Description:
This is a prospective, open-label, multi-cohort, non-randomized, multicenter phase 2 study
evaluating LN-145 in patients with metastatic NSCLC.
Title
- Brief Title: Autologous LN-145 in Patients With Metastatic Non-Small-Cell Lung Cancer
- Official Title: A Phase 2 Multicenter Study of Autologous Tumor Infiltrating Lymphocytes (LN-145) in Patients With Metastatic Non-Small-Cell Lung Cancer
Clinical Trial IDs
- ORG STUDY ID:
IOV-LUN-202
- SECONDARY ID:
2020-003629-45
- NCT ID:
NCT04614103
Conditions
- Metastatic Non Small Cell Lung Cancer
Interventions
Drug | Synonyms | Arms |
---|
LN-145 | TIL, Autologous Tumor Infiltrating Lymphocytes | Cohort 1 |
LN-145 | TIL, Autologous Tumor Infiltrating Lymphocytes | Cohort 3 |
Purpose
This is a prospective, open-label, multi-cohort, non-randomized, multicenter phase 2 study
evaluating LN-145 in patients with metastatic NSCLC.
Detailed Description
LN-145 is a ready-to-infuse, autologous TIL therapy that utilizes an autologous TIL
manufacturing process, as originally developed by the NCI and further optimized by Iovance
for the treatment of patients with metastatic NSCLC. The cell transfer therapy used in this
study involves patients receiving an NMA lymphocyte depleting preparative regimen, followed
by infusion of autologous TIL, then finally followed by the administration of IL-2.
Trial Arms
Name | Type | Description | Interventions |
---|
Cohort 1 | Experimental | Patients whose tumors did not express programmed cell death-ligand 1 (PD-L1) (tumor proportion score [TPS] < 1%) prior to their CPI treatment. | |
Cohort 2 | Experimental | Patients whose tumors expressed PD-L1 (TPS ≥ 1%) prior to their CPI treatment. | |
Cohort 3 | Experimental | Patients whose tumors do not express PD-L1 (TPS < 1%) prior to their CPI treatment and who are unable to safely undergo a surgical harvest for TIL generation due to at least one of the following:
Unacceptable surgical risk
Surgically approachable lesion is required for Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 assessment | |
Cohort 4 | Experimental | Patients who have been previously treated with LN-145 in Cohort 1, 2, or 3 of this study. | |
Eligibility Criteria
Inclusion Criteria:
- Confirmed histologic diagnosis of Non-Small-Cell Lung Carcinoma confirmation.
- Have received a single line of systemic therapy that included CPI and chemotherapy
with documented radiographic disease progression on or following this single line of
systemic therapy.
- LVEF > 45%, NYHA Class 1; cardiac stress test required
- FEV1>50% or FEV1/FVC>0.7 (6 min walk test if unable to perform or unreliable
spirometry).
- At least 1 resectable lesion.
- Previously irradiated lesion must have radiographic progression prior to harvest.
- 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 highly effective birth control
during treatment and for 12 months after receiving all protocol-related therapy.
Exclusion Criteria:
- Patients who have known oncogene driver mutations (eg, EGFR, ALK, ROS) which are
sensitive to targeted therapies.
- Patients who have symptomatic and/or untreated brain metastases.
- Patients who have organ allograft or prior cell transfer within the past 20 years.
- 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 have any form of primary immunodeficiency
- Patients who have received a live or attenuated vaccination within 28 days prior to
the start of treatment
- 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: | 18 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 LN-145 in patients with metastatic NSCLC without an actionable driver mutation who have disease progression on or following a single line of approved systemic therapy consisting of combined immune checkpoint inhibitor(s) (CPI[s]) + chemotherapy ± bevacizumab, as determined by objective response rate (ORR), using the RECIST v1.1, as assessed by the Independent Review Committee (IRC) (Cohorts 1 and 2) or by the Investigator (Cohorts 3 and 4) |
Secondary Outcome Measures
Measure: | Objective Response Rate |
Time Frame: | Up to 60 months |
Safety Issue: | |
Description: | To evaluate efficacy parameters such as Objective Response Rate (ORR) per RECIST v1.1 |
Measure: | Complete Response Rate |
Time Frame: | Up to 60 months |
Safety Issue: | |
Description: | To evaluate efficacy parameters such as Complete Response Rate (CRR) per RECIST v1.1 |
Measure: | Duration of Response |
Time Frame: | Up to 60 months |
Safety Issue: | |
Description: | To evaluate efficacy parameters such as Duration of Response (DOR) rate per RECIST v1.1 |
Measure: | Disease Control Rate |
Time Frame: | Up to 60 months |
Safety Issue: | |
Description: | To evaluate efficacy parameters such as Disease Control Rate (DCR) per RECIST v1.1 |
Measure: | Progression-Free Survival |
Time Frame: | Up to 60 months |
Safety Issue: | |
Description: | To evaluate efficacy parameters such as Progression-Free Survival (PFS) per RECIST v1.1 |
Measure: | Overall Survival |
Time Frame: | Up to 60 months |
Safety Issue: | |
Description: | To evaluate efficacy parameters such as Overall Survival (OS) |
Measure: | Adverse Events |
Time Frame: | Up to 60 months |
Safety Issue: | |
Description: | To characterize the safety profile of LN-145 in NSCLC patients, as measured by the incidence of Grade ≥ 3 treatment-emergent adverse events (TEAEs) |
Measure: | Core Biopsies |
Time Frame: | Up to 60 months |
Safety Issue: | |
Description: | For Cohort 3 only: To evaluate the efficiency of generating LN-145 from tumor core biopsies; Percentage successful TIL products generated from core biopsies |
Details
Phase: | Phase 2 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | Iovance Biotherapeutics, Inc. |
Trial Keywords
- LN-145
- Cell Therapy
- Autologous Adoptive Cell Therapy
- Cellular Immuno-therapy
- Tumor Infiltrating Lymphocytes
- TIL
- IL-2
- Non Small Cell Lung Cancer
- NSCLC
- Second line Lung Cancer
- Bronchial Neoplasms
- Carcinoma
- Lung Disease
- Metastatic Lung Cancer
- Metastatic Non Small Cell Lung Cancer
- Lung Carcinoma
- LN145
- PD-L1
- Stage IV Cancer
- Stage IV Lung Cancer
- Stage IV Non-Small Cell Lung Cancer
- Stage IV NSCLC
- Systemic Therapy
- 2nd line therapy
- Second line therapy
- CPI
- Check point inhibitor
- Metastatic NSCLC
Last Updated
August 2, 2021