherapy regimen MP1.5 Rimiducid may be administered as indicated

Group Type EXPERIMENTAL

P-BCMA-ALLO1 CAR-T cells

Intervention Type BIOLOGICAL

Allogeneic BCMA-targeted chimeric antigen receptor (CAR) T-cell therapy

Rimiducid

Intervention Type DRUG

Safety switch activator

Methotrexate

Intervention Type DRUG

Anti-metabolite

P-BCMA-ALLO1 CAR-T cells (Arm S)

Single weight-based IV administration of P-BCMA-ALLO1 following conditioning chemotherapy regimen S.

Rimiducid may be administered as indicated.

Group Type EXPERIMENTAL

P-BCMA-ALLO1 CAR-T cells

Intervention Type BIOLOGICAL

Allogeneic BCMA-targeted chimeric antigen receptor (CAR) T-cell therapy

Rimiducid

Intervention Type DRUG

Safety switch activator

P-BCMA-ALLO1 CAR-T cells (Arm F)

Single weight-based IV administration of P-BCMA-ALLO1 following conditioning chemotherapy regimen F.

Rimiducid may be administered as indicated.

Group Type EXPERIMENTAL

P-BCMA-ALLO1 CAR-T cells

Intervention Type BIOLOGICAL

Allogeneic BCMA-targeted chimeric antigen receptor (CAR) T-cell therapy

Rimiducid

Intervention Type DRUG

Safety switch activator

P-BCMA-ALLO1 CAR-T cells (Arm N)

Single weight-based IV administration of P-BCMA-ALLO1. Rimiducid may be administered as indicated.

Group Type EXPERIMENTAL

P-BCMA-ALLO1 CAR-T cells

Intervention Type BIOLOGICAL

Allogeneic BCMA-targeted chimeric antigen receptor (CAR) T-cell therapy

Rimiducid

Intervention Type DRUG

Safety switch activator

P-BCMA-ALLO1 CAR-T cells (Arm P1)

Single weight-based IV administration of P-BCMA-ALLO1 following conditioning chemotherapy regimen P1.

Rimiducid may be administered as indicated.

Group Type EXPERIMENTAL

P-BCMA-ALLO1 CAR-T cells

Intervention Type BIOLOGICAL

Allogeneic BCMA-targeted chimeric antigen receptor (CAR) T-cell therapy

Rimiducid

Intervention Type DRUG

Safety switch activator

P-BCMA-ALLO1 CAR-T cells (Arm P2)

Single weight-based IV administration of P-BCMA-ALLO1 following conditioning chemotherapy regimen P2.

Rimiducid may be administered as indicated.

Group Type EXPERIMENTAL

P-BCMA-ALLO1 CAR-T cells

Intervention Type BIOLOGICAL

Allogeneic BCMA-targeted chimeric antigen receptor (CAR) T-cell therapy

Rimiducid

Intervention Type DRUG

Safety switch activator

P-BCMA-ALLO1 CAR-T cells (Arm R)

Single weight-based IV administration of P-BCMA-ALLO1 following conditioning chemotherapy regimen R.

Rimiducid may be administered as indicated.

Group Type EXPERIMENTAL

P-BCMA-ALLO1 CAR-T cells

Intervention Type BIOLOGICAL

Allogeneic BCMA-targeted chimeric antigen receptor (CAR) T-cell therapy

Rimiducid

Intervention Type DRUG

Safety switch activator

P-BCMA-ALLO1 CAR-T cells (Arm RS)

Single weight-based IV administration of P-BCMA-ALLO1 following conditioning chemotherapy regimen RS.

Rimiducid may be administered as indicated.

Group Type EXPERIMENTAL

P-BCMA-ALLO1 CAR-T cells

Intervention Type BIOLOGICAL

Allogeneic BCMA-targeted chimeric antigen receptor (CAR) T-cell therapy

Rimiducid

Intervention Type DRUG

Safety switch activator

P-BCMA-ALLO1 CAR-T cells (Arm C)

Cyclic weight-based IV administration of P-BCMA-ALLO1 following conditioning chemotherapy regimen C.

Rimiducid may be administered as indicated.

Group Type EXPERIMENTAL

P-BCMA-ALLO1 CAR-T cells

Intervention Type BIOLOGICAL

Allogeneic BCMA-targeted chimeric antigen receptor (CAR) T-cell therapy

Rimiducid

Intervention Type DRUG

Safety switch activator

Interventions

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P-BCMA-ALLO1 CAR-T cells

Allogeneic BCMA-targeted chimeric antigen receptor (CAR) T-cell therapy

Intervention Type BIOLOGICAL

Rimiducid

Safety switch activator

Intervention Type DRUG

Methotrexate

Anti-metabolite

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Must have signed written, informed consent.
2. Males or females, ≥18 years of age.
3. Must have a confirmed diagnosis of active MM.
4. Must have measurable MM.
5. Must have relapsed / refractory MM, having received treatment with a proteasome inhibitor, immunomodulatory agent (IMiD), and anti-CD38 therapy.
6. Must be willing to practice birth control from the time of Screening and throughout the first year of the study after P-BCMA-ALLO1 administration.
7. Must have a negative serum pregnancy test at Screening and a negative urine pregnancy test within 3 days prior to initiating the lymphodepletion therapy regimen (females of childbearing potential).
8. Must be at least 90 days since autologous stem cell transplant, if performed.
9. Must have adequate vital organ function within pre-determined parameters.
10. Must have recovered from toxicities due to prior therapies.
11. Must have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1.

Exclusion Criteria

1. Is pregnant or lactating.
2. Has inadequate venous access.
3. Has active hemolytic anemia, plasma cell leukemia, Waldenstrom\'s macroglobulinemia, POEMS syndrome, disseminated intravascular coagulation, leukostasis, or amyloidosis.
4. Has an active second malignancy (not disease-free for at least 5 years) in addition to MM, excluding low-risk neoplasms such as non-metastatic basal cell or squamous cell skin carcinoma.
5. Has active autoimmune disease.
6. Has a history of significant central nervous system (CNS) disease, such as stroke, epilepsy, etc.
7. Has an active systemic infection.
8. Has a history of hepatitis B, hepatitis C virus, human immunodeficiency virus (HIV), or human T-lymphotropic virus (HTLV) infection, or any immunodeficiency syndrome. Subjects with a history of treated hepatitis C can be enrolled if negative by Hepatitis C PCR on multiple occasions.
9. Is positive for cytomegalovirus (CMV) by PCR, CMV immunoglobulin M (IgM) antibody, or Coronavirus disease 2019 (COVID-19) by PCR.
10. Has New York Heart Association (NYHA) Class III or IV heart failure, unstable angina, or a history of myocardial infarction or significant arrhythmia.
11. Has any psychiatric or medical disorder that would preclude safe participation in and/or adherence to the protocol.
12. Has received prior allogeneic cellular therapy or gene therapy.
13. Has received anti-cancer medications within 2 weeks of the time of initiating conditioning LD therapy.
14. Has received monoclonal antibody therapy within 4 weeks of initiating conditioning LD therapy.
15. Has received immunosuppressive medications within 2 weeks of the time of administration of P-BCMA-ALLO1, and/or expected to require them while on study.
16. Has received systemic corticosteroid therapy within 1 week or 5 half-lives (whichever is shorter) of the administration of P-BCMA-ALLO1 or is expected to require it during the course of the study.
17. Has CNS metastases or symptomatic CNS involvement of their myeloma.
18. Has a history of severe immediate hypersensitivity reaction to any of the agents used in this study.
19. Has a history of having undergone allogeneic stem cell transplantation, or any other allogeneic or xenogeneic transplant, or has undergone autologous transplantation within 90 days.
20. Arms R, RS, RP1, RP1.5 and RP2 Only: a) Has received a live vaccine within the last 28 days of the first administration of agents used in Arm R or RS, b) Has any known hypersensitivity or severe reactions or toxicity to agents used in Arms R or RS.
21. Has received radiation within 1 week of initiating conditioning LD therapy.
22. Administration of a live vaccine within the last 28 days prior to administration of LD therapy.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Roche-Genentech

INDUSTRY

Sponsor Role collaborator

Poseida Therapeutics, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Maika Onishi, M.D.

Role: STUDY_DIRECTOR

Senior Medical Director

Locations

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City of Hope

Goodyear, Arizona, United States

Site Status RECRUITING

University of California San Diego

San Diego, California, United States

Site Status RECRUITING

University of California San Francisco

San Francisco, California, United States

Site Status TERMINATED

Emory University

Atlanta, Georgia, United States

Site Status RECRUITING

Blood Marrow and Transplant Group of Georgia

Atlanta, Georgia, United States

Site Status RECRUITING

City of Hope

Chicago, Illinois, United States

Site Status RECRUITING

Advocate Aurora Health

Park Ridge, Illinois, United States

Site Status TERMINATED

University of Iowa

Iowa City, Iowa, United States

Site Status RECRUITING

University of Kansas Medical Center

Kansas City, Kansas, United States

Site Status RECRUITING

University of Maryland Greenebaum Comprehensive Cancer Center

Baltimore, Maryland, United States

Site Status RECRUITING

Wayne State - Karmanos Cancer Institute

Detroit, Michigan, United States

Site Status RECRUITING

Roswell Park Comprehensive Cancer Center

Buffalo, New York, United States

Site Status RECRUITING

University of North Carolina at Chapel Hill

Chapel Hill, North Carolina, United States

Site Status NOT_YET_RECRUITING

University of Cincinnati

Cincinnati, Ohio, United States

Site Status RECRUITING

Cleveland Clinic

Cleveland, Ohio, United States

Site Status RECRUITING

University of Oklahoma, Health Sciences Center

Oklahoma City, Oklahoma, United States

Site Status ACTIVE_NOT_RECRUITING

University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status RECRUITING

Vanderbilt University Medical Center

Nashville, Tennessee, United States

Site Status RECRUITING

Sarah Cannon Research Institute - St. David's South Austin Medical Center

Austin, Texas, United States

Site Status RECRUITING

Houston Methodist Research Institute

Houston, Texas, United States

Site Status RECRUITING

Sarah Cannon Research Institute - Methodist Healthcare

San Antonio, Texas, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Angie Schinkel

Role: CONTACT

Phone: 858-779-3103

Email: [email protected]

Other Identifiers

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XO44788

Identifier Type: OTHER

Identifier Source: secondary_id

P-BCMA-ALLO1-001

Identifier Type: -

Identifier Source: org_study_id