Study of TBI-1301 (NY-ESO-1 Specific TCR Gene Transduced Autologous T Lymphocytes) in Patients With Solid Tumors

  • STATUS
    Recruiting
  • days left to enroll
    51
  • participants needed
    22
  • sponsor
    University Health Network, Toronto
Updated on 30 April 2022
ct scan
cancer
total bilirubin
fludarabine
cyclophosphamide
hla-a
filgrastim
absolute neutrophil count
measurable disease
lung cancer
gilbert's syndrome
gm-csf
metastasis
neutrophil count
liver metastasis
esophageal cancer
g-csf
cancer chemotherapy
solid tumour
solid tumor
ovarian cancer
bladder cancer
ny-eso-1
sarcoma
esophagus cancer
bladder tumor
kidney function test
cancer of the ovary
cancer, hepatocellular
lung carcinoma

Summary

The target populations for this phase I study with TBI-1301 are patients with advanced solid tumors. Patients' tumors will be required to express NY-ESO-1, which include but is not limited to ovarian cancer, synovial sarcoma, esophageal cancer, lung cancer, bladder cancer, liver cancer, and malignant melanoma. Patients must be positive for HLA-A02:01 or HLA-A02:06 and the patient's tumor tissue must be positive for NY-ESO-1 antigen expression. The study will take the subject's T cells, which are a natural type of immune cell in the blood, and send them to a laboratory to be modified. The changed T cells used in this study will be the subject's own T cells that have been genetically changed with the aim of attacking and destroying cancer cells.

The manufacturing of T cells takes about 1 month to complete. The T cells will be given back to the subject through an intravenous infusion. The purpose of this study is to test the safety of genetically changed T cells and find out what effects, if any, they have in subjects with advanced solid tumors.

The purpose of this study is to evaluate the safety profile of TBI-1301, to determine the recommended phase 2 (RP2D) dose of TBI-1301 when administered following cyclophosphamide and fludarabine pre-treatment, to evaluate the safety of repeat dosing of TBI-1301, to assess the presence/absence of RCR appearance after TBI-1301 infusion, to assess the presence or absence of clonality by LAM-PCR, and to evaluate evidence of efficacy of TBI-1301 using RECIST v1.1.

Details
Condition NY-ESO-1 Expressing Solid Tumors in HLA-A2 Positive Patients, Synovial Sarcoma, Melanoma, Esophageal Cancer, Ovarian Cancer, Lung Cancer, Bladder Cancer, Liver Cancer
Treatment cyclophosphamide, Fludarabine, TBI-1301
Clinical Study IdentifierNCT02869217
SponsorUniversity Health Network, Toronto
Last Modified on30 April 2022

Eligibility

Yes No Not Sure

Inclusion Criteria

Histologically or cytologically confirmed metastatic or recurrent unresectable solid tumor
HLA-A _02:01 or HLA-A_ 02:06 positive
Tumor NY-ESO-1 expression by immunohistochemistry
No anti-cancer chemotherapy, radiation therapy or immunotherapy within 2 weeks or 5 half-lives of PBMC harvest
The treating investigator should consider the patient to have disease that is incurable and that the patient would be a reasonable candidate for future treatment with TBI-1301
Patients must have measurable disease, defined as at least one lesion that can be accurately measured in at least one dimension (longest diameter to be recorded for non-nodal lesions and short axis for nodal lesions) as >10 mm with CT scan, MRI, or calipers by clinical exam. Patients must have radiographic evidence of disease progression following the most recent line of treatment. Areas of previous radiation may not serve as measurable disease unless there is evidence of progression post radiation
ECOG Performance Status 0 or 1
Age ≥16 years on consent
Life expectancy greater than 4 months
The following laboratory requirements must be met (within 14 days prior to phlebotomy for generation of TBI-1301)
Absolute neutrophil count (ANC) ≥1.5 x10^9/L (1500/μL) without G-CSF support
WBC ≥ 2.5x10^9/L (2,500/μl)
Lymphocytes ≥ 0.5x10^9/L (500/μl)
Hemoglobin ≥ 80 g/L
Platelets ≥ 75x10^9/L (75,000/μl)
Total bilirubin ≤ 1.5 x upper limit of normal (ULN) (≤2.5X if Gilbert's disease)
AST(SGOT), ALT(SGPT) < 3.0 x ULN (< 5 x ULN with known liver metastases)
Creatinine ≥ 60 ml/min (calculated by Cockcroft and Gault)
Adequate renal function
Consent must be appropriately obtained in accordance with applicable local and regulatory requirements

Exclusion Criteria

Uncontrolled intercurrent illnesses or medical conditions that may interfere with trial participation such as ongoing or active infection, symptomatic congestive heart failure, uncontrolled hypertension, unstable angina pectoris, cardiac arrhythmia, severe active peptic ulcer disease or gastritis, or psychiatric illness/social situations that would limit compliance with study requirement or compromise the ability of the subject to give written informed consent
Patients who are receiving any other investigational agents
Active or prior documented autoimmune disease within the past 2 years. NOTE: Subjects with vitiligo, Grave's disease, Hashimoto's disease, or psoriasis not requiring systemic treatment (within the past 2 years) are not excluded
Active or prior documented inflammatory bowel disease (eg, Crohn's disease, ulcerative colitis)
No evidence of active uncontrolled infection (patients on antibiotics are eligible)
History of primary immunodeficiency
History of organ transplant that requires use of immunosuppressives
Known allergy or reaction to a known component of TBI-1301
Untreated central nervous system metastases requiring concurrent treatment, inclusive of but not limited to surgery, radiation, and/or corticosteroids. If treated lesions are shown to be stable for 1 month the subject may be eligible
Other invasive malignancy within 2 years except for noninvasive malignancies such as cervical carcinoma in situ, non-melanomatous carcinoma of the skin or ductal carcinoma in situ of the breast that has/have been surgically cured
Current or prior use of immunosuppressive medication within 14 days before phlebotomy, with the exceptions of intranasal, topical, and inhaled corticosteroids or systemic corticosteroids at physiologic doses not to exceed 10 mg/day of prednisone or equivalent. Oral steroid use as premedication to prevent allergic reactions to radiologic contrast is allowed
Any condition that, in the opinion of the investigator, would interfere with the evaluation of TBI-1301 or interpretation of subject safety or study results
Known history of tuberculosis
HIV positive
Active HTLV or syphilis infection
Active hepatitis B infection (hepatitis B surface antigen or HBV DNA positive)
Active hepatitis C infection (if hepatitis C antibody positive, HCV RNA positive)
Has no known active central nervous system metastases and/or carcinomatous meningitis
Ongoing prior toxicities related to previous anti-cancer treatments (surgery, radiotherapy or adjuvant chemo-radiation) must be recovered to < grade 1 or baseline
Pregnant women are excluded
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