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20 participants are expected to be enrolled for the Phase Ib clinical trial,this trail is expected to be finished in 20 months.
This study is to investigate the safety and efficacy of tumor infiltrating lymphocyte (TIL) therapy in patients with advanced melanoma. Autologous TILs are expanded from tumor resections or biopsies and infused i.v. into the patient after NMA lymphodepletion treatment with hydroxychloroquine and cyclophosphamide.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Participants with advanced malignant melanoma using cryopreserved GC101 TIL | Experimental | A tumor sample is resected from each participant and cultured ex vivo to expand the population of autologous tumor infiltrating lymphocytes injection (GC101 TIL). After lymphodepletion, patients are infused GC101 TIL followed Pembrolizumab. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| GC101 TIL | Biological | Patients with advanced, recurrent or metastatic melanoma (excluding uveal melanoma) who have failed standard treatment such as PD-1 antibodies (if BRAF mutation is present, BRAF and MEK inhibitors have failed) and are ineligible for resection." |
| Measure | Description | Time Frame |
|---|---|---|
| Adverse Events | Incidence of adverse events associated with GC101 TIL retransfusion | Up to Day 28 |
| Objective Response Rate | Proportion of subjects in total cases in complete or partial response (RECIST v1.1 criteria) | Up to Day 90 |
| Measure | Description | Time Frame |
|---|---|---|
| Adverse Events | Incidence of adverse events associated with GC101 TIL retransfusion | Maximum 360 days |
| Objective Response Rate | Proportion of subjects in total cases in complete or partial response (RECIST v1.1 criteria) during the study |
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Inclusion Criteria:
Signed the informed consent form (ICF) and able to comply with the visits and related procedures specified in the protocol;
Aged ≥18 years and ≤75 years, regardless of gender;
Patients with unresectable advanced, recurrent or metastatic melanoma (excluding uveal melanoma) who have failed standard treatment with PD-1 antibodies, etc. (if BRAF mutation is carried, BRAF and MEK inhibitor treatment failure);
TILs can be isolated from a surgically resectable tumor region: the tissue volume must be >150mm3, and the lesion has not received local treatment (such as radiotherapy, radiofrequency ablation, oncolytic virus, etc.) or progressed after local treatment;
There are still at least 1 measurable lesion (according to RECIST1.1 criteria [see Appendix 4]) even after TIL sampling and resection of surgically resectable tissue;
ECOG performance status 0-1;
Expected survival time >3 months;
With sufficient hematology and end-organ function as defined by the following laboratory test results, the test results must be completed and issued within 7 days before tumor tissue collection:
* Premenopausal women who have not undergone sterilization surgery must agree to use effective contraception measures from the start of study treatment (preconditioning) to one year after cell infusion, and the serum pregnancy test during the screening period must be negative; *Men who have not undergone sterilization surgery must agree to use effective contraception measures from the start of study treatment (preconditioning) until one year after cell infusion;
No absolute or relative contraindications for surgery;
Any melanoma treatment methods, including radiotherapy, chemotherapy, endocrine therapy, targeted therapy, immunotherapy, tumor embolization, or traditional Chinese medicine/herbal medicine treatment with anti-tumor indications, must be stopped 28 days before infusion. If a small molecular targeted drug was used in the previous treatment, the withdrawal time can be shortened to 5 half-lives of the drug used;
Good compliance and able to adhere to the study visit plan and other agreement requirements.
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jun Guo | Peking University Cancer Hospital & Institute | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Beijing Cancer Hospital | Beijing | China |
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| ID | Term |
|---|---|
| D008545 | Melanoma |
| D064420 | Drug-Related Side Effects and Adverse Reactions |
| ID | Term |
|---|---|
| D018358 | Neuroendocrine Tumors |
| D017599 | Neuroectodermal Tumors |
| D009373 | Neoplasms, Germ Cell and Embryonal |
| D009370 | Neoplasms by Histologic Type |
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| Maximum 360 days |
| Best overall response | Optimal efficacy recorded from the start of treatment until disease progression or relapse (RECIST v1.1 and iRECIST) | Maximum 360 days |
| Disease Assessment for Disease Control Rate | Evaluate the efficacy endpoints of DCR by the investigator with RECIST v1.1 and iRECIST | Every 6 weeks for 12 months |
| Disease Assessment for Progression-Free Survival | Evaluate the efficacy endpoints of PFS by the investigator with RECIST v1.1 and iRECIST | Every 6 weeks for 12 months |
| Disease Assessment for Duration of Response | Evaluate the efficacy endpoints of DOR by the investigator with RECIST v1.1 and iRECIST | Every 6 weeks for 12 months |
| Immunologic competence | TBNK cell subtypes and cytokines in peripheral blood | Every 6 weeks for 12 months |
| Quality of Life Assessmen | EORTC Quality of Life Questionnaire - Core 30, Questions rated between 1-4, self-rated 1-7, higher scores mean a better outcome. | Every 6 weeks for 12 months |
| D009369 | Neoplasms |
| D009380 | Neoplasms, Nerve Tissue |
| D018326 | Nevi and Melanomas |
| D012878 | Skin Neoplasms |
| D009371 | Neoplasms by Site |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D064419 | Chemically-Induced Disorders |