C-TIL051 in Non-Small Cell Lung Cancer

a study on Lung Cancer Non-Small Cell Lung Cancer Lung Tumor

Summary

Eligibility
for people ages 18 years and up (full criteria)
Location
at UCSD
Dates
study started
completion around

Description

Summary

The goal of this Phase 1 clinical study is test tumor infiltrating lymphocytes (known as C-TIL051) with NKTR-255 and anti-PD1 therapy for subjects with refractory non-small cell lung cancer.

The purpose of this study is to:

  1. Test the safety and ability for subjects to tolerate the TIL therapy
  2. Measure to see how the NSCLC responds to the TIL therapy

Participants will be asked to:

  • Provide a tumor sample prior to the start of any treatment which will be used to make the C-TIL051.
  • Receive standard of care treatment until their lung cancer no longer responds
  • When necessary, the C-TIL051 will be manufactured by the sponsor and sent back to the site
  • Subject will then receive chemotherapy (called lymphodepletion) for 3 days followed by 2 days of rest
  • C-TIL051 will then be infused on day 0 followed by NKTR-255 (IL-15) about 12 to 24 hours later
  • Pembrolizumab will be administered every 3 weeks for up to 2 years

NKTR-255 is a novel polymer-conjugated human IL-15 receptor agonist molecule designed to increase the proliferation and survival of memory CD8+ T cells and enhance the formation of long-term immunological memory which may lead to sustained anti-cancer immune response. The combination of NKTR 255 and TIL's could improve proliferation and persistence of cellular therapies leading to enhanced anti-tumor activity.

Official Title

C-TIL051 in Anti-PD1 Resistant Metastatic Non-Small Cell Lung Cancer

Keywords

Metastatic Non Small Cell Lung Cancer, Lung Neoplasms, Non-Small-Cell Lung Carcinoma, Pembrolizumab, C-TIL051

Eligibility

You can join if…

Open to people ages 18 years and up

  • Able to understand and give written informed consent
  • Histologically and cytologically confirmed diagnosis of stage IV or recurrent non-small cell lung cancer (NSCLC) with adenocarcinoma or squamous histology
  • Planned for treatment with an anti-PD1 agent
  • Tumor accessible by surgery, previously not irradiated and ≥ 1.5 cm in diameter
  • Measurable disease after resection of tumor by RECIST 1.1
  • ECOG ≤ 1
  • Expected survival > 6 months
  • Adequate organ and marrow function
  • ECHO, MUGA or cardiac stress test within past 6 months showing LVEF >50% and without evidence of reversible ischemia
  • Pulmonary function tests within past 6 months showing DLCO >50% of predicted

You CAN'T join if...

  • Previous treatment with PD1/PDL1 inhibitor for metastatic disease, Immune checkpoint blockade (ICB) given as part of definitive therapy for stage Ib-III disease with surgery or after chemo/radiation is acceptable if last dose of ICB is at least 6 months prior to enrollment in this study.
  • Known driver mutations such as EGFR, ALK, ROS1, RET, METex14, and NTRK alterations.
  • Current or prior use of any immunosuppressive medications within 14 days before tumor harvest
  • Known active CNS metastases which are symptomatic
  • History of leptomeningeal metastases
  • Uncontrolled intercurrent illness
  • Known history of HIV+ or AIDS, hepatitis C, acute or chronic active hepatitis B or other serious chronic infection
  • Live vaccine within 30 days of tumor harvest
  • History of allogeneic organ transplant
  • History of primary immunodeficiency
  • Hypersensitivity to anti-PD1 agent, cyclophosphamide, fludarabine, interleukin-2, gentamicin, or any excipient
  • Any condition that may interfere with evaluation of study treatment, safety or study results
  • Active infection that requires IV antibiotics within 7 days of tumor harvest
  • Unresolved greater than grade 1 toxicity (CTCAE v5.0) from previous therapy
  • History of interstitial pneumonitis of autoimmune etiology that is symptomatic or requires treatment
  • Pulmonary disease history requiring escalating amounts of oxygen > 2L
  • Known autoimmune conditions requiring systemic immune suppression therapy other than low dose prednisone or equivalent.
  • Other malignancy, other than cutaneous localized) that required active treatment in the last 2 years.
  • Women who are pregnant or lactating
  • Women of childbearing potential or fertile men who are unwilling to use effective contraception during study and 6 months after treatment

Locations

  • UC San Diego Moores Cancer Center accepting new patients
    La Jolla California 92093 United States
  • Ochsner MD Anderson Cancer Center accepting new patients
    New Orleans Louisiana 70121 United States
  • Allegheny Health Network-West Penn Hospital accepting new patients
    Pittsburgh Pennsylvania 15224 United States
  • Duke Center for Cancer Immunotherapy accepting new patients
    Raleigh North Carolina 27710 United States

Details

Status
accepting new patients
Start Date
Completion Date
(estimated)
Sponsor
AbelZeta, Inc.
ID
NCT05676749
Phase
Phase 1 research study
Study Type
Interventional
Participants
Expecting 20 study participants
Last Updated