MAGE-A10ᶜ⁷⁹⁶T for Urothelial Cancer, Melanoma or Head and Neck Cancers
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| ClinicalTrials.gov Identifier: NCT02989064 |
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Recruitment Status :
Completed
First Posted : December 12, 2016
Last Update Posted : December 19, 2020
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Sponsor:
Adaptimmune
Information provided by (Responsible Party):
Adaptimmune
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Brief Summary:
This Phase 1 study is designed as a cell dose escalation trial in HLA-A*02:01 and HLA-A*02:06 subjects with MAGE-A10 positive urothelial, melanoma or head and neck tumors. The study will enroll subjects between the ages of 18 and 75 using a modified 3+3 cell dose escalation design, to evaluate dose limiting toxicities and determine the target cell dose range. Following the dose escalation phase, additional subjects will be enrolled at the target cell dose range to further characterize safety and the effects at this cell dose.
The study will take the subject's T cells, which are a natural type of immune cell in the blood, and send them to a laboratory to be modified. The changed T cells used in this study will be the subject's own T cells that have been genetically changed with the aim of attacking and destroying cancer cells. When the MAGE-A10ᶜ⁷⁹⁶T cells are available, subjects will undergo lymphodepleting chemotherapy with cyclophosphamide and fludarabine, followed by T cell infusion. The purpose of this study is to test the safety of genetically changed T cells and find out what effects, if any, they have in subjects with urothelial, melanoma or head and neck cancer.
Subjects will be seen frequently by the Study Physician after receiving their T cells for the next 6 months. After that, subjects will be seen every 3, 6, or 12 months according to the Schedule of Procedures. All subjects completing or withdrawing from the interventional portion of the study will enter a long term follow-up phase for observation of delayed adverse events and overall survival for 15 years post-infusion.
| Condition or disease | Intervention/treatment | Phase |
|---|---|---|
| Urothelial Carcinoma Head and Neck Cancer Melanoma Bladder Urothelial Carcinoma | Genetic: Autologous genetically modified MAGE A10ᶜ⁷⁹⁶T cells | Phase 1 |
| Study Type : | Interventional (Clinical Trial) |
| Actual Enrollment : | 10 participants |
| Allocation: | N/A |
| Intervention Model: | Single Group Assignment |
| Masking: | None (Open Label) |
| Primary Purpose: | Treatment |
| Official Title: | Phase 1 Cell Dose Escalation Study to Assess the Safety and Tolerability of Genetically Engineered MAGE-A10ᶜ⁷⁹⁶T in HLA-A2+ Subjects With MAGE-A10 Positive Urothelial, Melanoma or Head and Neck Tumors |
| Actual Study Start Date : | October 2016 |
| Actual Primary Completion Date : | December 18, 2019 |
| Actual Study Completion Date : | June 4, 2020 |
Resource links provided by the National Library of Medicine
MedlinePlus Genetics related topics:
Melanoma
| Arm | Intervention/treatment |
|---|---|
| Experimental: Autologous genetically modified MAGE A10ᶜ⁷⁹⁶T cells |
Genetic: Autologous genetically modified MAGE A10ᶜ⁷⁹⁶T cells
Infusion of autologous genetically modified MAGE A10ᶜ⁷⁹⁶T on Day 1 |
Primary Outcome Measures :
- Number of subjects with adverse events (AE), including serious adverse events (SAE). [ Time Frame: 3 years ]Determine if treatment with autologous genetically modified T cells, (MAGE A10ᶜ⁷⁹⁶T ) is safe and tolerable through laboratory assessments including chemistry, hematology and coagulation; and cardiac assessments, including ECG/troponin.
- Evaluation of the persistence of genetically modified T cells [ Time Frame: 3 years ]Evaluation of the persistence of the infused T cells in the periphery.
- Measurement of RCL in genetically modified T cells. [ Time Frame: 3 years ]Evaluation of RCL in Subject PBMCs using PCR-based assay.
- Assessment of dose limiting toxicities to determine optimally tolerated dose range [ Time Frame: 3 years ]Evaluation of dose limiting toxicities will be performed using the CTCAE Version 4.0
- Proportion of subjects with a confirmed Complete Response (CR) and/or Partial Response (PR). [ Time Frame: 3 years ]Evaluation of the efficacy of the treatment by assessment of the Overall Response Rate according to RECIST v1.1
- Interval between the date of first T cell infusion dose and first documented evidence of CR or PR. [ Time Frame: 3 years ]Evaluation of the efficacy of the treatment by assessment of time to first response.
- Interval between the date of first documented evidence of CR or PR until first documented disease progression or death due to any cause. [ Time Frame: 3 years ]Evaluation of the efficacy of the treatment by assessment of duration of response.
- Interval between the date of first documented evidence of SD until first documented disease progression or death due to any cause. [ Time Frame: 3 years ]Evaluation of the efficacy of the treatment by assessment of duration of stable disease.
- Interval between the date of first T cell infusion and the earliest date of disease progression or death due to any cause [ Time Frame: 3 years ]Evaluation of the efficacy of the treatment by assessment of progression-free survival.
- Interval between the date of first T cell infusion and date of death due to any cause. [ Time Frame: 3 years ]Evaluation of the efficacy of the treatment by assessment of overall survival.
- Number and % of subjects having any Long Term Follow Up Adverse Events (AEs) [ Time Frame: 15 years post last treatment (infusion) ]
- New occurrence of any malignancy
- New occurrence or exacerbation of a pre-existing neurologic disorder
- New occurrence or exacerbation of a prior rheumatologic or other autoimmune disorder
- New occurrence of a hematologic disorder
- New occurrence of any opportunistic and/or serious infections
- New occurrence of any unanticipated illness and/or hospitalization deemed related to gene modified cell therapy
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| Ages Eligible for Study: | 18 Years to 75 Years (Adult, Older Adult) |
| Sexes Eligible for Study: | All |
| Accepts Healthy Volunteers: | No |
Criteria
Inclusion Criteria:
- Subject is ≥18 to ≤75 years of age at the time of signing the study informed consent.
- Subject has histologically confirmed diagnosis of any one of the following cancers: (A) urothelial cancer (transitional cell cancer of the bladder, ureter or renal pelvis), (B) melanoma, or (C) squamous cell carcinoma of the head and neck.
- Subject is HLA-A*02:01 and/or HLA-A*02:06 positive.
- Subject has measurable disease according to RECIST v1.1 criteria prior to lymphodepletion
- Subject meets disease-specific requirements per protocol
- Subject has anticipated life expectancy > 6 months prior to leukapheresis and >3 months prior to lymphodepletion.
- Subject's tumor shows positive MAGE-A10 expression
- Subject has an Eastern Cooperative Oncology Group (ECOG) Performance Status 0-1.
- Subject has a left ventricular ejection fraction ≥50%.
- Subject is fit for leukapheresis and has adequate venous access for the cell collection.
- Female subject of childbearing potential (FCBP) must have a negative urine or serum pregnancy test or male subject must be surgically sterile or agree to use a double barrier contraception method or abstain from heterosexual activity with a female of childbearing potential starting at the first dose of chemotherapy and for 4 months thereafter.
- Subject must have adequate organ function per protocol
Exclusion Criteria:
- Subject is HLA-A*02:05 in either allele, HLA-B*15:01 and/or HLA-B*46:01 positive. Subject has any A*02 null allele (designated with an "N", e.g. A*02:32N) as the sole HLA-A*02 allele.
- Subject has received or plans to receive excluded therapy/treatment prior to leukapheresis or lymphodepleting chemotherapy per protocol
- Subject that has toxicity from previous anti-cancer therapy must have recovered to ≤ Grade 1 prior to enrollment
- Subject has history of allergic reactions attributed to compounds of similar chemical or biologic composition to fludarabine, cyclophosphamide or other agents used in the study.
- Subject had major surgery within 4 weeks prior to lymphodepletion; subjects should have been fully recovered from any surgical related toxicities.
- Subject has an electrocardiogram (ECG) showing clinically significant abnormality at Screening or showing an average QTc interval ≥450 msec in males and ≥470 msec in females (≥480 msec for subjects with bundle branch block [BBB]) over 3 consecutive ECGs. Either Fridericia's or Bazett's formula may be used to correct the QT interval.
- Subject has symptomatic CNS metastases.
- Subject has a history of chronic or recurrent severe autoimmune or immune mediated disease
- Subject has any other active malignancy besides the tumor under study within 3 years prior to Screening.
- Subject has uncontrolled intercurrent illness
- Subject has active infection with HIV, HBV, HCV or HTLV
- Subject is pregnant or breastfeeding.
Information from the National Library of Medicine
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02989064
Locations
| United States, Massachusetts | |
| Massachusetts General Hospital | |
| Boston, Massachusetts, United States, 02114 | |
| United States, Missouri | |
| Washington University - School of Medicine | |
| Saint Louis, Missouri, United States, 63110 | |
| United States, New York | |
| Roswell Park Cancer Institute | |
| Buffalo, New York, United States, 14263 | |
| United States, Ohio | |
| Ohio State University Wexner Medical Center | |
| Columbus, Ohio, United States, 43210 | |
| United States, Pennsylvania | |
| Fox Chase Cancer Center | |
| Philadelphia, Pennsylvania, United States, 19111 | |
| United States, Tennessee | |
| Tennessee Oncology - Sarah Cannon Research Institute | |
| Nashville, Tennessee, United States, 37203 | |
| Vanderbilt - Ingram Cancer Center | |
| Nashville, Tennessee, United States, 37203 | |
| United States, Texas | |
| MD Anderson Cancer Center | |
| Houston, Texas, United States, 77030 | |
| Canada, Ontario | |
| Princess Margaret Cancer Centre | |
| Toronto, Ontario, Canada, M5G1X6 | |
| Spain | |
| Start Madrid-FJD, Fundación Jimѐnez Díaz | |
| Madrid, Spain, 28040 | |
| Hospital Universitario 12 Octubre Avda. de Córdoba | |
| Madrid, Spain, 28041 | |
Sponsors and Collaborators
Adaptimmune
Investigators
| Principal Investigator: | David Hong, MD | M.D. Anderson Cancer Center |
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Adaptimmune |
| ClinicalTrials.gov Identifier: | NCT02989064 |
| Other Study ID Numbers: |
ADP-0022-004 |
| First Posted: | December 12, 2016 Key Record Dates |
| Last Update Posted: | December 19, 2020 |
| Last Verified: | May 2020 |
Keywords provided by Adaptimmune:
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Cell Therapy T Cell Therapy SPEAR T Cell MAGE-A10 Immuno-oncology Metastatic Urothelial Cancer Previously Treated |
T Cell Receptor Inoperable Advanced Cancer Bladder Head and neck Melanoma |
Additional relevant MeSH terms:
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Carcinoma Melanoma Head and Neck Neoplasms Carcinoma, Transitional Cell Neoplasms, Glandular and Epithelial Neoplasms by Histologic Type Neoplasms |
Neuroendocrine Tumors Neuroectodermal Tumors Neoplasms, Germ Cell and Embryonal Neoplasms, Nerve Tissue Nevi and Melanomas Neoplasms by Site |