Date: 2016-06-06
Type of information: Presentation of results at a congress
phase: 1-2
Announcement: presentation of results at the American Society of Clinical Oncology (ASCO) annual meeting, in Chicago
Company: Gamida Cell (Israel)
Product: NiCord® (expanded cell graft derived from an entire unit of umbilical cord blood enriched with stem cells)
Action
mechanism: cell therapy. NiCord is a new graft modality for hematopoietic stem cell transplantation, derived from a single cord blood unit and expanded ex vivo, utilizing a small molecule as an epigenetic approach to increase the number of short and long term engrafting cells and improve their functionality. This platform technology, called NAM technology, was developed by Gamida Cell scientists and is a proprietary asset of the Company.
Disease: hematological malignancies
Therapeutic area: Cancer - Oncology
Country: USA
Trial
details: Clinical sites will enroll up to 20 patients, ages 18-65, with hematological malignancies (blood cancers) following myeloablative therapy in the study: Allogeneic Stem Cell Transplantation of NiCord®, Umbilical Cord Blood-derived Ex Vivo Expanded Stem and Progenitor Cells, in Adult Patients with high risk Hematological Malignancies. The principal investigator is Dr. Mitchell E. Horwitz, associate professor of medicine at Duke Medicine. Dr. Horwitz was also a principal investigator of the first Phase I/II study of NiCord® in a double cord configuration as an alternative, experimental treatment for blood cancers.
Latest
news:
· A 101-fold increase in the number of CD34+ (stem and progenitor) cells in NiCord compared to unmanipulated cord blood.
· Faster neutrophil engraftment for NiCord recipients (p<0.0001) at a median of 10 days post-transplantation compared to 21 days in registry controls.
· By 16 days post-transplant (the usual median time to engraftment after standard peripheral blood transplantation), 75% of NiCord recipients had achieved neutrophil engraftment, compared to only 18% in registry controls (p<0.0001).
· Faster platelet engraftment for patients engrafting with NiCord (p<0.001) at a median of 32 days, compared to 46 days in registry controls.
· At 42 days post-transplant, 56% of NiCord recipients achieved platelet engraftment, compared to 27% in registry controls (p=0.015).
· Transplant related mortality at one year was 19% compared to 39% in registry controls (p=0.12).
The findings announced are consistent with data presented earlier this year at the 42nd annual meeting of the EBMT where patients transplanted with NiCord demonstrated a significantly lower frequency of grade 2-3 bacterial infections and a shorter hospital stay.
In this study, a robust short and long-term engraftment (over two years) was achieved entirely from the expanded stem cell graft. The reduced time to neutrophil and platelet engraftment and the durable, long-term engraftment provided by NiCord® also led to a shorter time of hospitalization, which also led to reduced costs for both the patient and the hospital. These outcomes provided the scientific basis for the second Phase I/II study of NiCord® in a single UCBU transplant modality.