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NCT02111863

Immunotherapy Using 41BB Selected Tumor Infiltrating Lymphocytes for Patients With Metastatic Melanoma

Terminated Phase 2 Results posted Last updated 19 September 2017
What this trial tests

Phase 2 trial testing Aldesleukin in Melanoma in 6 participants. Terminated before completion.

Timeline
21 February 2014
Primary endpoint
21 July 2016
21 July 2016

Quick facts

Lead sponsorNational Cancer Institute (NCI)
PhasePhase 2
StatusTerminated
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment6
Start date21 February 2014
Primary completion21 July 2016
Estimated completion21 July 2016
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 Melanoma or Skin Cancer. 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.

Count of Participants With Serious and Non-Serious Adverse Events Primary · 2 years and 59 days

Here is the count of participants with serious and non-serious adverse events assessed by the Common Terminology Criteria in Adverse Events (CTCAE) v3.0. 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 one o

GroupValue95% CI
Lymphocyte Depleting Prep Regimen6
Objective Response Rate of Patients With Metastatic Melanoma Primary · approximately 2 years

Objective response is defined as complete response + partial response and 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 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 PR nor sufficient i

Progressive Disease
GroupValue95% CI
Lymphocyte Depleting Prep Regimen83.33
Partial Response
GroupValue95% CI
Lymphocyte Depleting Prep Regimen16.67
Complete Response
GroupValue95% CI
Lymphocyte Depleting Prep Regimen0
Stable Disease
GroupValue95% CI
Lymphocyte Depleting Prep Regimen0
Overall Survival (OS) of Patients Receiving a Lymphocyte Depleting Preparative Regimen Secondary · up to 3 years

OS is defined as the time between the first day of treatment to the day of death or date last known alive.

GroupValue95% CI
Lymphocyte Depleting Prep Regimen122 – 35

Adverse events — posted to ClinicalTrials.gov

Time frame: 2 years and 59 days. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Lymphocyte Depleting Prep Regimen
Serious: 0/6 (0%)
Deaths: 0/6
Other adverse events (10 terms — click to expand)

ReactionSystemLymphocyte Depleting Prep …
LymphopeniaBlood and lymphatic system disorders
Neutrophils/granulocytesBlood and lymphatic system disorders
PlateletsBlood and lymphatic system disorders
HemoglobinBlood and lymphatic system disorders
Fatigue (asthenia, lethargy, malaise)General disorders
Leukocytes (total WBC)Blood and lymphatic system disorders
InfectionInfections and infestations
Distension/bloating, abdominalGastrointestinal disorders
Bilirubin (hyperbilirubinemia)Metabolism and nutrition disorders
Psychosis (hallucinations/delusions)Nervous system disorders

Data from ClinicalTrials.gov NCT02111863 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 100 patients. In this study, we are selecting a specific subset of white blood cells from the tumor that we think are the most effective in fighting tumors and will use only these cells in making the tumor fighting cells. Objective: The purpose of this study is to see if these specifically selected tumor fighting cells can cause melanoma tumors to shrink and to see if this treatment is safe. Eligibility: \- Adults age 18-70 with metastatic melanoma who have a tumor that can be safely removed. Design: * Work up stage: Patients will be seen as an outpatient at the National Institutes of Health (NIH) clinical Center and undergo a history and physical examination, scans, x-rays, lab tests, and other tests as needed * Surgery: If the patients meet all of the requirements for the study they will undergo surgery to remove a tumor that can be used to grow the TIL product. * Leukapheresis: Patients may undergo leukapheresis to obtain additional white blood cells. {Leukapheresis is a common procedure, which removes only the white blood cells from the patient.} * Treatment: Once their cells have grown, the patients will be admitted to the hospital for the conditioning chemotherapy, the tumor infiltrating lymphocytes (TIL) cells and aldesleukin. 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. Trial Watch: Immunogenic cell death inducers for anticancer chemotherapy.
    Pol J, Vacchelli E, Aranda F, Castoldi F, et al · · 2015 · cited 238× · PMID 26137404 · DOI 10.1080/2162402x.2015.1008866
  2. Isolation of T-Cell Receptors Specifically Reactive with Mutated Tumor-Associated Antigens from Tumor-Infiltrating Lymphocytes Based on CD137 Expression.
    Parkhurst M, Gros A, Pasetto A, Prickett T, et al · · 2017 · cited 149× · PMID 27827318 · DOI 10.1158/1078-0432.ccr-16-2680
  3. Intravesical BCG Induces CD4<sup>+</sup> T-Cell Expansion in an Immune Competent Model of Bladder Cancer.
    Kates M, Nirschl T, Sopko NA, Matsui H, et al · · 2017 · cited 66× · PMID 28588015 · DOI 10.1158/2326-6066.cir-16-0267
  4. Trial Watch: Adoptively transferred cells for anticancer immunotherapy.
    Fournier C, Martin F, Zitvogel L, Kroemer G, et al · · 2017 · cited 55× · PMID 29147628 · DOI 10.1080/2162402x.2017.1363139
  5. Trial Watch: Adoptive cell transfer for oncological indications.
    Aranda F, Buqué A, Bloy N, Castoldi F, et al · · 2015 · cited 28× · PMID 26451319 · DOI 10.1080/2162402x.2015.1046673
  6. The Ways of Isolating Neoantigen-Specific T Cells.
    Li Q, Ding ZY. · · 2020 · cited 25× · PMID 32850430 · DOI 10.3389/fonc.2020.01347
  7. Recent clinical researches and technological development in TIL therapy.
    Matsueda S, Chen L, Li H, Yao H, et al · · 2024 · cited 23× · PMID 39264449 · DOI 10.1007/s00262-024-03793-4
  8. Current Situation and Prospect of Adoptive Cellular Immunotherapy for Malignancies.
    Zhao D, Zhu D, Cai F, Jiang M, et al · · 2023 · cited 12× · PMID 38037341 · DOI 10.1177/15330338231204198

Verify or expand the search:

Other trials of Aldesleukin

Trials testing the same drug.

Other recruiting trials for Melanoma

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Other National Cancer Institute (NCI) trials

Trials by the same sponsor.

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02111863.

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