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DRUG CLASS:

ROR1-targeted CAR-T immunotherapy

5ms
LYL797-101: A Study to Investigate LYL797 in Adults With Solid Tumors (clinicaltrials.gov)
P1, N=57, Terminated, Lyell Immunopharma, Inc. | N=100 --> 57 | Trial completion date: Dec 2026 --> Nov 2024 | Active, not recruiting --> Terminated | Trial primary completion date: Dec 2025 --> Nov 2024; Pipeline Reprioritization
Enrollment change • Trial completion date • Trial termination • Trial primary completion date
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ROR1 (Receptor Tyrosine Kinase Like Orphan Receptor 1)
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LYL797
12ms
MCC-21622: Dose Escalation/Dose Expansion Study of PRGN-3007 UltraCAR-T Cells in Patients With Advanced Hematologic and Solid Tumor Malignancies (clinicaltrials.gov)
P1, N=3, Active, not recruiting, H. Lee Moffitt Cancer Center and Research Institute | Trial primary completion date: Jan 2026 --> Mar 2025
Trial primary completion date • CAR T-Cell Therapy • Metastases
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cyclophosphamide • fludarabine IV • PRGN-3007
1year
MCC-21622: Dose Escalation/Dose Expansion Study of PRGN-3007 UltraCAR-T Cells in Patients With Advanced Hematologic and Solid Tumor Malignancies (clinicaltrials.gov)
P1, N=3, Active, not recruiting, H. Lee Moffitt Cancer Center and Research Institute | Recruiting --> Active, not recruiting | N=88 --> 3
Enrollment closed • Enrollment change • CAR T-Cell Therapy • Metastases
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cyclophosphamide • fludarabine IV • PRGN-3007
1year
LYL797-101: A Study to Investigate LYL797 in Adults With Solid Tumors (clinicaltrials.gov)
P1, N=100, Active, not recruiting, Lyell Immunopharma, Inc. | Recruiting --> Active, not recruiting
Enrollment closed • CAR T-Cell Therapy
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ROR1 (Receptor Tyrosine Kinase Like Orphan Receptor 1)
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LYL797
1year
ONCT-808-101: A Clinical Study of ONCT-808 in Subjects with Relapsed or Refractory B-Cell Malignancies (clinicaltrials.gov)
P1/2, N=9, Terminated, Oncternal Therapeutics, Inc | N=57 --> 9 | Trial completion date: Dec 2037 --> Sep 2024 | Recruiting --> Terminated | Trial primary completion date: Dec 2026 --> Sep 2024; Based on the available clinical data and capital requirements for continued development, the Company has decided to terminate this study.
Enrollment change • Trial completion date • Trial termination • Trial primary completion date
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CCND1 (Cyclin D1)
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CCND1 overexpression
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cyclophosphamide • ONCT-808
over1year
LYL797-101: A Study to Investigate LYL797 in Adults with Solid Tumors (clinicaltrials.gov)
P1, N=100, Recruiting, Lyell Immunopharma, Inc. | N=54 --> 100 | Trial completion date: Sep 2026 --> Dec 2026 | Trial primary completion date: Mar 2025 --> Dec 2025
Enrollment change • Trial completion date • Trial primary completion date • CAR T-Cell Therapy
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ROR1 (Receptor Tyrosine Kinase Like Orphan Receptor 1)
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LYL797
almost2years
Trial completion date • Trial primary completion date • CAR T-Cell Therapy
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ROR1 (Receptor Tyrosine Kinase Like Orphan Receptor 1)
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LYL797
2years
Trial-in-Progress: A Phase 1/2 Multi-Center Study of Onct-808, a ROR1-Specific CAR T, in Adult Patients with Relapsed/Refractory Aggressive B Cell Lymphoma (ASH 2023)
Zilovertamab vedotin showed preliminary evidence of efficacy and no evidence of on-target off-tumor toxicity in patients with advanced B cell malignancies (Wang 2022)...Subjects will receive a conditioning regimen of intravenous (IV) cyclophosphamide and fludarabine, followed by ONCT-808 IV infusion...The trial is currently active and patients have been treated in the phase 1 dose escalation. Clinical Trial Identifier: NCT05588440
Clinical • P1/2 data • IO biomarker
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ROR1 (Receptor Tyrosine Kinase Like Orphan Receptor 1)
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ROR1 expression • ROR1 positive
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cyclophosphamide • fludarabine IV • zilovertamab vedotin (MK-2140) • ONCT-808
2years
Phase 1 trial of LYL797, a ROR1-targeted CAR T-cell therapy enhanced with genetic and epigenetic reprogramming, in advanced triple-negative breast cancer (TNBC) and non-small cell lung cancer (NSCLC) (SITC 2023)
After successful LYL797 manufacturing, pts receive fludarabine and cyclophosphamide followed by a single infusion of LYL797 at the protocol-assigned dose level. Study objectives include assessment of safety and tolerability (primary), as well as anti-tumor activity and pharmacokinetics (secondary) of LYL797. Additional exploratory objectives include evaluation of the effects of Lyell’s genetic and epigenetic reprogramming technologies on T-cell phenotype and activity, as well as evaluation of the relationship between ROR1 expression and LYL797 activity.
P1 data • CAR T-Cell Therapy • Metastases
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ROR1 (Receptor Tyrosine Kinase Like Orphan Receptor 1) • JUN (Jun proto-oncogene)
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ROR1 expression
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cyclophosphamide • fludarabine IV • LYL797
2years
Preclinical development of LYL119, a ROR1-targeted CAR T-cell product incorporating four novel T-cell reprogramming technologies to overcome barriers to effective cell therapy for solid tumors (SITC 2023)
1x106 CAR T cells (figure 2). Conclusions These data suggest that LYL119, which combines c-Jun overexpression, NR4A3 KO, Epi-R protocol, and Stim-R technology, can limit exhaustion, maintain stem-like features, and has potential to provide effective and durable CAR T-cell antitumor activity in patients with ROR1+ solid tumors.
Preclinical • CAR T-Cell Therapy
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EGFR (Epidermal growth factor receptor) • ROR1 (Receptor Tyrosine Kinase Like Orphan Receptor 1) • IL2RA (Interleukin 2 receptor, alpha) • IL7R (Interleukin 7 Receptor) • NR4A3 (Nuclear receptor subfamily 4 group A member 3) • JUN (Jun proto-oncogene)
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ROR1 expression • IL2RA expression • EGFR H1975 • IL7R expression
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LYL119
2years
ONCT-808 ROR1 CAR T cells induce significant cancer cell death in mantle cell lymphoma cell line-derived CDX models and in vitro killing assays (SITC 2023)
Oncternal’s ONCT-808 autologous CAR T cells are genetically modified via ex vivo transduction with a self-inactivating lentivirus vector to express a ROR1-directed CAR containing single chain variable fragment derived from Oncternal’s clinical stage anti-ROR1 zilovertamab. In cancer therapy efficacy studies using CDX models, treatment with ONCT-808 cells resulted in complete tumor remission in ROR1 Jeko-1 cell-derived CDX mice, and controlled tumor growth in Raji cell-derived CDX mice, reflecting the specificity of the ONCT-808 cells to the ROR1 target. Conclusions ONCT-808 demonstrated high efficacy in inducing ROR1 specific cancer cell death in both in vivo and in vitro studies, suggesting its potential in treating human cancer patients.
Preclinical • CAR T-Cell Therapy • IO biomarker
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IFNG (Interferon, gamma) • ROR1 (Receptor Tyrosine Kinase Like Orphan Receptor 1) • TNFA (Tumor Necrosis Factor-Alpha)
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ROR1 expression • ROR1 positive
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zilovertamab (UC-961) • ONCT-808
over2years
A Study to Evaluate the Safety and Tolerability of BMS-986403 in Participants With Relapsed and/or Refractory Chronic Lymphocytic Leukemia or Small Lymphocytic Lymphoma (clinicaltrials.gov)
P1, N=5, Terminated, Bristol-Myers Squibb | N=65 --> 5 | Trial completion date: Mar 2025 --> May 2023 | Active, not recruiting --> Terminated | Trial primary completion date: Mar 2025 --> May 2023; Business objectives have changed.
Enrollment change • Trial completion date • Trial termination • Trial primary completion date
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cyclophosphamide • fludarabine IV • BMS-986403