RecruitingPhase 2NCT03645928

Study of Autologous Tumor Infiltrating Lymphocytes in Patients With Solid Tumors

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


Sponsor

Iovance Biotherapeutics, Inc.

Enrollment

245 participants

Start Date

May 7, 2019

Study Type

INTERVENTIONAL

Conditions

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

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This trial is testing a personalized cancer treatment where doctors take immune cells (called tumor-infiltrating lymphocytes, or TILs) from a patient's own tumor, grow them in the lab, and then infuse them back to help the immune system fight advanced melanoma, head and neck cancers, or lung cancer. **You may be eligible if...** - You have been diagnosed with advanced melanoma (Stage IIIC or IV), advanced head and neck cancer, or Stage III-IV non-small cell lung cancer - Your cancer cannot be removed by surgery or has spread to other parts of the body - You have tried standard treatments but cancer has continued to progress - You are in generally good health (able to care for yourself) - You are 18 years or older **You may NOT be eligible if...** - You have active brain metastases that are causing symptoms or have not been treated - You are on high-dose steroids (above a low maintenance dose) - You have a history of organ transplant or prior bone marrow transplant - You have serious heart or lung problems - You are pregnant or breastfeeding - You have an autoimmune disease (in certain study groups) - You have had another cancer in the past 3 years Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BIOLOGICALLifileucel

A tumor sample is resected from each patient and cultured ex vivo to expand the population of tumor infiltrating lymphocytes. After NMA lymphodepletion, patients are infused with Lifileucel followed by aldesleukin administration. Lifileucel will be administered to patients once (on Day 0) during the study.

BIOLOGICALLN-145

A tumor sample is resected from each patient and cultured ex vivo to expand the population of tumor infiltrating lymphocytes. After NMA lymphodepletion, patients are infused with their autologous TIL (LN-145) followed by aldesleukin administration. TIL will be administered to patients once (on Day 0) during the study.

DRUGPembrolizumab

Humanized antibody. Pembrolizumab will be administered following tumor resection and will continue every 3 weeks or every 6 weeks thereafter for up to 2 years.

BIOLOGICALLN-145-S1

A tumor sample is resected from each patient and cultured ex vivo to expand the population of tumor infiltrating lymphocytes. After NMA lymphodepletion, patients are infused with their autologous TIL (LN-145-S1) followed by aldesleukin administration. TIL will be administered to patients once (on Day 0) during the study.

DRUGIpilimumab

Monoclonal antibody Ipilimumab will be administered as a single dose prior to tumor resection.

DRUGNivolumab

Monoclonal antibody Nivolumab will be administered once prior to tumor resection. The second dose will be administered prior to TIL administration and dosing will continue every 4 weeks for up to 2 years.

DRUGNivolumab-relatlimab

Nivolumab-relatlimab will be administered following tumor resection and will continue every 4 weeks thereafter for up to 2 years.

DRUGCisplatin

Cisplatin administered intravenously at the protocol-defined dose every 3 weeks for up to 4 cycles.

DRUGCarboplatin

Carboplatin administered intravenously at the protocol-defined dose every 3 weeks for up to 4 cycles.

DRUGPaclitaxel

Paclitaxel administered intravenously at the protocol-defined dose every 3 weeks for up to 4 cycles.

DRUGNab-Paclitaxel

Nab-Paclitaxel administered intravenously at the protocol-defined dose every 3 weeks for up to 4 cycles.

DRUGPemetrexed

Pemetrexed administered intravenously at the protocol-defined dose every 3 weeks for up to 4 cycles. Optional continuation maintenance every 3 weeks, if applicable.


Locations(45)

University of California, San Diego

La Jolla, California, United States

University of Southern California

Los Angeles, California, United States

University of California, Los Angeles

Los Angeles, California, United States

University of Colorado

Denver, Colorado, United States

Yale University

New Haven, Connecticut, United States

Georgetown University Medical Center

Washington D.C., District of Columbia, United States

Mount Sinai Medical Center

Miami Beach, Florida, United States

Orlando Health Cancer Institute

Orlando, Florida, United States

Moffitt Cancer Center

Tampa, Florida, United States

University of Louisville

Louisville, Kentucky, United States

University of Maryland

Baltimore, Maryland, United States

Massachusetts General Hospital

Boston, Massachusetts, United States

Karmanos Cancer Institute

Detroit, Michigan, United States

Henry Ford Health System

Detroit, Michigan, United States

MD Anderson at Cooper

Camden, New Jersey, United States

Morristown Medical Center

Morristown, New Jersey, United States

Columbia University

New York, New York, United States

Memorial Sloan Kettering Cancer Center

New York, New York, United States

University of Cincinnati

Cincinnati, Ohio, United States

Ohio State University

Columbus, Ohio, United States

Avera Cancer Institute

Sioux Falls, South Dakota, United States

Huntsman Cancer Hospital

Salt Lake City, Utah, United States

Fred Hutchinson Cancer Research Center

Seattle, Washington, United States

Medical College of Wisconsin

Milwaukee, Wisconsin, United States

Princess Margaret Cancer Centre

Toronto, Ontario, Canada

Centre Léon Berard

Lyon, France

Klinikum rechts der Isar der Technischen Universität München

München, Bavaria, Germany

Universitätsklinikum Carl Gustav Carus

Dresden, Saxony, Germany

Universitätsklinikum Schleswig-Holstein - Campus Lübeck

Lübeck, Schleswig-Holstein, Germany

Laiko General Hospital of Athens

Athens, Attica, Greece

Attikon University General Hospital

Athens, Attica, Greece

Hospital Universitario Marques de Valdecilla

Santander, Cantabria, Spain

Hospital Regional Universitario de Malaga - Hospital General

Málaga, Málaga, Spain

University Hospital Vall d'Hebron

Barcelona, Spain

ICO l'Hospitalet - Hospital Duran i Reynals

Barcelona, Spain

Hospital General Universitario Gregorio Marañón

Madrid, Spain

Hospital Universitario Fundacion Jimenez Diaz

Madrid, Spain

Hospital Universitario 12 de Octubre

Madrid, Spain

Hospital Universitario HM Sanchinarro

Madrid, Spain

Universitätsspital Basel

Basel, Switzerland

Universitaetsspital Bern

Bern, Switzerland

Centre Hospitalier Universitaire Vaudois

Lausanne, Switzerland

Guy's Hospital

London, England, United Kingdom

The Royal Marsden NHS Foundation Trust

London, England, United Kingdom

Bristol Haematology and Oncology Centre

Bristol, United Kingdom

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NCT03645928


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