Clinical trial · Interventional
Autologous CD30.CAR-T in Combination With Nivolumab in cHL Patients After Failure of Frontline Therapy
Phase 1b Study Evaluating the Safety and Efficacy of Autologous CD30.CAR-T in Combination With PD-1 Checkpoint Inhibitor (Nivolumab) in Relapsed or Refractory Classical Hodgkin Lymphoma Patients After Failure of Frontline Therapy (ACTION)
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
This is a Phase 1b, multicenter, open-label, single arm study to evaluate the safety and efficacy of the combination therapy, CD30.CAR-T and the programmed cell death protein-1 (PD-1) checkpoint inhibitor, nivolumab, in patients aged 12 years of age and above with relapsed or refractory classical Hodgkin lymphoma (cHL) following failure of standard frontline therapy.
Conditions
Conditions (3)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Classical Hodgkin Lymphoma | Classic Hodgkin Lymphoma | CURATED_BROADER | 0.80 |
| Hodgkin Disease Recurrent | — | UNRESOLVED | — |
| Hodgkin Disease Refractory | — | UNRESOLVED | — |
Interventions
Interventions (4)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| Autologous CD30.CAR-T | Drug | — | UNRESOLVED |
| Bendamustine | Drug | Bendamustine | ALIAS |
| Fludarabine | Drug | Fludarabine | ALIAS |
| Nivolumab | Drug | Nivolumab | ALIAS |
Design
Arms and outcomes
Arms (1)
- type
- EXPERIMENTAL
- label
- Nivolumab and CD30.CAR-T
- description
- Study treatment will include 4 cycles of nivolumab and a single CD30.CAR-T infusion (preceded by lymphodepletion chemotherapy of Fludarabine and Bendamustine).
- interventionNames
- Drug: Nivolumab
- Drug: Autologous CD30.CAR-T
- Drug: Fludarabine
- Drug: Bendamustine
Primary outcomes (1)
- measure
- Safety of autologous CD30.CAR-T in combination with nivolumab
- timeFrame
- From first dose of nivolumab (Cycle 1) to end of nivolumab Cycle 4 (each cycle is 28 days)
- description
- DLT
Secondary outcomes (4)
- measure
- Anti-tumor activity using CR rate of autologous CD30.CAR-T in combination with nivolumab
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 12 Years
Show eligibility criteria text
Inclusion Criteria: 1. Signed ICF 2. Male or female patients who are 12 years of age and above 3. Relapsed or refractory CD30+ cHL following failure of a standard frontline chemotherapy 4. At least 1 lesion, which must be fluordeoxyglucose positron emission tomography (FDG-PET) avid and measurable by PET-CT scan 5. Adequate laboratory parameters including hematologic, renal, hepatic, and coagulation function 6. Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1, or equivalent either Karnofsky performance status (for patients ≥ 16 years of age) or Lansky performance status (for patients \< 16 years of age) 7. Anticipated life expectancy \> 12 weeks 8. No active infections including COVID 19 at Screening Exclusion Criteria: 1. Evidence of lymphomatous involvement of the central nervous system (CNS) 2. Presence of clinically relevant or active seizure disorder, stroke, cerebrovascular ischemia/hemorrhage, dementia, cerebellar disease, or any autoimmune disease with central nervous system (CNS) involvement 3. Symptomatic cardiovascular disease: Class III or IV according to the New York Heart Association (NYHA) Functional Classification 4. Active uncontrolled bleeding or a known bleeding diathesis 5. Inadequate pulmonary function defined as oxygen saturation by pulse oximetry \< 90% on room air 6. Echocardiogram (ECHO) or Multi-gated Acquisition (MUGA) scan with left ventricular ejection fraction (LVEF) \< 45% 7. Prior receipt of salvage therapy, for relapsed or refractory cHL, including allogeneic or ASCT 8. Prior receipt of investigational CD30.CAR-T cells 9. Receiving any investigational agents or any tumor vaccines 10. Receiving any live/attenuated vaccines 11. Ongoing treatment with immunosuppressive drugs or chronic systemic corticosteroids 12. Unresolved \> Grade 1 non-hematologic toxicity associated with any prior treatments 13. Previous history of known or suspected autoimmune disease within the past 5 years 14. Active interstitial lung disease that is symptomatic or may interfere with the detection or management of suspected drug-related pulmonary toxicity 15. Evidence of human immunodeficiency virus (HIV) infection 16. Evidence of active viral infection with hepatitis B virus (HBV) 17. Evidence of active viral infection with hepatitis C virus (HCV) 18. Active second malignancy or history of another malignancy within the last 3 years 19. History of hypersensitivity reactions to murine protein-containing products or other product excipients 20. Any allergic or adverse reaction to nivolumab, fludarabine, or bendamustine that precludes treatment with these agents 21. History of a significant irAE from prior immune checkpoint inhibitor therapy
References
Publications (0)
Data not yet available