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This Phase 1 study is designed as a cell dose escalation trial in HLA-A*02:01 and HLA-A*02:06 subjects with MAGE-A10 positive urothelial, melanoma or head and neck tumors. The study will enroll subjects between the ages of 18 and 75 using a modified 3+3 cell dose escalation design, to evaluate dose limiting toxicities and determine the target cell dose range. Following the dose escalation phase, additional subjects will be enrolled at the target cell dose range to further characterize safety and the effects at this cell dose.
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. When the MAGE-A10ᶜ⁷⁹⁶T cells are available, subjects will undergo lymphodepleting chemotherapy with cyclophosphamide and fludarabine, followed by T cell 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 urothelial, melanoma or head and neck cancer.
Subjects will be seen frequently by the Study Physician after receiving their T cells for the next 6 months. After that, subjects will be seen every 3, 6, or 12 months according to the Schedule of Procedures. All subjects completing or withdrawing from the interventional portion of the study will enter a long term follow-up phase for observation of delayed adverse events and overall survival for 15 years post-infusion.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Autologous genetically modified MAGE A10ᶜ⁷⁹⁶T cells | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Autologous genetically modified MAGE A10ᶜ⁷⁹⁶T cells | Genetic | Infusion of autologous genetically modified MAGE A10ᶜ⁷⁹⁶T on Day 1 |
|
| Measure | Description | Time Frame |
|---|---|---|
| Number of subjects with adverse events (AE), including serious adverse events (SAE). | Determine if treatment with autologous genetically modified T cells, (MAGE A10ᶜ⁷⁹⁶T ) is safe and tolerable through laboratory assessments including chemistry, hematology and coagulation; and cardiac assessments, including ECG/troponin. | 3 years |
| Evaluation of the persistence of genetically modified T cells | Evaluation of the persistence of the infused T cells in the periphery. | 3 years |
| Measurement of RCL in genetically modified T cells. | Evaluation of RCL in Subject PBMCs using PCR-based assay. | 3 years |
| Assessment of dose limiting toxicities to determine optimally tolerated dose range | Evaluation of dose limiting toxicities will be performed using the CTCAE Version 4.0 | 3 years |
| Proportion of subjects with a confirmed Complete Response (CR) and/or Partial Response (PR). | Evaluation of the efficacy of the treatment by assessment of the Overall Response Rate according to RECIST v1.1 | 3 years |
| Interval between the date of first T cell infusion dose and first documented evidence of CR or PR. | Evaluation of the efficacy of the treatment by assessment of time to first response. | 3 years |
| Interval between the date of first documented evidence of CR or PR until first documented disease progression or death due to any cause. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| David Hong, MD | M.D. Anderson Cancer Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Massachusetts General Hospital | Boston | Massachusetts | 02114 | United States | ||
| Washington University - School of Medicine |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35372008 | Derived | Hong DS, Butler MO, Pachynski RK, Sullivan R, Kebriaei P, Boross-Harmer S, Ghobadi A, Frigault MJ, Dumbrava EE, Sauer A, Brophy F, Navenot JM, Fayngerts S, Wolchinsky Z, Broad R, Batrakou DG, Wang R, Solis LM, Duose DY, Sanderson JP, Gerry AB, Marks D, Bai J, Norry E, Fracasso PM. Phase 1 Clinical Trial Evaluating the Safety and Anti-Tumor Activity of ADP-A2M10 SPEAR T-Cells in Patients With MAGE-A10+ Head and Neck, Melanoma, or Urothelial Tumors. Front Oncol. 2022 Mar 18;12:818679. doi: 10.3389/fonc.2022.818679. eCollection 2022. |
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Evaluation of the efficacy of the treatment by assessment of duration of response. |
| 3 years |
| Interval between the date of first documented evidence of SD until first documented disease progression or death due to any cause. | Evaluation of the efficacy of the treatment by assessment of duration of stable disease. | 3 years |
| Interval between the date of first T cell infusion and the earliest date of disease progression or death due to any cause | Evaluation of the efficacy of the treatment by assessment of progression-free survival. | 3 years |
| Interval between the date of first T cell infusion and date of death due to any cause. | Evaluation of the efficacy of the treatment by assessment of overall survival. | 3 years |
| Number and % of subjects having any Long Term Follow Up Adverse Events (AEs) |
| 15 years post last treatment (infusion) |
| St Louis |
| Missouri |
| 63110 |
| United States |
| Roswell Park Cancer Institute | Buffalo | New York | 14263 | United States |
| Ohio State University Wexner Medical Center | Columbus | Ohio | 43210 | United States |
| Fox Chase Cancer Center | Philadelphia | Pennsylvania | 19111 | United States |
| Tennessee Oncology - Sarah Cannon Research Institute | Nashville | Tennessee | 37203 | United States |
| Vanderbilt - Ingram Cancer Center | Nashville | Tennessee | 37203 | United States |
| MD Anderson Cancer Center | Houston | Texas | 77030 | United States |
| Princess Margaret Cancer Centre | Toronto | Ontario | M5G1X6 | Canada |
| Start Madrid-FJD, Fundación Jimѐnez Díaz | Madrid | 28040 | Spain |
| Hospital Universitario 12 Octubre Avda. de Córdoba | Madrid | 28041 | Spain |
| ID | Term |
|---|---|
| D002295 | Carcinoma, Transitional Cell |
| D006258 | Head and Neck Neoplasms |
| D008545 | Melanoma |
| D009362 | Neoplasm Metastasis |
| D009369 | Neoplasms |
| ID | Term |
|---|---|
| D002277 | Carcinoma |
| D009375 | Neoplasms, Glandular and Epithelial |
| D009370 | Neoplasms by Histologic Type |
| D009371 | Neoplasms by Site |
| D018358 | Neuroendocrine Tumors |
| D017599 | Neuroectodermal Tumors |
| D009373 | Neoplasms, Germ Cell and Embryonal |
| D009380 | Neoplasms, Nerve Tissue |
| D018326 | Nevi and Melanomas |
| D012878 | Skin Neoplasms |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D009385 | Neoplastic Processes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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