Trial Outcomes & Findings for Phase I/II Study to Assess the Safety and Activity of Enhanced TCR Transduced Autologous T Cells in Metastatic Melanoma (NCT NCT01350401)

NCT ID: NCT01350401

Last Updated: 2019-01-10

Results Overview

Number of Participants with NCI CTC V.4 Adverse Events related to study treatment greater than or equal to Grade 3

Recruitment status

TERMINATED

Study phase

PHASE1/PHASE2

Target enrollment

4 participants

Primary outcome timeframe

Up to 12 months

Results posted on

2019-01-10

Participant Flow

Participant milestones

Participant milestones
Measure
NYESO-1ᶜ²⁵⁹T Cells Administered IV as a Split Dose Over 2 Days
Participants who received cytoreductive chemotherapy followed by infusion of lentivirus-mediated genetically engineered NY-ESO-1ᶜ²⁵⁹T (Target dose: 5-10 billion cells)
Overall Study
STARTED
4
Overall Study
COMPLETED
4
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Phase I/II Study to Assess the Safety and Activity of Enhanced TCR Transduced Autologous T Cells in Metastatic Melanoma

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
NYESO-1ᶜ²⁵⁹T Cells Administered IV as a Split Dose Over 2 Days
n=4 Participants
Participants who received cytoreductive chemotherapy followed by infusion of lentivirus-mediated genetically engineered NY-ESO-1ᶜ²⁵⁹T (Target dose: 5-10 billion cells)
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
4 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
Age, Continuous
49 Years
n=5 Participants
Sex: Female, Male
Female
2 Participants
n=5 Participants
Sex: Female, Male
Male
2 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
4 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
4 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Up to 12 months

Population: Participants who received cytoreductive chemotherapy followed by IV infusion of NY-ESO-1ᶜ²⁵⁹T

Number of Participants with NCI CTC V.4 Adverse Events related to study treatment greater than or equal to Grade 3

Outcome measures

Outcome measures
Measure
NYESO-1ᶜ²⁵⁹T Cells Administered IV as a Split Dose Over 2 Days
n=4 Participants
Participants who received cytoreductive chemotherapy followed by infusion of lentivirus-mediated genetically engineered NY-ESO-1ᶜ²⁵⁹T (Target dose: 5-10 billion cells)
Subject 1 - Day 60
Subject 2 - Manufactured Product
Subject 2 - Day 60
Adverse Events Related to Study Treatment
3 Participants

SECONDARY outcome

Timeframe: Change from Baseline, every 4 weeks until Month 5 and then every other month through Month 11

Number of participants with response as assessed by RECIST (version 1.1) criteria.

Outcome measures

Outcome measures
Measure
NYESO-1ᶜ²⁵⁹T Cells Administered IV as a Split Dose Over 2 Days
n=4 Participants
Participants who received cytoreductive chemotherapy followed by infusion of lentivirus-mediated genetically engineered NY-ESO-1ᶜ²⁵⁹T (Target dose: 5-10 billion cells)
Subject 1 - Day 60
Subject 2 - Manufactured Product
Subject 2 - Day 60
Tumor Response
0 Participants

SECONDARY outcome

Timeframe: 8 Weeks post T-cell infusion

Population: Participants who received cytoreductive chemotherapy followed by infusion of NY-ESO-1ᶜ²⁵⁹T with functionality data

Measurement of functionality of NY-ESO-1ᶜ²⁵⁹T cells in the blood and tumor sites.

Outcome measures

Outcome measures
Measure
NYESO-1ᶜ²⁵⁹T Cells Administered IV as a Split Dose Over 2 Days
n=7 T-cell sub population
Participants who received cytoreductive chemotherapy followed by infusion of lentivirus-mediated genetically engineered NY-ESO-1ᶜ²⁵⁹T (Target dose: 5-10 billion cells)
Subject 1 - Day 60
n=7 T-cell sub population
Subject 2 - Manufactured Product
n=7 T-cell sub population
Subject 2 - Day 60
n=7 T-cell sub population
Determine the Functional Properties and Phenotype of Modified T-cells From Peripheral Blood and Tumor Sites.
%Stem Cell Memory
31.1354 percentage of T cell sub population
61.545 percentage of T cell sub population
18.65934 percentage of T cell sub population
6.9 percentage of T cell sub population
Determine the Functional Properties and Phenotype of Modified T-cells From Peripheral Blood and Tumor Sites.
%Central Memory
14.62221 percentage of T cell sub population
3.42 percentage of T cell sub population
6.85214 percentage of T cell sub population
6.9 percentage of T cell sub population
Determine the Functional Properties and Phenotype of Modified T-cells From Peripheral Blood and Tumor Sites.
%Effector Memory RA
36.329 percentage of T cell sub population
32.475 percentage of T cell sub population
34.50644 percentage of T cell sub population
82.7 percentage of T cell sub population
Determine the Functional Properties and Phenotype of Modified T-cells From Peripheral Blood and Tumor Sites.
%Effector Memory
17.8215 percentage of T cell sub population
2.56 percentage of T cell sub population
39.99068 percentage of T cell sub population
3.45 percentage of T cell sub population
Determine the Functional Properties and Phenotype of Modified T-cells From Peripheral Blood and Tumor Sites.
%LAG-3+
0.40391 percentage of T cell sub population
0 percentage of T cell sub population
1.23488 percentage of T cell sub population
0 percentage of T cell sub population
Determine the Functional Properties and Phenotype of Modified T-cells From Peripheral Blood and Tumor Sites.
%PD-1+
1.24694 percentage of T cell sub population
0.855 percentage of T cell sub population
4.11214 percentage of T cell sub population
0 percentage of T cell sub population
Determine the Functional Properties and Phenotype of Modified T-cells From Peripheral Blood and Tumor Sites.
%TIM-3+
97.74411 percentage of T cell sub population
5.985 percentage of T cell sub population
95.2126 percentage of T cell sub population
10.35 percentage of T cell sub population

SECONDARY outcome

Timeframe: Days 1, 5-9, 12-16, weekly thereafter through Week 12, monthly thereafter through Month 12, and during LTFU

Population: Participants who received cytoreductive chemotherapy followed by infusion of NY-ESO-1ᶜ²⁵⁹T with persistence data

Measurement of NY-ESO-1ᶜ²⁵⁹T cells in blood (copies of WPRE per µg of genomic PBMC DNA)

Outcome measures

Outcome measures
Measure
NYESO-1ᶜ²⁵⁹T Cells Administered IV as a Split Dose Over 2 Days
n=4 Participants
Participants who received cytoreductive chemotherapy followed by infusion of lentivirus-mediated genetically engineered NY-ESO-1ᶜ²⁵⁹T (Target dose: 5-10 billion cells)
Subject 1 - Day 60
Subject 2 - Manufactured Product
Subject 2 - Day 60
Peak Persistence of Modified T-cells in the Peripheral Blood
56561.22 copies per μg of DNA
Interval 24984.1 to 126679.0

Adverse Events

NYESO-1ᶜ²⁵⁹T Cells Administered IV as a Split Dose Over 2 Days

Serious events: 4 serious events
Other events: 4 other events
Deaths: 3 deaths

Serious adverse events

Serious adverse events
Measure
NYESO-1ᶜ²⁵⁹T Cells Administered IV as a Split Dose Over 2 Days
n=4 participants at risk
Participants who received cytoreductive chemotherapy followed by infusion of lentivirus-mediated genetically engineered NY-ESO-1ᶜ²⁵⁹T (Target dose: 5-10 billion cells)
General disorders
Pyrexia
25.0%
1/4 • Number of events 4 • Start of lymphodepletion to end of intervention phase (up to 12 months post T-cell infusion)
Participants who received NY-ESO-1ᶜ²⁵⁹T
Investigations
Platelet count decreased
25.0%
1/4 • Number of events 4 • Start of lymphodepletion to end of intervention phase (up to 12 months post T-cell infusion)
Participants who received NY-ESO-1ᶜ²⁵⁹T
Blood and lymphatic system disorders
Febrile neutropenia
50.0%
2/4 • Number of events 4 • Start of lymphodepletion to end of intervention phase (up to 12 months post T-cell infusion)
Participants who received NY-ESO-1ᶜ²⁵⁹T
Blood and lymphatic system disorders
Neutropenia
50.0%
2/4 • Number of events 4 • Start of lymphodepletion to end of intervention phase (up to 12 months post T-cell infusion)
Participants who received NY-ESO-1ᶜ²⁵⁹T

Other adverse events

Other adverse events
Measure
NYESO-1ᶜ²⁵⁹T Cells Administered IV as a Split Dose Over 2 Days
n=4 participants at risk
Participants who received cytoreductive chemotherapy followed by infusion of lentivirus-mediated genetically engineered NY-ESO-1ᶜ²⁵⁹T (Target dose: 5-10 billion cells)
General disorders
Fatigue
100.0%
4/4 • Number of events 4 • Start of lymphodepletion to end of intervention phase (up to 12 months post T-cell infusion)
Participants who received NY-ESO-1ᶜ²⁵⁹T
Gastrointestinal disorders
Nausea
75.0%
3/4 • Number of events 3 • Start of lymphodepletion to end of intervention phase (up to 12 months post T-cell infusion)
Participants who received NY-ESO-1ᶜ²⁵⁹T
Skin and subcutaneous tissue disorders
Rash
75.0%
3/4 • Number of events 3 • Start of lymphodepletion to end of intervention phase (up to 12 months post T-cell infusion)
Participants who received NY-ESO-1ᶜ²⁵⁹T
Skin and subcutaneous tissue disorders
Alopecia
50.0%
2/4 • Number of events 2 • Start of lymphodepletion to end of intervention phase (up to 12 months post T-cell infusion)
Participants who received NY-ESO-1ᶜ²⁵⁹T
Blood and lymphatic system disorders
Anemia
50.0%
2/4 • Number of events 2 • Start of lymphodepletion to end of intervention phase (up to 12 months post T-cell infusion)
Participants who received NY-ESO-1ᶜ²⁵⁹T
Gastrointestinal disorders
Constipation
50.0%
2/4 • Number of events 2 • Start of lymphodepletion to end of intervention phase (up to 12 months post T-cell infusion)
Participants who received NY-ESO-1ᶜ²⁵⁹T
General disorders
Pyrexia
50.0%
2/4 • Number of events 2 • Start of lymphodepletion to end of intervention phase (up to 12 months post T-cell infusion)
Participants who received NY-ESO-1ᶜ²⁵⁹T
Investigations
Alanine aminotransferase increased
25.0%
1/4 • Number of events 1 • Start of lymphodepletion to end of intervention phase (up to 12 months post T-cell infusion)
Participants who received NY-ESO-1ᶜ²⁵⁹T
Psychiatric disorders
Anxiety
25.0%
1/4 • Number of events 1 • Start of lymphodepletion to end of intervention phase (up to 12 months post T-cell infusion)
Participants who received NY-ESO-1ᶜ²⁵⁹T
Investigations
Aspartate aminotransferase increased
25.0%
1/4 • Number of events 1 • Start of lymphodepletion to end of intervention phase (up to 12 months post T-cell infusion)
Participants who received NY-ESO-1ᶜ²⁵⁹T
Infections and infestations
Candida infection
25.0%
1/4 • Number of events 1 • Start of lymphodepletion to end of intervention phase (up to 12 months post T-cell infusion)
Participants who received NY-ESO-1ᶜ²⁵⁹T
Infections and infestations
Cellulitis
25.0%
1/4 • Number of events 1 • Start of lymphodepletion to end of intervention phase (up to 12 months post T-cell infusion)
Participants who received NY-ESO-1ᶜ²⁵⁹T
General disorders
Chills
25.0%
1/4 • Number of events 1 • Start of lymphodepletion to end of intervention phase (up to 12 months post T-cell infusion)
Participants who received NY-ESO-1ᶜ²⁵⁹T
Respiratory, thoracic and mediastinal disorders
Cough
25.0%
1/4 • Number of events 1 • Start of lymphodepletion to end of intervention phase (up to 12 months post T-cell infusion)
Participants who received NY-ESO-1ᶜ²⁵⁹T
Psychiatric disorders
Depression
25.0%
1/4 • Number of events 1 • Start of lymphodepletion to end of intervention phase (up to 12 months post T-cell infusion)
Participants who received NY-ESO-1ᶜ²⁵⁹T
Gastrointestinal disorders
Diarrhea
25.0%
1/4 • Number of events 1 • Start of lymphodepletion to end of intervention phase (up to 12 months post T-cell infusion)
Participants who received NY-ESO-1ᶜ²⁵⁹T
Nervous system disorders
Dizziness
25.0%
1/4 • Number of events 1 • Start of lymphodepletion to end of intervention phase (up to 12 months post T-cell infusion)
Participants who received NY-ESO-1ᶜ²⁵⁹T
Renal and urinary disorders
Dysuria
25.0%
1/4 • Number of events 1 • Start of lymphodepletion to end of intervention phase (up to 12 months post T-cell infusion)
Participants who received NY-ESO-1ᶜ²⁵⁹T
Renal and urinary disorders
Hematuria
25.0%
1/4 • Number of events 1 • Start of lymphodepletion to end of intervention phase (up to 12 months post T-cell infusion)
Participants who received NY-ESO-1ᶜ²⁵⁹T
Nervous system disorders
Headache
25.0%
1/4 • Number of events 1 • Start of lymphodepletion to end of intervention phase (up to 12 months post T-cell infusion)
Participants who received NY-ESO-1ᶜ²⁵⁹T
Skin and subcutaneous tissue disorders
Hyperhidrosis
25.0%
1/4 • Number of events 1 • Start of lymphodepletion to end of intervention phase (up to 12 months post T-cell infusion)
Participants who received NY-ESO-1ᶜ²⁵⁹T
Psychiatric disorders
Insomnia
25.0%
1/4 • Number of events 1 • Start of lymphodepletion to end of intervention phase (up to 12 months post T-cell infusion)
Participants who received NY-ESO-1ᶜ²⁵⁹T
Musculoskeletal and connective tissue disorders
Musculoskeletal chest pain
25.0%
1/4 • Number of events 1 • Start of lymphodepletion to end of intervention phase (up to 12 months post T-cell infusion)
Participants who received NY-ESO-1ᶜ²⁵⁹T
Nervous system disorders
Neuropathy peripheral
25.0%
1/4 • Number of events 1 • Start of lymphodepletion to end of intervention phase (up to 12 months post T-cell infusion)
Participants who received NY-ESO-1ᶜ²⁵⁹T
Blood and lymphatic system disorders
Neutropenia decreased
25.0%
1/4 • Number of events 1 • Start of lymphodepletion to end of intervention phase (up to 12 months post T-cell infusion)
Participants who received NY-ESO-1ᶜ²⁵⁹T
Blood and lymphatic system disorders
Pancytopenia
25.0%
1/4 • Number of events 1 • Start of lymphodepletion to end of intervention phase (up to 12 months post T-cell infusion)
Participants who received NY-ESO-1ᶜ²⁵⁹T
Renal and urinary disorders
Pollakiuria
25.0%
1/4 • Number of events 1 • Start of lymphodepletion to end of intervention phase (up to 12 months post T-cell infusion)
Participants who received NY-ESO-1ᶜ²⁵⁹T
Skin and subcutaneous tissue disorders
Skin Fissures
25.0%
1/4 • Number of events 1 • Start of lymphodepletion to end of intervention phase (up to 12 months post T-cell infusion)
Participants who received NY-ESO-1ᶜ²⁵⁹T
Cardiac disorders
Supraventricular tachycardia
25.0%
1/4 • Number of events 1 • Start of lymphodepletion to end of intervention phase (up to 12 months post T-cell infusion)
Participants who received NY-ESO-1ᶜ²⁵⁹T
Blood and lymphatic system disorders
Thrombocytopenia
25.0%
1/4 • Number of events 1 • Start of lymphodepletion to end of intervention phase (up to 12 months post T-cell infusion)
Participants who received NY-ESO-1ᶜ²⁵⁹T
Infections and infestations
Urinary Tract Infection
25.0%
1/4 • Number of events 1 • Start of lymphodepletion to end of intervention phase (up to 12 months post T-cell infusion)
Participants who received NY-ESO-1ᶜ²⁵⁹T
Skin and subcutaneous tissue disorders
Vitiligo
25.0%
1/4 • Number of events 1 • Start of lymphodepletion to end of intervention phase (up to 12 months post T-cell infusion)
Participants who received NY-ESO-1ᶜ²⁵⁹T
Gastrointestinal disorders
Vomiting
25.0%
1/4 • Number of events 1 • Start of lymphodepletion to end of intervention phase (up to 12 months post T-cell infusion)
Participants who received NY-ESO-1ᶜ²⁵⁹T

Additional Information

Clinical Trials Management

Adaptimmune

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60