Ph1 Study of FT538 Alone and With Vorinostat for Persistent Low-Level HIV Viremia

Studies

Study First Submitted Date 2022-12-09
Study First Posted Date 2023-01-26
Last Update Posted Date 2023-08-02
Start Month Year July 15, 2024
Primary Completion Month Year July 26, 2024
Verification Month Year August 2023
Verification Date 2023-08-31
Last Update Posted Date 2023-08-02

Facilities

Sequence: 199454662
Name Masonic Cancer Center at University of Minnesota
City Minneapolis
State Minnesota
Zip 55455
Country United States

Facility Contacts

Sequence: 28031197
Facility Id 199454662
Contact Type primary
Name Joshua Rhein
Email rhei0005@umn.edu
Phone 612-624-9452

Browse Interventions

Sequence: 95758023 Sequence: 95758024 Sequence: 95758025 Sequence: 95758026 Sequence: 95758027
Mesh Term Vorinostat Mesh Term Antineoplastic Agents Mesh Term Histone Deacetylase Inhibitors Mesh Term Enzyme Inhibitors Mesh Term Molecular Mechanisms of Pharmacological Action
Downcase Mesh Term vorinostat Downcase Mesh Term antineoplastic agents Downcase Mesh Term histone deacetylase inhibitors Downcase Mesh Term enzyme inhibitors Downcase Mesh Term molecular mechanisms of pharmacological action
Mesh Type mesh-list Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor

Conditions

Sequence: 52021373 Sequence: 52021375 Sequence: 52021376 Sequence: 52021377 Sequence: 52021374
Name HIV-1-infection Name Cd4+ Lymphocyte Deficiency Name Lymphoid Tissue; Infection Name Interleukin Name ART
Downcase Name hiv-1-infection Downcase Name cd4+ lymphocyte deficiency Downcase Name lymphoid tissue; infection Downcase Name interleukin Downcase Name art

Id Information

Sequence: 40041186
Id Source org_study_id
Id Value 2022LS028

Countries

Sequence: 42437572
Name United States
Removed False

Design Groups

Sequence: 55428665 Sequence: 55428666
Group Type Experimental Group Type Experimental
Title Determine the safety and feasibility of administering FT538 monotherapy Title Characterize the toxicities and impact of FT538 and vorinostat
Description Administering FT538 monotherapy as an intravenous infusion once every 14 days for 4 consecutive doses and in combination with twice weekly vorinostat for the reduction of the HIV reservoir. Description To characterize the toxicities associated with FT538 monotherapy and with vorinostat in this patient population. To determine the impact of FT538 on the persistence of low-level HIV viremia, defined as detectable HIV-1 RNA of ≤200 copies/mL despite good ART adherence.

Interventions

Sequence: 52333978 Sequence: 52333979
Intervention Type Biological Intervention Type Drug
Name FT538 Name Vorinostat
Description FT538 is an investigational off-the-shelf cryopreserved NK cell product derived from an iPSC that contains three functional modifications: 1) a novel high affinity, non-cleavable CD16 (Fc receptor) that maintains CD16 on the cell surface and remains fully functional after NK cell activation, thus augmenting ADCC; 2) an IL-15 receptor fusion that promotes NK cell activity and enhances cell persistence; and 3) the knock-out of CD38 expression prevent anti-CD38 antibody-induced fratricide. Description Vorinostat is a histone deacetylase inhibitor (HDACi) that is FDA approved for the treatment of cutaneous T-cell lymphoma and, under investigation in HIV as disruptor of HIV latency.

Keywords

Sequence: 79627500 Sequence: 79627501 Sequence: 79627502 Sequence: 79627503 Sequence: 79627504 Sequence: 79627505 Sequence: 79627506 Sequence: 79627507 Sequence: 79627508 Sequence: 79627509 Sequence: 79627510 Sequence: 79627511 Sequence: 79627512 Sequence: 79627513 Sequence: 79627514 Sequence: 79627515 Sequence: 79627516 Sequence: 79627517 Sequence: 79627518 Sequence: 79627519 Sequence: 79627520 Sequence: 79627521 Sequence: 79627522
Name FT538 Name ACC/AHA Name ADCC Name AE Name AIDS Name ASCVD Name CAR Name CFR Name CIBMTR Name CLIA Name CNS Name CRP Name CRS Name CSRC Name DC Name DLT Name GALT Name HDACi Name HIV Name ICANS Name ICE Name IL-15 Name pVL
Downcase Name ft538 Downcase Name acc/aha Downcase Name adcc Downcase Name ae Downcase Name aids Downcase Name ascvd Downcase Name car Downcase Name cfr Downcase Name cibmtr Downcase Name clia Downcase Name cns Downcase Name crp Downcase Name crs Downcase Name csrc Downcase Name dc Downcase Name dlt Downcase Name galt Downcase Name hdaci Downcase Name hiv Downcase Name icans Downcase Name ice Downcase Name il-15 Downcase Name pvl

Design Outcomes

Sequence: 176859083 Sequence: 176859084 Sequence: 176859085 Sequence: 176859086 Sequence: 176859087 Sequence: 176859088
Outcome Type primary Outcome Type secondary Outcome Type secondary Outcome Type other Outcome Type other Outcome Type other
Measure Determine the safety and feasibility of administering FT538 monotherapy. Measure Characterize the toxicities associated with FT538 monotherapy and vorinostat. Measure Determine the impact of FT538 on the persistence of low-level HIV viremia Measure Characterize FT538 and Vorinostat Relationship with HIV RNA Measure FT538 impact on frequency and phenotype of viral cells in PBMC lymphocyte subsets. Measure Optional lymphoid tissue collection
Time Frame 26 months Time Frame 30 months Time Frame 30 months Time Frame 30 months Time Frame 30 months Time Frame 30 months
Description At screen and baseline visits, all grades of signs and symptoms that occurred 30 days prior to the visit will be recorded. At all subsequent visits, all grades of signs and symptoms that occurred since the previous visit must be recorded as part of an Adverse Event (AE) assessment. Description flow cytometric analysis for NK cell degranulation (CD107a). Description Defined as patients with detectable HIV-1 RNA of ≤200 copies/mL despite good ART adherence. Description Ultrasensitive qPCR diagnostics will be used to quantify ratio of HIV RNA to single-copy levels. Description Detection of viral antigens using an ultra-sensitive p24 system. Description To determine the impact of FT538 on the frequency, location, and phenotype of viral RNA-positive and DNA-positive cells in lymphoid tissues (inguinal lymph node and colonic)

Browse Conditions

Sequence: 192892509 Sequence: 192892510 Sequence: 192892511 Sequence: 192892512 Sequence: 192892513 Sequence: 192892514 Sequence: 192892515 Sequence: 192892516 Sequence: 192892517
Mesh Term Infections Mesh Term Communicable Diseases Mesh Term Viremia Mesh Term Disease Attributes Mesh Term Pathologic Processes Mesh Term Virus Diseases Mesh Term Sepsis Mesh Term Systemic Inflammatory Response Syndrome Mesh Term Inflammation
Downcase Mesh Term infections Downcase Mesh Term communicable diseases Downcase Mesh Term viremia Downcase Mesh Term disease attributes Downcase Mesh Term pathologic processes Downcase Mesh Term virus diseases Downcase Mesh Term sepsis Downcase Mesh Term systemic inflammatory response syndrome Downcase Mesh Term inflammation
Mesh Type mesh-list Mesh Type mesh-list Mesh Type mesh-list Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor Mesh Type mesh-ancestor

Sponsors

Sequence: 48179619
Agency Class OTHER
Lead Or Collaborator lead
Name Masonic Cancer Center, University of Minnesota

Central Contacts

Sequence: 11975690
Contact Type primary
Name Joshua Rhein
Phone 612-624-9452
Email rhei0005@umn.edu
Role Contact

Design Group Interventions

Sequence: 67949478 Sequence: 67949479 Sequence: 67949480
Design Group Id 55428666 Design Group Id 55428665 Design Group Id 55428666
Intervention Id 52333978 Intervention Id 52333978 Intervention Id 52333979

Eligibilities

Sequence: 30677690
Gender All
Minimum Age 18 Years
Maximum Age 65 Years
Healthy Volunteers No
Criteria Inclusion Criteria: Male or female, age ≥18 and ≤65 years at the time of signing the consent form HIV-1 infection on continuous antiretroviral therapy (ART) for at least 12 months without any interruptions of greater than 14 consecutive days and without plans to modify ART before the End of Treatment visit. Two or more consecutive detectable HIV RNA levels of ≤200 copies/mL in the last 2 years, with at least one determination meeting this criterion in the previous 12 months. (If testing was not obtained within 42 days of planned dose 1, test will be repeated during subject screening to confirm status) Screening CD4+ T cell count ≥350 cells/ µl within 28 days of the 1st dose of FT538. Completion of initial COVID-19 vaccination series and/or documented COVID-19 infection with completion of treatment ≥ 3 months prior Patient weight of ≥ 50 kg due to FT538 fixed cell dosing and FT538 product pre-dosed packaging. Adequate organ function within 14 days of Day 1, defined as the following: Platelet counts >150,000/mm^3 Hemoglobin > 12.5 g/dL for men and > 11.5 g/dL for women. It is not acceptable for patients to be transfused within the prior month to meet this requirement. The use of Epogen is permitted. AST and ALT ≤ 3 x upper limit of institutional normal Estimated CrCl (eGFR) >50 mL/min/1.73m^2 Persons of childbearing potential or with partners of childbearing potential must be willing to abstain from heterosexual activity or to use a highly effective form of contraception from the time of study enrollment through at least 4 months after the last dose of FT538. Persons are considered of childbearing potential unless: they are postmenopausal; are surgically sterile; or they have a congenital or acquired condition that prevents childbearing. NOTE: Abstinence is acceptable if this is the usual lifestyle and preferred contraception. For Dose Cohort 4 (FT538 plus Vorinostat): Females of childbearing potential must use highly effective contraception from the time of study enrollment through 6 months after the last dose of vorinostat. Males with partners of childbearing potential must use highly effective contraception from the time of study enrollment through 3 months after the last dose of vorinostat or 4 months after the last dose of FT538, whichever is more conservative. Must agree to and sign the consent for the Master Long-Term Follow-Up study to fulfill the FDA recommended 15 years following exposure to the investigational gene therapy product. Voluntary written consent prior to the performance of any research related procedures. Exclusion Criteria: Pregnant, breastfeeding, or unwilling to practice birth control for a minimum of 4 months after the last dose of FT538. If of childbearing potential, a negative pregnancy test is required within 14 days prior to the 1st dose of FT538 or within 7 days prior to the 1st dose of vorinostat if treated in Dose Cohort 4. Known allergy to the following FT538 components: albumin (human) or DMSO. Currently receiving or likely to require systemic immunosuppressive therapy (e.g., prednisone >5 mg daily) for any reason within 5 days before the 1st dose of FT538 and 14 days after the last dose of FT538 – inhaled and topical steroids are permitted. Active or recent malignancy requiring systemic chemotherapy or surgery in the preceding 36 months or for whom such therapies are expected in the subsequent 12 months – minor surgical removal of localized skin cancers (squamous cell carcinoma, basal cell carcinoma) is permitted. Prior history of solid organ transplant or hematopoietic stem cell transplant. Receipt of any investigational agent (not approved by the FDA for any indication) within 28 days prior to the first dose of FT538. Note that participation in prior HIV cure studies, including those involving IL-2 or N803, is permitted as long as experimental therapy completed >28 days prior. Chronic liver disease defined as Class B and C on the Child-Pugh scale. Active and poorly controlled atherosclerotic cardiovascular disease (ASCVD), as defined by 2013 ACC/AHA guidelines, including a previous diagnosis of any of the following within the previous 12 months: (a) acute myocardial infarction, (b) acute coronary syndromes, (c) stable or unstable angina, (d) coronary or other arterial revascularization, (e) stroke, (f) transient ischemic attack (TIA), or (g) peripheral arterial disease presumed to be of atherosclerotic origin. Moderate-severe obstructive lung disease. In subjects reporting a history of mild obstructive lung disease at screening, pulmonary function test (PFT) to be obtained and patient excluded from study if the FEV1 is <80% of predicted. Non-malignant CNS disease such as stroke, epilepsy, CNS vasculitis, or neurodegenerative disease or receipt of medications for these conditions in the 2-year period leading up to study enrollment. Known concurrent or recent (defined as having received treatment within the last 3 months) infection with: Latent or active TB infection prior to completing a standard regimen of anti-TB therapy; defined as meeting PPD criteria for TB exposure or a positive quantiferon gold test collected at screening Active fungal infection requiring systemic antifungal therapy Chronic active hepatitis B or C. For Hepatitis B this will be defined as HBs antigen + and for Hepatitis C this will be defined as Hepatitis C antibody positive and Hepatitis C PCR+. COVID-19; defined as a positive SARS-CoV-2 PCR test at screening or a history of COVID-19 diagnosed within the last 3 months. Clinical vaccination administered within 6 weeks of the 1st dose of FT538. Presence of any social issues that, per investigator judgement, are likely to interfere with study conduct or may cause increased risk to patient. Patient history of alcohol or substance abuse that, per investigator judgement, are likely to interfere with study conduct or may cause increased risk to patient Any medical condition or clinical laboratory abnormality that, per investigator judgement, precludes safe participation in and completion of the study or that could affect compliance with protocol conduct or interpretation of results.
Adult True
Child False
Older Adult True

Calculated Values

Sequence: 253871733
Number Of Facilities 1
Registered In Calendar Year 2022
Were Results Reported False
Has Us Facility True
Has Single Facility True
Minimum Age Num 18
Maximum Age Num 65
Minimum Age Unit Years
Maximum Age Unit Years
Number Of Primary Outcomes To Measure 1
Number Of Secondary Outcomes To Measure 2
Number Of Other Outcomes To Measure 3

Designs

Sequence: 30424443
Allocation Non-Randomized
Intervention Model Sequential Assignment
Observational Model
Primary Purpose Treatment
Time Perspective
Masking None (Open Label)

Responsible Parties

Sequence: 28790964
Responsible Party Type Sponsor