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

NCT ID: NCT05361174

Last Updated: 2024-12-05

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

PHASE1/PHASE2

Total Enrollment

53 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-07-20

Study Completion Date

2027-06-30

Brief Summary

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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

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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).

Conditions

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

Keywords

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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

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Cohort 1

Participants with unresectable or metastatic melanoma

Group Type EXPERIMENTAL

IOV-4001

Intervention Type BIOLOGICAL

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.

Cohort 2

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

Group Type EXPERIMENTAL

IOV-4001

Intervention Type BIOLOGICAL

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.

Interventions

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IOV-4001

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.

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

1. Participants must have a confirmed diagnosis of Stage IIIC, IIID, or IV unresectable or metastatic melanoma or Stage III or IV NSCLC.
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.
10. Participants who are \>70 years of age may be allowed to enroll after the investigator discusses with the medical monitor.

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.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Iovance Biotherapeutics, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Iovance Biotherapeutics Study Team

Role: STUDY_DIRECTOR

Iovance Biotherapeutics

Locations

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The Angeles Clinic and Research Institute

Los Angeles, California, United States

Site Status RECRUITING

Sylvester Comprehensive Cancer Center

Miami, Florida, United States

Site Status RECRUITING

Orlando Health Cancer Institute

Orlando, Florida, United States

Site Status RECRUITING

Moffitt Cancer Center

Tampa, Florida, United States

Site Status RECRUITING

The University of Kansas Cancer Center

Westwood, Kansas, United States

Site Status RECRUITING

University of Louisville

Louisville, Kentucky, United States

Site Status RECRUITING

Memorial Sloan Kettering Cancer Center

New York, New York, United States

Site Status RECRUITING

University of Cincinnati

Cincinnati, Ohio, United States

Site Status RECRUITING

UPMC Hillman Cancer Center

Pittsburgh, Pennsylvania, United States

Site Status RECRUITING

Medical College of Wisconsin

Milwaukee, Wisconsin, United States

Site Status WITHDRAWN

Countries

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United States

Central Contacts

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Iovance Biotherapeutics Study Team

Role: CONTACT

Phone: 1-844-845-4682

Email: [email protected]

Other Identifiers

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IOV-GM1-201

Identifier Type: -

Identifier Source: org_study_id