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A Study to Investigate LYL845 in Adults With Solid Tumors

Primary Purpose

Melanoma, Non-small Cell Lung Cancer, Colorectal Cancer

Status
Recruiting
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
LYL845
Sponsored by
Lyell Immunopharma, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Melanoma focused on measuring TIL, tumor infiltrating lymphocyte, melanoma, non-small cell lung cancer, colorectal cancer, NSCLC, CRC, relapsed, refractory, locally advanced, advanced, metastatic, epigenetic

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Age ≥ 18 years up to ≤ 75 years at the time of informed consent
  • Confirmed diagnosis of melanoma, non-small cell lung cancer (NSCLC), or colorectal cancer (CRC) that is metastatic or locally advanced or unresectable and is relapsed and/or refractory (R/R) after standard therapy for each tumor histology
  • Participants must have received prior systemic treatment for their metastatic disease or locally advanced disease based on tumor type as follows:
  • Melanoma: participants with disease progression following an immune checkpoint inhibitor (CPI) and if BRAF-mutated, BRAF/MEK inhibition
  • NSCLC: participants with disease progression following at least 1 approved systemic therapy, including an immune CPI-containing regimen for appropriate patients or an approved targeted therapy for known molecular abnormalities if applicable to their disease
  • CRC: participants with disease progression following at least 1 line of therapy, including a fluoropyrimidine with oxaliplatin or irinotecan. Microsatellite instability (MSI) high/mismatch repair deficient (dMMR) CRC participants must have disease progression following systemic therapy with immune CPIs.
  • Measurable disease including at least 1 lesion that is safely resectable AND a target lesion to measure response and an additional lesion for biopsy
  • Eastern Cooperative Oncology Group (ECOG) performance status of 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 adoptive cellular therapy
  • Prior solid organ transplantation
  • Central nervous system (CNS) involvement of disease that is extensive, symptomatic or untreated, or patients with leptomeningeal disease
  • Uncontrolled or symptomatic pleural effusion or ascites
  • Untreated or active systemic infection
  • Active autoimmune disease requiring treatment or primary immunodeficiency syndrome
  • Systemic corticosteroids at a dose of >10 mg of prednisone or equivalent per day
  • Other primary malignancy within 3 years prior to enrollment
  • Impaired cardiac function or clinically significant cardiovascular disease
  • Required chronic anticoagulation, such as warfarin, low molecular weight heparin, or Factor Xa inhibitors
  • Pregnant or nursing (lactating) women

Sites / Locations

  • UCLA Medical CenterRecruiting
  • Yale Cancer Center, Yale UniversityRecruiting
  • Georgetown UniversityRecruiting
  • Massachusetts General HospitalRecruiting
  • Hackensack Meridian Health IncRecruiting
  • Rutgers Cancer Institute of New JerseyRecruiting
  • Duke University Medical CenterRecruiting
  • Ohio State University Medical CenterRecruiting
  • Oregon Health Sciences UniversityRecruiting
  • Allegheny General HospitalRecruiting
  • Huntsman Cancer Institute at University of UtahRecruiting
  • Fred Hutchinson Cancer CenterRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Experimental LYL845

Arm Description

Epigenetically reprogrammed tumor infiltrating lymphocyte (TIL) therapy

Outcomes

Primary Outcome Measures

Incidence of dose-limiting toxicities (DLTs)
Evaluate incidence of dose-limiting toxicities (DLTs)
Incidence of treatment-emergent adverse events (TEAEs)
Evaluate incidence of treatment-emergent adverse events (TEAEs)
Severity of treatment-emergent adverse events (TEAEs)
Evaluate severity of treatment-emergent adverse events (TEAEs)
Determine recommended Phase 2 Dose Range (RP2DR)
Determine the recommended Phase 2 dose range (during dose-escalation phase)

Secondary Outcome Measures

Overall response rate (ORR) by RECIST, version 1.1
Evaluate anti-tumor activity of LYL845 based on overall response rate (ORR) by RECIST, version 1.1
Complete response rate (CR) by RECIST, version 1.1
Evaluate anti-tumor activity of LYL845 based on complete response rate (CR) by RECIST, version 1.1
Duration of response (DOR)
Evaluate duration of response (DOR)
Progression-free survival (PFS)
Evaluate progression-free survival (PFS)
Overall survival (OS)
Evaluate overall survival (OS)

Full Information

First Posted
October 6, 2022
Last Updated
September 18, 2023
Sponsor
Lyell Immunopharma, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT05573035
Brief Title
A Study to Investigate LYL845 in Adults With Solid Tumors
Official Title
A Phase 1 Study to Assess the Safety and Efficacy of LYL845 in Adults With Relapsed and/or Refractory Metastatic or Locally Advanced Melanoma and Selected Solid Tumor Malignancies
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Recruiting
Study Start Date
December 19, 2022 (Actual)
Primary Completion Date
August 2025 (Anticipated)
Study Completion Date
September 2027 (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
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This is an open-label, multi-center, dose-escalation study with expansion cohorts, designed to evaluate the safety and anti-tumor activity of LYL845, an epigenetically reprogrammed tumor infiltrating lymphocyte (TIL) therapy, in participants with relapsed or refractory (R/R) metastatic or locally advanced melanoma, non-small cell lung cancer (NSCLC), and colorectal cancer (CRC).
Detailed Description
This is an open-label, multi-center, dose-escalation study with expansion cohorts, designed to evaluate the safety and anti-tumor activity of LYL845, an epigenetically reprogrammed tumor infiltrating lymphocyte (TIL) therapy, in participants with relapsed or refractory (R/R) metastatic or locally advanced melanoma, non-small cell lung cancer (NSCLC), and colorectal cancer (CRC). During the dose-escalation phase of the study (Part A), participants with melanoma will be enrolled. Once a safe recommended Phase 2 dose range (RP2DR) has been established in Part A, enrollment will be expanded (Part B) to include additional participants with melanoma, NSCLC and CRC.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Melanoma, Non-small Cell Lung Cancer, Colorectal Cancer
Keywords
TIL, tumor infiltrating lymphocyte, melanoma, non-small cell lung cancer, colorectal cancer, NSCLC, CRC, relapsed, refractory, locally advanced, advanced, metastatic, epigenetic

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
108 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Experimental LYL845
Arm Type
Experimental
Arm Description
Epigenetically reprogrammed tumor infiltrating lymphocyte (TIL) therapy
Intervention Type
Biological
Intervention Name(s)
LYL845
Intervention Description
LYL845 is an autologous tumor infiltrating lymphocyte (TIL) enhanced via Epi-R, a proprietary epigenetic reprogramming technology
Primary Outcome Measure Information:
Title
Incidence of dose-limiting toxicities (DLTs)
Description
Evaluate incidence of dose-limiting toxicities (DLTs)
Time Frame
Up to 2 years
Title
Incidence of treatment-emergent adverse events (TEAEs)
Description
Evaluate incidence of treatment-emergent adverse events (TEAEs)
Time Frame
Up to 2 years
Title
Severity of treatment-emergent adverse events (TEAEs)
Description
Evaluate severity of treatment-emergent adverse events (TEAEs)
Time Frame
Up to 2 years
Title
Determine recommended Phase 2 Dose Range (RP2DR)
Description
Determine the recommended Phase 2 dose range (during dose-escalation phase)
Time Frame
Up to 2 years
Secondary Outcome Measure Information:
Title
Overall response rate (ORR) by RECIST, version 1.1
Description
Evaluate anti-tumor activity of LYL845 based on overall response rate (ORR) by RECIST, version 1.1
Time Frame
up to 2 years
Title
Complete response rate (CR) by RECIST, version 1.1
Description
Evaluate anti-tumor activity of LYL845 based on complete response rate (CR) by RECIST, version 1.1
Time Frame
up to 2 years
Title
Duration of response (DOR)
Description
Evaluate duration of response (DOR)
Time Frame
up to 2 years
Title
Progression-free survival (PFS)
Description
Evaluate progression-free survival (PFS)
Time Frame
up to 2 years
Title
Overall survival (OS)
Description
Evaluate overall survival (OS)
Time Frame
up to 2 years

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age ≥ 18 years up to ≤ 75 years at the time of informed consent Confirmed diagnosis of melanoma, non-small cell lung cancer (NSCLC), or colorectal cancer (CRC) that is metastatic or locally advanced or unresectable and is relapsed and/or refractory (R/R) after standard therapy for each tumor histology Participants must have received prior systemic treatment for their metastatic disease or locally advanced disease based on tumor type as follows: Melanoma: participants with disease progression following an immune checkpoint inhibitor (CPI) and if BRAF-mutated, BRAF/MEK inhibition NSCLC: participants with disease progression following at least 1 approved systemic therapy, including an immune CPI-containing regimen for appropriate patients or an approved targeted therapy for known molecular abnormalities if applicable to their disease CRC: participants with disease progression following at least 1 line of therapy, including a fluoropyrimidine with oxaliplatin or irinotecan. Microsatellite instability (MSI) high/mismatch repair deficient (dMMR) CRC participants must have disease progression following systemic therapy with immune CPIs. Measurable disease including at least 1 lesion that is safely resectable AND a target lesion to measure response and an additional lesion for biopsy Eastern Cooperative Oncology Group (ECOG) performance status of 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 adoptive cellular therapy Prior solid organ transplantation Central nervous system (CNS) involvement of disease that is extensive, symptomatic or untreated, or patients with leptomeningeal disease Uncontrolled or symptomatic pleural effusion or ascites Untreated or active systemic infection Active autoimmune disease requiring treatment or primary immunodeficiency syndrome Systemic corticosteroids at a dose of >10 mg of prednisone or equivalent per day Other primary malignancy within 3 years prior to enrollment Impaired cardiac function or clinically significant cardiovascular disease Required chronic anticoagulation, such as warfarin, low molecular weight heparin, or Factor Xa inhibitors Pregnant or nursing (lactating) 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
Facility Information:
Facility Name
UCLA Medical Center
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
J. Randolph Hecht, MD
First Name & Middle Initial & Last Name & Degree
Chris Hannigan
Email
CHannigan@mednet.ucla.edu
Facility Name
Yale Cancer Center, Yale University
City
New Haven
State/Province
Connecticut
ZIP/Postal Code
06511
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Michael Hurwitz, MD, PhD
Email
michael.hurwitz@yale.edu
First Name & Middle Initial & Last Name & Degree
Jialing Zhang
Email
jialing.zhang@yale.edu
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
Geoffrey Gibney, MD
First Name & Middle Initial & Last Name & Degree
Stephanie Wagner
Phone
202-687-9782
Email
sw1095@georgetown.edu
Facility Name
Massachusetts General Hospital
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02114
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Donald Lawrence, MD
Email
dplawrence@mgh.harvard.edu
Facility Name
Hackensack Meridian Health Inc
City
Hackensack
State/Province
New Jersey
ZIP/Postal Code
07601
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Martin Gutierrez, MD
Phone
551-996-5499
First Name & Middle Initial & Last Name & Degree
Celina Joco
Email
celina.joco@hmhn.org
Facility Name
Rutgers Cancer Institute of New Jersey
City
New Brunswick
State/Province
New Jersey
ZIP/Postal Code
08901
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sarah Weiss
Email
saweiss@cinj.rutgers.edu
First Name & Middle Initial & Last Name & Degree
Xiaoru Chen
Email
xc194@cinj.rutgers.edu
Facility Name
Duke University Medical Center
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27710
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Brent Hanks, MD
First Name & Middle Initial & Last Name & Degree
CCI Clinical Trials Office
Phone
(919) 681-6468
Email
CCI-TrialReferrals@duke.edu
Facility Name
Ohio State University Medical Center
City
Columbus
State/Province
Ohio
ZIP/Postal Code
43210
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Cara Dauch
Email
Cara.dauch@osumc.edu
First Name & Middle Initial & Last Name & Degree
Joal Beane, MD
Facility Name
Oregon Health Sciences University
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
Clinical Trials Line
Phone
503-494-1080
Email
trials@ohsu.edu
First Name & Middle Initial & Last Name & Degree
Robert Eil
Facility Name
Allegheny General Hospital
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15212
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Yazan Samhouri, MD
Phone
412-330-6151
Email
clinicaltrials@ahn.org
Facility Name
Huntsman Cancer Institute at University of Utah
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84112
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
John Hyngstrom, MD
First Name & Middle Initial & Last Name & Degree
Kaitlin Stephens
Phone
801-213-8494
Facility Name
Fred Hutchinson Cancer 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
Fred Hutch Intake
Phone
206-606-1024

12. IPD Sharing Statement

Plan to Share IPD
No

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A Study to Investigate LYL845 in Adults With Solid Tumors

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