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NCT01343043: NY-ESO-1

A Pilot Study of Genetically Engineered NY-ESO-1 Specific NY-ESO-1ᶜ²⁵⁹T in HLA-A2+ Patients With Synovial Sarcoma

Completed Phase 1 Results posted Last updated 30 June 2021
What this trial tests

Phase 1 trial testing NY-ESO-1(c259)T Cells in Neoplasms in 50 participants. Completed in 18 June 2019.

Timeline
27 September 2012
Primary endpoint
18 June 2019
18 June 2019

Quick facts

Lead sponsorGlaxoSmithKline
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Primary purposetreatment
Enrollment50
Start date27 September 2012
Primary completion18 June 2019
Estimated completion18 June 2019
Sites8 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

GlaxoSmithKline — full company profile →

Who can join

4 and older, any sex, with Neoplasms. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Objective Response Rate (ORR) Primary · Up to 4.5 years

ORR was calculated as the percentage of participants with a confirmed complete response (CR) or partial response (PR) relative to the total number of participants in the analysis population per response evaluation criteria in solid tumors (RECIST) version (v)1.1 as determined by the local investigators.

GroupValue95% CI
Cohort 1: High NY-ESO-1 Expression Treated With Regimen A50
Cohort 2: Low NY-ESO-1 Expression Treated With Regimen A30.8
Cohort 3: High NY-ESO-1 Expression Treated With Regimen B20
Cohort 4: High NY-ESO-1 Expression Treated With Regimen C26.7
Duration of Overall Response Secondary · Up to 4.5 years

Duration of overall response (DOR) is defined as the time from first documented evidence of confirmed CR or confirmed PR until first documented date of disease progression or death due to any cause or surgical resection or start of prohibited medications. Duration of overall response was evaluated per RECIST v1.1. Median and full range of DOR are presented.

GroupValue95% CI
Cohort 1: High NY-ESO-1 Expression Treated With Regimen A31.013 – 72
Cohort 2: Low NY-ESO-1 Expression Treated With Regimen A8.68 – 13
Cohort 3: High NY-ESO-1 Expression Treated With Regimen B32.1NA – NA
Cohort 4: High NY-ESO-1 Expression Treated With Regimen C16.414 – 94
Progression Free Survival Secondary · Up to 4.5 years

Progression free survival is defined as the interval between the date of first T cell infusion and the earliest documented evidence of disease progression or death due to any cause or surgical resection or start of prohibited medications. Progression free survival was evaluated per RECIST v1.1. Median and inter-quartile range (first quartile and third quartile) of progression free survival are presented.

GroupValue95% CI
Cohort 1: High NY-ESO-1 Expression Treated With Regimen A15.48.6 – 37.1
Cohort 2: Low NY-ESO-1 Expression Treated With Regimen A13.18.3 – 13.9
Cohort 3: High NY-ESO-1 Expression Treated With Regimen B8.68.3 – 12.1
Cohort 4: High NY-ESO-1 Expression Treated With Regimen C22.411.6 – 38.3
Best Overall Response Secondary · Up to 4.5 years

Best overall response is the best response recorded from the start of treatment (first T cell infusion) until disease progression/recurrence. Response categories from best to worst are confirmed CR, confirmed PR, stable disease (SD) and confirmed progressive disease (PD). Best overall response is a stable disease, if CR or PR are unconfirmed. Data for number of participants with CR, PR, SD and PD are presented.

Complete response
GroupValue95% CI
Cohort 1: High NY-ESO-1 Expression Treated With Regimen A1
Cohort 2: Low NY-ESO-1 Expression Treated With Regimen A0
Cohort 3: High NY-ESO-1 Expression Treated With Regimen B0
Cohort 4: High NY-ESO-1 Expression Treated With Regimen C0
Partial response
GroupValue95% CI
Cohort 1: High NY-ESO-1 Expression Treated With Regimen A5
Cohort 2: Low NY-ESO-1 Expression Treated With Regimen A4
Cohort 3: High NY-ESO-1 Expression Treated With Regimen B1
Cohort 4: High NY-ESO-1 Expression Treated With Regimen C4
Stable disease
GroupValue95% CI
Cohort 1: High NY-ESO-1 Expression Treated With Regimen A5
Cohort 2: Low NY-ESO-1 Expression Treated With Regimen A7
Cohort 3: High NY-ESO-1 Expression Treated With Regimen B3
Cohort 4: High NY-ESO-1 Expression Treated With Regimen C10
Progressive disease
GroupValue95% CI
Cohort 1: High NY-ESO-1 Expression Treated With Regimen A1
Cohort 2: Low NY-ESO-1 Expression Treated With Regimen A1
Cohort 3: High NY-ESO-1 Expression Treated With Regimen B0
Cohort 4: High NY-ESO-1 Expression Treated With Regimen C1
Not evaluable
GroupValue95% CI
Cohort 1: High NY-ESO-1 Expression Treated With Regimen A0
Cohort 2: Low NY-ESO-1 Expression Treated With Regimen A1
Cohort 3: High NY-ESO-1 Expression Treated With Regimen B1
Cohort 4: High NY-ESO-1 Expression Treated With Regimen C0
Overall Survival Secondary · Up to 4.5 years

Overall survival is defined as the interval between the date of the first T-cell infusion and date of death from any cause. Median and inter-quartile range (first quartile and third quartile) of overall survival are presented.

GroupValue95% CI
Cohort 1: High NY-ESO-1 Expression Treated With Regimen A80.745.3 – 212.0
Cohort 2: Low NY-ESO-1 Expression Treated With Regimen A43.119.4 – 85.3
Cohort 3: High NY-ESO-1 Expression Treated With Regimen B86.468.1 – 104.6
Cohort 4: High NY-ESO-1 Expression Treated With Regimen C105.350.3 – NA
Number of Participants With Non-serious Adverse Events (Non-SAEs) and Serious Adverse Events (SAEs) Secondary · Up to 5 years

An adverse event (AE) is any untoward medical occurrence in a clinical study participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. SAE is defined as any untoward medical occurrence that; results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect, other situations judged by physician, is associated with liver injury and impaired liver function. Number of participants who had non-SAEs and SAEs are pr

Non-SAE
GroupValue95% CI
Cohort 1: High NY-ESO-1 Expression Treated With Regimen A15
Cohort 2: Low NY-ESO-1 Expression Treated With Regimen A13
Cohort 3: High NY-ESO-1 Expression Treated With Regimen B5
Cohort 4: High NY-ESO-1 Expression Treated With Regimen C15
SAE
GroupValue95% CI
Cohort 1: High NY-ESO-1 Expression Treated With Regimen A9
Cohort 2: Low NY-ESO-1 Expression Treated With Regimen A7
Cohort 3: High NY-ESO-1 Expression Treated With Regimen B4
Cohort 4: High NY-ESO-1 Expression Treated With Regimen C6
Number of Participants With at Least One Confirmed Positive Post-Baseline Anti-infused (NY-ESO-1 Genetically Engineered T) Cell Antibody Result Secondary · Up to 4.5 years

Serum samples were collected for the determination of anti-infused (NY-ESO-1 genetically engineered T) cell antibodies (ATA) using a validated electrochemiluminescent (ECL) immunoassay. The assay involved screening, confirmation and titration steps. If serum samples tested positive in the screening assay, they were considered 'potentially positive' and were further analyzed for the specificity using the confirmation assay. A participant was considered to have a confirmed positive ATA result if they have a positive screening assay result and a positive confirmation assay result.

GroupValue95% CI
Cohort 1: High NY-ESO-1 Expression Treated With Regimen A0
Cohort 2: Low NY-ESO-1 Expression Treated With Regimen A0
Cohort 3: High NY-ESO-1 Expression Treated With Regimen B0
Cohort 4: High NY-ESO-1 Expression Treated With Regimen C0
Time to Maximum Persistence of NY-ESO-1 Genetically Engineered T Cells Secondary · Up to 4.5 years

Time to maximum persistence is defined as date of maximum persistence for infusion visit minus date of first T cell infusion visit plus 1. Median and full range of time to maximum persistence are presented.

GroupValue95% CI
Cohort 1: High NY-ESO-1 Expression Treated With Regimen A8.04 – 29
Cohort 2: Low NY-ESO-1 Expression Treated With Regimen A8.05 – 18
Cohort 3: High NY-ESO-1 Expression Treated With Regimen B8.08 – 8
Cohort 4: High NY-ESO-1 Expression Treated With Regimen C96 – 13

Adverse events — posted to ClinicalTrials.gov

Time frame: Serious adverse events (SAEs) and non-serious AEs were collected from the start of study treatment (Day 1) until maximum of 4.5 years. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Cohort 1: High NY-ESO-1 Expression Treated With Regimen A
Serious: 9/15 (60%)
Deaths: 12/15
Cohort 2: Low NY-ESO-1 Expression Treated With Regimen A
Serious: 7/14 (50%)
Deaths: 13/14
Cohort 3: High NY-ESO-1 Expression Treated With Regimen B
Serious: 4/5 (80%)
Deaths: 4/5
Cohort 4: High NY-ESO-1 Expression Treated With Regimen C
Serious: 6/16 (38%)
Deaths: 8/16

Serious adverse events (49 terms)

ReactionSystemCohort 1: High NY-ESO-1 Ex…Cohort 2: Low NY-ESO-1 Exp…Cohort 3: High NY-ESO-1 Ex…Cohort 4: High NY-ESO-1 Ex…
PyrexiaGeneral disorders
HypotensionVascular disorders
Cytokine release syndromeImmune system disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
PneumothoraxRespiratory, thoracic and mediastinal disorders
ChillsGeneral disorders
Febrile neutropeniaBlood and lymphatic system disorders
EmbolismVascular disorders
DiarrhoeaGastrointestinal disorders
Guillain-Barre syndromeNervous system disorders
Rash maculo-papularSkin and subcutaneous tissue disorders
HypoxiaRespiratory, thoracic and mediastinal disorders
Pleural effusionRespiratory, thoracic and mediastinal disorders
Respiratory failureRespiratory, thoracic and mediastinal disorders
CoughRespiratory, thoracic and mediastinal disorders
HaemoptysisRespiratory, thoracic and mediastinal disorders
Pleuritic painRespiratory, thoracic and mediastinal disorders
PneumonitisRespiratory, thoracic and mediastinal disorders
Pulmonary haemorrhageRespiratory, thoracic and mediastinal disorders
Chest painGeneral disorders
Non-cardiac chest painGeneral disorders
Bone marrow failureBlood and lymphatic system disorders
AnaemiaBlood and lymphatic system disorders
NeutropeniaBlood and lymphatic system disorders
Abdominal painGastrointestinal disorders
Other adverse events (315 terms — click to expand)

ReactionSystemCohort 1: High NY-ESO-1 Ex…Cohort 2: Low NY-ESO-1 Exp…Cohort 3: High NY-ESO-1 Ex…Cohort 4: High NY-ESO-1 Ex…
FatigueGeneral disorders
AnaemiaBlood and lymphatic system disorders
Lymphocyte count decreasedInvestigations
NauseaGastrointestinal disorders
PyrexiaGeneral disorders
White blood cell count decreasedInvestigations
Platelet count decreasedInvestigations
Neutrophil count decreasedInvestigations
HyponatraemiaMetabolism and nutrition disorders
HypoalbuminaemiaMetabolism and nutrition disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
AnxietyPsychiatric disorders
Activated partial thromboplastin time prolongedInvestigations
DiarrhoeaGastrointestinal disorders
HypophosphataemiaMetabolism and nutrition disorders
CoughRespiratory, thoracic and mediastinal disorders
DizzinessNervous system disorders
Blood creatinine increasedInvestigations
ConstipationGastrointestinal disorders
HypocalcaemiaMetabolism and nutrition disorders
Musculoskeletal chest painMusculoskeletal and connective tissue disorders
HeadacheNervous system disorders
HypotensionVascular disorders
Aspartate aminotransferase increasedInvestigations
Blood alkaline phosphatase increasedInvestigations
NeutropeniaBlood and lymphatic system disorders
VomitingGastrointestinal disorders
Decreased appetiteMetabolism and nutrition disorders
Pain in extremityMusculoskeletal and connective tissue disorders
Sinus tachycardiaCardiac disorders
Rash maculo-papularSkin and subcutaneous tissue disorders
PainGeneral disorders
Alanine aminotransferase increasedInvestigations
Lipase increasedInvestigations
Febrile neutropeniaBlood and lymphatic system disorders
HypokalaemiaMetabolism and nutrition disorders
HypomagnesaemiaMetabolism and nutrition disorders
Nasal congestionRespiratory, thoracic and mediastinal disorders
TachycardiaCardiac disorders
PruritusSkin and subcutaneous tissue disorders

Most-reported serious reactions: Pyrexia, Hypotension, Cytokine release syndrome, Dyspnoea, Pneumothorax, Chills, Febrile neutropenia, Embolism.

Data from ClinicalTrials.gov NCT01343043 adverse events section.

Sponsor's own description

The purpose of this early (pilot) clinical trial is to test the effects (both good and bad) of chemotherapy and adoptive immunotherapy with T cells engineered to recognize NY-ESO-1 peptide in patients with unresectable, metastatic or recurrent synovial sarcoma.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Antitumor Activity Associated with Prolonged Persistence of Adoptively Transferred NY-ESO-1 <sup>c259</sup>T Cells in Synovial Sarcoma.
    D'Angelo SP, Melchiori L, Merchant MS, Bernstein D, et al · · 2018 · cited 357× · PMID 29891538 · DOI 10.1158/2159-8290.cd-17-1417
  2. NY-ESO-1 Based Immunotherapy of Cancer: Current Perspectives.
    Thomas R, Al-Khadairi G, Roelands J, Hendrickx W, et al · · 2018 · cited 298× · PMID 29770138 · DOI 10.3389/fimmu.2018.00947
  3. TCR-engineered T cell therapy in solid tumors: State of the art and perspectives.
    Baulu E, Gardet C, Chuvin N, Depil S. · · 2023 · cited 283× · PMID 36791198 · DOI 10.1126/sciadv.adf3700
  4. T-cell infiltration and clonality correlate with programmed cell death protein 1 and programmed death-ligand 1 expression in patients with soft tissue sarcomas.
    Pollack SM, He Q, Yearley JH, Emerson R, et al · · 2017 · cited 213× · PMID 28463396 · DOI 10.1002/cncr.30726
  5. Cancer Therapy With TCR-Engineered T Cells: Current Strategies, Challenges, and Prospects.
    Shafer P, Kelly LM, Hoyos V. · · 2022 · cited 181× · PMID 35309357 · DOI 10.3389/fimmu.2022.835762
  6. Cancer immunotherapy beyond immune checkpoint inhibitors.
    Marin-Acevedo JA, Soyano AE, Dholaria B, Knutson KL, et al · · 2018 · cited 140× · PMID 29329556 · DOI 10.1186/s13045-017-0552-6
  7. Systemic and local immunity following adoptive transfer of NY-ESO-1 SPEAR T cells in synovial sarcoma.
    Ramachandran I, Lowther DE, Dryer-Minnerly R, Wang R, et al · · 2019 · cited 127× · PMID 31651363 · DOI 10.1186/s40425-019-0762-2
  8. Epidemiology and therapies for metastatic sarcoma.
    Amankwah EK, Conley AP, Reed DR. · · 2013 · cited 126× · PMID 23700373 · DOI 10.2147/clep.s28390

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