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. 2022 Mar 9;12:787108. doi: 10.3389/fonc.2022.787108

Table 2.

Clinical studies of adoptive transfer of antigen-specific TCR-T cells against AML.

Identifier TCR-T therapy Leukemia Phase Outcome measures Status Locations
NCT02550535 Autologous WT1 TCR-T cells
  • ■ Myelodysplastic syndromes;

  • ■ Acute myeloid leukaemia

Phase 1
  • ■ Safety following gene-modified WT1 TCR T-cell therapy as measured by suspected unexpected serious adverse reactions (SUSARS);

  • ■ Proportion of subjects achieving 1 or more IWG response criteria following gene-modified WT1 TCR T-cell therapy;

  • ■ Safety and tolerability of gene-modified WT1 TCR therapy as measured by clinical laboratory parameters and adverse events.

  • ■ Among 10 patients (6 AML, 3 MDS, and 1 TKI-resistant CML) enrolled in the study, All 6 AML patients survived, at last, follow-up (median 12 months) and median 3 months in the 3 patients with MDS. 3 deaths: 2 from disease progression and 1 from other causes.

Completed
  • ■ AZ St. Jan Brugge-Oostende AV Brugge, Belgium

  • ■ UZ Leuven Leuven, Belgium

  • ■ Uniklinikum Dresden, Germany

Phase 2
UMIN00001159 Autologous WT1 siTCR-T cells
  • ■ Acute myeloid leukemia;

  • ■ Myelodysplastic syndromes

Unknown
  • ■ No adverse events of normal tissue were seen.

  • ■ 2 patients showed transient decreases in blast counts in bone marrow, which was associated with recovery of hematopoiesis.

Completed
  • ■ Mie University Hospital, Japan

  • ■ Ehime University Hospital, Japan

  • ■ Fujita Health University Hospital, Japan

  • ■ Nagoya University Hospital, Japan

NCT01621724 Autologous WT1 TCR-T cells
  • ■ Acute myeloid leukemia;

  • ■ Chronic myeloid leukemia

Phase 1
  • ■ Identify organ toxicities and other side effects

  • ■ Transduction efficiency and TCR expression on TCR-transduced cells

  • ■ WT1-specific immune responses of TCR-transduced T cells

Completed
  • ■ University Hospitals Bristol NHS Foundation Trust Bristol, UK

  • ■ University College London Hospitals NHS Trust London, UK, NW1 2PG

Phase 2
NCT01640301 Allogeneic WT1 TCR-T cells
  • ■ Recurrent adult acute myeloid leukemia;

  • ■ Recurrent childhood acute myeloid leukemia;

  • ■ Secondary acute myeloid leukemia

Phase 1
  • ■ Antileukemic potential efficacy, in terms of duration of response (Arm II).

  • ■ Efficacy, in terms of relapse rate (Arm I).

  • ■ Incidence of chronic graft versus host disease (GVHD) (Arm I).

Active, not recruiting
  • ■ Fred Hutch University of Wash ington Cancer Consortium Seattle, Washington, USA

Phase 2
NCT04284228 Allogeneic WT1/PRAME/Cyclin A1-antigen-specific CD8+ T cells (NEXI-001 T-cell product)
  • ■ Acute myeloid leukemia;

  • ■ Myelodysplastic syndrome

Phase 1
  • ■ Adverse events of special interest (AESIs) events of dose-limiting toxicities (DLTs)

  • ■ AESI events of infusion-related reactions and cytokine release syndrome (CRS)

  • ■ Survival, including median progressive-free survival (PFS), overall response rate (ORR), overall survival (OS).

Recruiting
  • ■ City of Hope Comprehensive Cancer Center Duarte, California, USA

  • ■ Advent Health Medical Group Blood & Marrow Transplant Orlando, Florida, USA

  • ■ Karmanos Cancer Institute Detroit, Michigan, United States

Phase 2
NCT03503968 Autologous PRAME TCR-T cells (MDG1011 cell product)
  • ■ High-risk myeloid;

  • ■ Lymphoid neoplasms (including relapse AML after allo-HSCT)

Phase 1
  • ■ Adverse events and dose limiting toxicities (safety and tolerability).

  • ■ Maximum tolerated dose (MTD) and/or recommended phase II dose (RP2D) of MDG101.

  • ■ For feasibility: percent of all subjects who receive the planned target dose of MDG1011.

Recruiting
  • ■ University Hospital Dresden, Dresden, Germany

  • ■ University Hospital Erlangen, Erlangen, Germany

  • ■ University Hospital Frankfurt, Frankfurt, Germany

Phase 2
NCT03326921 Allogeneic HA-1 TCR-T cells
  • ■ Juvenile myelomonocytic leukemia

  • ■ Recurrent acute biphenotypic leukemia

  • ■ Recurrent acute undifferentiated leukemia

Phase 1
  • ■ Feasibility of manufacturing minor H antigen (HA-1) T-cell receptor (TCR) CD8+ and CD4+ T cells.

  • ■ Feasibility of administering minor H antigen (HA-1) T-cell receptor (TCR) CD8+ and CD4+ T cells.

  • ■ Incidence of dose-limiting toxicities of HA-1 T-cell receptor (TCR) T cells.

Recruiting
  • ■ Fred Hutch University of Washington Cancer Consortium Seattle, Washington, United States

NCT04464889 Autologous HA-1 H TCR-T cells
  • ■ Acute myeloid leukemia

  • ■ Myelodysplastic syndromes

Phase 1
  • ■ Safety and tolerability of HA-1H TCR-transduced T cells: incidence and severity of adverse events.

  • ■ Maximum tolerated dose (MTD) of HA-1H TCR-transduced T cells.

  • ■ Recommended phase 2 doses (RP2D) of HA-1H TCR-transduced T cells.

Active, not recruiting
  • ■ Leiden University Medical Centre Leiden, Zuid Holland, Netherlands