Table 1.
Disease application | Center | Ph | Cell dose | Product | Indication | Effects | Study ID | Ref. |
---|---|---|---|---|---|---|---|---|
HCT | Gdansk | I | 1 × 105–3 × 106/kg | Expanded poly-Tregs | GvHD treatment | Safe/reduced immunosuppression | NKEBN/458-310/2008 (Gdansk ethics board) | (62) |
Minnesota | I | 1–30 × 105/kga | Expanded CB poly-Tregs | GvHD prophylaxis | Safe reduced acute GvHD, increased infection | NCT00602693b | (44, 63) | |
Minnesota | I | 3–100 × 106/kg | Expanded CB poly-Tregs with engineered cell line | GvHD prophylaxis | Safe reduced GVHD and no increased relapse | NCT00602693 | (45) | |
Perugia | I | 2–4 × 106/kg | Fresh polyTregs | GvHD prophylaxis | Safe/reduced leukemia relapses/reduced incidence of GvHD | Protocol No 01/08, CEAS Umbria | (64, 65) | |
Regensburg | I | ≤ 5 × 106/kg | Fresh polyTregs | GvHD prophylaxis | Safe | Treg002EudraCT: 2012-002685-12c | (56) | |
Milan | I | 1–3 × 105/kg | Tr1 (IL-10 DLI or DC-10 DLI) | GvHD prophylaxis | Safe/long-term disease-free survival in 4 patients | ALT-TEN, IS/11/6172/8309/8391 | (66) | |
Stanford | I/II | 0.1–10 × 106/kg | Fresh polyTregs | GvHD prophylaxis | Terminated (NCT01050764)Recruiting (NCT01660607) | NCT01050764/NCT01660607 | – | |
Dresden | I | 0.6–5 × 106/kg | Expanded polyTregs | GvHD treatment | Tumors in 2 patients/stable chronic GvHD | Protocol no. EK 206082008 | (58) | |
Bologna | I/II | 0.5–2 × 106/kg | Fresh polyTregs | Chronic GvHD prophylaxis | Recruiting | NCT02749084 | – | |
Minnesota | I/II | Fresh CB polyTregs with IL-2 | GvHD prophylaxis | Recruiting | NCT02991898 | – | ||
Boston | I | Fresh polyTregs with IL-2 | Steroid refractory chronic GvHD treatment | Recruiting | NCT01937468 | – | ||
Lisbon | I/II | 0.5–3 × 106/kg | Fresh polyTregs | Steroid refractory chronic GvHD treatment | Recruiting | NCT02385019 | – | |
Stanford | I | polyTregs | Steroid-dependent/refractory chronic GvHD treatment | Unknown | NCT01911039 | – | ||
Liege | I | 0.5 × 106/kg | Fresh polyTregs | chronic GvHD treatment | Unknown | NCT01903473 | – | |
Houston | I/II | 1–10 × 106/kg | Fucosylated polyTregs | GvHD prophylaxis | Active, not recruiting | NCT02423915 | – | |
Tampa | I | Donor expanded Tregs | GvHD prophylaxis | Recruiting | NCT01795573 | – | ||
Minnesota | I | 3 × 10–1006/kg | Induced Tregs | GvHD prophylaxis | Active, not recruiting | NCT01634217 | – | |
Organ trans | London, Oxford, | I/II | 1–106/kg | Expanded polyTregs | Living donor kidney transplant | Recruiting | NCT02129881 | (67) |
Berlin | I/II | 0.5–3 × 106/kg | Expanded polyTregs | Living donor kidney transplant | Recruiting | NCT02371434 | (67) | |
San Francisco | I/II | 4–10 × 106/kgd | Donor-alloantigen-reactive Tregs | Living donor kidney transplant | Recruiting | NCT02244801 | (67) | |
Boston | I/II | Belatacept-conditioned Tregs | Living donor kidney transplant | Active, not recruiting | NCT02091232 | (67) | ||
Chicago | I | Expanded polyTregs | Living donor kidney transplant | Active, not recruiting | NCT02145325 | – | ||
Milan | I/II | Antigen-specific Tr1 (T10 cells) | Living donor kidney transplant | Not yet recruiting | (67) | |||
Moscow | I | 3 × 106/kgd | Expanded polyTregs | Kidney transplantation | Unknown | NCT01446484 | – | |
Multicenter USA | I/II | 6 × 106/kg | Donor reactive and polyTregs | Kidney transplantation | Recruiting | NCT02711826 | – | |
London | I | ≤ 4.5 × 106/kg | Expanded polyTregs | Liver transplant | Recruiting | ThRIL, NCT02166177 | (68) | |
Nanjing | I | 1 × 106/kg | Alloantigen-specific Tregs | Liver transplant | Unknown | NCT01624077 | – | |
San Francisco | I | 7 × 105–10 × 106/kgd | Donor-alloantigen-reactive Tregs | Liver transplant | Recruiting | NCT02188719 | – | |
Other Treg-based trials | San Francisco | I | 5 × 106/kgd | Expanded polyTregs | Subclinical rejection in kidney transplantation | Active, not recruiting | NCT02088931 | – |
San Francisco | I | 4–7 × 106/kgd | Donor-alloantigen-reactive Tregs | CNI reduction in liver transplantation | Recruiting | NCT02474199 | – | |
Autoimmunity | Gdansk | I | ≤ 30 × 106/kg | Expanded polytTregs | Recent T1D | Safe/reduced insulin doses | ISRCTN06128462e | (69–71) |
San Francisco | I | 7 × 104–40 × 106/kgd | Expanded polyTregs | T1D | Safe | NCT01210664 | (72) | |
Lille | I/II | 1 × 104–10 × 106/kg | Ovalbumin-specific Tr1 | Refractory Crohn’s disease | Safe/clinical response in 40% of patients | CATS1 | (73) | |
Gdansk | I | Expanded polyTregs | Multiple sclerosis | Recruiting | – | |||
Nanjing | I/II | 10–20 × 106/kg | Expanded polyTregs | Autoimmune Hepatitis | Not yet recruiting | NCT02704338 | – | |
Gdansk | II | Expanded polyTregs | Recent T1D | Recruiting | – | |||
Hunan | I/II | 1–5 × 106/kg | Expanded third-party CB polyTregs | Recent T1D | Recruiting | NCT02932826/NCT03011021 | – | |
Multicenter USA | II | Expanded polyTregs | Recent T1D | Not yet recruiting | NCT02691247 | – | ||
San Francisco | I | 3–20 × 106/kg | Expanded polyTregs | Recent T1D | Recruiting | NCT02772679 | – | |
San Francisco | I | 1.4–23 × 106/kgd | Expanded polyTregs | Systemic Lupus erythematosus | Not yet recruiting | NCT02428309 | – |
aTwo infusions day +4 and day +15 after HCT.
dConverted to cells/kg based on 70 kg average body mass if not stated by study (European standard).