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98 participants will be randomly assigned 1:1 to the experimental group and the control group for the Phase II clinical trial,this trail is expected to be finished in 24 months
This study is to investigate the efficacy and safety of autologous tumor infiltrating lymphocyte (GC101 TIL) therapy versus investigator's choice of chemotherapy 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 cyclophosphamide and hydroxychloroquine.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| GC101 TIL group | 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 sintilimab. |
|
| Investigator's choice of chemotherapy | Active Comparator | monotherapy or combination of dacarbazine, temozolomide, paclitaxel,carboplatin or cisplatin, and the chemotherapy's dosage could refer to the drug label or the relevant treatment guideline, the final decision is up to investigator. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| GC101 TIL | Biological | Patients with advanced melanoma (excluding uveal melanoma) who have failed to PD-1 antibodies (if BRAF mutation is present, BRAF and MEK inhibitors have failed; if NRAS mutation is present, tunlametinib have failed) and are ineligible for resection |
| Measure | Description | Time Frame |
|---|---|---|
| Progression-free survival | Progression-free survival (PFS) confirmed by the Independent Review Committee (IRC) according to RECIST 1.1 | Every 6 weeks for 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Overall survival | Overall survival (OS) and OS rates at 6, 12, and 18 months | Maximum 2 years |
| Progression-free survival | PFS assessed by investigators according to RECIST 1.1 and PFS assessed by IRC and investigators according to iRECIST |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jun Guo, Prof. Dr. Med | Contact | 86-10-88121122 | guoj307@126.com | |
| Wei Shi | Contact | 86-21-69110327 | wei.shi1@juncell.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Beijing Cancer Hospital | Recruiting | Beijing | China |
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| ID | Term |
|---|---|
| D008545 | Melanoma |
| ID | Term |
|---|---|
| D018358 | Neuroendocrine Tumors |
| D017599 | Neuroectodermal Tumors |
| D009373 | Neoplasms, Germ Cell and Embryonal |
| D009370 | Neoplasms by Histologic Type |
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| ID | Term |
|---|---|
| D003606 | Dacarbazine |
| D000077204 | Temozolomide |
| D002945 | Cisplatin |
| ID | Term |
|---|---|
| D014226 | Triazenes |
| D009930 | Organic Chemicals |
| D007093 | Imidazoles |
| D001393 | Azoles |
| D006573 |
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| dacarbazine, temozolomide, paclitaxel ,platinum or cisplatin | Drug | monotherapy or combination of dacarbazine, temozolomide, paclitaxel, platinum or cisplatun, and the chemotherapy's dosage could refer to the drug label or the relevant treatment guideline, the final decision is up to investigator |
|
| Every 6 weeks for 12 months |
| Objective Response Rate | Objective Response Rate (ORR) assessed by IRC and investigators according to RECIST 1.1 and iRECIST | Maximum 360 days |
| Disease Control Rates | Disease Control Rates (DCR) assessed by IRC and investigators according to RECIST 1.1 and iRECIST | Every 6 weeks for 12 months |
| Duration of Response | Duration of Response (DoR) assessed by IRC and investigators according to RECIST 1.1 and iRECIST | Every 6 weeks for 12 months |
| Adverse Events | Incidence of adverse events associated with GC101 TIL retransfusion | Maximum 360 days |
| 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 |
| Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D017606 | Chlorine Compounds |
| D007287 | Inorganic Chemicals |
| D017672 | Nitrogen Compounds |
| D017671 | Platinum Compounds |