Adapt NK for High Risk Myeloid Diseases as Bridge to Allo HSCT

Trial statusRecruiting
Trial phasePhase 1, Phase 2
Trial typeInterventional
Biological sexAll
Age18+
SponsorMasonic Cancer Center, University of Minnesota

About this trial

This is a multi-institutional Phase I/II study of an allogeneic KIR-HLA mismatched NK cell infusion (AdaptNK) and a short course of subcutaneous interleukin-2 (IL-2) administered after lymphodepleting chemotherapy \[cyclophosphamide (CY)/fludarabine (FLU)\] in patients with relapsed or refractory acute myelogenous leukemia (AML). AdaptNK is a natural killer (NK) cell product that is enriched for NK cells with an "adaptive", or human cytomegalovirus (CMV)-induced, phenotype.

Eligibility criteria

Qualifiers

18-74 years with Karnofsky score ≥ 70%

75 years and older: KPS ≥ 70%, HCT-CI < 5 (excluding history of solid tumor), AND not frail by Fried frailty criteria (see Appendix III)

HLA type C1/C1 or C2/C2

adequate liver, renal, pulmonary and cardiac function

Disqualifiers

Myeloid neoplasms with known or strongly suspected germline background, except DDX41, TP53, or RUNX1.

Acute promyelocytic leukemia (APL)

myocardial infarction (MI) within previous 6 months of study enrollment

pregnant or breastfeeding

Trial design

Treatments tested in this trial

  • AdaptNK
  • Fludarabine
  • Cyclophosphamide
  • IL-2

Treatment groups

18 Participants
are divided into 4 treatment groups