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NCT01993719

Immunotherapy Using Tumor Infiltrating Lymphocytes for Patients With Metastatic Melanoma

Completed Phase 2 Results posted Last updated 18 January 2023
What this trial tests

Phase 2 trial testing Aldesleukin in Metastatic Melanoma in 33 participants. Completed in 6 July 2022.

Timeline
12 December 2013
Primary endpoint
14 October 2021
6 July 2022

Quick facts

Lead sponsorNational Cancer Institute (NCI)
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment33
Start date12 December 2013
Primary completion14 October 2021
Estimated completion6 July 2022
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

National Cancer Institute (NCI)

Who can join

Adults 18 to 70, any sex, with Metastatic Melanoma. 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.

Number of Participants With Treatment-related Grade 3-5 Adverse Events in Arm 1N and Arm 1P Primary · 30 days after end of treatment

Number of participants with Grades 3-5 treatment-related adverse events were compared in Arm 1N and Arm 1P; and adverse events were assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0). Grade 3 is severe. Grade 4 is life-threatening, and Grade 5 is death related to adverse event.

ALT, SGPT (serum glutamic pyruvic transaminase)
GroupValue95% CI
Grade 3 - Possibly Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P0
Grade 3 - Probably Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P2
Grade 3 - Definitely Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P0
Grade 4 - Possibly Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P0
Grade 4 - Probably Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P0
Grade 4 - Definitely Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P0
Grade 5 - Possibly, Probably and/or Definitely Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P0
Grade 3 - Possibly Related Arm 2, Arm 2/1P1
Grade 3 - Probably Related Arm 2, Arm 2/1P0
Grade 3 - Definitely Related Arm 2, Arm 2/1P0
Grade 4 - Possibly Related Arm 2, Arm 2/1P0
Grade 4 - Probably Related Arm 2, Arm 2/1P0
AST, SGOT(serum glutamic oxaloacetic transaminase)
GroupValue95% CI
Grade 3 - Possibly Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P0
Grade 3 - Probably Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P1
Grade 3 - Definitely Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P0
Grade 4 - Possibly Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P0
Grade 4 - Probably Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P0
Grade 4 - Definitely Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P0
Grade 5 - Possibly, Probably and/or Definitely Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P0
Grade 3 - Possibly Related Arm 2, Arm 2/1P1
Grade 3 - Probably Related Arm 2, Arm 2/1P1
Grade 3 - Definitely Related Arm 2, Arm 2/1P0
Grade 4 - Possibly Related Arm 2, Arm 2/1P0
Grade 4 - Probably Related Arm 2, Arm 2/1P0
Allergic reaction/hypersensitivity (including drug fever)
GroupValue95% CI
Grade 3 - Possibly Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P0
Grade 3 - Probably Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P1
Grade 3 - Definitely Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P0
Grade 4 - Possibly Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P0
Grade 4 - Probably Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P0
Grade 4 - Definitely Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P0
Grade 5 - Possibly, Probably and/or Definitely Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P0
Grade 3 - Possibly Related Arm 2, Arm 2/1P0
Grade 3 - Probably Related Arm 2, Arm 2/1P0
Grade 3 - Definitely Related Arm 2, Arm 2/1P0
Grade 4 - Possibly Related Arm 2, Arm 2/1P0
Grade 4 - Probably Related Arm 2, Arm 2/1P0
Bilirubin (hyperbilirubinemia)
GroupValue95% CI
Grade 3 - Possibly Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P0
Grade 3 - Probably Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P1
Grade 3 - Definitely Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P1
Grade 4 - Possibly Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P0
Grade 4 - Probably Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P0
Grade 4 - Definitely Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P0
Grade 5 - Possibly, Probably and/or Definitely Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P0
Grade 3 - Possibly Related Arm 2, Arm 2/1P0
Grade 3 - Probably Related Arm 2, Arm 2/1P0
Grade 3 - Definitely Related Arm 2, Arm 2/1P0
Grade 4 - Possibly Related Arm 2, Arm 2/1P0
Grade 4 - Probably Related Arm 2, Arm 2/1P0
Confusion
GroupValue95% CI
Grade 3 - Possibly Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P0
Grade 3 - Probably Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P0
Grade 3 - Definitely Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P0
Grade 4 - Possibly Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P0
Grade 4 - Probably Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P1
Grade 4 - Definitely Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P0
Grade 5 - Possibly, Probably and/or Definitely Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P0
Grade 3 - Possibly Related Arm 2, Arm 2/1P0
Grade 3 - Probably Related Arm 2, Arm 2/1P0
Grade 3 - Definitely Related Arm 2, Arm 2/1P0
Grade 4 - Possibly Related Arm 2, Arm 2/1P0
Grade 4 - Probably Related Arm 2, Arm 2/1P0
Creatinine
GroupValue95% CI
Grade 3 - Possibly Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P0
Grade 3 - Probably Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P1
Grade 3 - Definitely Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P3
Grade 4 - Possibly Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P0
Grade 4 - Probably Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P0
Grade 4 - Definitely Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P0
Grade 5 - Possibly, Probably and/or Definitely Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P0
Grade 3 - Possibly Related Arm 2, Arm 2/1P0
Grade 3 - Probably Related Arm 2, Arm 2/1P0
Grade 3 - Definitely Related Arm 2, Arm 2/1P0
Grade 4 - Possibly Related Arm 2, Arm 2/1P0
Grade 4 - Probably Related Arm 2, Arm 2/1P0
Diarrhea
GroupValue95% CI
Grade 3 - Possibly Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P0
Grade 3 - Probably Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P0
Grade 3 - Definitely Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P1
Grade 4 - Possibly Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P0
Grade 4 - Probably Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P0
Grade 4 - Definitely Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P0
Grade 5 - Possibly, Probably and/or Definitely Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P0
Grade 3 - Possibly Related Arm 2, Arm 2/1P0
Grade 3 - Probably Related Arm 2, Arm 2/1P0
Grade 3 - Definitely Related Arm 2, Arm 2/1P0
Grade 4 - Possibly Related Arm 2, Arm 2/1P0
Grade 4 - Probably Related Arm 2, Arm 2/1P0
Febrile neutropenia
GroupValue95% CI
Grade 3 - Possibly Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P0
Grade 3 - Probably Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P3
Grade 3 - Definitely Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P4
Grade 4 - Possibly Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P0
Grade 4 - Probably Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P2
Grade 4 - Definitely Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P0
Grade 5 - Possibly, Probably and/or Definitely Related Arm 1N, Arm 1P, Arm 2/1P, Arm 1/1P0
Grade 3 - Possibly Related Arm 2, Arm 2/1P0
Grade 3 - Probably Related Arm 2, Arm 2/1P0
Grade 3 - Definitely Related Arm 2, Arm 2/1P0
Grade 4 - Possibly Related Arm 2, Arm 2/1P0
Grade 4 - Probably Related Arm 2, Arm 2/1P0
Number of Participants Who Have a Clinical Response to Treatment (Objective Tumor Regression) Primary · 4 weeks after cell infusion, then every 3 months x 3 and then every 6 months for 5 years, then per Principal Investigator (PI) discretion up to 5 years or disease progression

Clinical response to treatment was assessed by the Response Evaluation Criteria In Solid Tumors (RECIST v1.0). Complete Response (CR) is disappearance of all target lesions. Partial Response (PR) is at least a 30% decrease in the sum of the longest diameter (LD) of target lesions taking as reference the baseline sum LD. Progressive Disease (PD) is at least a 20% increase in the sum of LD of target lesions taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions. Stable Disease (SD) is neither sufficient shrinkage to qualify for P

First Treatment - Complete Response
GroupValue95% CI
Arm 1P - Standard Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg Aldesleukin0
Arm 1N -Standard Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg Aldesleukin2
Arm 2/Foll By Arm 1P-Low Dose Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg Aldesleukin0
Arm 1P/Foll By Arm-1P/R-Standard Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg AldesleukinNA
First Treatment - Partial Response
GroupValue95% CI
Arm 1P - Standard Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg Aldesleukin2
Arm 1N -Standard Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg Aldesleukin2
Arm 2/Foll By Arm 1P-Low Dose Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg Aldesleukin2
Arm 1P/Foll By Arm-1P/R-Standard Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg AldesleukinNA
First Treatment - Progressive Disease
GroupValue95% CI
Arm 1P - Standard Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg Aldesleukin8
Arm 1N -Standard Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg Aldesleukin2
Arm 2/Foll By Arm 1P-Low Dose Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg Aldesleukin0
Arm 1P/Foll By Arm-1P/R-Standard Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg AldesleukinNA
First Treatment - Stable Disease
GroupValue95% CI
Arm 1P - Standard Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg Aldesleukin3
Arm 1N -Standard Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg Aldesleukin1
Arm 2/Foll By Arm 1P-Low Dose Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg Aldesleukin1
Arm 1P/Foll By Arm-1P/R-Standard Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg AldesleukinNA
Second Treatment - Complete Response
GroupValue95% CI
Arm 1P - Standard Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg Aldesleukin0
Arm 1N -Standard Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg AldesleukinNA
Arm 2/Foll By Arm 1P-Low Dose Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg AldesleukinNA
Arm 1P/Foll By Arm-1P/R-Standard Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg Aldesleukin0
Second Treatment - Partial Response
GroupValue95% CI
Arm 1P - Standard Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg Aldesleukin1
Arm 1N -Standard Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg AldesleukinNA
Arm 2/Foll By Arm 1P-Low Dose Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg AldesleukinNA
Arm 1P/Foll By Arm-1P/R-Standard Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg Aldesleukin1
Second Treatment - Progressive Disease
GroupValue95% CI
Arm 1P - Standard Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg Aldesleukin1
Arm 1N -Standard Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg AldesleukinNA
Arm 2/Foll By Arm 1P-Low Dose Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg AldesleukinNA
Arm 1P/Foll By Arm-1P/R-Standard Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg Aldesleukin1
Second Treatment - Stable Disease
GroupValue95% CI
Arm 1P - Standard Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg Aldesleukin1
Arm 1N -Standard Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg AldesleukinNA
Arm 2/Foll By Arm 1P-Low Dose Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg AldesleukinNA
Arm 1P/Foll By Arm-1P/R-Standard Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg Aldesleukin0
Overall Response Rate (ORR) Primary · Date of cells until time of disease progression, up to approximately 67.2 months.

Overall response is the best response recorded from the start of treatment until disease progression/recurrence (taking as reference for progressive disease the smallest measurements recorded since the treatment started). Response was assessed by the Response Evaluation Criteria in Solid Tumors (RECIST) guideline (version 1.0). Progression is at least a 20% increase in the sum of LD of target lesions taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions.

Initial Treatment
GroupValue95% CI
Arm 1P - Standard Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg Aldesleukin23.108.2 – 50.3
Arm 1N -Standard Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg Aldesleukin57.1025 – 84.1
Arm 2/Foll By Arm 1P-Low Dose Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg Aldesleukin16.703 – 44.8
Retreat
GroupValue95% CI
Arm 1P - Standard Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg Aldesleukin33.301.7 – 88.2
Arm 1P/Foll By Arm-1P/R-Standard Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg Aldesleukin502.6 – 97.4
Number of Treatment-related Adverse Events for Participants Who Received Pembrolizumab Secondary · Date treatment consent signed until approximately 4 weeks following last dose of Pembrolizumab, up to 4 weeks

Number of treatment-related adverse events for participants who received pembrolizumab. Adverse events were assessed by the Common Terminology Criteria for Adverse Events (CTCAE) v4.0.

GroupValue95% CI
Arm 1P/Foll By Arm-1P/R-Standard Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg Aldesleukin16
Progression-free Survival (PFS) Secondary · Date of cells until time of disease progression up to approximately 67.2 months.

PFS is defined as the time to disease progression following the start of treatment, and time to death following the start of treatment. Progression was assessed by the Response Evaluation Criteria In Solid Tumors (RECIST) v1.0 and is defined as at least a 20% increase in the sum of the longest diameter (LD) of target lesions taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions.

Initial Treatment
GroupValue95% CI
Arm 1P - Standard Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg Aldesleukin3.11.3 – 14.6
Arm 1N -Standard Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg Aldesleukin7.92 – NA
Arm 2/Foll By Arm 1P-Low Dose Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg Aldesleukin2.10.9 – 12.8
Retreat
GroupValue95% CI
Arm 1P - Standard Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg Aldesleukin1.60.1 – 5.3
Arm 1P/Foll By Arm-1P/R-Standard Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg Aldesleukin32.52.3 – NA
Overall Survival Secondary · Date of cells until time to death, up until 90.1 months.

Overall survival is defined as the time from treatment start date until date of death, or date last known alive.

GroupValue95% CI
Arm 1P - Standard Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg Aldesleukin14.32.3 – NA
Arm 1N -Standard Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg AldesleukinNA18.7 – NA
Arm 2- Low Dose Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg Aldesleukin15.15.4 – NA
Overall Survival Secondary · An average of 25.6 months.

Overall survival is defined as the time from treatment start date until date of death, or date last known alive.

GroupValue95% CI
All Participants in Arms 1N, 1P, Arm 2/Foll By Arm 1P, Arm 2, and Arm 1P/Foll By Arm 1P/R17.52.3 – NA
Overall Progression Free Survival (PFS) Secondary · Time to progression and time to death, approximately up to 67.2 months.

PFS is defined as the time to disease progression following the start of treatment, and time to death following the start of treatment. Progression was assessed by the Response Evaluation Criteria in Solid Tumors (RECIST) v1.0 and is defined as at least a 20% increase in the sum of the longest diameter (LD) of target lesions taking as reference the smallest sum LD recorded since the treatment started or the appearance of one or more new lesions.

GroupValue95% CI
All Participants in Arms 1N, 1P, Arm 2/Foll By Arm 1P, Arm 2, and Arm 1P/Foll By Arm 1P/R30.9 – NA
Number of Participants With Serious and/or Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0) Secondary · Date treatment consent signed to date off study, approximately 102 months and 9 days, 92 months and 19 days, 86 months and 9 days, 99 months and 16 days, and 86 months and 26 days for each group respectively.

Here is the number of participants with serious and/or non-serious adverse events assessed by the Common Terminology Criteria for Adverse Events (CTCAE v4.0). A non-serious adverse event is any untoward medical occurrence. A serious adverse event is an adverse event or suspected adverse reaction that results in death, a life-threatening adverse drug experience, hospitalization, disruption of the ability to conduct normal life functions, congenital anomaly/birth defect or important medical events that jeopardize the patient or subject and may require medical or surgical intervention to prevent

GroupValue95% CI
Arm 1N -Standard Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg Aldesleukin7
Arm 1P - Standard Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg Aldesleukin9
Arm 2/Foll By Arm 1P-Low Dose Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg Aldesleukin3
Arm 2- Low Dose Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg Aldesleukin9
Arm 1P/Foll By Arm-1P/R-Standard Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg Aldesleukin2

Adverse events — posted to ClinicalTrials.gov

Time frame: Date treatment consent signed to date off study, approximately 102 months and 9 days, 92 months and 19 days, 86 months and 9 days, 99 months and 16 days, and 86 months and 26 days for each group respectively.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Arm 1N -Standard Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg Aldesleukin
Serious: 3/7 (43%)
Deaths: 2/7
Arm 1P - Standard Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg Aldesleukin
Serious: 6/11 (55%)
Deaths: 9/11
Arm 2/Foll By Arm 1P-Low Dose Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg Aldesleukin
Serious: 1/3 (33%)
Deaths: 2/3
Arm 2- Low Dose Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg Aldesleukin
Serious: 2/9 (22%)
Deaths: 8/9
Arm 1P/Foll By Arm-1P/R-Standard Chemotherapy Preparative Regimen + TIL + 720,000 IU/kg Aldesleukin
Serious: 1/2 (50%)
Deaths: 1/2

Serious adverse events (18 terms)

ReactionSystemArm 1N -Standard Chemother…Arm 1P - Standard Chemothe…Arm 2/Foll By Arm 1P-Low D…Arm 2- Low Dose Chemothera…Arm 1P/Foll By Arm-1P/R-St…
InfectionInfections and infestations
Febrile neutropeniaBlood and lymphatic system disorders
HemoglobinInvestigations
ALT, SGPT (serum glutamic pyruvic transaminase)Investigations
AST, SGOT(serum glutamic oxaloacetic transaminase)Investigations
Allergic reaction/hypersensitivity (including drug fever)Immune system disorders
ConfusionPsychiatric disorders
HypotensionVascular disorders
HypoxiaRespiratory, thoracic and mediastinal disorders
Left ventricular systolic dysfunctionCardiac disorders
LymphopeniaInvestigations
NauseaGastrointestinal disorders
Neutrophil count decreasedInvestigations
Neutrophils/granulocytes (ANC/AGC)Investigations
PlateletsInvestigations
Renal failureRenal and urinary disorders
VomitingGastrointestinal disorders
Weight lossInvestigations
Other adverse events (43 terms — click to expand)

ReactionSystemArm 1N -Standard Chemother…Arm 1P - Standard Chemothe…Arm 2/Foll By Arm 1P-Low D…Arm 2- Low Dose Chemothera…Arm 1P/Foll By Arm-1P/R-St…
LymphopeniaInvestigations
Neutrophils/granulocytes (ANC/AGC)Investigations
PlateletsInvestigations
Fatigue (asthenia, lethargy, malaise)General disorders
HemoglobinInvestigations
HypotensionVascular disorders
CreatinineInvestigations
PTT (Partial Thromboplastin Time)Investigations
Psychosis (hallucinations/delusions)Psychiatric disorders
ALT, SGPT (serum glutamic pyruvic transaminase)Investigations
AST, SGOT(serum glutamic oxaloacetic transaminase)Investigations
Allergic reaction/hypersensitivity (including drug fever)Immune system disorders
AnorexiaMetabolism and nutrition disorders
Bilirubin (hyperbilirubinemia)Investigations
ConfusionPsychiatric disorders
DiarrheaGastrointestinal disorders
Dyspnea (shortness of breath)Respiratory, thoracic and mediastinal disorders
Febrile neutropeniaBlood and lymphatic system disorders
Fever (in the absence of neutropenia, where neutropenia is defined as ANC <1.0 x 10e9/L)General disorders
Hemorrhage, GU::VaginaReproductive system and breast disorders
HypopigmentationSkin and subcutaneous tissue disorders
HypoxiaRespiratory, thoracic and mediastinal disorders
InfectionInfections and infestations
Leukocytes (total WBC)Investigations
Mood alteration::AgitationPsychiatric disorders
NauseaGastrointestinal disorders
Pain::Head/headacheNervous system disorders
Pain::Tumor painNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Phosphate, serum-low (hypophosphatemia)Metabolism and nutrition disorders
Pruritus/itchingSkin and subcutaneous tissue disorders
Rash/desquamationSkin and subcutaneous tissue disorders
Renal failureRenal and urinary disorders
Renal/Genitourinary - Other (oliguria)Renal and urinary disorders
Rigors/chillsGeneral disorders
Supraventricular and nodal arrhythmia::Sinus tachycardiaCardiac disorders
Thrombosis/thrombus/embolismVascular disorders
Thyroid function, low (hypothyroidism)Endocrine disorders
Uric acid, serum-high (hyperuricemia)Metabolism and nutrition disorders
UveitisEye disorders
VomitingGastrointestinal disorders

Most-reported serious reactions: Infection, Febrile neutropenia, Hemoglobin, ALT, SGPT (serum glutamic pyruvic transaminase), AST, SGOT(serum glutamic oxaloacetic transaminase), Allergic reaction/hypersensitivity (including drug fever), Confusion, Hypotension.

Data from ClinicalTrials.gov NCT01993719 adverse events section.

Sponsor's own description

Background: * The National Cancer Institute (NCI) Surgery Branch has developed an experimental therapy that involves taking white blood cells from patients' tumors, growing them in the laboratory in large numbers, and then giving the cells back to the patient. These cells are called Tumor Infiltrating Lymphocytes, or TIL and we have given this type of treatment to over 400 patients with melanoma. * In this trial, we are determining if there is a difference in the response between patients who have received prior anti-programmed cell death-1 (PD-1) treatment to those who have not received this prior ant-PD1 treatment. Objectives: \- To determine if there is a difference in the rate of response between patients who have received prior anti-PD1 and those who have not. Eligibility: \- Individuals at least 18 years and less than or equal to 70 years of age who have metastatic melanoma. Design: * Work up stage: Participants will be screened with a physical exam and medical history. Blood and urine samples will be collected. * Surgery: Surgery or biopsy will be performed to obtain tumor from which to grow white blood cells. White blood cells will be grown from the tumor in the laboratory. * Leukapheresis: Participants will have leukapheresis to collect additional white blood cells. (Leukapheresis is a common procedure which removes only the white blood cells from the patient.) * Treatment: Participants will receive standard dose chemotherapy to prepare their immune system to accept the white blood cells. Participants will receive an infusion of their own white blood cells grown from tumor. They will also receive aldesleukin for up to five days to boost the immune system s response to the white blood cells. They will stay in the hospital for about 4 weeks for the treatment. * Follow up: Patients will return to the clinic for a physical exam, review of side effects, lab tests, and scans about every 1-3 months for the first year, and then every 6 months to 1 year as long as their tumors are shrinking. Follow up visits take up to 2 days.

Publications & conference data

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

  1. Adoptive transfer of tumor-infiltrating lymphocytes in melanoma: a viable treatment option.
    Rohaan MW, van den Berg JH, Kvistborg P, Haanen JBAG. · · 2018 · cited 147× · PMID 30285902 · DOI 10.1186/s40425-018-0391-1
  2. Trial Watch: Chemotherapy with immunogenic cell death inducers.
    Vacchelli E, Aranda F, Eggermont A, Galon J, et al · · 2014 · cited 123× · PMID 24800173 · DOI 10.4161/onci.27878
  3. Tumor Infiltrating Lymphocyte (TIL) Therapy for Solid Tumor Treatment: Progressions and Challenges.
    Zhao Y, Deng J, Rao S, Guo S, et al · · 2022 · cited 114× · PMID 36077696 · DOI 10.3390/cancers14174160
  4. Impact of Prior Treatment on the Efficacy of Adoptive Transfer of Tumor-Infiltrating Lymphocytes in Patients with Metastatic Melanoma.
    Seitter SJ, Sherry RM, Yang JC, Robbins PF, et al · · 2021 · cited 89× · PMID 34413159 · DOI 10.1158/1078-0432.ccr-21-1171
  5. Adoptive cell therapy in combination with checkpoint inhibitors in ovarian cancer.
    Kverneland AH, Pedersen M, Westergaard MCW, Nielsen M, et al · · 2020 · cited 84× · PMID 32547707 · DOI 10.18632/oncotarget.27604
  6. Neoantigen Identification and Response to Adoptive Cell Transfer in Anti-PD-1 Naïve and Experienced Patients with Metastatic Melanoma.
    Levi ST, Copeland AR, Nah S, Crystal JS, et al · · 2022 · cited 51× · PMID 35247926 · DOI 10.1158/1078-0432.ccr-21-4499
  7. The Challenging Melanoma Landscape: From Early Drug Discovery to Clinical Approval.
    Matias M, Pinho JO, Penetra MJ, Campos G, et al · · 2021 · cited 34× · PMID 34831311 · DOI 10.3390/cells10113088
  8. Retrospective Analysis of Adoptive TIL Therapy plus Anti-PD1 Therapy in Patients with Chemotherapy-Resistant Metastatic Osteosarcoma.
    Zhou X, Wu J, Duan C, Liu Y. · · 2020 · cited 30× · PMID 33062726 · DOI 10.1155/2020/7890985

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