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Active (not recruiting) Phase 2 NCT03967223

Master Protocol to Assess the Safety and Antitumor Activity of Genetically Engineered T Cells in NY-ESO-1 and/or LAGE-1a Positive Solid Tumors

Phase 2 – studying effectiveness and dosage
Conditions: Neoplasms

Sponsor: USWM CT, LLC

trial.available_in: БГ
Overview
This trial will evaluate safety and efficacy of human engineered T-cell therapies, in participants with advanced tumors.
Description
New York esophageal antigen-1 (NY-ESO-1) and LAGE-1a antigens are tumor-associated proteins that have been found in several tumor types. Clinical trials using adoptively transferred T cells directed against NY-ESO-1/LAGE-1a have shown objective responses. Letetresgene autoleucel (lete-cel, GSK3377794) is the first generation of NY-ESO-1 specific T-cell receptor engineered T cells. This is a master protocol investigating T-cell therapies. It will initially consist of a core protocol with two independent substudies investigating Letetresgene autoleucel in previously untreated (1L) Human Leukocyte Antigen (HLA)-A\*02+ participants with NY-ESO-1+ advanced (metastatic or unresectable) synovial sarcoma (SS) or myxoid/round cell liposarcoma (MRCLS) (Substudy 1) and Letetresgene autoleucel as second line or higher (2L+) treatment in HLA-A\*02+ participants with NY-ESO-1+ advanced (metastatic or unresectable) SS or MRCLS who have progressed following treatment with anthracycline based chemotherapy (Substudy 2).
Who can participate
Inclusion Criteria: * Participant must be greater than or equal to 10 years of age on the day of signing informed consent. * Participant scheduled to receive clinical drug product supply must also weigh ≥40 kg * Participant must be positive for HLA-A\*02:01, HLA-A\*02:05, and/or HLA-A\*02:06 alleles by a designated central laboratory * Participant's tumor is positive for NY-ESO-1 expression by a designated central laboratory. * Participant has a diagnosis of synovial sarcoma (SS) or myxoid/round cell liposarcoma (MRCLS) * Performance status: dependent on age - Lansky \> 60, Karnofsky \> 60, Eastern Cooperative Oncology Group 0-1. * Participant must have adequate organ function and blood cell counts, within 7 days prior to leukapheresis. * At time of treatment, participant has measurable disease according to RECIST v1.1. * Male or female. Contraception requirements will apply at the time of leukapheresis and treatment. * Consultation for prior history per protocol specifications. Exclusion Criteria: * Central nervous system metastases. * Any other prior malignancy that is not in complete remission. * Clinically significant systemic illness (Serious active infections or significant cardiac, pulmonary, hepatic or other organ dysfunction, that in the judgment of the Investigator would compromise the participant's ability to tolerate protocol therapy or significantly increase the risk of complications). * Prior or active demyelinating disease. * History of chronic or recurrent (within the last year prior to leukapheresis) severe autoimmune or immune mediated disease (e.g. Crohn's disease, systemic lupus) requiring steroids or other immunosuppressive treatments. * Previous treatment with genetically engineered NY-ESO-1-specific T cells. * Previous NY-ESO-1 vaccine or NY-ESO-1 targeting antibody. * Prior gene therapy using an integrating vector. * Previous allogeneic hematopoietic stem cell transplant. * Washout periods for prior radiotherapy and systemic chemotherapy must be followed. * Participant had major surgery in less than or equal to 28 days of first dose of study intervention. * Prior radiation exceeds protocol specified limits.
Interventions
Letetresgene autoleucel (lete-cel, GSK3377794)
DRUG
Fludarabine
DRUG
Cyclophosphamide
DRUG
Locations 38
Canada (2)
CIUSSS de L'Est-De-Lile-De-Montreal
Montreal , Quebec
Princess Margaret Cancer Centre
Toronto , Ontario
France (2)
Centre Léon Bérard
Lyon
CHU de Bordeaux GH Sud Hôpital Haut Lévêque
Pessac
Italy (2)
Fondazione IRCCS Instituto Nazionale Dei Tumori
Milan , Lombardy
Ircss Istituto Clinico Humanitas
Rozzano (MI) , Lombardy
Netherlands (1)
The Netherlands Cancer Institute
Amsterdam
Spain (4)
Hospital Santa Creu Y Sant Pau
Barcelona
Ico Duran y Reynals l'Hospitalet de Llobrega
Hospitalet de Llobregat, Barcelona
Hospital Universitario Fundación Jiménez Díaz
Madrid
Hospital Virgen Del Rocio
Seville
United Kingdom (3)
Royal Marsden Hospital
London
University College Hospital-London
London
Christie Hospital NHS Foundation Trust
Manchester
United States (24)
University of Michigan Medical Center
Ann Arbor , Michigan
Dana Farber Cancer Institute
Boston , Massachusetts
Massachusetts General Hospital
Boston , Massachusetts
University of Chicago
Chicago , Illinois
Ohio State University-Columbus
Columbus , Ohio
University Of Texas Southwestern Medical Center
Dallas , Texas
University of Texas Southwestern Medical Center
Dallas , Texas
Sarah Cannon Research Institute
Denver , Colorado
City of Hope National Medical Center
Duarte , California
Duke University Medical Center
Durham , North Carolina
University of Iowa College of Medicine
Iowa City , Iowa
Mayo Clinic Jacksonville
Jacksonville , Florida
Froedtert Hospital
Milwaukee , Wisconsin
Minnesota Oncology Hematology
Minneapolis , Minnesota
Sarah Cannon Research Institute
Nashville , Tennessee
Memorial Sloan Kettering cancer center
New York , New York
University of Pittsburgh, Hillman Cancer Centre
Pittsburgh , Pennsylvania
Oregon Health and Science University
Portland , Oregon
Virginia Commonwealth University
Richmond , Virginia
Mayo Clinic Rochester
Rochester , Minnesota
University of Utah
Salt Lake City , Utah
Fred Hutchinson Cancer Research
Seattle , Washington
Washington University
St Louis , Missouri
Stanford Hospital and Clinics
Stanford , California
Technical details
Status
Active (not recruiting)
Phase
Phase 2
Study type
INTERVENTIONAL
Sex
Male and female
Minimum age
10 Years
Healthy volunteers
No
Start date
31.12.2019
Completion date
31.07.2026
Registry ID
NCT03967223
Source
clinicaltrials.gov
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