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This trial will evaluate safety and efficacy of human engineered T-cell therapies, in participants with advanced tumors.
New York esophageal antigen-1 (NY-ESO-1) and LAGE-1a antigens are tumor-associated proteins that have been found in several tumor types. Clinical trials using adoptively transferred T cells directed against NY-ESO-1/LAGE-1a have shown objective responses. Letetresgene autoleucel (lete-cel, GSK3377794) is the first generation of NY-ESO-1 specific T-cell receptor engineered T cells. This is a master protocol investigating T-cell therapies. It will initially consist of a core protocol with two independent substudies investigating Letetresgene autoleucel in previously untreated (1L) Human Leukocyte Antigen (HLA)-A*02+ participants with NY-ESO-1+ advanced (metastatic or unresectable) synovial sarcoma (SS) or myxoid/round cell liposarcoma (MRCLS) (Substudy 1) and Letetresgene autoleucel as second line or higher (2L+) treatment in HLA-A*02+ participants with NY-ESO-1+ advanced (metastatic or unresectable) SS or MRCLS who have progressed following treatment with anthracycline based chemotherapy (Substudy 2).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Substudy 1: lete-cel in previously untreated advanced (metastatic or unresectable) SS or MRCLS | Experimental | Eligible participants will be leukapheresed to manufacture engineered T cells. Participants will then receive letetresgene autoleucel. |
|
| Substudy 2: lete-cel in advanced (metastatic or unresectable) SS or MRCLS post anthracycline chemo | Experimental | Eligible participants will be leukapheresed to manufacture engineered T cells. Participants will then receive letetresgene autoleucel. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Letetresgene autoleucel (lete-cel, GSK3377794) | Drug | letetresgene autoleucel will be administered. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Substudy 1: Overall response rate (ORR) | Overall response rate is defined as the percentage of participants with a confirmed complete response (CR) or partial response (PR) relative to the total number of participants within the analysis population at any time per Response Evaluation Criteria in Solid Tumors (RECIST) version (v) 1.1. as determined by the local investigators. | Until disease progression (up to 5 years) |
| Substudy 2: Overall response rate (ORR) as assessed by central independent review | Overall response rate is defined as the percentage of participants with a confirmed CR or PR relative to the total number of participants within the analysis population at any time per RECIST v1.1. as assessed by central independent review. | Up to 5 years |
| Measure | Description | Time Frame |
|---|---|---|
| Substudy 1 and 2: Time to response (TTR) | Time to response is defined as time from date of T-cell administration to first documented evidence of confirmed (CR or PR) as assessed by local investigators per RECIST v1.1. | Until disease progression (up to 5 years) |
| Substudy 1 and 2: Duration of response (DOR) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Michael Nathenson, MD | USWM CT, LLC | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| City of Hope National Medical Center | Duarte | California | 91010 | United States | ||
| Stanford Hospital and Clinics |
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This will be an open-label study. Hence, there will be no masking.
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| Fludarabine | Drug | Fludarabine will be used as the lymphodepleting chemotherapy |
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| Cyclophosphamide | Drug | Cyclophosphamide will be used as the lymphodepleting chemotherapy. |
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Duration of response is defined as, in the subset of participants who show a confirmed CR or PR as assessed by local investigators, the time from first documented evidence of CR or PR until the first documented sign of disease progression or death. |
| Until disease progression (up to 5 years) |
| Substudy 1 and 2: Disease control rate (DCR) | Disease control rate is defined as the percentage of participants with a confirmed CR, PR, or stable disease (SD) with minimal 12 weeks duration relative to the total number of participants within the analysis population at the time of primary analysis as determined by Investigators per RECIST v1.1. | Until disease progression (up to 5 years) |
| Substudy 1 and 2: Progression free survival (PFS) | Progression free survival is defined as the time from the date of T-cell administration until first documented sign of disease progression per RECIST v1.1, or death. | Until disease progression (up to 5 years) |
| Substudy 1 and 2: Frequency of adverse events (AEs), serious adverse events (SAEs) and AEs of special interest (AESI) according to severity | AEs, SAEs and AESIs will be collected. Severity of AEs and SAEs will be summarized using National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE), version 5.0. | Until disease progression (up to 5 years) |
| Substudy 1 and 2: Number of participants with replication competent lentivirus (RCL) | RCL exposure will be assessed by polymerase chain reaction (PCR) based assay. | Until disease progression (up to 5 years) |
| Substudy 1 and 2: Number of participants with insertional oncogenesis (IO) | Peripheral blood mononuclear cells (PBMC) samples will be collected for monitoring insertional oncogenesis by PCR for gene modified cells in the blood. | Until disease progression (up to 5 years) |
| Substudy 2: Number of participants with clinically significant changes in hematology, clinical chemistry and urinalysis parameters | Blood and urine samples will be collected for assessment of hematology, clinical chemistry and urinalysis parameters. | Until disease progression (up to 5 years) |
| Substudy 1 and 2: Maximum transgene expansion (Cmax) of letetresgene autoleucel | Whole blood samples will be collected at indicated time points for evaluation of Cmax. | Until disease progression (up to 5 years) |
| Substudy 1 and 2: Time to Cmax (Tmax) of letetresgene autoleucel | Whole blood samples will be collected at indicated time points for evaluation of Tmax. | Until disease progression (up to 5 years) |
| Substudy 1 and 2: Area under the concentration/persistence time curve from zero to time t (AUC[0-t]) of letetresgene autoleucel | Whole blood samples will be collected at indicated time points for evaluation of AUC(0-t). | Until disease progression (up to 5 years) |
| Substudy 2: Overall response rate (ORR) as determined by the local investigators | Overall response rate is defined as the percentage of participants with a confirmed CR or PR relative to the total number of participants within the analysis population at any time per RECIST v1.1. as determined by the local investigators. | Up to 5 years |
| Substudy 2: Overall Survival (OS) | Overall Survival is defined as the interval of time between the date of T-cell infusion and the date of death. | Up to 5 years |
| Substudy 2: Number of participants with positive anti-drug antibodies (ADA) and titers of ADA against letetresgene autoleucel | Serum samples will be collected to analyze for the presence of ADAs using validated immunoassays. | Up to 36 months |
| Stanford |
| California |
| 94305 |
| United States |
| Sarah Cannon Research Institute | Denver | Colorado | 80218 | United States |
| Mayo Clinic Jacksonville | Jacksonville | Florida | 32224 | United States |
| University of Chicago | Chicago | Illinois | 60637 | United States |
| University of Iowa College of Medicine | Iowa City | Iowa | 52242-1009 | United States |
| Dana Farber Cancer Institute | Boston | Massachusetts | 02114 | United States |
| Massachusetts General Hospital | Boston | Massachusetts | 02114 | United States |
| University of Michigan Medical Center | Ann Arbor | Michigan | 48109 | United States |
| Minnesota Oncology Hematology | Minneapolis | Minnesota | 55455 | United States |
| Mayo Clinic Rochester | Rochester | Minnesota | 55905 | United States |
| Washington University | St Louis | Missouri | 63110 | United States |
| Memorial Sloan Kettering cancer center | New York | New York | 10065 | United States |
| Duke University Medical Center | Durham | North Carolina | 27710 | United States |
| Ohio State University-Columbus | Columbus | Ohio | 43210 | United States |
| Oregon Health and Science University | Portland | Oregon | 97239 | United States |
| University of Pittsburgh, Hillman Cancer Centre | Pittsburgh | Pennsylvania | 15232 | United States |
| Sarah Cannon Research Institute | Nashville | Tennessee | 37203 | United States |
| University Of Texas Southwestern Medical Center | Dallas | Texas | 75390-8565 | United States |
| University of Texas Southwestern Medical Center | Dallas | Texas | 75390-9063 | United States |
| University of Utah | Salt Lake City | Utah | 84112 | United States |
| Virginia Commonwealth University | Richmond | Virginia | 23298 | United States |
| Fred Hutchinson Cancer Research | Seattle | Washington | 98109-1024 | United States |
| Froedtert Hospital | Milwaukee | Wisconsin | 53226 | United States |
| Princess Margaret Cancer Centre | Toronto | Ontario | M5G 2M9 | Canada |
| CIUSSS de L'Est-De-Lile-De-Montreal | Montreal | Quebec | H1T 2M4 | Canada |
| Centre Léon Bérard | Lyon | 69373 | France |
| CHU de Bordeaux GH Sud Hôpital Haut Lévêque | Pessac | 33604 | France |
| Fondazione IRCCS Instituto Nazionale Dei Tumori | Milan | Lombardy | 20133 | Italy |
| Ircss Istituto Clinico Humanitas | Rozzano (MI) | Lombardy | 20089 | Italy |
| The Netherlands Cancer Institute | Amsterdam | 1066 CX | Netherlands |
| Hospital Santa Creu Y Sant Pau | Barcelona | 08025 | Spain |
| Ico Duran y Reynals l'Hospitalet de Llobrega | Hospitalet de Llobregat, Barcelona | 08907 | Spain |
| Hospital Universitario Fundación Jiménez Díaz | Madrid | 28040 | Spain |
| Hospital Virgen Del Rocio | Seville | 41013 | Spain |
| Royal Marsden Hospital | London | SW3 6JJ | United Kingdom |
| University College Hospital-London | London | WC1E 6AG | United Kingdom |
| Christie Hospital NHS Foundation Trust | Manchester | M20 4BX | United Kingdom |
| ID | Term |
|---|---|
| D009369 | Neoplasms |
| D013584 | Sarcoma, Synovial |
| D018208 | Liposarcoma, Myxoid |
| ID | Term |
|---|---|
| D009372 | Neoplasms, Connective Tissue |
| D018204 | Neoplasms, Connective and Soft Tissue |
| D009370 | Neoplasms by Histologic Type |
| D012509 | Sarcoma |
| D008080 | Liposarcoma |
| D018205 | Neoplasms, Adipose Tissue |
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| ID | Term |
|---|---|
| C024352 | fludarabine |
| D003520 | Cyclophosphamide |
| ID | Term |
|---|---|
| D010752 | Phosphoramide Mustards |
| D009588 | Nitrogen Mustard Compounds |
| D009150 | Mustard Compounds |
| D006846 | Hydrocarbons, Halogenated |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
| D063088 | Phosphoramides |
| D009943 | Organophosphorus Compounds |
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