Study of hALK.CAR T Cells for Patients With Relapsed/Refractory High-risk Neuroblastoma

Trial statusRecruiting
Trial phasePhase 1, Phase 2
Trial typeInterventional
Biological sexAll
Age12-29
SponsorRoberto Chiarle

About this trial

This Phase 1/2 trial aims to determine the safety and feasibility of administration of autologous chimeric antigen receptor (CAR) T cells targeting the human Anaplastic Lymphoma Kinase (ALK) receptor in pediatric subjects with relapsed or refractory neuroblastoma (NB).

The trial will be conducted in two phases:

Phase 1 will determine the maximum tolerated dose (MTD) of autologous hALK.CAR T cells using a 3+3 dose escalation design. Phase 2 will be an expansion phase to determine rates of response to hALK.CAR T cells.

Eligibility criteria

Qualifiers

Age ≥ 12 months and < 30 years at the time of consent. The first patient on each dose level will need to be age ≥ 6 years old

Patients must have histologic verification of neuroblastoma at diagnosis or at relapse

Patients must have high-risk neuroblastoma according to Children's Oncology Group (COG) risk classification at time of study enrollment

Patients must have persistent/refractory or relapsed disease for which standard curative measures are no longer effective, as defined in the protocol

Disqualifiers

Pregnant or nursing (lactating) women

Patients with uncontrolled active infection

Patients who are concurrently receiving other investigational agents

Patients who have received prior CART-cell or other gene-modified immune-effector cell therapy, are not eligible unless they are >8 weeks from time of infusion, have fully recovered from any associated toxicities and have documented lack of persistence of the product

Trial design

Treatments tested in this trial

  • Autologous hALK.CAR T cells

Treatment groups

42 Participants
are divided into 1 treatment group

Sponsors and collaborators

Roberto Chiarle

Lead sponsor

Boston Children's Hospital

Sponsor institution

Boston Children's Hospital

Collaborator

Dana-Farber Cancer Institute

Collaborator