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DRUG:

anitocabtagene autoleucel (CART-ddBCMA)

i
Other names: CART-ddBCMA, ddBCMA T Cell Therapy, KITE-772, anito-cel, KITE772, KITE 772
Associations
Trials
Company:
Arcellx, Gilead
Drug class:
BCMA-targeted CAR-T immunotherapy
Related drugs:
Associations
Trials
2ms
New P1 trial
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cyclophosphamide • fludarabine IV • anitocabtagene autoleucel (CART-ddBCMA)
3ms
Enrollment open
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bortezomib • cyclophosphamide • Darzalex (daratumumab) • carfilzomib • pomalidomide • fludarabine IV • anitocabtagene autoleucel (CART-ddBCMA)
6ms
New P3 trial
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bortezomib • cyclophosphamide • Darzalex (daratumumab) • carfilzomib • pomalidomide • fludarabine IV • anitocabtagene autoleucel (CART-ddBCMA)
1year
Phase 1 Study of CART-Ddbcma for the Treatment of Patients with Relapsed and/or Refractory Multiple Myeloma: Results from at Least 1-Year Follow-up in All Patients (ASH 2023)
Briefly, pts with RRMM who have received ≥3 prior lines of therapy were enrolled & received a single infusion of CART-ddBCMA following lymphodepletion chemotherapy (fludarabine: 30 mg/m2/d & cyclophosphamide: 300 mg/m2/d daily for 3 days). Adverse events with CART-ddBCMA, including CRS & ICANS, were manageable & no off-tumor tissue-targeted toxicity, delayed neurotoxicity, or Parkinsonian-like events were observed in the entire cohort at the time of data-cut. Ongoing efficacy results are encouraging, with 100% ORR, including 35 (92%) response of VGPR or better & 29 (76%) with CR/sCR. More importantly, clinical responses were durable with an overall estimated 18-mo PFS rate of 67% with comparable clinical responses seen in 'high-risk' patients known to have poor prognosis.
Clinical • P1 data
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B2M (Beta-2-microglobulin)
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Chr t(4;14) • Chr t(14;16)
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cyclophosphamide • fludarabine IV • anitocabtagene autoleucel (CART-ddBCMA)
over1year
ARC-101: Master Protocol for the Phase 1 Study of Cell Therapies in Multiple Myeloma (clinicaltrials.gov)
P1, N=65, Recruiting, Arcellx, Inc. | Trial primary completion date: Aug 2022 --> Aug 2024
Trial primary completion date
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ACLX-001 • anitocabtagene autoleucel (CART-ddBCMA)
2years
Phase 1 Study of CART-Ddbcma for the Treatment of Subjects with Relapsed and /or Refractory Multiple Myeloma (ASH 2022)
Lymphodepletion is administered (fludarabine (30 mg/m2/day) and cyclophosphamide (300 mg/m2/day)) daily on days -5 to -3, then CART-ddBCMA is given as a single infusion on day 0. Adverse events including CRS and ICANS were manageable and no off-tumor tissue-targeted toxicity, delayed neurotoxicity, or Parkinsonian-like events were observed in the entire cohort. Ongoing efficacy results are encouraging, with 100% ORR, including 29 (94%) demonstrating deep clinical responses of ≥VGPR and 22 (71%) with CR/sCR. At the time of the meeting, updated data will be presented.
P1 data • Clinical • IO biomarker
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clonoSEQ
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cyclophosphamide • fludarabine IV • anitocabtagene autoleucel (CART-ddBCMA)
over2years
CART-ddBCMA for multiple myeloma: Interim results from phase I study (ESMO 2022)
Median duration of response, PFS & OS were not evaluable at the time of data-cut because 19 of 24 evaluable pts (79%) remain in ongoing response. Conclusions CART-ddBCMA has demonstrated clinical activity, including 100% ORR & durable responses.
P1 data
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clonoSEQ
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anitocabtagene autoleucel (CART-ddBCMA)
over2years
Phase 1 study of CART-ddBCMA in relapsed or refractory multiple myeloma. (ASCO 2022)
Pts receive fludarabine and cyclophosphamide (30/300 mg/m2/day) days -5 to -3 and CART-ddBCMA infusion on day 0. CART-ddBCMA administration, to date, has demonstrated clinical activity, including 100% ORR with rates of CR/sCR and ≥VGPR of 67% and 88%, respectively. Durable responses beyond 18 months have been observed, including in pts with EMD.
P1 data
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clonoSEQ
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cyclophosphamide • fludarabine IV • anitocabtagene autoleucel (CART-ddBCMA)
3years
Phase 1 Study of CART-Ddbcma, a CAR-T Therapy Utilizing a Novel Synthetic Binding Domain for the Treatment of Subjects with Relapsed and /or Refractory Multiple Myeloma (ASH 2021)
Subjects undergo lymphodepletion with fludarabine (30 mg/m 2 ) and cyclophosphamide (300 mg/m 2 ) daily for 3 days, then receive CART-ddBCMA as a single infusion...Thirteen subjects (81%) received at least 1 dose of tocilizumab and 5 (31%) received steroids (dexamethasone). 2 subjects (13%) experienced grade 3 ICANS and were given anakinra plus dexamethasone... Ongoing efficacy results are encouraging, with 100% ORR, including 12 (75%) demonstrating deep clinical responses of ≥VGPR and 9 (56%) with CR/sCR. Of those evaluable (n=12), all subjects, but one, have achieved MRD-negative bone marrow responses at 1 month, and demonstration of deeper response has occurred at later timepoints. Dose escalation was completed, and expansion is continuing at DL1.
P1 data • Clinical • IO biomarker
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clonoSEQ
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cyclophosphamide • fludarabine IV • Actemra IV (tocilizumab) • Kineret (anakinra) • anitocabtagene autoleucel (CART-ddBCMA)
4years
[VIRTUAL] Phase 1 Study of CART-Ddbcma, a CAR-T Therapy Utilizing a Novel Synthetic Binding Domain for the Treatment of Subjects with Relapsed and Refractory Multiple Myeloma (ASH 2020)
Subjects undergo lymphodepletion with fludarabine (30 mg/m2) and cyclophosphamide (300 mg/m2) daily for 3 days, then receive CART-ddBCMA as a single infusion...These adverse effects resolved quickly after intervention; 3 subjects received tocilizumab and 2 received steroids (dexamethasone)...Subjects continue to be enrolled and treated. Additional subjects, and longer follow-up will establish whether treatment with CART-ddBCMA results in durable CAR+ T responses.
P1 data • Clinical • IO biomarker
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CD38 (CD38 Molecule)
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clonoSEQ
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fludarabine IV • Actemra IV (tocilizumab) • anitocabtagene autoleucel (CART-ddBCMA) • cyclophosphamide intravenous