FT536 Monotherapy and in Combination With Monoclonal Antibodies in Advanced Solid Tumors

NCT ID: NCT05395052

Last Updated: 2023-09-21

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

TERMINATED

Clinical Phase

PHASE1

Total Enrollment

5 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-05-31

Study Completion Date

2023-08-11

Brief Summary

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This is a Phase 1 dose-finding study of FT536 given in combination with a monoclonal antibody following lymphodepletion in participants with advanced solid tumors. The study will consist of a dose-escalation stage and an expansion stage where participants will be enrolled into indication-specific cohorts.

Detailed Description

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Conditions

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Non Small Cell Lung Cancer Colorectal Cancer Breast Cancer Ovarian Cancer Pancreatic Cancer Head and Neck Cancer GastroEsophageal Cancer

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Cohort A/A2/AA/AA2: FT536 Monotherapy

FT536 monotherapy in participants with locally advanced or metastatic non-small cell lung cancer (NSCLC), colorectal cancer (CRC), breast cancer (BC), ovarian cancer, or pancreatic cancer.

Group Type EXPERIMENTAL

FT536

Intervention Type DRUG

FT536 is an allogeneic natural killer (NK)-cell immunotherapy

Cyclophosphamide

Intervention Type DRUG

Lympho-conditioning agent

Fludarabine

Intervention Type DRUG

Lympho-conditioning agent

IL-2

Intervention Type DRUG

For Cohort AA ONLY: To be combined with FT536 at the MTD or MAD

Cohort B/B2/BB/BB2: FT536 + Avelumab

FT536 + avelumab combination therapy in participants with locally advanced or metastatic solid tumor indications with documented PD-L1 expression.

Group Type EXPERIMENTAL

FT536

Intervention Type DRUG

FT536 is an allogeneic natural killer (NK)-cell immunotherapy

Cyclophosphamide

Intervention Type DRUG

Lympho-conditioning agent

Fludarabine

Intervention Type DRUG

Lympho-conditioning agent

Avelumab

Intervention Type COMBINATION_PRODUCT

Monoclonal antibody

IL-2

Intervention Type DRUG

For Cohorts BB-FF ONLY: To be combined with FT536 + mAb at the MTD or MAD

Cohort C/C2/CC/CC2: FT536 + Pembrolizumab, Nivolumab, or Atezolizumab

FT536 + pembrolizumab, nivolumab, or atezolizumab in participants with locally advanced or metastatic solid tumor indications with documented PD-L1 expression.

Group Type EXPERIMENTAL

FT536

Intervention Type DRUG

FT536 is an allogeneic natural killer (NK)-cell immunotherapy

Cyclophosphamide

Intervention Type DRUG

Lympho-conditioning agent

Fludarabine

Intervention Type DRUG

Lympho-conditioning agent

Pembrolizumab

Intervention Type COMBINATION_PRODUCT

For Cohorts C/CC, the combination product (monoclonal antibody) will be ONE of the following: pembrolizumab, nivolumab, or atezolizumab.

Nivolumab

Intervention Type COMBINATION_PRODUCT

For Cohorts C/CC, the combination product (monoclonal antibody) will be ONE of the following: pembrolizumab, nivolumab, or atezolizumab.

Atezolizumab

Intervention Type COMBINATION_PRODUCT

For Cohorts C/CC, the combination product (monoclonal antibody) will be ONE of the following: pembrolizumab, nivolumab, or atezolizumab.

IL-2

Intervention Type DRUG

For Cohorts BB-FF ONLY: To be combined with FT536 + mAb at the MTD or MAD

Cohort D/D2/DD/DD2: FT536 + Trastuzumab

FT536 + trastuzumab in participants with locally advanced or metastatic documented human epidermal growth factor receptor 2 (HER2+) expressing tumors

Group Type EXPERIMENTAL

FT536

Intervention Type DRUG

FT536 is an allogeneic natural killer (NK)-cell immunotherapy

Cyclophosphamide

Intervention Type DRUG

Lympho-conditioning agent

Fludarabine

Intervention Type DRUG

Lympho-conditioning agent

Trastuzumab

Intervention Type COMBINATION_PRODUCT

Monoclonal antibody

IL-2

Intervention Type DRUG

For Cohorts BB-FF ONLY: To be combined with FT536 + mAb at the MTD or MAD

Cohort E/E2/EE/EE2: FT536 + Cetuximab

FT536 + cetuximab in participants with locally advanced or metastatic squamous NSCLC, CRC, or head and neck cancer.

Group Type EXPERIMENTAL

FT536

Intervention Type DRUG

FT536 is an allogeneic natural killer (NK)-cell immunotherapy

Cyclophosphamide

Intervention Type DRUG

Lympho-conditioning agent

Fludarabine

Intervention Type DRUG

Lympho-conditioning agent

Cetuximab

Intervention Type COMBINATION_PRODUCT

Monoclonal antibody

IL-2

Intervention Type DRUG

For Cohorts BB-FF ONLY: To be combined with FT536 + mAb at the MTD or MAD

Cohort F/F2/FF/FF2: FT536 + Amivantamab

FT536 + amivantamab in participants with locally advanced or metastatic NSCLC.

Group Type EXPERIMENTAL

FT536

Intervention Type DRUG

FT536 is an allogeneic natural killer (NK)-cell immunotherapy

Cyclophosphamide

Intervention Type DRUG

Lympho-conditioning agent

Fludarabine

Intervention Type DRUG

Lympho-conditioning agent

Amivantamab

Intervention Type COMBINATION_PRODUCT

Monoclonal antibody

IL-2

Intervention Type DRUG

For Cohorts BB-FF ONLY: To be combined with FT536 + mAb at the MTD or MAD

Interventions

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FT536

FT536 is an allogeneic natural killer (NK)-cell immunotherapy

Intervention Type DRUG

Cyclophosphamide

Lympho-conditioning agent

Intervention Type DRUG

Fludarabine

Lympho-conditioning agent

Intervention Type DRUG

IL-2

For Cohort AA ONLY: To be combined with FT536 at the MTD or MAD

Intervention Type DRUG

Avelumab

Monoclonal antibody

Intervention Type COMBINATION_PRODUCT

Pembrolizumab

For Cohorts C/CC, the combination product (monoclonal antibody) will be ONE of the following: pembrolizumab, nivolumab, or atezolizumab.

Intervention Type COMBINATION_PRODUCT

Nivolumab

For Cohorts C/CC, the combination product (monoclonal antibody) will be ONE of the following: pembrolizumab, nivolumab, or atezolizumab.

Intervention Type COMBINATION_PRODUCT

Atezolizumab

For Cohorts C/CC, the combination product (monoclonal antibody) will be ONE of the following: pembrolizumab, nivolumab, or atezolizumab.

Intervention Type COMBINATION_PRODUCT

Trastuzumab

Monoclonal antibody

Intervention Type COMBINATION_PRODUCT

Cetuximab

Monoclonal antibody

Intervention Type COMBINATION_PRODUCT

Amivantamab

Monoclonal antibody

Intervention Type COMBINATION_PRODUCT

IL-2

For Cohorts BB-FF ONLY: To be combined with FT536 + mAb at the MTD or MAD

Intervention Type DRUG

Other Intervention Names

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NK Cell Therapy Cy Flu Interleukin-2 Bavencio Keytruda Opdivo Tecentriq Herceptin Erbitux Rybrevant Interleukin-2

Eligibility Criteria

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Inclusion Criteria

* Participants with locally advanced or metastatic disease who have progressed/relapsed, are refractory, intolerant to or refuse standard therapy approved for their specific tumor type:

Cohort A/A2/AA/AA2: NSCLC, CRC, BC, ovarian cancer, or pancreatic cancer

Cohorts B/B2/BB/BB2 and C/C2/CC/CC2: Subjects with NSCLC, HNSCC, gastroesophageal adenocarinoma, triple negative breast cancer, or urothelial carcinoma whose tumors express PD-L1 according to defined cutoff

Cohort D/D2/DD/DD2: Subjects with advanced solid tumor whose tumor(s) express HER2 defined as: ≥2+ by IHC, Average HER2 copy number ≥4 signals per cell by in situ hybridization or ≥4 copies as determined by next generation sequencing

Cohort E/E2/EE/EE2: Squamous NSCLC; head and neck cancer that relapsed or progressed following prior cetuximab treatment; CRC subjects who are KRAS/NRAS/BRAF wild-type are required to have progressed/relapsed on prior cetuximab or panitumumab

Cohort F/F2/FF/FF2: NSCLC known to have at least one of the following: epidermal growth factor receptor (EGFR) driver mutation(s) and have progressed on or were intolerant to at least one prior line of EGFR Tyrosine Kinase Inhibitor (TKI) or were not candidates for or declined TKI; mesenchymal-epithelial transition (MET) exon 14 skipping mutation that has progressed on or intolerant of at least one prior line of MET TKI or were not candidates for or declined TKI; MET amplification defined as MET/CEP7 ratio ≥1.8 by Fluorescence in situ hybridization (FISH)

* Has measurable disease per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1
* For subjects with \>1 measurable lesion by RECIST v1.1 that can be safely accessed, willingness to undergo tumor biopsy
* Agrees to contraceptive use for women and men as defined in the protocol

Exclusion Criteria

* Is a pregnant or breast-feeding female
* Has Eastern Cooperative Oncology Group (ECOG) performance status ≥2
* Has evidence of insufficient organ function
* Has clinically significant cardiovascular disease including left-ventricular ejection fraction \< 45%
* Has received any therapy within 2 weeks prior to Day 1 or five half-lives, whichever is shorter or any investigational therapy within 28 days prior to Day 1
* Has a known active malignancy in the central nervous system (CNS) that hasn't remained stable for at least 3 months following effective treatment for CNS disease
* Has a non-malignant CNS disease such as stroke, epilepsy, CNS vasculitis or neurodegenerative disease or receipt of medications for these conditions
* Has had any active malignancy other than those studied in this trial within 2 years of the first dose of study therapy
* Is currently receiving or likely to require immunosuppressive therapy
* Has an active bacterial, fungal, or viral infections including hepatitis B, hepatitis C, or human immunodeficiency virus (HIV)
* Has received a live vaccine within 6 weeks prior to start of lympho-conditioning
* Has a known allergy to albumin (human) or dimethyl sulfoxide (DMSO)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fate Therapeutics

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Fate Trial Disclosure

Role: STUDY_DIRECTOR

Fate Therapeutics

Locations

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Honor Health Research Institute

Scottsdale, Arizona, United States

Site Status

UCLA Division of Hematology-Oncology

Los Angeles, California, United States

Site Status

Hackensack University Medical Center - John Theurer Cancer Center

Hackensack, New Jersey, United States

Site Status

Carolina BioOncology Institute

Huntersville, North Carolina, United States

Site Status

NEXT Oncology

San Antonio, Texas, United States

Site Status

Countries

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United States

Other Identifiers

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FT536-101

Identifier Type: -

Identifier Source: org_study_id

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