Clinical trial • Phase I/II • Oncology

Retroviral vector containing the common gamma chain cDNA; Autologous tumour-infiltrating lymphocytes for Advanced melanoma | Head and neck squamous cell carcinoma

Phase I/II trial of Retroviral vector containing the common gamma chain cDNA; Autologous tumour-infiltrating lymphocytes for Advanced melanoma | Head and…

Overview

Trial Therapeutic Area
Oncology
Trial Disease
Advanced melanoma | Head and neck squamous cell carcinoma
Trial Stage
Phase I/II
Drug Modality
Gene therapy | Cell therapy

Key dates

Initial CTIS Submission Date
15-10-2024
First CTIS Authorization Date
29-11-2024

Trial design

open-label, adaptive Phase I/II trial across 1 site in Netherlands.

Open Label
Yes
Adaptive
True, accelerated titration Phase I design with dose-escalation to define maximum tolerated dose (MTD) and determine the recommended Phase II dose; subsequent single-arm (2-stage) Phase II study.
Biomarker Stratified
True, biomarker: HLA-A2 positivity required and tumor MAGE-C2 positivity required
Single Multiple Or Escalation Dose Combined
Yes
Target Sample Size
20

Eligibility

Recruits 20 Vulnerable population not selected (isVulnerablePopulationSelected: false); 'Patients must be able to understand and sign the Informed Consent document.' No specific assent or parental consent procedures described in the available record..

Vulnerable Population
Vulnerable population not selected (isVulnerablePopulationSelected: false); 'Patients must be able to understand and sign the Informed Consent document.' No specific assent or parental consent procedures described in the available record.

Inclusion criteria

  • {"criterion_text":"- 18 years of age."}
  • {"criterion_text":"- inoperable stage Ille or stage IV cutaneous melanoma, including ocular or mucosal melanoma, progressing after standard of care therapy, or recurrent/metastatic HNSCC"}
  • {"criterion_text":"- Patients must be HLA-A2 positive."}
  • {"criterion_text":"- The primary tumor and/or metastasis have to be positive for MAGE-C2"}
  • {"criterion_text":"- Patients must have a clinical performance status of ECOG O or 1"}
  • {"criterion_text":"- Patients of both genders must be willing to practice a highly effective method of birth control during treatment and for four months after receiving the preparative regime"}
  • {"criterion_text":"- Patients must be able to understand and sign the Informed Consent document."}

Exclusion criteria

  • {"criterion_text":"- Life expectancy of less than three months."}
  • {"criterion_text":"- Requirement for systemic steroid therapy"}
  • {"criterion_text":"- Patients who have active/symptomatic CNS metastases"}
  • {"criterion_text":"- Patients with pleural effusion or ascites."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Phase I: AEs according to CTCAE 5.0","definition_or_measurement_approach":"Adverse events will be documented according to CTCAE v5.0."}
  • {"endpoint_text":"- Phase I: Recommended Phase II dose","definition_or_measurement_approach":"Determination of the recommended Phase II dose based on Phase I dose-escalation/MTD assessment."}
  • {"endpoint_text":"- Phase I: Feasibility to deliver this sequence of treatmen","definition_or_measurement_approach":"Assessment of feasibility to deliver the treatment sequence (no additional measurement details provided)."}
  • {"endpoint_text":"- Phase II: Objective response rate according to RECIST v1 .1","definition_or_measurement_approach":"Tumor response evaluated using RECIST v1.1."}
  • {"endpoint_text":"- Phase II: PFS","definition_or_measurement_approach":"Progression-free survival (PFS) as an outcome (no further definition provided)."}
  • {"endpoint_text":"- Phase II: OS","definition_or_measurement_approach":"Overall survival (OS) as an outcome (no further definition provided)."}

Secondary endpoints

  • {"endpoint_text":"- Phase I and II: Persistence and function of MC2-specific T cells in peripheral blood.","definition_or_measurement_approach":"Assessment of persistence and function of MC2-specific T cells in peripheral blood (details not provided)."}
  • {"endpoint_text":"- Phase I and II: Systemic release of inflammatory cytokines after administration of autologous MC2 TCR T cells","definition_or_measurement_approach":"Measurement of systemic inflammatory cytokine release after administration (details not provided)."}
  • {"endpoint_text":"- Phase I and II: Immune parameters, in particular T cell parameters, in blood and tumor tissues (when available) prior to and during treatmen","definition_or_measurement_approach":"Measurement of immune parameters in blood and tumor tissues prior to and during treatment (details not provided)."}
  • {"endpoint_text":"- Phase I and II: Global DNA hypomethylation and histone acetylation in PBMCs after epigenetic treatment and administration of autologous MC2 TCR T cells","definition_or_measurement_approach":"Evaluation of global DNA hypomethylation and histone acetylation in PBMCs after epigenetic treatment and cell administration (details not provided)."}

Recruitment

Planned Sample Size
20
Recruitment Window Months
50
Consent Approach
Informed consent must be provided by the participant: 'Patients must be able to understand and sign the Informed Consent document.' A Subject information and informed consent form (L1_SIS and ICF MC2TCR) is listed among documents. No specific age‑adapted consent/assent procedures or available languages are described in the available record.

Geography

Total Number Of Sites
1
Total Number Of Participants
20

Netherlands

Earliest CTIS Part Ii Submission Date
15-11-2024
Latest Decision Or Authorization Date
31-03-2026
Processing Time Days
501
Number Of Sites
1
Number Of Participants
20

Sites

Site Name
Erasmus Universitair Medisch Centrum Rotterdam (Erasmus MC)
Department Name
Medical Oncology
Principal Investigator Name
Astrid van der Veldt
Principal Investigator Email
invent.ctc@erasmusmc.nl
Contact Person Name
Astrid van der Veldt
Contact Person Email
invent.ctc@erasmusmc.nl
Number Of Participants
20

Sponsor

Primary sponsor

Full Name
Erasmus Universitair Medisch Centrum Rotterdam (Erasmus MC)
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Netherlands

Investigational products

Investigational Product Name
Gamma-retroviral vector MP71 MC2 TCR16-3D9
Active Substance
Retroviral vector containing the common gamma chain cDNA; Autologous tumour-infiltrating lymphocytes
Modality
Gene therapy | Cell therapy
Routes Of Administration
Intravenous administration
Route
Intravenous administration
Authorisation Status
prodAuthStatus: 1
Combination Treatment
Yes

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