Clinical Trial

Disease: Acute Myeloid Leukemia, AML, (NCT04849910)

Disease info:

Leukaemia is cancer of the white blood cells. White blood cells help your body to fight infection. Your blood cells form in your bone marrow. In leukaemia, however, the bone marrow produces abnormal white blood cells. These cells crowd out the healthy blood cells, making it hard for blood to do its work. In acute myeloid leukaemia (AML), there are too many of a specific type of white blood cell called a myeloblast.

AML is the most common type of acute leukaemia in adults. This type of cancer usually gets worse quickly if it is not treated. 

Frequency:
The estimated number of new cases of acute myeloid leukaemia is 4.3 per 100,000 men and women per year. The estimated number of deaths is 2.8 per 100,000 men and women per year. These rates are age-adjusted and based on 2012-2016 cases and deaths.
Official title:
A First-In-Human, Open-Label, Multicenter Study of VOR33 in Patients With Acute Myeloid Leukemia Who Are at High-Risk for Leukemia Relapse Following Hematopoietic Cell Transplantation
Who:
Sponsor:

Vor Biopharma

Partners:
Locations:

United States, California

University of California San Diego Moores Cancer Center, La Jolla, California, United States, 92037

 

United States, Florida

Miami Cancer Institute, Miami, Florida, United States, 33176

 

United States, Missouri

Washington University School of Medicine Siteman Cancer Center, Saint Louis, Missouri, United States, 63110

 

United States, New Jersey

John Theurer Cancer Center at Hackensack University Medical Center, Hackensack, New Jersey, United States, 07601

 

United States, New York

Memorial Sloan Kettering Cancer Center, New York, New York, United States, 10065

 

United States, Ohio

University Hospitals Seidman Cancer Center, Cleveland, Ohio, United States, 44106

 

United States, Washington

Fred Hutchinson Cancer Research Center, Seattle, Washington, United States, 98109

 

United States, Maryland

National Institutes of Health, Clinical Center, Bethesda, Maryland, United States, 20892

 

Canada, Quebec

Hôpital Maisonneuve-Rosemont, Montréal, Quebec, Canada, H1T2M4

Study start:
Dec. 16, 2021
Enrollment:
18 participants
Gene editing method:
CRISPR-Cas9
Type of edit:
Gene knock-out
Gene:
CD33 molecule
Delivery method:
Undisclosed. - Ex-vivo
Trial link:
https://clinicaltrials.gov/ct2/show/record/NCT04849910
Safety updates:

(16-02-2023) First AML Patient Transplanted with Vor Bio’s Trem-cel Demonstrated Durable Engraftment through Multiple Mylotarg™ Cycles at Initial Dose Level

(07-12-2022) First AML Patient Successfully Transplanted with Vor Bio’s Investigational Trem-cel (VOR33) and Tolerated Mylotarg™

(09-09-2021) VOR33 Granted U.S. FDA Fast Track Designation for AML

(14-1-2021) Vor Announces FDA Clearance of IND Application for VOR33

Other links:

LinkAcute Myeloid Leukemia Disease InformationLinkAcute Myeloid Leukemia FrequencyLinkVor To Present on VOR33 Manufacturing Scale-Up and Off-Target Editing at ASGCTLinkClinical Update: CRISPR-Edited Stem Cell Therapy for Acute Myeloid Leukaemia

IndicatorIndicator
IND Enabling Pre-clinical
Phase I Safety
Phase II Safety and Dosing
Phase III Safety and Efficacy

Status: Active recruiting

Description

This is a Phase 1/2a, multicenter, open-label, first-in-human (FIH) study of VOR33 in participants with AML who are undergoing human leukocyte antigen (HLA)-matched allogeneic haematopoietic cell transplant (HCT).

High risk acute myeloid leukaemia (AML) frequently relapses despite haematopoietic stem cell transplant (HCT). Post-HCT targeted therapy to reduce relapse is limited by toxicity to the engrafted cells. VOR33, an allogeneic CRISPR-Cas9 genome-edited haematopoietic stem and progenitor cell (HSPC) therapy product, lacking the CD33 protein, is being investigated for participants with CD33+ AML at high risk for relapse after HCT to allow post-HCT targeting of residual CD33+ acute AML cells using Mylotarg™ without toxicity to engrafted VOR33 cells. Participants will undergo a myeloablative HCT with matched related or unrelated donor CD34+-selected haematopoietic stem and progenitor cells (HSPCs) engineered to remove CD33 expression (VOR33 product). Mylotarg™ will be given after engraftment for up to 4 cycles. The primary endpoint assessing safety of VOR33 will be the incidence of successful engraftment at 28 days. Part 1 of this study will evaluate the safety of escalating Mylotarg™ dose levels to determine the maximum tolerated dose (MTD) and recommended Phase 2 dose (RP2D). Part 2 will expand the number of participants to evaluate the Mylotarg™ RP2D.

Last updated: May. 10, 2023
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