Safety & Activity of Controllable PRAME-TCR Therapy in Previously Treated AML/MDS or Metastatic Uveal Melanoma

Conditions:Skin Cancer, Cancer, Blood Cancer, Blood Cancer, Blood Cancer
Therapuetic Areas:Oncology
Age Range:18 - Any
Start Date:April 14, 2017
End Date:December 2019
Contact:Bellicum Pharmaceuticals Clinical Development
Phone:(832) 384-1100

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A Phase 1/2 Dose-Finding Study to Evaluate the Safety, Feasibility, and Activity of BPX-701, a Controllable PRAME T-Cell Receptor Therapy, in HLA-A2+ Subjects With AML, Previously Treated MDS, or Metastatic Uveal Melanoma

The purpose of this study is to evaluate the safety and activity of BPX-701 in participants
with relapsed AML, previously treated MDS, or metastatic uveal melanoma expressing high
levels of PReferentially expressed Antigen in MElanoma (PRAME). Participants' T cells are
modified to recognize and target the PRAME tumor marker on cancer cells.

The goal of this study is to characterize the safety, feasibility, and clinical activity of
BPX-701, a genetically modified autologous T cell product incorporating an HLA-A2-restricted
PRAME-directed TCR and a rimiducid-inducible safety switch, when administered to subjects
with relapsed AML, previously treated MDS, or metastatic uveal melanoma.

The study will be comprised of multiple parts:

Part 1 (Phase 1): Cell dose escalation to identify the maximum dose of BPX-701 T cells
(escalating doses from 1.25 x 10E6 cells/kg up to 5.0 x 10E6 cells/kg to be explored) Parts 2
and 3 (Phase 2): Dose expansion to assess the safety, pharmacodynamics (including BPX-701 T
cell persistence and response to rimiducid as applicable), and clinical activity at the
recommended dose identified in Part 1 During Parts 1, 2, or 3, rimiducid may be administered
following BPX-701 T cell infusion in response to uncontrollable, treatment-emergent toxicity

Inclusion Criteria

1. Signed informed consent

2. Participants in Arm 1:

MDS not responding to hypomethylation therapy or recurrence after initial response AML
with disease relapse following first complete remission with intermediate or adverse
genetics according to the European Leukemia Net criteria. AML participants with prior
stem cell transplant must be >100 days post-transplant with no evidence of active
graft-versus-host disease and not requiring systemic immunomodulatory or
immunosuppressive therapy (>10mg prednisone daily or treatment with a calcineurin

3. Participants in Arm 2:

Metastatic uveal melanoma with a radiographically measurable tumor, absolute
neutrophil count >/=1000/uL, and platelets >/=75,000/uL

4. HLA-A2.01 positive by local testing

5. Tumor with positive PRAME expression by central testing

6. Age >/= 18 years

7. Participant has a life expectancy >12 weeks and is able to carry out daily life
activities without difficulty (Eastern Cooperative Oncology Group performance status 0
or 1).

8. Participant has adequate venous access for apheresis or agrees to use of a central
line for blood collection.

9. Participant does not have significant side effects from previous anticancer treatment.

10. Adequate organ function including absolute lymphocyte count >/=200/uL.

11. Sexually active participants must use medically acceptable methods of contraception
for at least 1 year after study treatment.

Exclusion Criteria

1. Participants with AML must not have:

- Acute promyelocytic leukemia,

- Primary refractory disease,

- Uncontrolled disseminated intravascular coagulation,

- Signs or symptoms of cancer cells in the brain or nervous system,

- Peripheral blast count >/=20,000/uL

2. Participants with uveal melanoma must not have an untreated brain tumor

3. Participant has a history of major surgery or treatment with other cancer therapy
within 2-4 weeks (1 week for hydroxyurea) before study treatment.

4. Participant has an active, autoimmune disease that requires immunosuppressive therapy.
Exceptions are vitiligo, type I diabetes, certain cases of hypothyroidism and
psoriasis, or Hashimoto's thyroiditis on a stable dose of thyroid replacement therapy

5. History of clinically significant heart problems.

6. Current severe, uncontrolled systemic disease including an ongoing, active infection
requiring treatment with antibiotics within 2 weeks before study treatment.

7. Participant is currently pregnant or breastfeeding.

8. Participant requires chronic, systemic steroid therapy.

9. Participant is positive for Hepatitis B, Hepatitis C, HIV, syphilis, West Nile virus,
or Chagas disease.

10. Participant has side effects from earlier cancer treatment that have not resolved
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