A Phase 2, Multicenter Study of Autologous Tumor Infiltrating Lymphocytes (LN 144/LN-145/LN-145-S1) in Patients With Solid Tumors

Status: Recruiting
Location: See all (45) locations...
Intervention Type: Drug, Biological
Study Type: Interventional
Study Phase: Phase 2
SUMMARY

A prospective, open-label, multi-cohort, non-randomized, multicenter Phase 2 study evaluating adoptive cell therapy (ACT) with TIL \[LN-144/LN-145 (lifileucel)\] in combination with immune checkpoint inhibitors or TIL \[LN-144/LN-145 (lifileucel) and LN-145-S1\] as a single agent therapy.

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

• Must have a confirmed diagnosis of malignancy of their receptive histologies: unresectable or metastatic melanoma Stage IIIC to IV (Cohorts 1A,1B and 1C), advanced, recurrent or metastatic HNSCC (Cohort 2A), or Stage III or Stage IV non-small cell lung cancer (Cohorts 3A, 3B, and 3C). Stage IV NSCLC with no actionable mutations (EGFR, ALK, ROS1) with effective targeted therapy (Cohorts 3D and 3E).

• Cohorts 1A, 1D, 2A, 3A, 3D and 3E: If previously treated, patients must have progressed on or after most recent therapy and must not have received ICIs as part of one of the counted lines of prior therapy. Patients must have radiologically documented disease progression while receiving or after the completion of the most recent prior treatment. Patients may have received up to 3 prior systemic anticancer therapies (except for Cohort 3A, where patients whose tumors harbor actionable mutations may have received up to 4 prior systemic therapies). Patients in Cohort 1D may have had no prior therapy for advanced disease. Patients in Cohorts 3D and 3E may have had no prior systemic therapy for Stage IV disease.

• Cohorts 1B, 1C, 3B, and 3C: Unresectable or metastatic melanoma patients in Cohorts 1B or 1C must have previously received systemic therapy with a PD-1 blocking antibody. NSCLC patients in Cohort 3B must have previously received systemic therapy with any ICI (except for those patients with known oncogene driver mutations that are sensitive to targeted therapies) as part of 1 - 3 prior lines of therapy. NSCLC patients in Cohort 3C must have previously received 1 line of ICI monotherapy. No other systemic therapy for metastatic disease is allowed. Prior chemoradiation and/or chemotherapy in the adjuvant and/or neoadjuvant settings are allowed.

• Must have at least 1 resectable lesion

• Must have remaining measurable disease as defined by RECIST 1.1 following tumor resection

• Must be ≥ 18 years at the time of consent for Cohorts 1A, 1C, 1D, 2A, 3A, 3B, 3C, 3D and 3E. Patients must be ≥ 12 years at the time of consent for Cohort 1B. Enrollment of patients \> 70 years of age may be allowed after consultation with the Medical Monitor.

• 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 birth control during treatment and for 12 months after their last dose of aldesleukin, 4 months after their last dose of pembrolizumab, 5 months after their last dose of ipilimumab or nivolumab, or nivolumab-relatlimab; 6 months after the last dose of carboplatin; 14 months after the last dose of cisplatin; and 6 months after the last dose of pemetrexed, paclitaxel, or nab-paclitaxel, whichever occurs later.

Locations
United States
California
University of California, San Diego
TERMINATED
La Jolla
University of California, Los Angeles
ACTIVE_NOT_RECRUITING
Los Angeles
University of Southern California
ACTIVE_NOT_RECRUITING
Los Angeles
Colorado
University of Colorado
ACTIVE_NOT_RECRUITING
Denver
Connecticut
Yale University
ACTIVE_NOT_RECRUITING
New Haven
Washington, D.c.
Georgetown University Medical Center
ACTIVE_NOT_RECRUITING
Washington D.c.
Florida
Mount Sinai Medical Center
WITHDRAWN
Miami Beach
Orlando Health Cancer Institute
RECRUITING
Orlando
Moffitt Cancer Center
ACTIVE_NOT_RECRUITING
Tampa
Kentucky
University of Louisville
RECRUITING
Louisville
Massachusetts
Massachusetts General Hospital
RECRUITING
Boston
Maryland
University of Maryland
ACTIVE_NOT_RECRUITING
Baltimore
Michigan
Henry Ford Health System
ACTIVE_NOT_RECRUITING
Detroit
Karmanos Cancer Institute
ACTIVE_NOT_RECRUITING
Detroit
New Jersey
MD Anderson at Cooper
RECRUITING
Camden
Morristown Medical Center
RECRUITING
Morristown
New York
Columbia University
WITHDRAWN
New York
Memorial Sloan Kettering Cancer Center
ACTIVE_NOT_RECRUITING
New York
Ohio
University of Cincinnati
TERMINATED
Cincinnati
Ohio State University
RECRUITING
Columbus
South Dakota
Avera Cancer Institute
WITHDRAWN
Sioux Falls
Utah
Huntsman Cancer Hospital
WITHDRAWN
Salt Lake City
Washington
Fred Hutchinson Cancer Research Center
RECRUITING
Seattle
Wisconsin
Medical College of Wisconsin
TERMINATED
Milwaukee
Other Locations
Canada
Princess Margaret Cancer Centre
ACTIVE_NOT_RECRUITING
Toronto
France
Centre Léon Berard
WITHDRAWN
Lyon
Germany
Universitätsklinikum Carl Gustav Carus
WITHDRAWN
Dresden
Universitätsklinikum Schleswig-Holstein - Campus Lübeck
RECRUITING
Lübeck
Klinikum rechts der Isar der Technischen Universität München
WITHDRAWN
München
Greece
Attikon University General Hospital
ACTIVE_NOT_RECRUITING
Athens
Laiko General Hospital of Athens
RECRUITING
Athens
Spain
ICO l'Hospitalet - Hospital Duran i Reynals
RECRUITING
Barcelona
University Hospital Vall d'Hebron
WITHDRAWN
Barcelona
Hospital General Universitario Gregorio Marañón
WITHDRAWN
Madrid
Hospital Universitario 12 de Octubre
RECRUITING
Madrid
Hospital Universitario Fundacion Jimenez Diaz
RECRUITING
Madrid
Hospital Universitario HM Sanchinarro
RECRUITING
Madrid
Hospital Regional Universitario de Malaga - Hospital General
TERMINATED
Málaga
Hospital Universitario Marques de Valdecilla
RECRUITING
Santander
Switzerland
Universitätsspital Basel
WITHDRAWN
Basel
Universitaetsspital Bern
ACTIVE_NOT_RECRUITING
Bern
Centre Hospitalier Universitaire Vaudois
TERMINATED
Lausanne
United Kingdom
Bristol Haematology and Oncology Centre
WITHDRAWN
Bristol
Guy's Hospital
RECRUITING
London
The Royal Marsden NHS Foundation Trust
RECRUITING
London
Contact Information
Primary
Iovance Biotherapeutics Study Team
Clinical.Inquiries@iovance.com
1-844-845-4682
Time Frame
Start Date: 2019-05-07
Estimated Completion Date: 2029-08-09
Participants
Target number of participants: 245
Treatments
Experimental: Cohort 1A
LN-144 therapy in combination with pembrolizumab in patients with Stage IIIC to IV unresectable or metastatic melanoma with ≤ 3 prior lines of systemic therapy, excluding immune checkpoint inhibitors (ICI).
Experimental: Cohort 1B
LN-145-S1 therapy as a single agent in patients with Stage IIIC or Stage IV unresectable or metastatic melanoma, who have previously received systemic therapy with a PD-1 blocking antibody. If the tumor is proto-oncogene B-Raf (BRAF) V600 mutation positive, patients must have received a BRAF inhibitor with or without a mitogen-activated extracellular signal-related kinase (MEK) inhibitor.
Experimental: Cohort 1C
LN-144 Generation 3 (Gen 3) therapy as a single agent in patients with Stage IIIC or Stage IV unresectable or metastatic melanoma, who have previously received systemic therapy with a PD-1 blocking antibody. If the tumor is BRAF V600 mutation positive, patients must have received BRAF inhibitor with or without a MEK inhibitor.
Experimental: Cohort 2A
LN-145 therapy in combination with pembrolizumab in patients with advanced, recurrent, or metastatic HNSCC, with ≤ 3 prior lines of systemic therapy, excluding ICIs.
Experimental: Cohort 3A
LN-145 therapy in combination with pembrolizumab in patients with locally advanced or metastatic (Stage III or Stage IV) non-small-cell lung cancer (NSCLC) with ≤ 3 prior lines of systemic therapy, excluding ICIs, or ≤ 4 lines if 2 or more of the lines are TKI therapy for those with tumors that harbored actionable mutations (eg, EGFR, ALK, ROS).
Experimental: Cohort 3B
LN-145 therapy as a single agent in patients with Stage III or Stage IV NSCLC, who have previously received 1-3 lines of prior systemic therapy. Patients with known oncogene drivers (eg, EGFR, ALK, ROS) who have mutations that are sensitive to targeted therapies are not required to have received prior systemic therapy with ICIs.
Experimental: Cohort 3C
LN-145 therapy in combination with ipilimumab and nivolumab in patients with Stage III or Stage IV NSCLC who have previously received 1 line of ICI monotherapy. No other systemic therapy for metastatic disease is allowed. Prior chemoradiation and/or chemotherapy in the adjuvant and/or neo-adjuvant settings are allowed.
Experimental: Cohort 1D
The lifileucel regimen in combination with nivolumab-relatlimab in patients with Stage IIIC to IV unresectable or metastatic (advanced) melanoma who have had no prior therapy for advanced disease.
Experimental: Cohort 3D
The lifileucel regimen in combination with pembrolizumab with or without pemetrexed, after tumor resection before 4 cycles of frontline platinum doublet chemotherapy plus pembrolizumab, in patients with Stage IV NSCLC without EGFR, ALK, or ROS1 driver mutations, who have had no prior therapy for advanced disease.
Experimental: Cohort 3E
The lifileucel regimen in combination with pembrolizumab with or without pemetrexed, after tumor resection during 4 cycles of frontline platinum doublet chemotherapy plus pembrolizumab, in patients with Stage IV NSCLC without EGFR, ALK, or ROS1 driver mutations.
Sponsors
Leads: Iovance Biotherapeutics, Inc.

This content was sourced from clinicaltrials.gov

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