NY-ESO-1-redirected T Cells in Patients With Advanced Melanoma and Sarcoma

Last updated: April 16, 2025
Sponsor: Centre Hospitalier Universitaire Vaudois
Overall Status: Active - Recruiting

Phase

1

Condition

Melanoma

Sarcoma

Metastatic Melanoma

Treatment

NY-ESO-1 TCR redirected autologous T cell product

Low-dose irradiation

Non-myeloablative lymphodepleting chemotherapy

Clinical Study ID

NCT06889766
CHUV-DO-0026-NYESO1-2023
  • Ages > 18
  • All Genders

Study Summary

A single center, Phase I clinical trial to demonstrate safety and efficacy of LauT-1, autologous "New York Esophageal Squamous Cell Carcinoma-1 T-Cell Receptor (NY-ESO-1 TCR)-directed T cells in combination with non-myeloablative (NMA) lymphodepleting chemotherapy and low dose irradiation (LDI) in patients with NY-ESO-1 positive sarcoma and melanoma.

Eligibility Criteria

Inclusion

Inclusion criteria at pre-screening step-1 1) Patients with histologically confirmed advanced or metastatic cutaneous melanoma or any type of sarcoma.

Inclusion criteria at pre-screening step-2

  1. Immunohistochemically documented NY-ESO-1 expression, defined as ≥ 1+ expression oneither archival or fresh tumor tissue by immunohistochemistry, in ≥50% of thesampled tumor tissue.

Inclusion criteria at screening

  1. Patients with sarcoma, who have received at least one line of standard therapy (ifavailable) and failed to respond, progressed or were intolerant to that therapy,will be eligible. If the participant refuses or is, in the opinion of theinvestigator, ineligible for these treatments, the reason must be documented in themedical record.

  2. Patients with metastatic melanoma:

  3. Without proto-oncogene B-Raf (BRAF) mutation who have received at least oneline of standard therapy and failed to respond, progressed or were intolerantto that therapy, will be eligible. If the participant refuses or is, in theopinion of the investigator, ineligible for these treatments, the reason mustbe documented in the medical record.

  4. With BRAF mutation who have received at least two lines of standard therapy andfailed to respond, progressed or were intolerant to that therapy, will beeligible. If the participant refuses or is, in the opinion of the investigator,ineligible for these treatments, the reason must be documented in the medicalrecord.

  5. Patient must be HLA-A0201 and/or HLA-A0205 positive, as identified byhigh-resolution genomic deoxyribonucleic acid (DNA) typing of the HLA-A locus.

  6. Age ≥ 18 years

  7. Able to undergo apheresis

  8. At least one lesion accessible to biopsy for translational research (TR) at D30,without putting the patient at unusual risk.

  9. Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1.

  10. Life expectancy of greater than 12 weeks.

  11. Radiologically measurable disease (as per RECIST v1.1).

  12. Adequate organ function

Exclusion

Exclusion Criteria:

  1. Patients with an active second malignancy

  2. Patients with symptomatic and/or untreated brain metastases, as well asleptomeningeal carcinomatosis. Patients with definitively treated brain metastaseswill be considered for enrolment after agreement with the Principal Investigator, aslong as lesions are stable, there are no new brain lesions, and the patient does notrequire chronic corticosteroid treatment.

  3. History of idiopathic pulmonary fibrosis or evidence of active pneumonitis (anyorigin). History of radiation pneumonitis in the radiation field (fibrosis) isallowed.

  4. History of recent myocardial infarction, or unstable angina, within six months priorto enrolment

  5. Patients with prior allogeneic stem cell transplantation or organ transplantation

  6. Active severe systemic infections within 2 weeks prior to apheresis

  7. Patient requiring regular systemic immunosuppressive therapy. All immunosuppressivemedications including but not limited to steroids, mycophenolate mofetil,azathioprine, methotrexate, thalidomide, and anti-Tumor Necrosis Factor-alpha (TNF-alpha) agents must have been discontinued at least 2 weeks before apheresis .

  8. History of severe immediate hypersensitivity reaction to any of the agents/excipients of the study products.

  9. Women who are pregnant or breastfeeding because of the potentially dangerous effectsof the treatment on the fetus or infant.

  10. Subjects, for whom there are concerns that they will not reliably comply with therequirements for contraception, should not be enrolled into the study.

  11. Any serious underlying medical condition that could interfere with study medicationand potential adverse events.

Study Design

Total Participants: 9
Treatment Group(s): 3
Primary Treatment: NY-ESO-1 TCR redirected autologous T cell product
Phase: 1
Study Start date:
March 24, 2025
Estimated Completion Date:
June 30, 2029

Study Description

In this study, the investigators target the cancer testis antigen NY-ESO-1, which is highly expressed in a subset of sarcoma and melanoma but is largely absent in normal tissues. The affinity enhanced, Human Leukocyte Antigen - A2 (HLA-A2) restricted I53F T-cell receptor (TCR) used in this study is derived from a TCR originally isolated from a melanoma patient and recognizes the 157-165 epitope of the NY-ESO-1 protein with high affinity. The patients' own T-cells will be isolated, then genetically modified to express the I53F NY-ESO-1 TCR and expanded to generate the product "LauT-1", which is reinfused into the patients following lymphodepleting chemotherapy (LDCT) and low dose tumor irradiation (LDTI). LDCT allows maximal expansion of the infused T cells, and LDTI has been shown to inflame the tumor microenvironment in preliminary clinical data from recent studies, which may be useful to enhance T-cell infiltration and provide co-stimulatory signals within the tumor microenvironment, thereby maximising the chance to detect and potentially eliminate NY-ESO-1 expressing tumor cells.

In the current phase I study, the investigators assess the safety and feasibility of adoptive transfer of LauT-1 after LDCT and LDTI in HLA-A0201 and/or HLA-A0205 positive patients with advanced melanoma or sarcoma expressing NY-ESO-1. The experimental products are given initially to a group of 3 patients (safety cohort). If safe, the product may be given at a higher dose to 6 additional study participants (expansion cohort).

Procedures:

After confirming the expression of the NY-ESO-1 protein in at least 50% of the tumor cells and the presence of a permissive HLA allele during the pre-screeening procedure, patients eligible for the study will be undergo medical screening and registration to the study, followed by leukapheresis for the collection of autologous white blood cells (T lymphocytes) for the production of the gene-modified LauT-1 product. After successful leukapheresis, patients are allowed to receive a bridging therapy at the discretion of the PI/treating physician.

If all conditions are met and LauT-1 production is completed, the patient will start intravenous (IV) non-myeloablative lymphodepleting chemotherapy (LDCT) composed of fludarabine and cyclophosphamide. Both treatments will be started on the same day. Fludarabine will be given for four days, and cyclophosphamide for 2 days. LDTI will be administered as a single dose on Day 0 to all irradiable lesions using tomotherapy.

On D0, patients will receive NY-ESO-1 TCR T cell infusion, intravenously. Supportive care will be given as needed during the whole treatment period, and patients will be discharged according to institutional practice standards once they have achieved hematologic recovery, in the absence of other reasons for hospitalization. Patients will then be followed weekly in the outpatient clinic until the end of the Treatment-Limiting Toxicity (TLT) period, which extends from the first day of lymphodepleting chemotherapy to D30 after LauT-1 infusion. After the end of treatment visit, patients will be followed at the outpatient clinic by clinical & laboratory examination, as well as tumor assessment according to study schedule.

Connect with a study center

  • Centre Hospitalier Universitaire Vaudois (CHUV)

    Lausanne, VD 1011
    Switzerland

    Site Not Available

  • Centre Hospitalier Universitaire Vaudois

    Lausanne, Vaud 1011
    Switzerland

    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.