ACTengine® IMA203/IMA203CD8 as Monotherapy or in Combination With Nivolumab in Recurrent and/or Refractory Solid Tumors

Last updated: April 11, 2025
Sponsor: Immatics US, Inc.
Overall Status: Active - Recruiting

Phase

1

Condition

Cancer

Treatment

nivolumab (Opdivo®)

IMA203 Product

IMADetect®

Clinical Study ID

NCT03686124
IMA203-101
  • Ages > 18
  • All Genders

Study Summary

The study purpose is to establish the safety and tolerability of IMA203/IMA203CD8 products with or without combination with nivolumab in patients with solid tumors that express preferentially expressed antigen in melanoma (PRAME).

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Patients must have recurrent/progressing and/or refractory solid tumors and musthave received or not be eligible for all available indicated standard of caretreatment.

  • Eastern Cooperative Oncology Group (ECOG) performance status 0-1

  • HLA-A*02:01 positive

  • Measurable disease according to RECIST 1.1

  • Adequate selected organ function per protocol

  • Patient's tumor must express tumor antigen by "IMADetect® RT-qPCR

  • Life expectancy more than 5 months

  • Female patient of childbearing potential must use adequate contraception prior tostudy entry until 12 months after the infusion of IMA203/IMA203CD8

  • Male patient must agree to use effective contraception or be abstinent while onstudy and for 6 months after the infusion of IMA203/IMA203CD8

  • The patient must have recovered from any side effects of prior therapy to Grade 1 orlower prior to lymphodepletion.

Exclusion

Exclusion Criteria:

  • History of other malignancies (except for adequately treated basal or squamous cellcarcinoma or carcinoma in situ) within the last 3 years

  • Pregnant or breastfeeding

  • Serious autoimmune disease Note: At the discretion of the investigator, thesepatients may be included if their disease is well controlled without the use ofimmunosuppressive agents.

  • History of cardiac conditions as per protocol

  • Prior stem cell transplantation or solid organ transplantation

  • Concurrent severe and/or uncontrolled medical disease that could compromiseparticipation in the study

  • History of or current immunodeficiency disease or prior treatment compromisingimmune function at the discretion of the treating physician

  • Positive for HIV infection or with active hepatitis B virus (HBV) or activehepatitis C virus (HCV) infection.

  • Patients with LDH greater than 2.0-fold ULN.

  • Any condition contraindicating leukapheresis, lymphodepletion, low-dose IL-2, and/orIMA203/IMA203CD8 treatment

  • Patients with active brain metastases

  • Concurrent treatment in another clinical trial.

  • For nivolumab treatment, patients must not have a history of severe immune-relatedtoxicities, defined as any Grade 3 or 4 toxicities related to prior PD1/PD-L1inhibitor therapy (e.g., atezolizumab, pembrolizumab or nivolumab etc.).

Other protocol defined inclusion/exclusion criteria could apply

Study Design

Total Participants: 476
Treatment Group(s): 5
Primary Treatment: nivolumab (Opdivo®)
Phase: 1
Study Start date:
May 14, 2019
Estimated Completion Date:
December 31, 2028

Study Description

SCREENING: Patient eligibility will be determined by protocol inclusion/exclusion criteria including HLA (human leukocyte antigen) screening and a biopsy (or collection of archival tumor tissue) for biomarker screening. If the patient is eligible, white blood cells will be taken during leukapheresis for the manufacture of an IMA203 or an IMA203CD8 product.

MANUFACTURING: IMA203 or IMA203CD8 products will be made from the patients' white blood cells.

TREATMENT: Lymphodepletion with cyclophosphamide and fludarabine will occur in the days before the IMA203/IMA203CD8 product infusion to improve the duration of time that IMA203/IMA203CD8 product stays in the body. The patient will be admitted to the hospital during the T-cell infusion.

After the IMA203/IMA203CD8 product infusion, if applicable, a low dose of IL-2 will be given subcutaneously until day 10.

In Extension Cohort B (IMA203) nivolumab will be administered intravenously.

Patients will be monitored closely throughout the study. The follow-up phase ends 5 years post infusion.

Connect with a study center

  • Universitätsklinikum Heidelberg, Nationales Centrum für Tumorerkrankungen (NCT)

    Heidelberg, Baden-Württemberg 69120
    Germany

    Active - Recruiting

  • Klinikum rechts der Isar der Technischen Universität München

    Munich, Bavaria 81675
    Germany

    Active - Recruiting

  • Universitätsklinikum Regensburg, Franz-Josef-Strauß-Allee 11

    Regensburg, Bavaria 93053
    Germany

    Site Not Available

  • Universitätsklinikum Würzburg

    Würzburg, Bavaria 97080
    Germany

    Active - Recruiting

  • Universitätsklinikum Bonn - Medizinische Klinik III

    Bonn, North Rhine-Westphalia 53127
    Germany

    Active - Recruiting

  • Universitätsmedizin der Johannes Gutenberg-Universität Mainz

    Mainz, Rhineland-Palatinate 55131
    Germany

    Active - Recruiting

  • Universitätsklinikum C.-G.-Carus Dresden

    Dresden, Saxony 01307
    Germany

    Active - Recruiting

  • Charité Benjamin Franklin - Klinik für Hämatologie und Onkologie

    Berlin, 12203
    Germany

    Active - Recruiting

  • Universitätsklinikum Hamburg-Eppendorf

    Hamburg, 20246
    Germany

    Active - Recruiting

  • University of Miami Hospital and Clinics

    Miami, Florida 33136
    United States

    Active - Recruiting

  • Massachussettes General Hospital

    Boston, Massachusetts 02114
    United States

    Active - Recruiting

  • Columbia University Medical Center

    New York, New York 10032
    United States

    Site Not Available

  • Fox Chase Cancer Center

    Philadelphia, Pennsylvania 19111
    United States

    Active - Recruiting

  • University of Pittsburgh Medical Center

    Pittsburgh, Pennsylvania 15232
    United States

    Active - Recruiting

  • University of Texas MD Anderson Cancer Center

    Houston, Texas 77030
    United States

    Active - Recruiting

Not the study for you?

Let us help you find the best match. Sign up as a volunteer and receive email notifications when clinical trials are posted in the medical category of interest to you.