Adoptive Therapy With TCR Gene-engineered T Cells to Treat Patients With MAGE-C2-positive Melanoma and Head and Neck Cancer

Who is this study for? Patients with Melanoma
What treatments are being studied? Adoptive Therapy with Autologous MC2 TCR T Cells
Status: Recruiting
Location: See location...
Intervention Type: Biological
Study Type: Interventional
Study Phase: Phase 1/Phase 2
SUMMARY

Single-centre, first-in-man phase I/II trial to demonstrate safety and efficacy of MAGE-C2/HLA-A2 TCR T cells (MC2 TCR T cells) in advanced melanoma (MEL) and head-and-neck carcinoma (HNSCC).

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

⁃ Written informed consent;

⁃ Age ≥ 18 years;

⁃ One of the following three malignancies:

∙ Previously treated for unresectable or metastatic cutaneous or mucosal melanoma for whom no standard treatment is available (anymore);

‣ Metastatic uveal melanoma, progressing after standard of care therapy, if available;

‣ R/M HSNCC for whom no standard treatment is available anymore;

⁃ Patients must be HLA-A2\*0201 positive;

⁃ Primary tumor and/or metastasis (archival or fresh biopsy) is positive for MC2 (\>5% of tumor cells) according to immunohistochemistry;

⁃ Measurable disease according to RECIST v1.1;

⁃ At least one lesion, suitable for sequential mandatory tumor biopsies;

⁃ ECOG performance status of 0 or 1. Life expectancy ≥ 12 weeks;

⁃ Patients with melanoma must have had objective evidence of disease progression while on or after standard systemic therapy. The last dose of prior therapy (e.g. anti- PD-1, chemotherapy) must have been received more than 4 weeks prior to the start of study treatment. For melanoma patients who are treated with BRAF- and MEK inhibitors, an interval of 2 weeks between discontinuation of BRAF- and MEK inhibition and start of study treatment is sufficient;

‣ Patients with R/M HNSCC must have had objective evidence of disease progression and are ineligible for or unwilling to get platinum-based chemotherapy or for whom no standard treatment is available;

‣ Patients of both genders must be willing to practice a highly effective method of birth control during treatment and for four months after receiving the preparative regimen;

‣ Patients must meet the following laboratory values at the screening visit in the absence of growth factors and/or transfusion support:

• Hematology:

• absolute neutrophil count greater than 1.5x10\^9/L;

• platelet count greater than 75x10\^9/L;

• hemoglobin greater than 5 mmol/L or 8.0 in g/dl;

• Chemistry:

• serum ALAT/ASAT less than 3 times the upper limit of normal (ULN), unless patients have liver metastasis (\<5 times ULN);

• serum creatinine \< 1.5 ULN;

• total bilirubin ≤ 20 micromol/L, except in patients with Gilbert's Syndrome who must have a total bilirubin ≤ 50 micromol/L;

• Serology:

• seronegative for HIV antibody;

• seronegative for hepatitis B antigen, and hepatitis C antibody;

• seronegative for lues.

Locations
Other Locations
Netherlands
Erasmus Medical Center
RECRUITING
Rotterdam
Contact Information
Primary
A.A.M. van der Veldt, MD, PhD
a.vanderveldt@erasmusmc.nl
+31 107041754
Backup
R. Debets, PhD, Prof
j.debets@erasmusmc.nl
+31 107038307
Time Frame
Start Date: 2020-10-20
Estimated Completion Date: 2027-10-20
Participants
Target number of participants: 20
Treatments
Experimental: Adoptive therapy with autologous MC2 TCR T cells
* Accelerated titration phase I design and a subsequent single arm phase II study~* Prior to T cell transfer (day 0), patients will be treated with valproic acid (dose 50 mg/kg/d, 7d; days -9 to day -3) and 5' azacytidine (dose 75mg/m2/d, 7d; days -9 to day -3)~* Phase I: patients will be treated with one single intravenous administration of MC2 TCR T cells at 5 different escalated doses of 5x10E7, 5x10E8, 5x10E9,1.0x10E10, and the total number of cultured TCR T cells (i.e., usually 1.0-5.0 x10E10 TCR T cells). MC2 TCR T cell infusions will be supported by low dose of IL-2 administrations (s.c. 5x10E5 IU/m2 2qd for 5 days)~* T cells will be processed using IL-15 and IL-21 to generate young T cells
Related Therapeutic Areas
Sponsors
Collaborators: Stichting Coolsingel Rotterdam grant, Ludwig Institute for Cancer Research, Dutch Cancer Society, Jan Ivo Stichting grant
Leads: Erasmus Medical Center

This content was sourced from clinicaltrials.gov

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