Title

Trial of AB-110 in Adults With Hematologic Malignancies Undergoing Cord Blood Transplantation
A Phase 1 Open-Label, Multi-Center Trial of AB-110 in Adults With Hematologic Malignancies Undergoing Cord
  • Phase

    Phase 1
  • Study Type

    Interventional
  • Status

    Completed No Results Posted
  • Study Participants

    10
A phase 1b, open label, multi-center trial of AB-110 in adults with hematologic malignancies, including acute myeloid leukemia (AML), acute lymphoblastic leukemia (ALL), and myelodysplasia (MDS) undergoing cord blood transplantation. Subjects will receive unmanipulated cord blood (UCB) and AB-110 expanded CD34 enriched hematopoietic progenitor cells (HSPC).
Study Started
Apr 24
2018
Primary Completion
Dec 21
2020
Study Completion
Jan 31
2022
Last Update
May 31
2022

Biological Unmanipulated Umbilical Cord Blood (UCB)

Human leukocyte antigen (HLA) matched umbilical cord blood

Biological AB-110 [autologous cd34+ cells, allogeneic cord blood]

Expanded cord blood stem cells and engineered human endothelial cells

Experimental Experimental

Unmanipulated umbilical cord blood plus AB-110

Criteria

Inclusion Criteria:

Patients must have received some immunosuppressive chemotherapy in the preceding 3 months.

Acute myelogenous leukemia (AML):

Complete first remission (CR1) at high risk for relapse
Complete second remission (CR2).
No documented myelofibrosis at screening marrow biopsy

Acute lymphoblastic leukemia (ALL):

Complete first remission (CR1) at high risk for relapse
Complete second remission (CR2).
Other acute leukemias that are of ambiguous lineage or of other types
Any acute leukemia with marrow aplasia or without adequate count recovery.
Myelodysplastic Syndrome (MDS)
Karnofsky score > 70 %.
Calculated creatinine clearance > 60 ml/min.
Bilirubin < 1.5 mg/dL, ALT < 3 x upper limit of normal
Pulmonary function (FVC, FEV1 and corrected DLCO) > 50% predicted.
Left ventricular ejection fraction > 50%.
Albumin > 3.0 g/dL.
Negative antiviral serology:
Negative human immunodeficiency virus (HIV) antibody.
Negative human T-lymphotropic virus (HTLV)-1 and 2 antibodies.
Negative hepatitis B surface antigen (HBsAg) and undetectable hepatitis B virus (HBV) DNA
Negative hepatitis C virus (HCV) antibody or negative HCV ribonucleic acid (RNA)

For female subjects of childbearing potential:

A negative serum pregnancy test
Willing to use contraception throughout the study period.
Male subjects must be willing to use a recommended method of contraception throughout the study period, and to refrain from sperm donation throughout the study period.
Two appropriate CB units identified for the subject.
In the judgment of the investigator, participation in the protocol offers an acceptable benefit-to-risk ratio when considering current disease status, medical condition, and the potential benefits and risks of alternative treatments for the subject's cancer.
Willingness and ability to comply with scheduled visits, drug administration plan, protocol-specified laboratory tests, other study procedures, and study restrictions.
Evidence of a signed informed written consent

Exclusion Criteria:

Pregnancy or breastfeeding.
Current active, uncontrolled bacterial, viral, or fungal infection
Prior allogeneic or autologous HCT at any time.
Active malignancy other than the one for which AB-110 transplant is being performed within 12 months of enrollment.
Any identified and available 10/10 HLA-matched related donor or 10/10 HLA-matched unrelated donor.
Have evidence of recipient donor specific anti-HLA antibodies.
Active central nervous system (CNS) disease at time of screening.
Documented allergy to DMSO, mouse or bovine proteins, or iron.
Subject has other conditions that in the opinion of the investigator would place the subject at increased risk for toxicity by participation in the study.
Psychiatric condition making the patient unlikely to comply with protocol therapy, required tests and follow-up.
No Results Posted