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
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
• 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