Status:
RECRUITING
NY-ESO-1-redirected T Cells in Patients With Advanced Melanoma and Sarcoma
Lead Sponsor:
Centre Hospitalier Universitaire Vaudois
Conditions:
Advanced Melanoma
Melanoma Metastatic
Eligibility:
All Genders
18+ years
Phase:
PHASE1
Brief Summary
A single center, Phase I clinical trial to demonstrate safety and efficacy of LauT-1, autologous "New York Esophageal Squamous Cell Carcinoma-1 T-Cell Receptor (NY-ESO-1 TCR)-directed T cells in combi...
Detailed Description
In this study, the investigators target the cancer testis antigen NY-ESO-1, which is highly expressed in a subset of sarcoma and melanoma but is largely absent in normal tissues. The affinity enhanced...
Eligibility Criteria
Inclusion
- Inclusion criteria at pre-screening step-1 1) Patients with histologically confirmed advanced or metastatic cutaneous melanoma or any type of sarcoma.
- Inclusion criteria at pre-screening step-2
- 1\) Immunohistochemically documented NY-ESO-1 expression, defined as ≥ 1+ expression on either archival or fresh tumor tissue by immunohistochemistry, in ≥50% of the sampled tumor tissue.
- Inclusion criteria at screening
- Patients with sarcoma, who have received at least one line of standard therapy (if available) and failed to respond, progressed or were intolerant to that therapy, will be eligible. If the participant refuses or is, in the opinion of the investigator, ineligible for these treatments, the reason must be documented in the medical record.
- Patients with metastatic melanoma:
- Without proto-oncogene B-Raf (BRAF) mutation who have received at least one line of standard therapy and failed to respond, progressed or were intolerant to that therapy, will be eligible. If the participant refuses or is, in the opinion of the investigator, ineligible for these treatments, the reason must be documented in the medical record.
- With BRAF mutation who have received at least two lines of standard therapy and failed to respond, progressed or were intolerant to that therapy, will be eligible. If the participant refuses or is, in the opinion of the investigator, ineligible for these treatments, the reason must be documented in the medical record.
- Patient must be HLA-A\*0201 and/or HLA-A\*0205 positive, as identified by high-resolution genomic deoxyribonucleic acid (DNA) typing of the HLA-A locus.
- Age ≥ 18 years
- Able to undergo apheresis
- At least one lesion accessible to biopsy for translational research (TR) at D30, without putting the patient at unusual risk.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1.
- Life expectancy of greater than 12 weeks.
- Radiologically measurable disease (as per RECIST v1.1).
- Adequate organ function
- Exclusion Criteria:
- Patients with an active second malignancy
- Patients with symptomatic and/or untreated brain metastases, as well as leptomeningeal carcinomatosis. Patients with definitively treated brain metastases will be considered for enrolment after agreement with the Principal Investigator, as long as lesions are stable, there are no new brain lesions, and the patient does not require chronic corticosteroid treatment.
- History of idiopathic pulmonary fibrosis or evidence of active pneumonitis (any origin). History of radiation pneumonitis in the radiation field (fibrosis) is allowed.
- History of recent myocardial infarction, or unstable angina, within six months prior to enrolment
- Patients with prior allogeneic stem cell transplantation or organ transplantation
- Active severe systemic infections within 2 weeks prior to apheresis
- Patient requiring regular systemic immunosuppressive therapy. All immunosuppressive medications including but not limited to steroids, mycophenolate mofetil, azathioprine, methotrexate, thalidomide, and anti-Tumor Necrosis Factor-alpha (TNF-alpha) agents must have been discontinued at least 2 weeks before apheresis .
- History of severe immediate hypersensitivity reaction to any of the agents/ excipients of the study products.
- Women who are pregnant or breastfeeding because of the potentially dangerous effects of the treatment on the fetus or infant.
- Subjects, for whom there are concerns that they will not reliably comply with the requirements for contraception, should not be enrolled into the study.
- Any serious underlying medical condition that could interfere with study medication and potential adverse events.
Exclusion
Key Trial Info
Start Date :
March 24 2025
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
June 1 2029
Estimated Enrollment :
9 Patients enrolled
Trial Details
Trial ID
NCT06889766
Start Date
March 24 2025
End Date
June 1 2029
Last Update
April 20 2025
Active Locations (2)
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1
Centre Hospitalier Universitaire Vaudois (CHUV)
Lausanne, Canton of Vaud, Switzerland, 1011
2
Centre Hospitalier Universitaire Vaudois
Lausanne, Canton of Vaud, Switzerland, 1011