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Clinical Trials

Date: 2017-09-18

Type of information: Initiation of the trial

phase: 1-2

Announcement: initiation of the trial

Company: Autolus (UK)

Product: AUTO3

Action mechanism:

  • cell therapy/immunotherapy product/gene therapy/CAR-T cell therapy. AUTO3 is an autologous T-cell product, genetically modified to express two separate chimeric antigen receptors (CARs) which recognise CD19 and CD22 antigens expressed by cancer cells in B-cell leukaemia and lymphoma. It is believed to be the first dual-targeting CAR-T cell product to enter clinical development with both CARs delivered from a single retroviral vector during production.
  • Clinical studies with anti-CD19 CAR T cells have demonstrated efficacy in treating acute lymphoblastic  leukaemia and diffuse large B-cell lymphoma  patients. However, a significant proportion of patients relapse due to CD19 downregulation. CD22 is another B-cell antigen that is expressed on B-cell lymphomas and leukaemias, and expression of CD22 is maintained on cancer cells that have lost CD19. By targeting both CD19 and CD22 simultaneously, AUTO3 may decrease relapse rates by reducing the risk of the cancer cells evading treatment by loss or downregulation of a single antigen.

Disease: acute lymphoblastic leukaemia

Therapeutic area: Cancer - Oncology

Country: UK

Trial details:

  • The AMELIA study is a single arm, open-label, multi-centre, phase I/II study evaluating the safety and clinical activity of AUTO3 in paediatric and young adult patients with relapsed or refractory B-Cell acute lymphoblastic leukaemia. The phase I part of the study is evaluating the optimal dose in relapsed or refractory B-cell ALL patients. Phase II is an expansion phase where patients receive AUTO3 at the recommended dose to further evaluate the safety, tolerability and clinical activity at this recommended dose. The study will initially enroll patients at several sites in the UK, with further sites in Europe and the US added later. (EUDRA-CT 2016-004680-39)

Latest news:

  • • On September 18th, 2017, Autolus announced initiation Autolus announced initiation of both the AMELIA and ALEXANDER phase I/II studies of its novel, dual-targeting, AUTO3 Chimeric Antigen Receptor (CAR) T-cell therapy. The AMELIA study is a dose-escalation phase I/II study in paediatric acute lymphocytic leukaemia in which cohorts of patients receive ascending doses of AUTO3 to determine the maximum tolerated dose and establish a recommended dose. The second part of the study is an expansion phase where patients receive AUTO3 to further evaluate the safety, tolerability and clinical activity at this recommended dose.
     

Is general: Yes