RecruitingPhase 1Phase 2NCT07145450

Master Protocol of TCR-modified T Cell Therapy Targeting HLA-restricted KRAS Antigen Administered in Adult Patients With Metastatic or Locally Advanced PDAC

Phase 1/2 Master Protocol for Open-Label, Multi-Centre, Single-Arm Sub-Studies, First in Human Clinical Studies of TCR-T Therapy (Autologous TCR- Modified T-Cell Therapy) Targeting Mutated Kirsten Rat Sarcoma (mutKRAS) Administered in Metastatic or Locally Advanced Pancreatic Ductal Adenocarcinoma (PDAC) Adult Patients With Specific mutKRAS and Human Leukocyte Antigen (HLA) Genotypes


Sponsor

Anocca AB

Enrollment

96 participants

Start Date

Jul 3, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

This is an open-label, multi-centre, single-arm Phase 1/2 clinical trial of the safety, expansion, persistence and clinical activity of a set of engineered autologous T cells products each capable of recognizing a specific combination mutated KRAS and HLA, activating the T cells and exerting anti- tumour activity in patients with metastatic or locally advanced PDAC.


Eligibility

Min Age: 18 Years

Inclusion Criteria6

  • Adult patient (18 years or older) with newly diagnosed metastatic PDAC or locally advance PDAC disease.
  • HLA genotyping confirmed with a high-resolution method.
  • Confirmed KRAS G12V or KRAS G12D mutation in tumour using biopsy sample.
  • Fertile male and female patients must use a highly effective contraceptive method before, during, and for at least 6 months after the last mutKRAS TCR infusion. Acceptable contraception for women includes implants, injectables, combined oral contraceptives, intrauterine devices (IUDs), sexual abstinence, or a partner who has been vasectomized for at least 6 months. Acceptable contraception for male includes having had a vasectomy for at least 6 months, sexual abstinence, to condoms plus spermicide. Fertile female and male patients must adhere to any treatment-specific pregnancy prevention guidelines for cyclophosphamide (refer to SmPC).
  • Confirmed clinical benefit to SoC treatments and absence of disease progression according to the PI judgement.
  • Measurable disease by RECIST 1.1 criteria at the time of first treatment. Baseline imaging (for example, diagnostic CT chest/abdomen/pelvis and imaging of the affected extremity or brain, as appropriate), magnetic resonance imaging (MRI or CT scan) must be obtained within 8 weeks of the first planned T cell infusion. CT can be substituted for MRI in patients unable to have CT contrast.

Exclusion Criteria3

  • Another malignancy other than PDAC.
  • Current or history of brain metastasis.
  • Patient with known genetic status for whom other treatments are available e.g. BRCA, MSI-H.

Interventions

BIOLOGICALANOC-001 (TCR-T cells targeting KRAS G12V mutation presented by specific HLA alleles)

The cells will be gene edited and administered by a single IV infusion on Day 1. Drugs: Cyclophosphamide and Fludarabine will be used as a lymphodepleting chemotherapy.

BIOLOGICALANOC-002 (TCR-T cells targeting KRAS G12V mutation presented by specific HLA alleles)

The cells will be gene edited and administered by a single IV infusion on Day 1. Drugs: Cyclophosphamide and Fludarabine will be used as a lymphodepleting chemotherapy.

BIOLOGICALANOC-003 (TCR-T cells targeting KRAS G12D mutation presented by specific HLA alleles)

The cells will be gene edited and administered by a single IV infusion on Day 1. Drugs: Cyclophosphamide and Fludarabine will be used as a lymphodepleting chemotherapy


Locations(8)

Herlev and Gentofte University Hospital

Copenhagen, Denmark

Charité Universitätsmedizin Berlin

Berlin, Germany

Technische Universitaet Dresden - Universitaetsklinikum Carl Gustav Carus

Dresden, Germany

Universitaetsklinikum Heidelberg

Heidelberg, Germany

University Hospital and Faculty of Medicine Eberhard Karls University Tübingen

Tübingen, Germany

Amsterdam UMC - VU Medical Center

Amsterdam, Netherlands

Radboud University Medical Center

Nijmegen, Netherlands

Karolinska University Hospital

Stockholm, Sweden

View Full Details on ClinicalTrials.gov

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NCT07145450


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