FDA Clinical Hold on Cell Therapy After Patient Dies
FDA has placed a clinical hold on two Cellectis Phase 1 studies involving cell therapy UCART123 in acute myeloid leukemia (AML) and in blastic plasmacytoid dendritic cell neoplasm (BPDCN). The hold was ordered after the company reported one death in the BPDCN clinical trial (ABC study). This was the first patient treated, a 78-year-old male treated with one prior therapy. He experienced a grade 2 Cytokine Release Syndrome and a grade 3 lung infection on day five, and then developed a grade 4 Capillary Leak Syndrome on day eight, according to the company.
The first patient treated in the AML study was a 58-year-old woman who received the same preconditioning regimen and the same dose of UCART123 as the BPDCN patient, Cellectis says. She experienced an initial grade 2 Cytokine Release Syndrome on day eight, worsening to a grade 3 on day nine, and resolving on day 11 after treatment in an intensive care unit. She also experienced a grade 4 Capillary Leak Syndrome on day 9, which was resolved on day 12, it says.
A data safety monitoring board met on 8/28 and recommended lowering the dose in both studies. Cellectis says it is working closely with clinical investigators and FDA to resume the trials with an amended protocol including a lowered dosing of UCART123.