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CAR T-cell Therapy

A2B395 for Non-Small Cell Lung Cancer (DENALI-1 Trial)

Phase 1 & 2
Waitlist Available
Research Sponsored by A2 Biotherapeutics Inc.
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
1. Appropriately enrolled in the BASECAMP-1 A2 Biotherapeutics, Inc. study, with tissue demonstrating LOH of HLA-A\*02 by NGS (whenever possible from the primary site).
2. Histologically confirmed recurrent unresectable, locally advanced, or metastatic CRC, NSCLC, HNSCC, TNBC, RCC, or other solid tumors with EGFR expression. Measurable disease is required with lesions of ≥1.0 cm by CT.
Timeline
Screening 3 weeks
Treatment Varies
Follow Up from the time of informed consent until 24 months (2 years) post a2b395 infusion
Awards & highlights
No Placebo-Only Group

Summary

The goal of this study is to test A2B395, an allogeneic logic-gated Tmod™ CAR T-cell product in subjects with solid tumors including colorectal cancer (CRC), non-small cell lung cancer (NSCLC), head and neck squamous cell carcinoma (HNSCC), triple-negative breast cancer (TNBC), renal cell carcinoma (RCC) and other solid tumors that express EGFR and have lost HLA-A\*02 expression. The main questions this study aims to answer are: * Phase 1: What is the recommended dose of A2B395 that is safe for patients * Phase 2: Does the recommended dose of A2B395 kill the solid tumor cells and protect the patient's healthy cells Participants will be required to perform study procedures and assessments, and will also receive the following study treatments: * Enrollment in BASECAMP-1 (NCT04981119) * Preconditioning lymphodepletion (PCLD) regimen * A2B395 Tmod CAR T cells at the assigned dose * A2B395 Tmod CAR T cells at the assigned dose

Who is the study for?
This trial is for people with certain solid tumors (like colorectal, lung, breast, kidney cancers) that have a specific protein called EGFR and lack another marker known as HLA-A*02. Details on who can join are not fully provided but typically include meeting health standards and having the type of cancer being studied.
What is being tested?
The study tests A2B395, an experimental CAR T-cell therapy designed to target cancer cells in patients with specific tumor types. It includes two phases: finding a safe dose (Phase 1) and seeing if this dose can effectively kill tumor cells while sparing healthy ones (Phase 2).
What are the potential side effects?
While specific side effects aren't listed here, CAR T-cell therapies often cause immune system reactions like fever or fatigue, potential nerve damage symptoms such as confusion or seizures, and could affect blood cell counts leading to increased infection risk.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~from the time of informed consent until 24 months (2 years) post a2b395 infusion
This trial's timeline: 3 weeks for screening, Varies for treatment, and from the time of informed consent until 24 months (2 years) post a2b395 infusion for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Phase 1: Rate of adverse events and dose limiting toxicities (DLTs) by dose level
Phase 1: Recommended phase 2 dose (RP2D)
Phase 2: The overall response rate (ORR) for patients
Secondary study objectives
Cytokine analysis
Persistence of A2B395

Awards & Highlights

No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.

Trial Design

1Treatment groups
Experimental Treatment
Group I: A2B395Experimental Treatment2 Interventions
Participants receive preconditioning lymphodepletion (PCLD) regimen followed by a single dose of A2B395 intravenously on day 0

Find a Location

Who is running the clinical trial?

A2 Biotherapeutics Inc.Lead Sponsor
3 Previous Clinical Trials
590 Total Patients Enrolled
John Welch, MD, PhDStudy DirectorA2 Biotherapeutics
1 Previous Clinical Trials
230 Total Patients Enrolled
~160 spots leftby Mar 2029