Phase I Study of Memory-Like Natural Killer Cells With Nivolumab and Relatlimab in Advanced or Metastatic Melanoma After Progression on Checkpoint Inhibitors

Status: Recruiting
Location: See location...
Intervention Type: Biological
Study Type: Interventional
Study Phase: Phase 1
SUMMARY

This is a Phase 1 open-label, study designed to characterize the safety, tolerability, and preliminary anti-tumor activity of memory-like natural killer cells (ML NK) in combination with nivolumab and relatlimab in subjects with advanced and/or metastatic melanoma. There will be two arms to test the variables of ML NK cell source. ML NK cells from an autologous source will be used for Arm 1, and ML NK cells from an allogeneic source will be used for Arm 2. The investigators hypothesize that ML NK cells from either an autologous source or allogeneic source are safe and tolerable in subjects with advanced and/or metastatic melanoma.

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

• Diagnosis of histologically confirmed advanced or metastatic melanoma that has progressed after at least 12 weeks or a minimum of 2 doses of treatment with a standard of care PD1/PDL1 containing therapy (nivolumab, pembrolizumab, atezolizumab, or durvalumab).

• Age: ≥18 years of age

• Have an Eastern Cooperative Oncology Group Performance Status (ECOG) ≤ 2 at screening Form Arm 1 only: Patients must meet the eligibility criteria to undergo apheresis to obtain autlogous NK cells.

• For Arm 2 only: Patient must have an available allogeneic NK cell donor who meets the eligibility criteria.

• Adequate organ function as defined below:

‣ Total bilirubin \< 2 mg/dL

⁃ AST(SGOT)/ALT(SGPT) \< 3.0 x ULN

⁃ Creatinine within normal institutional limits OR creatinine clearance \> 40 mL/min/1.73 m\^2 by Cockcroft-Gault Formula

⁃ Oxygen saturation ≥ 90% on room air

⁃ Ejection fraction ≥ 45%

• Patients with a prior history of symptomatic CNS metastases must have received treatment and be neurologically stable for at least for 4 weeks and off anti-seizure medication and steroids for 7 days prior to initiation of LDC.

• Able to be off corticosteroids and any other immune suppressive medications for at least 14 days prior to apheresis or lymphodepletion and continuing until 30 days after the infusion of the ML NK cells. However, use of physiological dosing of corticosteroids (defined as ≤15mg prednisone or equivalent) is permitted if deemed medically necessary.

• Women of childbearing potential must have a negative pregnancy test within 28 days prior to study registration. Female and male patients (along with their female partners) must agree to use two forms of acceptable contraception, including one barrier method, throughout participation in the study and for at least 5 months after the last dose of relatlimab.

• Life expectancy \>12 weeks

• Ability to understand and willingness to sign an IRB approved written informed consent document

Locations
United States
Missouri
Washington University School of Medicine
RECRUITING
St Louis
Contact Information
Primary
Alice Y Zhou, M.D., Ph.D.
alice.y.zhou@wustl.edu
314-362-5677
Time Frame
Start Date: 2024-11-06
Estimated Completion Date: 2030-11-30
Participants
Target number of participants: 33
Treatments
Experimental: Arm 1: Autologous: Memory-like natural killer cells + nivolumab + relatilimab
* Subjects enrolled into arm 1 will receive autologous ML NK cells on Day 0.~* Relatlimab and nivolumab will be initiated at day 29 and continue every 28 days for 11 cycles, or until unacceptable toxicity, or progression, whichever is earlier.
Experimental: Arm 2: Allogeneic: Memory-like natural killer cells + nivolumab + relatilimab
* Subjects with a haploidentical donor will enroll into Arm 2~* Subjects will receive the IV infusion of ML NK cells on Day 0.~* Relatlimab and nivolumab will be initiated at day 29 and continue every 28 days for 11 cycles, or until unacceptable toxicity, or progression, whichever is earlier.
No_intervention: Allogeneic Donors
Related Therapeutic Areas
Sponsors
Leads: Washington University School of Medicine
Collaborators: Rising Tide Foundation, Melanoma Research Alliance

This content was sourced from clinicaltrials.gov

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