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DRUG:

CIML NK

i
Other names: CIML NK
Associations
Company:
Dana-Farber Cancer Institute
Drug class:
NK cell stimulant
Related drugs:
Associations
21d
Intraperitoneal Cytokine-Induced Memory Like (CIML) Natural Killer (NK) Cells in Recurrent Ovarian Cancer (clinicaltrials.gov)
P1, N=18, Recruiting, Dana-Farber Cancer Institute | Not yet recruiting --> Recruiting
Enrollment open
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CIML NK
2ms
Memory-like Natural Killer (NK) Cell Therapy in Patients with Renal Cell Carcinoma or Urothelial Carcinoma (clinicaltrials.gov)
P1, N=5, Recruiting, Dana-Farber Cancer Institute | Not yet recruiting --> Recruiting
Enrollment open
|
CIML NK
2ms
CIML NK Cell in Head & Neck Cancer (clinicaltrials.gov)
P1, N=11, Active, not recruiting, Dana-Farber Cancer Institute | Recruiting --> Active, not recruiting | N=25 --> 11
Enrollment closed • Enrollment change • Combination therapy • Metastases • Immune cell
|
Erbitux (cetuximab) • Yervoy (ipilimumab) • Anktiva (nogapendekin alfa inbakicept-pmln) • CIML NK
4ms
Memory-like Natural Killer (NK) Cell Therapy With N-803 in Patients With Renal Cell Carcinoma or Urothelial Carcinoma (clinicaltrials.gov)
P1, N=5, Not yet recruiting, Dana-Farber Cancer Institute | Initiation date: Jun 2024 --> Sep 2024 | Trial primary completion date: Feb 2025 --> Dec 2025
Trial initiation date • Trial primary completion date • Combination therapy
|
Anktiva (nogapendekin alfa inbakicept-pmln) • CIML NK
4ms
CAR memory-like NK cells targeting the membrane proximal domain of mesothelin demonstrate promising activity in ovarian cancer. (PubMed, Sci Adv)
CAR arming of the CIML NK cells subtanstially reduced their dysfunction in patient-derived ascites fluid with transcriptomic changes related to altered metabolism and tonic signaling as potential mechanisms. Lastly, the adoptive transfer of MSLN-CAR CIML NK cells demonstrated remarkable inhibition of tumor growth and prevented metastatic spread in xenograft mice, supporting their potential as an effective therapeutic strategy in EOC.
Journal
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MSLN (Mesothelin)
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CIML NK
5ms
CIML NK Cell in Head & Neck Cancer (clinicaltrials.gov)
P1, N=25, Recruiting, Dana-Farber Cancer Institute | Trial completion date: Jul 2024 --> Dec 2024 | Trial primary completion date: Jun 2024 --> Sep 2024
Trial completion date • Trial primary completion date • Combination therapy • Metastases • Immune cell
|
Erbitux (cetuximab) • Yervoy (ipilimumab) • Anktiva (nogapendekin alfa inbakicept-pmln) • CIML NK
8ms
New P1 trial • Combination therapy
|
Anktiva (nogapendekin alfa inbakicept-pmln) • CIML NK
8ms
New P1 trial • Combination therapy
|
Anktiva (nogapendekin alfa inbakicept-pmln) • CIML NK
9ms
Preemptive CIML NK Cell Therapy After Hematopoietic Stem Cell Transplantation (clinicaltrials.gov)
P1, N=15, Recruiting, Dana-Farber Cancer Institute | Not yet recruiting --> Recruiting | Initiation date: May 2024 --> Jan 2024
Enrollment open • Trial initiation date
|
IL2 (Interleukin 2)
|
Proleukin (aldesleukin) • CIML NK
9ms
CIML NK Cells With Venetoclax for AML (clinicaltrials.gov)
P1, N=10, Active, not recruiting, Dana-Farber Cancer Institute | Not yet recruiting --> Active, not recruiting
Enrollment closed
|
Venclexta (venetoclax) • Proleukin (aldesleukin) • CIML NK
10ms
A Phase 1 Trial of CIML NK Cell Infusion for Myeloid Disease Relapse After Hematopoietic Cell Transplantation (clinicaltrials.gov)
P1, N=50, Enrolling by invitation, Dana-Farber Cancer Institute | Active, not recruiting --> Enrolling by invitation
Enrollment open
|
IL2 (Interleukin 2)
|
cyclophosphamide • fludarabine IV • CIML NK
10ms
CIML NK Cell in Head & Neck Cancer (clinicaltrials.gov)
P1, N=25, Recruiting, Dana-Farber Cancer Institute | Trial completion date: Mar 2024 --> Jul 2024 | Trial primary completion date: Jan 2024 --> Jun 2024
Trial completion date • Trial primary completion date • Combination therapy • Metastases • Immune cell
|
Erbitux (cetuximab) • Yervoy (ipilimumab) • Anktiva (nogapendekin alfa inbakicept-pmln) • CIML NK
11ms
Trial initiation date
|
IL2 (Interleukin 2)
|
Proleukin (aldesleukin) • CIML NK
12ms
CTLA-4 Blockade Leads to Enrichment of Active CD56dimCD16+ NK Cells and Depletion of Regulatory T Cells Following Infusion of Haploidentical Donor Memory-like Natural Killer Cells Plus IL-15 Superagonist in a Phase 1 Trial (TCT-ASTCT-CIBMTR 2024)
We, therefore, hypothesized the use of CTLA-4 blockade with ipilimumab (IPI) would deplete Tregs in vivo and thus allow enhanced proliferation, activation, and anti-tumor responses of the adoptively transferred CIML NK cells...All patients received lymphodepletion with fludarabine (25 mg/m2 x 5 days) and cyclophosphamide (60 mg/kg x 2 days) and haploidentical CIML NK cell infusion (5-10 x 106 cells/kg) followed by IL-15 superagonist (N-803) (15 mcg/kg subcutaneously) starting on day +1 every 21-days (4x)...The use of IPI was associated with a relative depletion of Tregs with concurrent expansion of CD56dimCD16+ NK cells that had enrichment of proliferative (MYC), metabolically active (mTORC1), and cytokine reactive (TNFa) gene sets. Further work is required to elucidate the mechanism by which IPI exposure is associated with the expansion of specific subsets of CIML NK cells.
P1 data • IO biomarker
|
IFNG (Interferon, gamma) • TNFA (Tumor Necrosis Factor-Alpha) • NCAM1 (Neural cell adhesion molecule 1) • IL18 (Interleukin 18) • B3GAT1 (Beta-1,3-Glucuronyltransferase 1)
|
IFNG expression • CTLA4 expression
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Yervoy (ipilimumab) • cyclophosphamide • fludarabine IV • Anktiva (nogapendekin alfa inbakicept-pmln) • CIML NK
12ms
CTLA-4 Blockade Results in the Enrichment of Proliferative CD56 dimCD16 + NK Cells Following Infusion of Haploidentical Donor Memory-like Natural Killer Cells Plus IL-15 Superagonist in a Phase 1 Trial (ASH 2023)
In the current study, we hypothesized the use of ipilimumab (IPI) will abrogate Treg-mediated inhibition and thus allow enhanced proliferation, activation, and anti-tumor responses of the adoptively transferred CIML NK cells...All patients received lymphodepletion with fludarabine (25 mg/m 2 x 5 days) and cyclophosphamide (60 mg/kg x 2 days) during days -6 to -2 prior to haploidentical CIML NK cell infusion on day 0 (5-10 x 10 6 cells/kg=dose level 0) followed by N-803 (15 mcg/kg subcutaneously) starting on day +1 every 21-days for 4-doses...Tumor regression was associated with CD56 dimCD16 + NK cell expansion. Further work is required to elucidate the mechanism by which IPI exposure is associated with the expansion of specific subsets of CIML NK cells.
P1 data • IO biomarker
|
CD8 (cluster of differentiation 8) • IFNG (Interferon, gamma) • NCAM1 (Neural cell adhesion molecule 1) • LAMP1 (Lysosomal Associated Membrane Protein 1) • IL18 (Interleukin 18)
|
IFNG expression • CTLA4 expression
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Yervoy (ipilimumab) • cyclophosphamide • fludarabine IV • Anktiva (nogapendekin alfa inbakicept-pmln) • CIML NK
12ms
New P1 trial
|
Venclexta (venetoclax) • Proleukin (aldesleukin) • CIML NK
1year
New P1 trial
|
IL2 (Interleukin 2)
|
Proleukin (aldesleukin) • CIML NK
1year
Expansion, Persistence, and Characteristics of Autologous, Bhv-1100 Armored Memory-like NK Cells Infused Prior to Autologous Stem Cell Transplant in MRD+ Multiple Myeloma Patients: A First-in-Human Trial (ASH 2023)
CIML NK cells were manufactured with a 100% success rate and infused at a target dose of 5-10x106 cells/kg-body weight, 24 hours after 200 mg/m2 melphalan administration. Regulatory T cells increased by D+7 (3% vs 15% total PBMC) and returned to baseline after D+14 most likely reflecting the effect of IL-2 treatment. The functional capacity of the infused product was tested in vitro
Clinical • P1 data • IO biomarker
|
NCAM1 (Neural cell adhesion molecule 1) • IL18 (Interleukin 18) • IL15 (Interleukin 15) • B3GAT1 (Beta-1,3-Glucuronyltransferase 1) • KLRC1 (Killer Cell Lectin Like Receptor C1)
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NCAM1 positive
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melphalan • BHV-1100 • CIML NK
1year
CIML NK Cell in Head & Neck Cancer (clinicaltrials.gov)
P1, N=25, Recruiting, Dana-Farber Cancer Institute | Trial primary completion date: Sep 2023 --> Jan 2024
Trial primary completion date • Combination therapy • Metastases • Immune cell
|
Erbitux (cetuximab) • Yervoy (ipilimumab) • Anktiva (nogapendekin alfa inbakicept-pmln) • CIML NK
1year
Autologous Memory-like NK Cell Therapy With BHV-1100 (Formerly KP1237), Low Dose IL-2 in Multiple Myeloma Patients (clinicaltrials.gov)
P1, N=25, Recruiting, Biohaven Pharmaceuticals, Inc. | Trial primary completion date: Oct 2023 --> Oct 2025
Trial primary completion date • Minimal residual disease
|
CD34 (CD34 molecule)
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BHV-1100 • CIML NK
over1year
CIML NK Cell in Head & Neck Cancer (clinicaltrials.gov)
P1, N=12, Recruiting, Dana-Farber Cancer Institute | Trial primary completion date: Jun 2023 --> Sep 2023
Trial primary completion date • Combination therapy • Metastases • Immune cell
|
Erbitux (cetuximab) • Yervoy (ipilimumab) • Anktiva (nogapendekin alfa inbakicept-pmln) • CIML NK
over1year
Autologous Memory-like NK Cell Therapy With BHV-1100 (Formerly KP1237), Low Dose IL-2 in Multiple Myeloma Patients (clinicaltrials.gov)
P1, N=25, Recruiting, Biohaven Pharmaceuticals, Inc. | Trial completion date: Jun 2026 --> Oct 2026 | Trial primary completion date: Jun 2023 --> Oct 2023
Trial completion date • Trial primary completion date • Minimal residual disease
|
CD34 (CD34 molecule)
|
BHV-1100 • CIML NK
over1year
A Phase 1 Trial of CIML NK Cell Infusion for Myeloid Disease Relapse After Hematopoietic Cell Transplantation (clinicaltrials.gov)
P1, N=50, Active, not recruiting, Dana-Farber Cancer Institute | Recruiting --> Active, not recruiting
Enrollment closed
|
IL2 (Interleukin 2)
|
cyclophosphamide • fludarabine IV • CIML NK
almost2years
Autologous Memory-like NK Cell Therapy With BHV-1100 (Formerly KP1237), Low Dose IL-2 in Multiple Myeloma Patients (clinicaltrials.gov)
P1, N=25, Recruiting, Biohaven Pharmaceuticals, Inc. | Phase classification: P1/2 --> P1
Phase classification • Minimal residual disease
|
CD34 (CD34 molecule)
|
BHV-1100 • CIML NK
2years
Inhibition of MICA and MICB Shedding Enhances Cytokine-Induced Memory-like NK Cell-Mediated Activity Against Multiple Myeloma (ASH 2022)
We hypothesized that use of the 7C6 mAb would allow simultaneous blockade of MICA/B shedding and ADCC by CIML NK cells resulting in enhanced targeting of MM cells, which would further synergize with Bortezomib treatment.ResultsFlowcytometric analysis of surface MICA/B levels on 10 human myeloma cell lines (HMCLs) demonstrated heterogeneous protein expression. Our data support the hypothesis that combination strategies to enhance NK cell activation can be effective to enhance NK cell-mediated immune surveillance in MM. This combined approach highlights their potential use as novel immunotherapy in MM.
IO biomarker
|
IFNG (Interferon, gamma) • TNFA (Tumor Necrosis Factor-Alpha) • LAMP1 (Lysosomal Associated Membrane Protein 1) • MICA (MHC Class I Polypeptide-Related Sequence A) • MICB (MHC Class I Polypeptide-Related Sequence B) • NKG2D (killer cell lectin like receptor K1)
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bortezomib • 7C6 mAb • CIML NK
over2years
7C6 is a novel monoclonal antibody that induces enhanced anti-myeloma activity of cytokine induced memory-like (CIML) NK cells by blocking MICA/B shedding and antibodydependent cell cytotoxicity (IMW 2022)
We hypothesized that use of the 7C6 mAb would allow simultaneous blockade of MICA/B shedding and ADCC by CIML NK cells resulting in enhanced targeting of MM cells. Here we demonstrate that inhibition of MICA/B shedding with a novel antibody 7C6 enhances CIML NK cellmediated function against MM in vitro and in a xenograft mouse model. Our data support the hypothesis that combination strategies to enhance NK cell activation can be effective to enhance NK cell-mediated immune surveillance in MM. This combined approach highlights their potential use as novel immunotherapy in MM.
IO biomarker
|
IFNG (Interferon, gamma) • TNFA (Tumor Necrosis Factor-Alpha) • LAMP1 (Lysosomal Associated Membrane Protein 1) • MICA (MHC Class I Polypeptide-Related Sequence A) • MICB (MHC Class I Polypeptide-Related Sequence B) • NKG2D (killer cell lectin like receptor K1)
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7C6 mAb • CIML NK
over2years
Memory-like NK cells armed with a neoepitope-specific CAR exhibit potent activity against NPM1 mutated acute myeloid leukemia. (PubMed, Proc Natl Acad Sci U S A)
Thus, efficient arming of CIML NK cells with an NPM1-mutation-specific TCR-like CAR substantially improves their innate antitumor responses against an otherwise intracellular mutant protein. These preclinical findings justify evaluating this approach in clinical trials in HLA-A2 AML patients with NPM1c mutations.
Journal
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NPM1 (Nucleophosmin 1) • IL18 (Interleukin 18)
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NPM1 mutation
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CIML NK
over2years
Expansion, persistence, and efficacy of donor memory-like NK cells infused for post-transplant relapse. (PubMed, J Clin Invest)
Given their rapid expansion and long-term persistence in an immune compatible environment, CIML NK cells serve as a promising platform for the treatment of post-transplant relapse of myeloid disease. Further characterization of their unique in vivo biology and interaction with both T cells and tumor targets will lead to improvements in cell-based immunotherapies.
Journal
|
IL2 (Interleukin 2)
|
CIML NK
over2years
A Phase 1 Trial of CIML NK Cell Infusion for Myeloid Disease Relapse After Hematopoietic Cell Transplantation (clinicaltrials.gov)
P1, N=50, Recruiting, Dana-Farber Cancer Institute | Trial completion date: Feb 2026 --> Dec 2024 | Trial primary completion date: Apr 2025 --> Dec 2024
Trial completion date • Trial primary completion date
|
IL2 (Interleukin 2)
|
cyclophosphamide • fludarabine IV • CIML NK