Purpose

The purpose of this study is to evaluate the safety and the efficacy of SMART101 (Human T Lymphoid Progenitor (HTLP)) injection to accelerate immune reconstitution after T cell depleted allogeneic hematopoietic stem cell transplantation (HSCT) in adult and pediatric patients with hematological malignancies.

Condition

Eligibility

Eligible Ages
All ages
Eligible Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

Group A (adults): 1. Adult patients affected by: - Acute leukemia (AML, ALL) defined as: - Acute Myeloid Leukemia (AML): - High risk AML in CR1; any adverse genetic abnormality, secondary or therapy related AML excluding good risk genetic abnormalities - Chemo-refractory relapse (MRD+) - ≥ CR2 - Acute Lymphoblastic Leukemia (ALL): - Chemo-refractory relapse (MRD+) - High risk ALL in CR1; Philadelphia (like) or any poor risk feature - ≥ CR2 - Acute leukemia of ambiguous lineage: - ≥ CR1 with a minimal residual disease (MRD) <5% (flow cytometry, molecular and/or cytogenetics accepted) - Myelodysplastic Syndrome (MDS) with least one of the following: - Revised International Prognostic Scoring System risk score of intermediate or higher at the time of transplant evaluation. - Life-threatening cytopenia. - Karyotype or genomic changes that indicate high risk for progression to acute myelogenous leukemia, including abnormalities of chromosome 7 or 3, mutations of TP53, or complex or monosomal karyotype. - Therapy related disease or disease evolving from other malignant processes. 2. Patient eligible for a T-depleted allogeneic HSCT 3. Age ≥ 18y and clinical condition compatible with allogeneic stem cell transplantation 4. Karnofsky index ≥ 70% prior to conditioning regimen 5. Patients with normal organ function prior to conditioning regimen Group B (pediatrics): 1. Pediatric patients affected by acute leukemia defined as: - Acute Myeloid Leukemia (AML): - High risk AML in CR1; any adverse genetic abnormality, secondary or therapy related AML excluding good risk genetic abnormalities, - Chemo-refractory relapse (MRD+) - ≥ CR2 - Acute Lymphoblastic Leukemia (ALL): - Chemo-refractory relapse (MRD+) - High risk ALL in CR1; Philadelphia (like) or any poor risk feature - ≥ CR2 - Acute leukemia of ambiguous lineage: - ≥ CR1 with a minimal residual disease (MRD) <5% (flow cytometry, molecular and/or cytogenetics accepted) 2. Patient eligible for a T-depleted allogeneic HSCT 3. Age < 18y at the time of inclusion 4. Absence of a matched sibling donor (MSD) 5. Lansky ≥ 70% / Karnofsky performance status ≥ 70% prior to conditioning regimen 6. Patients with normal organ function prior to conditioning regimen

Exclusion Criteria

Groups A and B: 1. Use of an HLA matched Cord Blood (8/8 allele matched) or haploidentical donor 2. Prior therapy with allogeneic stem cell transplantation 3. Treatment with another cellular therapy within one month before inclusion

Study Design

Phase
Phase 1/Phase 2
Study Type
Interventional
Allocation
Non-Randomized
Intervention Model
Sequential Assignment
Primary Purpose
Treatment
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Adult patients affected by hematological malignancies
Adult patients affected by acute leukemia (AML, ALL or acute leukemia of ambiguous lineage) or myelodysplastic syndrome eligible for a T depleted allogeneic HSCT
  • Biological: Allogeneic T cell progenitors, cultured ex-vivo
    Injection of T cell progenitors at [Day 4-Day 10] after T cell depleted allogeneic HSCT
    Other names:
    • SMART101
Experimental
Pediatric patients affected by hematological malignancies
Pediatric patients affected by acute leukemia (AML, ALL or acute leukemia of ambiguous lineage) eligible for a T depleted allogeneic HSCT
  • Biological: Allogeneic T cell progenitors, cultured ex-vivo
    Injection of T cell progenitors at [Day 4-Day 10] after T cell depleted allogeneic HSCT
    Other names:
    • SMART101

Recruiting Locations

Memorial Sloan Kettering Cancer Center (MSKCC)
New York, New York 10065

More Details

Status
Recruiting
Sponsor
Smart Immune SAS

Study Contact

Frédéric LEHMANN, MD
+32 (0) 492 46 23 55
frederic.lehmann@smart-immune.com

Notice

Study information shown on this site is derived from ClinicalTrials.gov (a public registry operated by the National Institutes of Health). The listing of studies provided is not certain to be all studies for which you might be eligible. Furthermore, study eligibility requirements can be difficult to understand and may change over time, so it is wise to speak with your medical care provider and individual research study teams when making decisions related to participation.