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A Study to Investigate the Efficacy and Safety of an Infusion of IOV-4001 in Adult Participants With Unresectable or Metastatic Melanoma or Stage III or IV Non-small-cell Lung Cancer

Primary Purpose

Unresectable Melanoma, Metastatic Melanoma, Stage III Non-small Cell Lung Cancer

Status
Recruiting
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
IOV-4001
Sponsored by
Iovance Biotherapeutics, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Unresectable Melanoma focused on measuring Tumor Infiltrating Lymphocytes, TIL, Unresectable Melanoma, Metastatic Melanoma, Stage III Non-small-cell lung cancer, Stage IV Non-small-cell lung cancer, PD-1 Knockout, Cell Therapy, Autologous Adoptive Cell Therapy, Cellular Immuno-therapy, IL-2, Non Small Cell Lung Cancer, NSCLC, Second line Lung Cancer, Bronchial Neoplasms, Carcinoma, Lung Disease, Metastatic Lung Cancer, Metastatic Non Small Cell Lung Cancer, Lung Carcinoma, PD-L1, Stage IV Cancer, Stage IV Lung Cancer, Stage IV NSCLC, Systemic Therapy, 2nd line therapy, Second line therapy, CPI, Check point inhibitor, Metastatic NSCLC, NSCLC Recurrent, Recurrent Lung Cancer, Recurrent Lung Carcinoma, Autologous Adoptive Cell Transfer, Melanoma, Lifileucel, Stage III Melanoma, Stage IV Melanoma, Skin cancer, Skin cancer types, Malignant melanoma

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  1. Participants must have a confirmed diagnosis of Stage IIIC, IIID, or IV unresectable or metastatic melanoma (Cohort 1) or Stage III or IV NSCLC (Cohort 2).
  2. Participants who have received the following previous therapy:

    1. 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.
    2. 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:

        • platinum doublet chemotherapy
        • Or within 12 weeks after last dose of anti-PD-1/PD-L1 blocking antibody
  3. Participants who have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
  4. Participants who is assessed as having at least one resectable lesion.
  5. Participants who have at least one measurable lesion, following resection of the lesion for IOV-4001 generation.
  6. Participants who have adequate organ function.
  7. Cardiac function test required.
  8. Pulmonary function test may be required.
  9. 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.

Exclusion Criteria:

  1. Participants who have melanoma of uveal/ocular origin.
  2. Participants who have symptomatic untreated brain metastases.
  3. Participants who have had a history of allogeneic organ transplant or any form of cell therapy involving prior conditioning chemotherapy within the past 20 years.
  4. Participants who require systemic steroid therapy > 10 mg/day prednisone or another steroid equivalent dose.
  5. Participants who have any form of primary immunodeficiency.
  6. Participants who have another primary malignancy within the previous 3 years.
  7. Participants who have received or will receive a live or attenuated vaccination within 28 days prior to the start of the NMA-LD.

Sites / Locations

  • The Angeles Clinic and Research InstituteRecruiting
  • Orlando Health Cancer InstituteRecruiting
  • Moffitt Cancer CenterRecruiting
  • The University of Kansas Cancer CenterRecruiting
  • University of LouisvilleRecruiting
  • Memorial Sloan Kettering Cancer CenterRecruiting
  • University of CincinnatiRecruiting
  • Medical College of WisconsinRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Cohort 1

Cohort 2

Arm Description

Participants with unresectable or metastatic melanoma

Participants with Stage III or IV non-small-cell lung cancer

Outcomes

Primary Outcome Measures

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
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

Secondary Outcome Measures

CR Rate
To evaluate the proportion of participants who have a confirmed CR per RECIST v1.1 as assessed by the investigator
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
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
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
Overall Survival (OS)
To evaluate the time from the date of IOV-4001 infusion to death due to any cause.
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), including serious adverse events (SAEs), study intervention-related adverse events (AEs), and AEs.
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.

Full Information

First Posted
April 29, 2022
Last Updated
August 21, 2023
Sponsor
Iovance Biotherapeutics, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT05361174
Brief Title
A Study to Investigate the Efficacy and Safety of an Infusion of IOV-4001 in Adult Participants With Unresectable or Metastatic Melanoma or Stage III or IV Non-small-cell Lung Cancer
Official Title
A Phase 1/2, Open-label Study of PD-1 Knockout Tumor-infiltrating Lymphocytes (IOV-4001) in Participants With Unresectable or Metastatic Melanoma or Stage III or IV Non-small-cell Lung Cancer
Study Type
Interventional

2. Study Status

Record Verification Date
August 2023
Overall Recruitment Status
Recruiting
Study Start Date
July 20, 2022 (Actual)
Primary Completion Date
June 2025 (Anticipated)
Study Completion Date
June 2027 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Iovance Biotherapeutics, Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
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).
Detailed Description
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).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Unresectable Melanoma, Metastatic Melanoma, Stage III Non-small Cell Lung Cancer, Stage IV Non-small Cell Lung Cancer
Keywords
Tumor Infiltrating Lymphocytes, TIL, Unresectable Melanoma, Metastatic Melanoma, Stage III Non-small-cell lung cancer, Stage IV Non-small-cell lung cancer, PD-1 Knockout, Cell Therapy, Autologous Adoptive Cell Therapy, Cellular Immuno-therapy, IL-2, Non Small Cell Lung Cancer, NSCLC, Second line Lung Cancer, Bronchial Neoplasms, Carcinoma, Lung Disease, Metastatic Lung Cancer, Metastatic Non Small Cell Lung Cancer, Lung Carcinoma, PD-L1, Stage IV Cancer, Stage IV Lung Cancer, Stage IV NSCLC, Systemic Therapy, 2nd line therapy, Second line therapy, CPI, Check point inhibitor, Metastatic NSCLC, NSCLC Recurrent, Recurrent Lung Cancer, Recurrent Lung Carcinoma, Autologous Adoptive Cell Transfer, Melanoma, Lifileucel, Stage III Melanoma, Stage IV Melanoma, Skin cancer, Skin cancer types, Malignant melanoma

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
53 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Cohort 1
Arm Type
Experimental
Arm Description
Participants with unresectable or metastatic melanoma
Arm Title
Cohort 2
Arm Type
Experimental
Arm Description
Participants with Stage III or IV non-small-cell lung cancer
Intervention Type
Biological
Intervention Name(s)
IOV-4001
Intervention Description
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.
Primary Outcome Measure Information:
Title
Phase I: Safety of IOV-4001
Description
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
Time Frame
Up to 1 Year or depending on when the recommended phase 2 dose is determined
Title
Phase 2: Objective Response Rate (ORR)
Description
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
Time Frame
Up to 60 months
Secondary Outcome Measure Information:
Title
CR Rate
Description
To evaluate the proportion of participants who have a confirmed CR per RECIST v1.1 as assessed by the investigator
Time Frame
Up to 60 months
Title
Duration of Response (DOR)
Description
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
Time Frame
Up to 60 months
Title
Disease Control Rate (DCR)
Description
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
Time Frame
Up to 60 months
Title
Progression-free Survival (PFS)
Description
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
Time Frame
Up to 60 months
Title
Overall Survival (OS)
Description
To evaluate the time from the date of IOV-4001 infusion to death due to any cause.
Time Frame
Up to 60 months
Title
Safety and Tolerability of IOV-4001
Description
This will be characterized by the severity, seriousness, relationship to study treatment, and characteristics of treatment-emergent adverse events (TEAEs), including serious adverse events (SAEs), study intervention-related adverse events (AEs), and AEs.
Time Frame
Up to 60 months
Title
Feasibility of IOV-4001
Description
This will be assessed by the proportion of participants who had tumor harvested and were treated without manufacturing delay or failure.
Time Frame
Up to 60 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Participants must have a confirmed diagnosis of Stage IIIC, IIID, or IV unresectable or metastatic melanoma (Cohort 1) or Stage III or IV NSCLC (Cohort 2). 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: platinum doublet chemotherapy Or within 12 weeks after last dose of anti-PD-1/PD-L1 blocking antibody 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. Exclusion Criteria: Participants who have melanoma of uveal/ocular origin. Participants who have symptomatic untreated brain metastases. Participants who have had a history of allogeneic organ transplant or any form of cell therapy involving prior conditioning chemotherapy within the past 20 years. Participants who require systemic steroid therapy > 10 mg/day prednisone or another steroid equivalent dose. Participants who have any form of primary immunodeficiency. Participants who have another primary malignancy within the previous 3 years. Participants who have received or will receive a live or attenuated vaccination within 28 days prior to the start of the NMA-LD.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Iovance Biotherapeutics Study Team
Phone
1-844-845-4682
Email
Clinical.Inquiries@iovance.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Iovance Biotherapeutics Study Team
Organizational Affiliation
Iovance Biotherapeutics
Official's Role
Study Director
Facility Information:
Facility Name
The Angeles Clinic and Research Institute
City
Los Angeles
State/Province
California
ZIP/Postal Code
90025
Country
United States
Individual Site Status
Recruiting
Facility Name
Orlando Health Cancer Institute
City
Orlando
State/Province
Florida
ZIP/Postal Code
32610
Country
United States
Individual Site Status
Recruiting
Facility Name
Moffitt Cancer Center
City
Tampa
State/Province
Florida
ZIP/Postal Code
33612
Country
United States
Individual Site Status
Recruiting
Facility Name
The University of Kansas Cancer Center
City
Westwood
State/Province
Kansas
ZIP/Postal Code
66205
Country
United States
Individual Site Status
Recruiting
Facility Name
University of Louisville
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40202
Country
United States
Individual Site Status
Recruiting
Facility Name
Memorial Sloan Kettering Cancer Center
City
New York
State/Province
New York
ZIP/Postal Code
10065
Country
United States
Individual Site Status
Recruiting
Facility Name
University of Cincinnati
City
Cincinnati
State/Province
Ohio
ZIP/Postal Code
45219
Country
United States
Individual Site Status
Recruiting
Facility Name
Medical College of Wisconsin
City
Milwaukee
State/Province
Wisconsin
ZIP/Postal Code
53226
Country
United States
Individual Site Status
Recruiting

12. IPD Sharing Statement

Learn more about this trial

A Study to Investigate the Efficacy and Safety of an Infusion of IOV-4001 in Adult Participants With Unresectable or Metastatic Melanoma or Stage III or IV Non-small-cell Lung Cancer

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