A Phase 1/2, First-in-Human, Open-Label, Accelerated-Titration, Two-Part Clinical Trial of TK-8001 in Patients With HLA-A*02:01 Genotype and Advanced-Stage/Metastatic MAGE-A1+ Solid Tumors (IMAG1NE)
Primary Purpose
Advanced Solid Tumors
Status
Recruiting
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
Autologous CD8+ T-cells, transduced with MAGE-A1 directed TCR
Sponsored by

About this trial
This is an interventional treatment trial for Advanced Solid Tumors focused on measuring Advanced stage solid tumors, MAGE-A1, TCR-transgenic T-cells
Eligibility Criteria
Inclusion Criteria:
- Able to understand and comply with study procedures
- At least 18 years old
- Advanced-stage/metastatic, solid tumor malignancy with no further available approved therapeutic alternative(s) or in a non-curable state as per treating physician's assessment with the patient having received a minimum of two lines of approved systemic therapy
- HLA-A*02:01 genotype.
- MAGE-A1+ tumor positive for MAGE-A1
- At least one measurable lesion, that can be accurately measured as per RECIST Version 1.1
- Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1
- Life expectancy > 3 months as assessed by the Investigator
- Adequate organ function
- All toxicities related to prior therapy must have recovered to baseline or Grade ≤ 1 based on CTCAE v5.0
- Immune-related adverse events (irAEs) from previous therapies must have recovered to baseline or Grade ≤ 1
- Women of non-childbearing potential due to surgical sterilization or menopause
- Women of childbearing potential must be using a highly effective method of contraception
- Men with female partners of childbearing potential must use highly effective methods of contraception
Exclusion Criteria:
- Any tumor-directed therapy within 14 days before start of conditioning therapy
- Any other MAGE-A1-targeting therapy.
- Pre-existing arrhythmia, uncontrolled angina pectoris, presently uncontrolled heart failure, or any myocardial infarction/coronary event as well as any thromboembolic event at any time < 6 months prior to screening.
- Left ventricular ejection fraction (LVEF) < 45% as measured by an echocardiogram
- History of CNS disease such as stroke, seizure, encephalitis, or multiple sclerosis (within 6 months prior to screening)
- Active allergy requiring continuous systemic medication or active infections requiring IV/PO anti-infectious therapy
- History of or clinical evidence of CNS primary tumors or metastases
- Systemic steroids at a daily dose of > 5 mg of prednisolone, for the last 14 days prior to leukapheresis
- Major surgery within last 4 weeks prior to consent
- Known/expected hypersensitivity against TK-8001, DMSO, and/or other cellular therapy components.
- Active disease/ongoing infection with HIV, HBV, HCV, TB, syphilis, or SARS-CoV-2
- Any other diseases, or condition that in the opinion of the Investigator would contraindicate the use of the investigational product
- Receipt of any organ transplantation, except for transplants that do not require immunosuppression
- Any vaccine administration within 4 weeks of IP administration.
- Patient is pregnant or breastfeeding
- Known active drug or alcohol abuse
Sites / Locations
- Universite Catholique de Louvain (UCL) - Cliniques Universitaires Saint-Luc - Institut Roi Albert IIRecruiting
- Universite Libre de Bruxelles (ULB) - Institut Jules Bordet AnderlechtRecruiting
- University Hospital GhentRecruiting
- Centre Hospitalier Universitaire (CHU) de LiègeRecruiting
- Technische Universität Dresden (TU Dresden)Recruiting
- Charité - Universitätsmedizin Berlin - Campus Benjamin FranklinRecruiting
- Universitätsklinikum WürzburgRecruiting
- Hospital Universitario Vall d´HebrónRecruiting
- START Madrid-HM CIOCCRecruiting
- The Christie NHS Foundation TrustRecruiting
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
MAGE-A1 - directed TCR transduced autologous T-cells
Arm Description
Single-dose, intravenous infusion
Outcomes
Primary Outcome Measures
Safety and tolerability
Incidence and grade of treatment-emergent adverse events (AEs) and serious adverse events (SAEs); Number and type of dose limiting toxicities (DLT)
Preliminary anti tumor activity
Evaluation of overall response rate (ORR), stable disease rate (SD), partial response rate (PR), and complete response (CR) rate of TK-8001 monotherapy, according to RECIST Version 1.1 and modified Response Evaluation Criteria in Solid Tumors (RECIST, V1.1) in cancer immunotherapy trials (iRECIST)
Secondary Outcome Measures
End of dose escalation
RP2D will be determined through integrated evaluation of adverse events, serious adverse events, antitumoral activity, and evaluation of the biological and physiological effects of TK-8001 in the body.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT05430555
Brief Title
A Phase 1/2, First-in-Human, Open-Label, Accelerated-Titration, Two-Part Clinical Trial of TK-8001 in Patients With HLA-A*02:01 Genotype and Advanced-Stage/Metastatic MAGE-A1+ Solid Tumors
Acronym
IMAG1NE
Official Title
A Phase 1/2, First-in-Human, Open-Label, Accelerated-Titration, Two-Part Clinical Trial of TK-8001 (MAGE-A1-Directed TCR-Transduced Autologous CD8+ T-cells) in Patients With HLA-A*02:01 Genotype and Advanced-Stage/Metastatic, MAGE-A1+ Solid Tumors That Either Have No Further Approved Therapeutic Alternative(s) or Are Not Eligible for Them or Are in a Non- Curable State and Have Received a Minimum of Two Lines of Systemic Therapy
Study Type
Interventional
2. Study Status
Record Verification Date
August 2023
Overall Recruitment Status
Recruiting
Study Start Date
July 29, 2022 (Actual)
Primary Completion Date
June 2024 (Anticipated)
Study Completion Date
June 2037 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
T-knife GmbH
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The aim of this study is to determine the safety, tolerability and anti-tumoral activity of autologous T cells transduced with a T cell receptor specific for MAGE-A1 in eligible patients with advanced solid tumors.
Detailed Description
This is a Phase 1/2, first-in-human, open-label, accelerated titration, two-part clinical trial of TK-8001 (MAGE-A1-directed TCR-transduced autologous CD8+ T-cells) in subjects with HLA-A*02:01 genotype and advanced stage/metastatic, MAGE-A1+ solid tumors (including but not limited to melanoma [skin or uveal], NSCLC, urothelial, breast, gastric [including gastro esophageal junction], esophageal, sarcoma, HNSCC, HCC, biliary tract,cervical, and salivary gland cancer) that either have no further approved therapeutic alternative or are not eligible for them or that are in a non-curable state as per the Investigator's assessment and have received a minimum of two lines of systemic therapy.
This two-part clinical trial will consist of a Phase 1 Part, which includes dose-escalation and expansion, and a Phase 2 Part.
In the Phase 1 Part dose-escalation, at least 6 subjects and up to 18 subjects (if DLT occurs) will receive escalating doses of TK-8001, with up to three dose levels explored.In the Phase 1 Part expansion, up to 9 additional subjects may be treated on dose level (DL) 3 if cleared during dose escalation to further evaluate the safety and efficacy of TK-8001. The maximum total number of subjects to be treated on DL3 during Phase 1 will be 12 subjects.
In the Phase 2 Part (expansion), up to 30 patients will receive TK-8001 to further evaluate the efficacy and safety of TK-8001 and to confirm the RP2D. Both the Phase 1 Part (dose-escalation) and Phase 2 Part (expansion) of the trial will consist of the following periods: Screening and Leukapheresis Period, Conditioning Period, TK-8001 Treatment Period, DLT Monitoring Period, Short-term Follow-up Period (Year 1), and Long-term Follow-up Period (Year 2 - 15).
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Advanced Solid Tumors
Keywords
Advanced stage solid tumors, MAGE-A1, TCR-transgenic T-cells
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Sequential Assignment
Model Description
This two-part clinical trial will consist of a Phase 1 Part, which includes dose-escalation and expansion, and a Phase 2 Part. In the Phase 1 Part dose-escalation, at least 6 subjects and up to 18 subjects (if DLT occurs) will receive escalating doses of TK-8001, with up to three dose levels explored. In the Phase 1 Part expansion, up to 9 additional subjects may be treated on dose level (DL) 3 if cleared during dose escalation to further evaluate the safety and efficacy of TK-8001. The maximum total number of subjects to be treated on DL3 during Phase 1 will be 12 subjects.
Masking
None (Open Label)
Allocation
N/A
Enrollment
48 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
MAGE-A1 - directed TCR transduced autologous T-cells
Arm Type
Experimental
Arm Description
Single-dose, intravenous infusion
Intervention Type
Biological
Intervention Name(s)
Autologous CD8+ T-cells, transduced with MAGE-A1 directed TCR
Intervention Description
Single-dose intravenous infusion of MAGE-A1 directed TCR-transgenic T cells following a conditioning chemotherapy
Primary Outcome Measure Information:
Title
Safety and tolerability
Description
Incidence and grade of treatment-emergent adverse events (AEs) and serious adverse events (SAEs); Number and type of dose limiting toxicities (DLT)
Time Frame
Up to 15 years after TK-8001 treatment (1 year short-term follow-up, 14 years long-term follow up)
Title
Preliminary anti tumor activity
Description
Evaluation of overall response rate (ORR), stable disease rate (SD), partial response rate (PR), and complete response (CR) rate of TK-8001 monotherapy, according to RECIST Version 1.1 and modified Response Evaluation Criteria in Solid Tumors (RECIST, V1.1) in cancer immunotherapy trials (iRECIST)
Time Frame
Up to 15 years after TK-8001 treatment, or until disease progression
Secondary Outcome Measure Information:
Title
End of dose escalation
Description
RP2D will be determined through integrated evaluation of adverse events, serious adverse events, antitumoral activity, and evaluation of the biological and physiological effects of TK-8001 in the body.
Time Frame
28 days after TK-8001 treatment of last patient in Phase 1
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Able to understand and comply with study procedures
At least 18 years old
Presence of an advanced-stage/metastatic, solid tumor in non-curable state as per current medical knowledge: For which there is either no further approved therapeutic alternative available or the subject is not eligible for them or, for which the subject has received a minimum of two lines of approved systemic therapy
HLA-A*02:01 genotype.
MAGE-A1+ tumor positive for MAGE-A1
At least one measurable lesion, that can be accurately measured as per RECIST Version 1.1
Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1
Life expectancy > 3 months as assessed by the Investigator
All toxicities related to prior therapy must have recovered to baseline or Grade ≤ 1 based on CTCAE v5.0
Immune-related adverse events (irAEs) from previous therapies must have recovered to baseline or Grade ≤ 1
Exclusion Criteria:
Any tumor-directed therapy within 14 days before start of conditioning therapy
Any other MAGE-A1-targeting therapy.
Pre-existing arrhythmia, uncontrolled angina pectoris, presently uncontrolled heart failure, or any myocardial infarction/coronary event as well as any thromboembolic event at any time < 6 months prior to screening.
Left ventricular ejection fraction (LVEF) < 45% as measured by an echocardiogram
History of CNS disease such as stroke, seizure, encephalitis, or multiple sclerosis (within 6 months prior to screening)
Active allergy requiring continuous systemic medication or active infections requiring IV/PO anti-infectious therapy
History of or clinical evidence of CNS primary tumors or metastases, unless they have been previously treated, and have been stable for at least 4 weeks prior to trial entry
Major surgery within last 4 weeks prior to consent
Active disease/ongoing infection with HIV, HBV, HCV, TB, syphilis, or SARS-CoV-2
Receipt of any organ transplantation, except for transplants that do not require immunosuppression
Any vaccine administration within 4 weeks of IP administration.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Clinical Operations T-knife GmBH
Phone
+49-30-94892432
Email
info@t-knife.com
Facility Information:
Facility Name
Universite Catholique de Louvain (UCL) - Cliniques Universitaires Saint-Luc - Institut Roi Albert II
City
Brussels
ZIP/Postal Code
1000
Country
Belgium
Individual Site Status
Recruiting
Facility Name
Universite Libre de Bruxelles (ULB) - Institut Jules Bordet Anderlecht
City
Brussel
ZIP/Postal Code
1000
Country
Belgium
Individual Site Status
Recruiting
Facility Name
University Hospital Ghent
City
Ghent
ZIP/Postal Code
9000
Country
Belgium
Individual Site Status
Recruiting
Facility Name
Centre Hospitalier Universitaire (CHU) de Liège
City
Liège
ZIP/Postal Code
4000
Country
Belgium
Individual Site Status
Recruiting
Facility Name
Technische Universität Dresden (TU Dresden)
City
Dresden
State/Province
Sachsen
ZIP/Postal Code
01304
Country
Germany
Individual Site Status
Recruiting
Facility Name
Charité - Universitätsmedizin Berlin - Campus Benjamin Franklin
City
Berlin
ZIP/Postal Code
12203
Country
Germany
Individual Site Status
Recruiting
Facility Name
Universitätsklinikum Würzburg
City
Würzburg
ZIP/Postal Code
Universitätsklinikum Würzburg
Country
Germany
Individual Site Status
Recruiting
Facility Name
Hospital Universitario Vall d´Hebrón
City
Barcelona
ZIP/Postal Code
08035
Country
Spain
Individual Site Status
Recruiting
Facility Name
START Madrid-HM CIOCC
City
Madrid
ZIP/Postal Code
28050
Country
Spain
Individual Site Status
Recruiting
Facility Name
The Christie NHS Foundation Trust
City
Manchester
ZIP/Postal Code
M19 2WE
Country
United Kingdom
Individual Site Status
Recruiting
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
A Phase 1/2, First-in-Human, Open-Label, Accelerated-Titration, Two-Part Clinical Trial of TK-8001 in Patients With HLA-A*02:01 Genotype and Advanced-Stage/Metastatic MAGE-A1+ Solid Tumors
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