VCAR33 for Leukemia

No longer recruiting at 14 trial locations
JW
Overseen ByJennifer Whangbo, MD, PhD
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Approved in 1 JurisdictionThis treatment is already approved in other countries

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to test a new treatment called VCAR33 for individuals with a challenging type of blood cancer, Acute Myeloid Leukemia (AML), that hasn't responded well to standard treatments. Researchers seek to determine if VCAR33, which uses modified immune cells to target cancer, can benefit patients who have received a bone marrow transplant from a well-matched donor. The trial includes different groups to explore the treatment's effectiveness at various stages of the disease. It suits patients whose AML has returned or not improved after a bone marrow transplant and who have significant leukemia cell presence or minimal residual disease. As a Phase 1 trial, the research focuses on understanding how the treatment works in people, offering patients the opportunity to be among the first to receive this new therapy.

Will I have to stop taking my current medications?

The trial information does not specify if you need to stop taking your current medications. However, if you are taking systemic immunosuppressive agents for GVHD, you may not be eligible unless your condition is controlled with only topical therapy.

Is there any evidence suggesting that VCAR33 is likely to be safe for humans?

Research shows that VCAR33, a new treatment using CAR T cells from a healthy donor, is being tested for safety in patients with relapsed or hard-to-treat Acute Myeloid Leukemia (AML). This treatment uses these immune cells to find and destroy cancer cells. Although this is an early study, its Phase 1/2 status means researchers closely monitor how patients handle the treatment and any side effects.

CAR T cell therapies can sometimes cause side effects like fever or low blood pressure, but proper care usually manages these. Since this study is in its early stages, the main goal is to ensure the treatment's safety, so medical professionals will closely monitor participants.12345

Why do researchers think this study treatment might be promising for leukemia?

Researchers are excited about VCAR33 for leukemia because it uses a cutting-edge CAR-T cell therapy approach. Unlike standard treatments like chemotherapy and radiation, which attack cancer cells directly but can also harm healthy cells, VCAR33 involves reprogramming a patient's own T-cells to specifically target and destroy leukemia cells. This precision targeting reduces collateral damage to healthy cells, potentially leading to fewer side effects. Additionally, VCAR33 is being tested at multiple dose levels, which may help optimize its effectiveness and tailor the treatment to individual patient needs.

What evidence suggests that VCAR33 might be an effective treatment for leukemia?

Research shows that VCAR33, a type of CAR T cell therapy, targets a protein called CD33, present on over 80% of Acute Myeloid Leukemia (AML) cells. This targeting makes it a promising treatment for this leukemia type. Early studies have demonstrated that CAR T cells targeting CD33 can significantly reduce cancer cells. In this trial, participants will receive VCAR33 therapy at varying dose levels, using cells from a healthy donor to enhance the body's ability to fight leukemia. Although early results are promising, further research is necessary to fully understand its potential and safety.12456

Are You a Good Fit for This Trial?

Adults with Acute Myeloid Leukemia that has returned or resisted treatment after a specific type of bone marrow transplant (HLA-matched alloHCT) can join. They must have received the transplant from a donor who matches them on eight key genetic markers and is willing to undergo a procedure for this trial. Patients should be in good physical condition, with their major organs functioning well.

Inclusion Criteria

Patient must have adequate organ function as defined by: Cardiac: Left ventricular ejection fraction (LVEF) ≥ 45% or fractional shortening ≥ 28%, Pulmonary: Baseline oxygen saturation > 92% on room air at rest, Hepatic: Total bilirubin < 3x institutional upper limit of normal (ULN) (except in case of patients with documented Gilbert's disease < 5x ULN) and aspartate aminotransferase (AST/SGOT)/alanine aminotransferase (ALT/SGPT) < 5x institutional ULN, Renal: Serum creatinine must be ≤ 1.2x institutional ULN or creatinine clearance ≥ 60 mL/min for patients with creatinine levels above institutional normal, Original alloHCT donor is available and willing to undergo apheresis
I received a bone marrow transplant from a fully matched donor or was in the VBP101 study.
I am fully active or can carry out light work.
See 1 more

Exclusion Criteria

I have had more than one allogeneic stem cell transplant.
Patients with any history of Grade III or IV acute GVHD or severe chronic GVHD unless approved by the Sponsor Medical Monitor
I had a stem cell transplant from a donor who was not a full match or used umbilical cord blood.
See 4 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive donor-derived anti-CD33 CAR T cell therapy (VCAR33) to assess safety and efficacy

6-8 weeks

Dose-limiting toxicity observation

Participants are monitored for dose-limiting toxicities to determine the maximum tolerated dose

3 weeks

Follow-up

Participants are monitored for safety and effectiveness after treatment

12 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • VCAR33
Trial Overview The trial is testing VCAR33, which is a new therapy involving T cells (a type of immune cell) engineered to target leukemia cells in patients whose AML has come back or hasn't responded after receiving an HLA-matched alloHCT. It's an early-stage trial to see how safe it is and how well it works.
How Is the Trial Designed?
6Treatment groups
Experimental Treatment
Group I: Morphologic Disease: Cohort 3Experimental Treatment1 Intervention
Group II: Morphologic Disease: Cohort 2Experimental Treatment1 Intervention
Group III: Morphologic Disease: Cohort 1Experimental Treatment1 Intervention
Group IV: MRD Positive: Cohort 3Experimental Treatment1 Intervention
Group V: MRD Positive: Cohort 2Experimental Treatment1 Intervention
Group VI: MRD Positive: Cohort 1Experimental Treatment1 Intervention

VCAR33 is already approved in United States for the following indications:

🇺🇸
Approved in United States as VCAR33 for:

Find a Clinic Near You

Who Is Running the Clinical Trial?

Vor Biopharma

Lead Sponsor

Trials
3
Recruited
80+

Published Research Related to This Trial

CART33, a chimeric antigen receptor T cell therapy targeting CD33, showed significant effectiveness in eradicating acute myeloid leukemia (AML) in preclinical models, leading to prolonged survival.
To reduce the risk of long-term toxicity associated with permanent CART cell expression, a transiently expressed mRNA anti-CD33 CAR was developed, demonstrating potent but self-limited activity against AML, making it a safer option for patients.
CD33-specific chimeric antigen receptor T cells exhibit potent preclinical activity against human acute myeloid leukemia.Kenderian, SS., Ruella, M., Shestova, O., et al.[2022]
The study demonstrated that using CRISPR/Cas9 to knock out the TCR gene in ARI-0001 CAR-T cells can effectively disrupt the TCR without significantly altering the T cell phenotype, achieving over 80% efficiency.
While this method shows promise for creating allogeneic CAR-T cells with maintained anti-tumor activity, there are potential safety risks due to possible large deletions in the genome that require careful monitoring.
Efficacy and safety of universal (TCRKO) ARI-0001 CAR-T cells for the treatment of B-cell lymphoma.Maldonado-Pérez, N., Tristán-Manzano, M., Justicia-Lirio, P., et al.[2022]
Genetically engineered T cells targeting the CD33 antigen showed promising in vitro bispecificity and did not harm normal blood cell progenitors, suggesting a safer approach for treating acute myeloid leukemia (AML).
In vivo studies in mice demonstrated that these CAR-modified T cells effectively localized to tumor sites and exhibited antitumor activity, indicating potential for enhanced treatment outcomes in AML patients compared to traditional therapies.
In Vitro and In Vivo Antitumor Effect of Anti-CD33 Chimeric Receptor-Expressing EBV-CTL against CD33 Acute Myeloid Leukemia.Dutour, A., Marin, V., Pizzitola, I., et al.[2021]

Citations

Donor-Derived Anti-CD33 CAR T Cell Therapy (VCAR33) ...CD33 is a preferential target for AML CAR T cell therapy due to its surface expression on the majority (>80%) of AML blasts and due to the extensive prior ...
Phase 1/2 Study of Donor-Derived Anti-CD33 Chimeric ...A multi-center phase 1/2 study evaluating the safety and preliminary efficacy of VCAR33, donor-derived allogeneic CAR T cells targeting CD33.
Phase I/II Study of Donor-Derived Anti-CD33 Chimeric ...Phase I/II Study of Donor-Derived Anti-CD33 Chimeric Antigen Receptor Expressing T Cells VCAR33 in Patients with Relapsed or Refractory Acute Myeloid Leukemia ...
Trial in Progress: Phase 1/2 Study of Donor-Derived Anti ...NCT05984199 is a multi-center phase 1/2 study evaluating the safety and preliminary efficacy of VCAR33 (Figure 1).
Vor looks to answer the Car-T question | ApexOncoThat's because VCAR33 is just one half of Vor's double-punch in AML, and the VBP301 study doesn't involve the other – a CD33-deficient ...
PHASE 1/2 STUDY OF DONOR-DERIVED ANTI-CD33 ...VCAR33 is an allogeneic CD33-directed CAR T generated from a patient's HLA-matched stem cell donor. By using healthy donor starting material, VCAR33 is ...
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