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The study's 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).
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 IMA203 or 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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dose Escalation A (closed to enrollment) | Experimental | Dose escalation of IMA203 |
|
| Extension Cohort A | Experimental | IMA203 at RP2D |
|
| Extension Cohort B (closed to enrollment) | Experimental | IMA203 at RP2D + nivolumab |
|
| Extension Cohort AA | Experimental | IMA203 at final RP2D (flat dose) |
|
| Uveal Melanoma | Experimental | IMA203 at RP2D |
|
| Dose Escalation B | Experimental | Dose escalation of IMA203CD8 |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| IMA203 Product | Biological | The cell dose will be based on viable CD3+CD8+ HLA- Dextramer+ cells per body surface area (BSA) as defined by the Mosteller formula |
|
| Measure | Description | Time Frame |
|---|---|---|
| Phase 1: Determine the MTD and/or recommended dose for extension for IMA203/IMA203CD8 | Number of patients with dose-limiting toxicities (DLTs) | 28 days |
| Phase 1 and Phase 2: Number and grade of treatment emergent adverse events and adverse events of special interest in subjects treated. | Treatment emergent adverse events (TEAEs), Adverse events of special interest (AESIs) and Treatment-emergent serious adverse events (TESAEs). | 35 days |
| Phase 1 and Phase 2: Tumor Response | Objective response rate (ORR) based on best overall response (BOR) of complete response (CR) and partial response (PR) centrally assessed (by a BICR1) using RECIST1.1 | 5 years |
| Measure | Description | Time Frame |
|---|---|---|
| Phase 1 and 2: Persistence of TCR engineered T-cells | Measurement of TCR-engineered T cells in peripheral blood | up to 5 years post treatment |
| Phase 1 and 2: Tumor response | Overall response rate, duration of response, disease control rate and progression free survival based on Response Evaluation Criteria In Solid Tumors (RECIST) 1.1. Overall survival. |
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Inclusion Criteria:
Exclusion Criteria:
Other protocol defined inclusion/exclusion criteria could apply
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Immatics US, Inc. | Contact | +1 346 204-5400 | ctgovinquiries@immatics.com |
| Name | Affiliation | Role |
|---|---|---|
| Cedrik Britten, M.D. | Immatics US, Inc. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Stanford Cancer Institute | Recruiting | Stanford | California | 94305 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40205198 | Derived | Wermke M, Araujo DM, Chatterjee M, Tsimberidou AM, Holderried TAW, Jazaeri AA, Reshef R, Bokemeyer C, Alsdorf W, Wetzko K, Brossart P, Aslan K, Backert L, Bunk S, Fritsche J, Gulde S, Hengler S, Hilf N, Hossain MB, Hukelmann J, Kalra M, Krishna D, Kursunel MA, Maurer D, Mayer-Mokler A, Mendrzyk R, Mohamed A, Pozo K, Satelli A, Letizia M, Schuster H, Schoor O, Wagner C, Rammensee HG, Reinhardt C, Singh-Jasuja H, Walter S, Weinschenk T, Luke JJ, Britten CM. Autologous T cell therapy for PRAME+ advanced solid tumors in HLA-A*02+ patients: a phase 1 trial. Nat Med. 2025 Jul;31(7):2365-2374. doi: 10.1038/s41591-025-03650-6. Epub 2025 Apr 9. |
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|
| Extension Cohort C | Experimental | IMA203CD8 at dose levels confirmed to be safe |
|
| Extension Cohort D | Experimental | IMA203CD8 at dose levels confirmed to be safe; without IL-2 |
|
| Ovarian | Experimental | IMA203CD8 monotherapy at dose levels confirmed to be safe |
|
| Endometrial | Experimental | IMA203CD8 monotherapy at dose levels confirmed to be safe |
|
| Head and Neck, Lung, and Triple Negative Breast Cancer | Experimental | IMA203CD8 monotherapy at dose levels confirmed to be safe |
|
| Rare Cancers | Experimental | IMA203CD8 monotherapy at dose levels confirmed to be safe |
|
|
| IMA203 product- flat dose | Biological | The cell dose will be based on viable CD3+CD8+ HLA- Dextramer+ cells |
|
|
| IMA203CD8 Product | Biological | The cell dose will be based on viable CD3+CD8+ HLA- Dextramer+ cells per body surface area (BSA) as defined by the Mosteller formula |
|
| Nivolumab | Drug | Nivolumab will be given post IMA203/IMA203CD8 infusion, after hematologic recovery is achieved. Clinical supply provided by Bristol Myers Squibb. |
|
|
| IMADetect® | Device | IMADetect® is developed as a companion diagnostic to aid in selecting patients with relapsed and/or refractory solid cancers who might be eligible for enrollment in Immatics clinical trials. |
|
| up to 5 years |
| Phase 2: Patient reported quality of life | Quality of Life questionnaires (European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 30 and EuroQol 5-Dimension 5-Level questionnaire). Higher score indicates worsening of patient's condition. | up to 5 years |
| University of Colorado, Anschutz Medical Campus | Recruiting | Aurora | Colorado | 80045 | United States |
|
| University of Miami Hospital and Clinics | Recruiting | Miami | Florida | 33136 | United States |
|
| University of Chicago Medical Center | Recruiting | Chicago | Illinois | 60637 | United States |
|
| Massachusetts General Hospital | Recruiting | Boston | Massachusetts | 02114 | United States |
|
| Memorial Sloan Kettering Cancer Center | Recruiting | New York | New York | 10065 | United States |
|
| Ohio State University Wexner Medical Center Gynecologic Oncology at Mill Run | Recruiting | Columbus | Ohio | 43026 | United States |
|
| University of Pennsylvania, Perelamn Center for Advanced Medicine | Recruiting | Philadelphia | Pennsylvania | 19104 | United States |
|
| Thomas Jefferson University, Honickman Center | Recruiting | Philadelphia | Pennsylvania | 19107 | United States |
|
| Fox Chase Cancer Center | Recruiting | Philadelphia | Pennsylvania | 19111 | United States |
|
| University of Pittsburgh Medical Center | Recruiting | Pittsburgh | Pennsylvania | 15232 | United States |
|
| University of Texas MD Anderson Cancer Center | Recruiting | Houston | Texas | 77030 | United States |
|
| Fred Hutchinson Cancer Center | Recruiting | Seattle | Washington | 98109 | United States |
|
| Universitätsklinikum Heidelberg, Nationales Centrum für Tumorerkrankungen (NCT) | Recruiting | Heidelberg | Baden-Wurttemberg | 69120 | Germany |
| Klinikum rechts der Isar der Technischen Universität München | Recruiting | Munich | Bavaria | 81675 | Germany |
| Universitätsklinikum Würzburg | Recruiting | Würzburg | Bavaria | 97080 | Germany |
| Universitätsklinikum Bonn - Medizinische Klinik III | Recruiting | Bonn | North Rhine-Westphalia | 53127 | Germany |
| Universitätsmedizin der Johannes Gutenberg-Universität Mainz | Recruiting | Mainz | Rhineland-Palatinate | 55131 | Germany |
| Universitätsklinikum C.-G.-Carus Dresden | Recruiting | Dresden | Saxony | 01307 | Germany |
| Charité Benjamin Franklin - Klinik für Hämatologie und Onkologie | Recruiting | Berlin | 12203 | Germany |
| Universitätsklinikum Hamburg-Eppendorf | Recruiting | Hamburg | 20246 | Germany |
| ID | Term |
|---|---|
| D009369 | Neoplasms |
| D012008 | Recurrence |
| D008545 | Melanoma |
| D000098943 | Uveal Melanoma |
| D010051 | Ovarian Neoplasms |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D018358 | Neuroendocrine Tumors |
| D017599 | Neuroectodermal Tumors |
| D009373 | Neoplasms, Germ Cell and Embryonal |
| D009370 | Neoplasms by Histologic Type |
| D009380 | Neoplasms, Nerve Tissue |
| D018326 | Nevi and Melanomas |
| D012878 | Skin Neoplasms |
| D009371 | Neoplasms by Site |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D014604 | Uveal Neoplasms |
| D005134 | Eye Neoplasms |
| D005128 | Eye Diseases |
| D014603 | Uveal Diseases |
| D004701 | Endocrine Gland Neoplasms |
| D010049 | Ovarian Diseases |
| D000291 | Adnexal Diseases |
| D005831 | Genital Diseases, Female |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D005833 | Genital Neoplasms, Female |
| D014565 | Urogenital Neoplasms |
| D000091662 | Genital Diseases |
| D004700 | Endocrine System Diseases |
| D006058 | Gonadal Disorders |
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| ID | Term |
|---|---|
| D000077594 | Nivolumab |
| ID | Term |
|---|---|
| D061067 | Antibodies, Monoclonal, Humanized |
| D000911 | Antibodies, Monoclonal |
| D000906 | Antibodies |
| D007136 | Immunoglobulins |
| D007162 | Immunoproteins |
| D001798 | Blood Proteins |
| D011506 | Proteins |
| D000602 | Amino Acids, Peptides, and Proteins |
| D012712 | Serum Globulins |
| D005916 | Globulins |
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