Clinical Trials /

Study of Autologous Tumor Infiltrating Lymphocytes in Patients With Solid Tumors

NCT03645928

Description:

A prospective, open-label, multi-cohort, non-randomized, multicenter Phase 2 study evaluating adoptive cell therapy (ACT) with TIL LN-144 (Lifileucel)/LN-145 in combination with checkpoint inhibitors or TIL LN-144 (Lifileucel)/LN-145/LN-145-S1 as a single agent therapy.

Related Conditions:
  • Head and Neck Squamous Cell Carcinoma
  • Melanoma
  • Non-Small Cell Lung Carcinoma
Recruiting Status:

Recruiting

Phase:

Phase 2

Trial Eligibility

Document

Title

  • Brief Title: Study of Autologous Tumor Infiltrating Lymphocytes in Patients With Solid Tumors
  • Official Title: A Phase 2, Multicenter Study of Autologous Tumor Infiltrating Lymphocytes (LN 144/LN-145/LN-145-S1) in Patients With Solid Tumors

Clinical Trial IDs

  • ORG STUDY ID: IOV-COM-202
  • SECONDARY ID: 2018-001608-12
  • NCT ID: NCT03645928

Conditions

  • Metastatic Melanoma
  • Squamous Cell Carcinoma of the Head and Neck
  • Non-small Cell Lung Cancer

Interventions

DrugSynonymsArms
LifileucelLN-144, TIL, autologous tumor infiltrating lymphocytes, lifileucelCohort 1A
LN-145TIL, autologous tumor infiltrating lymphocytesCohort 2A
PembrolizumabKeytrudaCohort 1A
LN-145-S1TIL, autologous tumor infiltrating lymphocytesCohort 1B
IpilimumabYervoyCohort 3C
NivolumabOpdivoCohort 3C

Purpose

A prospective, open-label, multi-cohort, non-randomized, multicenter Phase 2 study evaluating adoptive cell therapy (ACT) with TIL LN-144 (Lifileucel)/LN-145 in combination with checkpoint inhibitors or TIL LN-144 (Lifileucel)/LN-145/LN-145-S1 as a single agent therapy.

Detailed Description

      LN-144 (Lifileucel)/LN-145/LN-145-S1 is an adoptive cell transfer therapy that utilizes an
      autologous TIL for the treatment of patients with unresectable or metastatic melanoma,
      advanced, recurrent, or metastatic squamous cell carcinoma of the head and neck, and locally
      advanced or metastatic non-small cell lung cancer. The adoptive cell transfer therapy used in
      this study involves patients receiving a nonmyeloablative (NMA) lymphodepletion regimen,
      followed by infusion of autologous TIL followed by the administration of a regimen of IL-2.
      Patients in Cohorts 1A, 2A, 3A and 3C will receive TIL plus checkpoint inhibitors. Patients
      in Cohorts 1B, 1C, and 3B will receive autologous TIL as a single therapy.
    

Trial Arms

NameTypeDescriptionInterventions
Cohort 1AExperimentalLN-144 therapy in combination with pembrolizumab in patients with Stage IIIC or Stage IV unresectable or metastatic melanoma with ≤ 3 prior lines of systemic therapy, excluding checkpoint inhibitors (CPI).
  • Lifileucel
  • Pembrolizumab
Cohort 1BExperimentalLN-145-S1 therapy as a single agent in patients with Stage IIIC or Stage IV unresectable or metastatic melanoma, who have previously received systemic therapy with a PD-1 blocking antibody. If the tumor is proto-oncogene B-Raf (BRAF) V600 mutation positive, patients must have received a BRAF inhibitor or BRAF inhibitor with or without a mitogen-activated extracellular signal-related kinase (MEK) inhibitor.
  • LN-145-S1
Cohort 1CExperimentalLN-144 Generation 3 (Gen 3) therapy as a single agent in patients with Stage IIIC or Stage IV unresectable or metastatic melanoma, who have previously received systemic therapy with a PD-1 blocking antibody. If the tumor is BRAF V600 mutation positive, patients must have received BRAF inhibitor with or without a MEK inhibitor.
  • Lifileucel
Cohort 2AExperimentalLN-145 therapy in combination with pembrolizumab in patients with advanced, recurrent, or metastatic HNSCC, with ≤ 3 prior lines of systemic therapy, excluding CPIs.
  • LN-145
  • Pembrolizumab
Cohort 3AExperimentalLN-145 therapy in combination with pembrolizumab in patients with locally advanced or metastatic (Stage III or Stage IV) non-small-cell lung cancer (NSCLC) with ≤ 3 prior lines of systemic therapy, excluding CPIs or ≤ 4 prior lines if 2 or more of the lines are TKI therapy for those with tumors that harbored actionable mutations (eg, EGFR, ALK, ROS).
  • LN-145
  • Pembrolizumab
Cohort 3BExperimentalLN-145 therapy as a single agent in patients with Stage III or Stage IV NSCLC, who have previously received 1-3 lines of prior systemic therapy. Patients with known oncogene drivers (eg, EGFR, ALK, ROS) who have mutations that are sensitive to targeted therapies are not required to have received prior systemic therapy with CPIs.
  • LN-145
Cohort 3CExperimentalLN-145 therapy in combination with ipilimumab and nivolumab in patients with Stage III or Stage IV NSCLC who have previously received 1 line of approved CPI monotherapy as the only prior line of systemic therapy.
  • LN-145
  • Ipilimumab
  • Nivolumab

Eligibility Criteria

        Inclusion Criteria

          -  Must have a confirmed diagnosis of malignancy of their receptive histologies:
             unresectable or metastatic melanoma Stage IIIC or Stage IV (Cohorts 1A,1B and 1C),
             advanced, recurrent or metastatic HNSCC (Cohort 2A), or Stage III or Stage IV
             non-small cell lung cancer (Cohorts 3A, 3B, and 3C).

          -  Cohorts 1A, 2A, and 3A: If previously treated, patients must have progressed on or
             after most recent therapy and must not have received CPIs as part of one of the
             counted lines of prior therapy. Patients must have radiologically documented disease
             progression while receiving or after the completion of the most recent prior
             treatment. Patients may have received up to 3 prior systemic anticancer therapies
             (except for Cohort 3A, where patients whose tumors harbor actionable mutations may
             have received up to 4 prior systemic therapies)

          -  Cohorts 1B, 1C, 3B, and 3C: Unresectable or metastatic melanoma patients in Cohorts 1B
             or 1C must have previously received systemic therapy with a PD-1 blocking antibody.
             NSCLC patients in Cohort 3B must have previously received systemic therapy with any
             CPI (except for those patients with known oncogene drivers (eg, EGFR, ALK, ROS) who
             have mutations that are sensitive to targeted therapies) as part of 1 - 3 prior lines
             of therapy. NSCLC patients in Cohort 3C must have received prior systemic therapy with
             an approved monotherapy CPI as their single prior line of systemic therapy.

          -  Must have at least 1 resectable lesion

          -  Must have a remaining measurable disease as defined by RECIST 1.1 following tumor
             resection

          -  Must be ≥ 18 years at the time of consent for Cohorts 1A, 1C, 2A, 3A, 3B, and 3C.
             Patients must be ≥ 12 years at the time of consent for Cohort 1B. Enrollment of
             patients > 70 years of age may be allowed after consultation with the Medical Monitor.

          -  Must have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1,
             and an estimated life expectancy of ≥ 6 months.

          -  Patients of childbearing potential or those with partners of childbearing potential
             must be willing to practice an approved method of birth control during treatment and
             for 12 months after receiving all protocol-related therapy.

        Exclusion Criteria

          -  Patients with melanoma of uveal/ocular origin.

          -  Patients who have received an organ allograft or prior cell transfer therapy that
             included a nonmyeloablative or myeloablative chemotherapy regimen within the past 20
             years.

          -  Patients with symptomatic and/or untreated brain metastases

          -  Patients who are on systemic steroid therapy ≥ 10 mg/day of prednisone or other
             steroid equivalent. Patients receiving steroids as replacement therapy for
             adrenocortical insufficiency at ≤ 10 mg/day of prednisone or other steroid equivalent
             may be eligible.

          -  Patients who are pregnant or breastfeeding.

          -  Patients who have an active medical illness(es), which in the opinion of the
             Investigator, would pose increased risks for study participation

          -  Cohort 1A, 2A, 3A, and 3C patients may not have a medical history of autoimmune
             disorders (including pneumonitis) requiring treatment or active management.

          -  Patients who have received a live or attenuated vaccination within 28 days prior to
             the start of treatment

          -  Patients who have any form of primary immunodeficiency

          -  Patients with a history of hypersensitivity to any component of the study drugs

          -  Patients who have a left ventricular ejection fraction (LVEF) < 45% or who are New
             York Heart Association Class II or higher

          -  Patients with respiratory dysfunction or history of smoking are excluded if not
             meeting either of forced expiratory volume in 1 second (FEV1)/forced vital capacity
             (FVC) > 0.7 or FEV1 > 50%.

          -  Patients who have had another primary malignancy within the previous 3 years

          -  Participation in another interventional clinical study within 21 days of the
             initiation of treatment.
      
Maximum Eligible Age:N/A
Minimum Eligible Age:12 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Objective Response Rate
Time Frame:Up to 60 months
Safety Issue:
Description:To evaluate the efficacy of autologous TIL in combination with CPIs in metastatic melanoma, HNSCC, and NSCLC patients and as a single therapy in metastatic melanoma and NSCLC patients as determined by objective response rate (ORR) using the Response Evaluation Criteria in Solid Tumors (RECIST 1.1) as assessed by Investigator

Secondary Outcome Measures

Measure:Complete Response Rate
Time Frame:Up to 60 months
Safety Issue:
Description:To evaluate efficacy parameters such Complete Response (CR) rate per RECIST 1.1, as assessed by the Investigator
Measure:Duration of Response
Time Frame:Up to 60 months
Safety Issue:
Description:To evaluate efficacy parameters such Duration of Response (DOR) per RECIST 1.1, as assessed by the Investigator
Measure:Disease Control Rate
Time Frame:Up to 60 months
Safety Issue:
Description:To evaluate efficacy parameters such Disease Control Rate (DCR) per RECIST 1.1, as assessed by the Investigator
Measure:Progression-Free Survival
Time Frame:Up to 60 months
Safety Issue:
Description:To evaluate efficacy parameters such Progression-Free Survival (PFS) per RECIST 1.1, as assessed by the Investigator
Measure:Overall Survival
Time Frame:Up to 60 months
Safety Issue:
Description:To evaluate efficacy parameters such Overall Survival (OS)

Details

Phase:Phase 2
Primary Purpose:Interventional
Overall Status:Recruiting
Lead Sponsor:Iovance Biotherapeutics, Inc.

Trial Keywords

  • LN-144
  • LN-145
  • Cell Therapy
  • Autologous Adoptive Cell Transfer
  • Autologous Adoptive Cell Therapy
  • Cellular Immuno-therapy
  • Tumor Infiltrating Lymphocytes
  • TIL
  • IL-2
  • Multiple Tumor Type
  • Lifileucel
  • Pembrolizumab
  • LN-145-S1
  • Ipilimumab
  • Nivolumab
  • CPI
  • Checkpoint Inhibitor

Last Updated

July 9, 2021