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This is a study to investigate the efficacy and safety of an infusion of IOV-4001 in adult participants with unresectable or metastatic melanoma or advanced non-small-cell lung cancer (NSCLC).
This study is the first-in-human study of IOV-4001, a genetically modified autologous tumor- infiltrating lymphocytes (TIL) product. IOV-4001 is expected to have antitumor activity through its capacity to directly target and kill tumor cells in a manner that is similar to non-genome-edited TIL, but with the potential for enhanced antitumor activity due to disruption of PDCD1, the gene for programmed cell death protein-1 (PD-1).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cohort 1 | Experimental | Participants with unresectable or metastatic melanoma |
|
| Cohort 2 | Experimental | Participants with Stage III or IV non-small-cell lung cancer |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| IOV-4001 | Biological | A tumor sample is resected from each participant and cultured ex-vivo to manufacture IOV-4001. After lymphodepleting chemotherapy including cyclophosphamide and fludarabine, participant is infused with IOV-4001, and followed by IL-2. |
| Measure | Description | Time Frame |
|---|---|---|
| Phase I: Safety of IOV-4001 | The safety of IOV-4001 will be assessed based on the totality of dose-limiting toxicity (DLT) and adverse event (AE) data collected during this phase | Up to 1 Year or depending on when the recommended phase 2 dose is determined |
| Phase 2: Objective Response Rate (ORR) | To evaluate the proportion of participants who have a confirmed complete response (CR) or partial response (PR) per RECIST v1.1 as assessed by the investigator | Up to 60 months |
| Measure | Description | Time Frame |
|---|---|---|
| CR Rate | To evaluate the proportion of participants who have a confirmed CR per RECIST v1.1 as assessed by the investigator | Up to 60 months |
| Duration of Response (DOR) | To evaluate the duration from the time that criteria are met for CR or PR per RECIST v1.1 as assessed by the investigator until disease progression or death due to any cause |
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Inclusion Criteria:
Participants must have a confirmed diagnosis of Stage IIIC, IIID, or IV unresectable or metastatic melanoma or Stage III or IV NSCLC.
Participants who have received the following previous therapy:
Cohort 1 (Melanoma): Participants who have progressed within 12 weeks of last dose of anti-PD-1/PD-L1 blocking antibody and received BRAF/MEK inhibitor in those with BRAF mutations.
Cohort 2 (NSCLC): Participants who should have received no more than 3 prior lines of therapy and:
those without oncogene-driven tumors: Have progressed within 12 weeks after last dose of anti-PD-1/PD-L1 blocking antibody
those with oncogene-driven tumors: Have progressed during/after ≥1 targeted therapy AND either:
Participants who have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
Participants who is assessed as having at least one resectable lesion.
Participants who have at least one measurable lesion, following resection of the lesion for IOV-4001 generation.
Participants who have adequate organ function.
Cardiac function test required.
Pulmonary function test may be required.
Participants of childbearing potential or those with partners of childbearing potential must be willing to practice an approved method of highly effective birth control during treatment and up to 12 months.
Participants who are >70 years of age may be allowed to enroll after the investigator discusses with the medical monitor.
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Iovance Biotherapeutics Study Team | Contact | 1-844-845-4682 | Clinical.Inquiries@iovance.com |
| Name | Affiliation | Role |
|---|---|---|
| Iovance Biotherapeutics Study Team | Iovance Biotherapeutics | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Angeles Clinic and Research Institute | Recruiting | Los Angeles | California | 90025 | United States | |
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| Up to 60 months |
| Disease Control Rate (DCR) | To evaluate the percentage of participants with a best overall confirmed response of CR or PR at any time plus stable disease (SD) per RECIST v1.1 as assessed by the investigator | Up to 60 months |
| Progression-free Survival (PFS) | To evaluate the time from the date of IOV-4001 infusion until disease progression per RECIST v1.1 as assessed by the investigator or death due to any cause | Up to 60 months |
| Overall Survival (OS) | To evaluate the time from the date of IOV-4001 infusion to death due to any cause. | Up to 60 months |
| Safety and Tolerability of IOV-4001 | This will be characterized by the severity, seriousness, relationship to study treatment, and characteristics of treatment-emergent adverse events (TEAEs). | Up to 60 months |
| Feasibility of IOV-4001 | This will be assessed by the proportion of participants who had tumor harvested and were treated without manufacturing delay or failure. | Up to 60 months |
| Sylvester Comprehensive Cancer Center |
| Recruiting |
| Miami |
| Florida |
| 33136 |
| United States |
| Orlando Health Cancer Institute | Recruiting | Orlando | Florida | 32610 | United States |
| Moffitt Cancer Center | Recruiting | Tampa | Florida | 33612 | United States |
| The University of Kansas Cancer Center | Recruiting | Westwood | Kansas | 66205 | United States |
| University of Louisville | Recruiting | Louisville | Kentucky | 40202 | United States |
| Weill Medical College of Cornell University | Recruiting | New York | New York | 10022 | United States |
| Memorial Sloan Kettering Cancer Center | Recruiting | New York | New York | 10065 | United States |
| University of Cincinnati | Recruiting | Cincinnati | Ohio | 45219 | United States |
| UPMC Hillman Cancer Center | Recruiting | Pittsburgh | Pennsylvania | 15232 | United States |
| Medical College of Wisconsin | Withdrawn | Milwaukee | Wisconsin | 53226 | United States |
| ID | Term |
|---|---|
| D008545 | Melanoma |
| D002289 | Carcinoma, Non-Small-Cell Lung |
| D001984 | Bronchial Neoplasms |
| D002277 | Carcinoma |
| D008171 | Lung Diseases |
| D008175 | Lung Neoplasms |
| D009369 | Neoplasms |
| D012878 | Skin Neoplasms |
| ID | Term |
|---|---|
| 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 |
| D009371 | Neoplasms by Site |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D002283 | Carcinoma, Bronchogenic |
| D012142 | Respiratory Tract Neoplasms |
| D013899 | Thoracic Neoplasms |
| D012140 | Respiratory Tract Diseases |
| D001982 | Bronchial Diseases |
| D009375 | Neoplasms, Glandular and Epithelial |
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