ACE1831-001

A Phase 1 Multicenter Study Evaluating the Safety and Efficacy of ACE1831, an Allogeneic Anti-CD20 Antibody-Conjugated Gamma Delta T-cell Therapy, in Adult Subjects With Relapsed/Refractory CD20-expressing B-cell Malignancies

LymphomaNCT05653271Last updated: 5/26/2026
Trial Completed

Study Design

Study Drug

ACE1831 (cryopreserved human allogeneic gamma delta T-cells conjugated with anti-CD20 monoclonal antibody)

Mechanism of Action

Allogeneic gamma delta T-cell therapy using antibody-cell conjugation (ACC) with anti-CD20 monoclonal antibody to target CD20-expressing B-cell malignancies.

Sponsor

Acepodia Biotech, Inc.

Design

Phase I

Control Arm

-

Criteria

Inclusion Criteria

Adults >=18y with histologically confirmed CD20+ aggressive B-NHL, >=2 prior systemic regimens including anthracycline and anti-CD20 chemoimmunotherapy, measurable disease, ECOG 0-1 (or ECOG 2 with albumin >3.5), adequate organ function.

Inclusion Criteria (Detailed): To be eligible, all inclusion criteria must apply: 1) Signed informed consent. 2) Male or female >=18 years at informed consent. 3) Minimum weight 50 kg (110 lbs) required at Dose Level 3 (1000 x 10^6 cells). 4) Histologically confirmed B-cell NHL (WHO 2016), including: - DLBCL, NOS - High-grade B-cell lymphoma with MYC and BCL2 and/or BCL6 rearrangements - High-grade B-cell lymphoma, NOS - Transformation of FL or MZL to DLBCL - Primary mediastinal B-cell lymphoma - Follicular lymphoma grade 3B - Burkitt lymphoma - Monomorphic post-transplant lymphoproliferative disorder, DLBCL type 5) Persistent/progressive B-cell lymphoma after at least 2 prior systemic therapies per NCCN; prior therapies must include at minimum an anthracycline-containing and an anti-CD20 monoclonal-containing chemoimmunotherapy regimen. 6) >=1 measurable lesion by revised IWG response criteria for malignant lymphoma (Cheson 2014). - Previously irradiated lesions are measurable only if progression documented post-radiation. - If PET-negative and only nodal disease on CT, at least one lymph node must be >=2 cm. 7) ECOG 0-1, or ECOG 2 with serum albumin >3.5. 8) Adequate hematologic function, independent of platelet transfusion and growth factor support for >=14 days before planned lymphodepletion: - Platelets >100,000/mm3 (100 x 10^9/L) - ANC >=1500/mm3 (1.5 x 10^9/L) 9) Adequate renal/hepatic/cardiac function: - Creatinine clearance >60 mL/min (Cockcroft-Gault) OR eGFR >60 mL/min/1.73 m2 (4-variable MDRD) - AST/ALT <=3.0 x ULN (or <5.0 x ULN if liver lymphomatous involvement) - Total bilirubin <=2.5 x ULN (except Gilbert syndrome) - Albumin >=3.0 g/dL - LVEF >=50% and no clinically significant pericardial effusion by ECHO/MUGA 10) Oxygen saturation by pulse oximetry >=92% at rest on room air. 11) Women of childbearing potential and all males must agree to >=1 highly effective contraception method (<1% failure rate) during screening, throughout study treatment, and for 1 year after lymphodepleting chemotherapy. - Males not sexually abstinent with partners of childbearing potential must use condom during sexual contact with pregnant females or females of childbearing potential as required by protocol.

Exclusion Criteria

CNS lymphoma/meningeal disease, active significant infection, uncontrolled major comorbidities, recent anticancer/cellular/monoclonal therapy within protocol washouts, unresolved significant prior-treatment toxicities, active HBV/HCV/HIV not meeting protocol exceptions, pregnancy/lactation.

Participants are excluded if any of the following are present: 1) Detectable CSF malignant cells, brain metastases, CNS lymphoma, or primary CNS lymphoma. - History of CNS lymphoma may be eligible only if treated, neurologically stable, no corticosteroid requirement, and no recent MRI evidence of lesion growth. - Suspected meningeal involvement requires lumbar puncture/cytology to exclude malignant cells. 2) Clinically relevant CNS disorder history/presence (e.g., epilepsy/seizure disorder, cerebrovascular ischemia/hemorrhage, dementia, cerebellar disease, cerebral edema, PRES, autoimmune disease with CNS involvement). 3) History of other malignancy except protocol-allowed cases: - Curatively treated and no known active disease >=2 years, low recurrence risk - Adequately treated non-melanoma skin cancer/lentigo maligna without disease - Adequately treated carcinoma in situ without disease 4) Clinically significant active infection requiring IV antibiotics currently or within 7 days before planned lymphodepletion (exceptions include simple UTI/bacterial pharyngitis or prophylactic anti-infectives). 5) HIV infection by screening labs, except participants on ART >=4 weeks with HIV viral load <400 copies/mL may be eligible. 6) Active HBV or HCV by screening labs; HBV/HCV protocol-defined virologic suppression/management exceptions may apply. 7) Any serious/unstable medical, psychiatric, familial, or social condition that in investigator/medical monitor judgment impairs safe treatment or protocol compliance. 8) Unresolved toxicities from prior anticancer therapy not recovered to CTCAE v5.0 Grade <=1 (except alopecia, vitiligo, and lab values meeting eligibility). 9) Concurrent systemic immunosuppressants (e.g., cyclosporine/tacrolimus) within 14 days of planned lymphodepletion, or chronic prednisone >10 mg/day within 14 days (limited steroid exceptions allowed). 10) Systemic anticancer therapy washout violations: - Chemotherapy/targeted small molecule within 2 weeks or 5 half-lives (whichever longer) - Monoclonal antibody therapy within 4 weeks - Approved/investigational cellular therapy within 8 weeks 11) Live vaccine <=6 weeks prior to initial screening. 12) Pregnant or lactating female, or unwillingness to practice required birth control from consent through 1 year after lymphodepletion.

Enrollment

Progress1 / 4

Contact Information

Principal Investigator

陳彩雲

Study Nurse

鄭采涵

Contact Tel

3974

臨床試驗資訊以最新版本計畫書為準 Clinical trial information is subject to the latest version of the Protocol.