Athenex Cell Therapy on Clinical Hold

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FDA has issued a clinical hold against Athenex and Baylor College of Medicine’s kUR-501, an autologous GD2 CAR-NKT cell therapy for relapsed/refractory high-risk neuroblastoma (R/R HRNB), after a young heavily pretreated male patient died. The death came after treatment at the fifth dose level of 300 million cells/m2 about three weeks after CAR-NKT cell therapy product administration. “Baylor College of Medicine (BCM), the IND holder, continues to investigate the etiology and pathogenesis of this event,” the company says.

GD2 is a molecule expressed on most neuroblastomas, and on some other tumors, with restricted expression on normal tissues, which makes it an ideal target for CAR-NKT cell therapy, Kuur says. It is developing KUR-501 for treating of high risk, relapsed, refractory neuroblastoma in children.

Athenex says the patient was “found to have human metapneumovirus infection, then Grade 1 cytokine release syndrome (CRS) that was treated with immunosuppressants.” He later developed polyclonal hyperleukocytosis complicated by multiorgan dysfunction without evidence of sepsis.

BCM is putting together a safety risk mitigation plan to reopen the clinical trial, Athenex says, which could exclude patients with concomitant viral infections. The company says it is also working closely with BCM to help address FDA’s questions.

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