A Phase I/II Dose Escalation, Safety and Efficacy Study of Anti-NY-ESO-1 T Cell Receptor (TCR)-Gene Engineered Lymphocytes Given by Infusion to Patients With NY-ESO-1 -Expressing Metastatic Cancers

Status: Recruiting
Location: See location...
Intervention Type: Drug, Biological
Study Type: Interventional
Study Phase: Phase 1/Phase 2
SUMMARY

A Phase I/II Dose Escalation, Safety and Efficacy Study of HBI 0201-ESO TCRT (anti-NY-ESO-1 TCR-Gene Engineered Lymphocytes) Given by Infusion to Patients with NY-ESO-1 -Expressing Metastatic Cancers

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Maximum Age: 70
Healthy Volunteers: f
View:

• Have histologically or cytologically confirmed diagnosis of neoplasia

• Measurable (per RECIST v1.1 criteria) metastatic cancer or locally advanced refractory/recurrent malignancy not amenable to curative treatment. Lesions previously irradiated may be considered measurable only if growth has been documented since local treatment completion.

• The tumor expresses ESO as assessed immunohistochemistry of resected tissue. To this end, archived tumor tissue suitable for analysis must be available or re-biopsy performed on study. Tissue staining must encompass more than 10% of tumor section.

• Patients must have previously either (1) received at least first-line or second-line standard therapy for metastatic disease, if known to be effective for that disease, and have been either non-responders (progressive disease), intolerable or have recurred or (2) Recurred within 6 months of adjuvant systemic therapy known to be active also in the metastatic setting.

• Patients with 3 or fewer brain metastases that are less than 1 cm in diameter and asymptomatic are eligible. Lesions that have been treated with stereotactic radiosurgery must be clinically stable for 1 month after treatment for the patient to be eligible. Patients with surgically resected brain metastases are eligible.

• More than four weeks must have elapsed since any prior systemic therapy at the time the patient receives the preparative regimen, and patients' toxicities must have recovered to a grade 1 or less (except for toxicities such as alopecia or vitiligo).

• Age ≥ 18 years and ≤ 70 years.

• Patient is able to understand and willing to sign a written informed consent.

• Clinical performance status of ECOG 0, 1 or 2.

⁃ HLA-A\*0201or A\*0206 positive.

⁃ Patients of both genders must be willing to practice birth control from the time of enrollment on this study and for four months after treatment.

⁃ Women of child-bearing potential must have a negative pregnancy test.

⁃ Serology: Seronegative for HIV antibody, hepatitis B antigen, and hepatitis C antibody. If hepatitis C antibody test is positive, then patient must be tested for the presence of antigen by RT-PCR and be HCV RNA negative.

⁃ Hematology

∙ ANC \> 1500/mm3 without the support of filgrastim

‣ WBC ≥ 3000/mm3

‣ Platelet count ≥ 100,000/mm3

‣ Hemoglobin \> 8.0 g/dL. Subjects may be transfused to reach this cut-off.

⁃ Chemistry

∙ Serum ALT/AST ≤ 2.5 x ULN

‣ Creatinine clearance ≥40ml/min

‣ Total bilirubin ≤ 1.5 mg/dL, except in patients with Gilbert's Syndrome, who must have a total bilirubin \< 3.0 mg/dL.

‣ INR \< 1.5

Locations
Other Locations
Israel
Hadassah Medical Organization
RECRUITING
Jerusalem
Contact Information
Primary
Michal Lotem, Prof.
mlotem@hadassah.org.il
+972058573528
Backup
Yafit Halutsi
yafitha@hadassah.com
+972526906339
Time Frame
Start Date: 2022-04-01
Estimated Completion Date: 2027-12-30
Participants
Target number of participants: 3
Treatments
Experimental: HBI 0201-ESO TCRT (Anti-NY-ESO-1 TCR-transduced peripheral blood lymphocytes)
This is a two-part, non-randomized, open label, single-site Phase I/II study. The first Part A is a dose ranging maximum tolerated dose (MTD) study and Part B is an extension phase to evaluate safety at the selected safe dose. A Data Safety Monitoring Board (DSMB) will determine the safe dose for testing in the expansion phase (Part B).~Part A will be according to a 3+3 dose escalation design. A total of up to 20 patients will participate in this Part.~Part B will be an expansion phase. The objective will be to determine if the treatment regimen is associated with a clinical response rate that can rule out 5% (p0=0.05) in favor of a modest 20% Partial Response (PR) + Complete Response (CR) rate (p1=0.20).~A total of up to 43 patients may be enrolled in Part B (41 +2, allowing for up to 2 non-evaluable patients).
Sponsors
Leads: Hadassah Medical Organization

This content was sourced from clinicaltrials.gov