Phase 2
N=25
Adoptive Cell Therapy Across Cancer Diagnoses
Cancer
Bottom Line
View on ClinicalTrials.gov: NCT03296137 ↗Enrolled (actual)
25
Serious AEs
36.0%
Results posted
Oct 2024
Primary outcome: Primary: Number of Participants and Type of Reported Adverse Events — 25; 22; 22; 6 Participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 2
- Interventions
- Autologous tumor-infiltrating lymphocytes (Biological); Ipilimumab (Drug); Nivolumab (Drug); proleukin (Drug); Cyclophosphamide (Drug); Fludara (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Inge Marie Svane
- Primary completion
- Mar 2020
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants and Type of Reported Adverse Events |
25; 22; 22; 6; 2; 1 | — |
| SECONDARY Time to Disease Progression |
89 | — |
| SECONDARY Overall Survival |
227 | — |
| SECONDARY Overall Response Rate |
2 | — |
Summary
This study will perform tumor-infiltrating lymphocyte (TIL)-based adoptive T-cell therapy in combination with checkpoint inhibition on cancer patients across all cancer diagnoses.
Eligibility Criteria
Only patients within the Danish Healthcare system are eligible for enrollment.
Inclusion Criteria
- Histologically verified metastatic or locally advanced cancer diagnosis
- At least one lesion (>1 cm3) available for surgical resection
- Not candidate for standard treatment options
- Age of 18-70 years
- Performance status of 1 or 0.
- Life expectancy > 6 months
- One or more measurable parameter according to RECIST 1.1.
- No significant toxicity from previous cancer treatments (CTC≤1). Except alopecia (CTC≤2) or neuropathy (CTC≤2)
- Sufficient organ function, including:
- Absolute neutrophil count (ANC) ≥ 1.500 /µl
- Leucocyte count ≥ normal limit
- Platelets ≥ 100.000 /µl and 40 and INR<1,5
- Women in the fertile age must use effective contraception. This applies from inclusion and until 6 months after treatment. Birth control pills, spiral, depot injection with gestagen, subdermal implantation, hormonal vaginal ring and transdermal depot patch are all considered safe contraceptives.
- Signed statement of consent after receiving oral and written study information
- Willingness to participate in the planned treatment and follow-up and capable of handling toxicities.
Exclusion Criteria
- A history of prior malignancies. Patients treated for another malignancy can only participate if they are without signs of disease for a minimum of 3 years after last treatment.
- Primary brain tumor or verified brain metastases
- Known hypersensitivity to one of the active drugs or excipients.
- Significant medical conditions, including but not limited to severe asthma/COLD, significant cardiac disease, poorly regulated insulin dependent diabetes mellitus.
- Creatinine clearance below 70 ml/min .
- Acute or chronic infections with HIV, hepatitis, syphilis etc.
- Severe allergies or previous anaphylactic reactions.
- Active autoimmune disease, such as autoimmune neutropenia/thrombocytopenia or hemolytic anemia, systemic lupus erythematosus, Sjögren's syndrome, sclerodermia, myasthenia gravis, goodpastures disease, addison's disease, hashimoto's thyroiditis, graves' disease etc.
- Pregnant women and women who are breastfeeding.
- Simultaneous treatment with systemic immunosuppressive drugs (including prednisolone methotrexate etc.)
- Simultaneous treatment with other experimental drugs.
- Simultaneous treatment with other systemic anti-cancer treatments.
- Patients with active or uncontrollable hypercalcemia.
Data sourced from ClinicalTrials.gov (NCT03296137). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.