Allogene Therapeutics Clinical Hold Removed

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FDA has removed a clinical hold on Allogene Therapeutics’ AlloCAR T clinical trials. The hold was placed in 10/2021 on five clinical trials involving Allo-501A CAR T cells after a report of a chromosomal abnormality in the company’s ALPHA2 study. The abnormality, which was detected in a bone marrow biopsy undertaken to assess pancytopenia (low blood counts), was reported to the agency.

 

The case involved a patient with Stage IV transformed follicular lymphoma and c-myc rearrangement whose cancer was refractory to two prior lines of immune-chemotherapy and additional radiation therapy, according to Allogene. Following infusion of Allo-501A, the patient subsequently developed progressive pancytopenia and a bone marrow biopsy showed aplastic anemia and the presence of Allo-501A CAR T cells with the chromosomal abnormality, it said at the time.

 

Company investigations “concluded that the chromosomal abnormality was unrelated to Talen gene editing or Allogene’s manufacturing process and had no clinical significance,” Allogene now says. The abnormality was not detected in any manufactured AlloCAR T product or in any other patient treated with the same lot, it adds.

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