Long-term Follow-up study for relapsed/refractory (R/R) T-cell acute lymphoblastic leukemia/lymphoma (T-ALL/LL) patients previously treated with OC-1 cells.

2024-516617-20-00 Protocol OC-01-23002 Therapeutic confirmatory (Phase III) Authorised, recruiting

Start 21 May 2025 · Status Authorised, recruiting · 1 EU/EEA countries · 2 sites · Protocol OC-01-23002

Overview

Sponsor-declared trial summary

Phase Therapeutic confirmatory (Phase III)
Status Authorised, recruiting
Participants planned 20
Countries 1
Sites 2

T-cell acute lymphoblastic Lymphoma

To monitor patients with primary relapsed/refractory (R/R) CD1a-positive T-ALL/LL who received OC-1 cells, for 15 years following CAR-T infusion to assess the risk of delayed adverse events (AEs).

Key facts

Sponsor
Onechain Immunotherapeutics S.L.
Participant type
Pediatric, Patients
Age range
0-17 years, 18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04], Diseases [C] - Hemic and Lymphatic Diseases [C15]
Trial duration
21 May 2025 → ongoing
Decision date (initial)
2025-04-11
Transition trial
No
Low-intervention
No
Rare-disease indication
Yes
Vulnerable population
Yes
Funding sources
OneChain Immunotherapeutics

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Safety

To monitor patients with primary relapsed/refractory (R/R) CD1a-positive T-ALL/LL who received OC-1 cells, for 15 years following CAR-T infusion to assess the risk of delayed adverse events (AEs).

Secondary objectives 2

  1. To assess the long-term efficacy of the product.
  2. Monitor the persistence of OC-1 cells

Conditions and MedDRA coding

T-cell acute lymphoblastic Lymphoma

VersionLevelCodeTermSystem organ class
21.1 LLT 10066110 T-cell lymphoblastic leukemia acute 10029104
21.1 LLT 10025245 Lymphoblastic lymphoma (Precursor T-lymphoblastic lymphoma/leukaemia) recurrent 10029104

Study design 1 period

#TitleAllocationBlindingRoles blindedArms
1 This is a multi-center, long-term follow-up study (LTFU).
Per Health Authorities guidelines (FDA 2006, EMA 2009) for gene therapy medicinal products that utilize integrating vectors (e.g. lentiviral vectors), long term safety and efficacy follow-up of treated patients is required for 15 years post exposure.
Not Applicable None

Regulatory references

Plan to share IPD
No
IPD plan description
NA
EU CT numberTitleSponsor
2024-514591-40-00 Safety and efficacy of hCD1a-CAR T (OC-1) therapy, in patients with relapsed/refractory (R/R) T-cell acute lymphoblastic leukemia/lymphoma (T-ALL/LL)_CARxALL Onechain Immunotherapeutics S.L.

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 3

  1. Patients previously treated with at least one fraction of OC-1 cell investigational product
  2. Patient or patient’s legal representative has provided signed and dated informed consent.
  3. Patient is able to comply with the study requirements.

Exclusion criteria 1

  1. None. All patients who have received prior treatment with OC-1 cell investigational product are eligible for this long-term follow up (LTFU) study.

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 2

  1. Number of adverse events grade III-IV, related or possibly related, using Common Toxicity Criteria for Adverse Events (CTCAE) version 5
  2. Proportion of patients with: - New malignancies. - Incidence/exacerbation of pre-existing neurologic disorder. - New incidence or exacerbation of a prior rheumatologic or other ATMP-CLINICAL TRIAL PROTOCOL OC-01-23002 EU CT Number: 2024-516617-20-00 Page 6 de 39 Protocol Version 1, 4 november 2024 autoimmune disorder. - New incidence of a hematologic disorder. - New incidence of infection (potentially product-related)- - New incidence of skin disorder

Secondary endpoints 5

  1. Overall survival following OC-1 cell therapy infusion
  2. Progression-free survival
  3. Progression-free survival in patients who did not received HSCT after OC-1 infusion
  4. Proportion of patients who received an HSCT post OC-1 infusion
  5. Persistence of OC-1, as determined by flow cytometry and quantitative analysis by qPCR. Genomic copy number integrations of the CAR in peripheral blood (PB) T cells and percentage of CD1a CAR-expressing T cells.

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

hCD1a-CAR T

PRD11346828 · Product

Active substance
Autologous T-Cells Ex Vivo Modified with a Lentiviral Vector Encoding a Chimeric Antigen Receptor Specific for CD1A
Substance synonyms
OC-1
Other product name
humanised CD1a-CAR T
Pharmaceutical form
SUSPENSION FOR IV INFUSION
Route of administration
INTRAVASCULAR USE
Authorisation status
Not Authorised
MA holder
ONECHAIN IMMUNOTHERAPEUTICS
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/21/2535

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Onechain Immunotherapeutics S.L.

Sponsor organisation
Onechain Immunotherapeutics S.L.
Address
Carrer De Muntaner 383 3rd-2nd
City
Barcelona
Postcode
08021
Country
Spain

Scientific contact point

Organisation
Onechain Immunotherapeutics S.L.
Contact name
Medical Department

Public contact point

Organisation
Onechain Immunotherapeutics S.L.
Contact name
Medical Department

Locations

1 EU/EEA country · 2 investigational sites

By country

CountryMS statusPlanned subjectsSites
Spain Authorised, recruiting 20 2
Rest of world 0

Investigational sites

Spain

2 sites · Authorised, recruiting
Hospital Clinic De Barcelona
Hematology, Calle Villarroel 170, 08036, Barcelona
Hospital Sant Joan De Deu Barcelona
Hematology, Passeig De Sant Joan De Deu 2, 08950, Esplugues De Llobregat

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Spain 2025-05-21

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2025-01-13 Spain Acceptable with conditions
2025-04-11
2025-04-11