search
Back to results

A Study to Investigate LYL797 in Adults With Solid Tumors

Primary Purpose

Triple Negative Breast Cancer, TNBC - Triple-Negative Breast Cancer, Non-small Cell Lung Cancer

Status
Recruiting
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
LYL797
Sponsored by
Lyell Immunopharma, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Triple Negative Breast Cancer focused on measuring CAR T-cell therapy, CAR T, CAR T-cell, CAR-T, CAR-T cell therapy, CAR-T cell, ROR1, ROR1+, ROR1 positive, cell therapy, immunotherapy, relapsed, refractory, solid tumor, advanced, metastatic, breast cancer, lung cancer, triple negative breast cancer, non small cell lung cancer

Eligibility Criteria

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

Inclusion Criteria:

  • ≥ 18 years of age at time of informed consent
  • Histologically confirmed TNBC or NSCLC that is relapsed or refractory, metastatic or locally advanced and unresectable that is ROR1+ by central laboratory immunohistochemistry (IHC)
  • Measurable disease including a target lesion and an additional lesion for biopsy
  • Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
  • Adequate organ and marrow function
  • Women of childbearing potential must have a negative pregnancy test at screening
  • All participants must agree to practice highly effective methods of contraception

Exclusion Criteria:

  • Prior treatment with any adoptive T-cell therapy or anti-ROR1 therapy
  • Prior solid organ transplantation
  • Active, untreated brain metastasis or leptomeningeal disease; stable, treated brain involvement by disease is allowed
  • Untreated or active infection at the time of screening or leukapheresis
  • HIV-positive, HTLV-1-positive, active acute or chronic HBV or HCV, or active tuberculosis
  • Impaired cardiac function or clinically significant cardiac disease
  • Uncontrolled pleural or pericardial effusion
  • Systemic corticosteroids or other immunosuppressive medications within 14 days of leukapheresis
  • Required chronic anticoagulation, such as warfarin, low molecular weight heparin, or Factor Xa inhibitors
  • Pregnant or lactating/nursing women

Sites / Locations

  • Mayo ClinicRecruiting
  • Univeristy of California, Los AngelesRecruiting
  • Yale New Haven HospitalRecruiting
  • Georgetown UniversityRecruiting
  • Mayo ClinicRecruiting
  • University of MiamiRecruiting
  • University of Chicago
  • Karmanos Cancer InstituteRecruiting
  • Mayo ClinicRecruiting
  • Montefiore Medical CenterRecruiting
  • Memorial Sloan Kettering Cancer CenterRecruiting
  • University of Oklahoma
  • Oregon Health and Science University HospitalRecruiting
  • Sidney Kimmel Cancer Center, Jefferson University HospitalRecruiting
  • Sarah Cannon Research Institute and Tennessee OncologyRecruiting
  • MD Anderson Cancer CenterRecruiting
  • Fred Hutchinson Cancer Research CenterRecruiting
  • Froedtert Hospital, Medical College of WisconsinRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Experimental LYL797

Arm Description

ROR1-targeted CAR T cells

Outcomes

Primary Outcome Measures

Evaluate incidence of dose-limiting toxicities (DLTs)
Incidence of dose-limiting toxicities (DLTs)
Evaluate incidence of treatment-emergent adverse events (TEAEs)
Incidence of treatment-emergent adverse events (TEAEs)
Evaluate severity of treatment-emergent adverse events (TEAEs)
Severity of treatment-emergent adverse events (TEAEs)
Determine recommended Phase 2 Dose (RP2D)
Dose-escalation phase to determine the recommended Phase 2 dose

Secondary Outcome Measures

Evaluate anti-tumor activity of LYL797 based on overall response rate (ORR) by RECIST, version 1.1
Overall response rate (ORR) by RECIST, version 1.1
Evaluate anti-tumor activity of LYL797 based on complete response (CR) rate by RECIST, version 1.1
Complete response (CR) rate by RECIST, version 1.1
Evaluate duration of response (DOR)
Duration of response (DOR)
Evaluate progression-free survival (PFS)
Progression-free survival (PFS)
Evaluate overall survival (OS)
Overall survival (OS)
Evaluate maximum concentration of LYL797 (Cmax) of LYL797 in peripheral blood (PB) samples
Maximum concentration of LYL797 (Cmax)
Evaluate time to Cmax (Tmax) of LYL797 in peripheral blood (PB) samples
Time to Cmax (Tmax)
Evaluate area under the concentration-time curve (AUC) of LYL797 in the peripheral blood (PB)
Area under the concentration-time curve (AUC)
Evaluate Persistence of LYL797 CAR T cells in peripheral blood samples
Persistence of LYL797 in PB

Full Information

First Posted
February 18, 2022
Last Updated
August 30, 2023
Sponsor
Lyell Immunopharma, Inc.
search

1. Study Identification

Unique Protocol Identification Number
NCT05274451
Brief Title
A Study to Investigate LYL797 in Adults With Solid Tumors
Official Title
A Phase 1 Study to Assess the Safety and Efficacy of LYL797, ROR1-Targeting CAR T Cells, in Adults With Relapsed and/or Refractory Solid-Tumor Malignancies
Study Type
Interventional

2. Study Status

Record Verification Date
August 2023
Overall Recruitment Status
Recruiting
Study Start Date
March 29, 2022 (Actual)
Primary Completion Date
March 2025 (Anticipated)
Study Completion Date
September 2026 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Lyell Immunopharma, Inc.

4. Oversight

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

5. Study Description

Brief Summary
This study will evaluate the safety and tolerability of LYL797, a ROR1-targeted CAR T-cell therapy, in patients with ROR1+ relapsed or refractory triple negative breast cancer (TNBC) or non-small cell lung cancer (NSCLC). The first part of the study will determine the safe dose for the next part of the study, and will enroll TNBC and NSCLC patients. The second part of the study will test that dose in additional TNBC and NSCLC patients.
Detailed Description
This Phase 1, single-arm, open-label, multi-center, dose-escalation and -expansion study will evaluate the safety and tolerability of LYL797, ROR1-targeting CAR T cells, in adults with relapsed and/or refractory ROR1+ triple negative breast cancer (TNBC) and non-small cell lung cancer (NSCLC). The dose-escalation phase includes TNBC and NSCLC patients, and will investigate 4 dose levels to determine the recommended Phase 2 dose (RP2D). The dose-expansion phase will enroll both TNBC and NSCLC patients at the RP2D.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Triple Negative Breast Cancer, TNBC - Triple-Negative Breast Cancer, Non-small Cell Lung Cancer, Non Small Cell Lung Cancer, Non Small Cell Lung Cancer Metastatic, Non-Small Cell Carcinoma of Lung, TNM Stage 4, Advanced Breast Cancer, Advanced Lung Carcinoma, NSCLC, NSCLC, Recurrent, NSCLC Stage IV, Relapsed Cancer, Relapse/Recurrence, Recurrent Breast Cancer, Recurrent NSCLC
Keywords
CAR T-cell therapy, CAR T, CAR T-cell, CAR-T, CAR-T cell therapy, CAR-T cell, ROR1, ROR1+, ROR1 positive, cell therapy, immunotherapy, relapsed, refractory, solid tumor, advanced, metastatic, breast cancer, lung cancer, triple negative breast cancer, non small cell lung cancer

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Model Description
Single-arm, open-label, dose-escalation and -expansion study
Masking
None (Open Label)
Allocation
N/A
Enrollment
54 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Experimental LYL797
Arm Type
Experimental
Arm Description
ROR1-targeted CAR T cells
Intervention Type
Biological
Intervention Name(s)
LYL797
Intervention Description
LYL797 is an autologous, genetically (Gen-R™) and epigenetically (Epi-R™) reprogrammed ROR1-targeted chimeric antigen receptor (CAR) T-cell therapy
Primary Outcome Measure Information:
Title
Evaluate incidence of dose-limiting toxicities (DLTs)
Description
Incidence of dose-limiting toxicities (DLTs)
Time Frame
Up to 2 years
Title
Evaluate incidence of treatment-emergent adverse events (TEAEs)
Description
Incidence of treatment-emergent adverse events (TEAEs)
Time Frame
Up to 2 years
Title
Evaluate severity of treatment-emergent adverse events (TEAEs)
Description
Severity of treatment-emergent adverse events (TEAEs)
Time Frame
Up to 2 years
Title
Determine recommended Phase 2 Dose (RP2D)
Description
Dose-escalation phase to determine the recommended Phase 2 dose
Time Frame
Up to 2 years
Secondary Outcome Measure Information:
Title
Evaluate anti-tumor activity of LYL797 based on overall response rate (ORR) by RECIST, version 1.1
Description
Overall response rate (ORR) by RECIST, version 1.1
Time Frame
Up to 2 years
Title
Evaluate anti-tumor activity of LYL797 based on complete response (CR) rate by RECIST, version 1.1
Description
Complete response (CR) rate by RECIST, version 1.1
Time Frame
Up to 2 years
Title
Evaluate duration of response (DOR)
Description
Duration of response (DOR)
Time Frame
Up to 2 years
Title
Evaluate progression-free survival (PFS)
Description
Progression-free survival (PFS)
Time Frame
Up to 2 years
Title
Evaluate overall survival (OS)
Description
Overall survival (OS)
Time Frame
Up to 2 years
Title
Evaluate maximum concentration of LYL797 (Cmax) of LYL797 in peripheral blood (PB) samples
Description
Maximum concentration of LYL797 (Cmax)
Time Frame
Up to 2 years
Title
Evaluate time to Cmax (Tmax) of LYL797 in peripheral blood (PB) samples
Description
Time to Cmax (Tmax)
Time Frame
Up to 2 years
Title
Evaluate area under the concentration-time curve (AUC) of LYL797 in the peripheral blood (PB)
Description
Area under the concentration-time curve (AUC)
Time Frame
Up to 2 years
Title
Evaluate Persistence of LYL797 CAR T cells in peripheral blood samples
Description
Persistence of LYL797 in PB
Time Frame
Up to 2 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: ≥ 18 years of age at time of informed consent Histologically confirmed TNBC or NSCLC that is relapsed or refractory, metastatic or locally advanced and unresectable that is ROR1+ by central laboratory immunohistochemistry (IHC) Measurable disease including a target lesion and an additional lesion for biopsy Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1 Adequate organ and marrow function Women of childbearing potential must have a negative pregnancy test at screening All participants must agree to practice highly effective methods of contraception Exclusion Criteria: Prior treatment with any adoptive T-cell therapy or anti-ROR1 therapy Prior solid organ transplantation Active, untreated brain metastasis or leptomeningeal disease; stable, treated brain involvement by disease is allowed Untreated or active infection at the time of screening or leukapheresis HIV-positive, HTLV-1-positive, active acute or chronic HBV or HCV, or active tuberculosis Impaired cardiac function or clinically significant cardiac disease Uncontrolled pleural or pericardial effusion Systemic corticosteroids or other immunosuppressive medications within 14 days of leukapheresis Required chronic anticoagulation, such as warfarin, low molecular weight heparin, or Factor Xa inhibitors Pregnant or lactating/nursing women
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Heidi Gillenwater, MD
Phone
888-707-7917
Email
clinicaltrials@lyell.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Heidi Gillenwater, MD
Organizational Affiliation
Lyell Immunopharma, Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Mayo Clinic
City
Scottsdale
State/Province
Arizona
ZIP/Postal Code
85259
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Brenda Ernst, MD
Phone
800-446-2279
Facility Name
Univeristy of California, Los Angeles
City
Santa Monica
State/Province
California
ZIP/Postal Code
90404
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jonathan W Goldman, MD
Phone
310-633-8400
Facility Name
Yale New Haven Hospital
City
New Haven
State/Province
Connecticut
ZIP/Postal Code
06510
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Michael Hurwitz, MD
Phone
203-785-4095
Facility Name
Georgetown University
City
Washington
State/Province
District of Columbia
ZIP/Postal Code
20007
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Chul Kim, MD
Phone
202-444-2223
Email
Chul.Kim@gunet.georgetown.edu
Facility Name
Mayo Clinic
City
Jacksonville
State/Province
Florida
ZIP/Postal Code
32224
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Hemant Murthy, MD
Phone
855-776-0015
Facility Name
University of Miami
City
Miami
State/Province
Florida
ZIP/Postal Code
33136
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Lazaros Lekakis, MD
Email
llekakis@med.miami.edu
Facility Name
University of Chicago
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60637
Country
United States
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Michael Bishop, MD
Phone
773-702-4400
Email
mbishop@bsd.uchicago.edu
Facility Name
Karmanos Cancer Institute
City
Detroit
State/Province
Michigan
ZIP/Postal Code
48201
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Hirva Mamdani, MD
Phone
800-527-6266
Facility Name
Mayo Clinic
City
Rochester
State/Province
Minnesota
ZIP/Postal Code
55902
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Roberto Leon Ferre, MD
Phone
507-538-3270
Facility Name
Montefiore Medical Center
City
Bronx
State/Province
New York
ZIP/Postal Code
10461
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Eric Feldman, MD
Phone
718-920-4826
Email
efeldman@montefiore.org
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 Contact:
First Name & Middle Initial & Last Name & Degree
Roisin O'Cearbhaill, MD
Phone
833-267-2258
Facility Name
University of Oklahoma
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73104
Country
United States
Individual Site Status
Not yet recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Manu Pandey, MD
Phone
405-271-8299
Facility Name
Oregon Health and Science University Hospital
City
Portland
State/Province
Oregon
ZIP/Postal Code
97239
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Yazan Migdady, MD
Phone
503-494-1080
Email
trials@ohsu.edu
Facility Name
Sidney Kimmel Cancer Center, Jefferson University Hospital
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19107
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Babar Bashir, MD
Phone
215-955-1661
Facility Name
Sarah Cannon Research Institute and Tennessee Oncology
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37203
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
David Spigel, MD
Phone
844-482-4812
Facility Name
MD Anderson Cancer Center
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Haven Garber, MD
Phone
833-955-3090
Facility Name
Fred Hutchinson Cancer Research Center
City
Seattle
State/Province
Washington
ZIP/Postal Code
98109
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jennifer Specht, MD
Phone
855-557-0555
Facility Name
Froedtert Hospital, Medical College of Wisconsin
City
Milwaukee
State/Province
Wisconsin
ZIP/Postal Code
53226
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Lubna Chaudhary, MD
Phone
414-805-3666

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Study to Investigate LYL797 in Adults With Solid Tumors

We'll reach out to this number within 24 hrs