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NCT03937791

Immunotherapy With E7 T Cell Receptor T Cells for Vulvar High-Grade Squamous Intraepithelial Lesions

Terminated Phase 2 Results posted Last updated 13 April 2021
What this trial tests

Phase 2 trial testing E7 T Cell Receptor (TCR) in Squamous Lntraepithelial Lesions of Vulva in 1 participant. Terminated before completion.

Timeline
9 October 2019
Primary endpoint
22 June 2020
22 June 2020

Quick facts

Lead sponsorNational Cancer Institute (NCI)
PhasePhase 2
StatusTerminated
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment1
Start date9 October 2019
Primary completion22 June 2020
Estimated completion22 June 2020
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

National Cancer Institute (NCI)

Who can join

18 and older, any sex, with Squamous Lntraepithelial Lesions of Vulva or Neoplasms, Squamous Cell. 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.

Fraction of Participants With Vulvar High-Grade Squamous Intraepithelial Lesions (HSIL) Who Experience a Complete Response for E7 T-Cell Receptor (TCR) T Cells Treatment Primary · 3 months

The fraction of patients who experience a complete response. Complete Response is disappearance of all target lesions. No appearance of new lesions.

GroupValue95% CI
Arm 1/1x10^11 E7 T Cell Receptor (TCR) T Cells0
Number of Grade 2 Adverse Events Unlikely Related to Drug in Participants Who Received E7 T-Cell Receptor (TCR) T Cells Administered in a Low Intensity Setting Without Conditioning or Systemic Aldesleukin Secondary · 30 days following the last dose of study therapy

Grade 2 adverse event is moderate.

GroupValue95% CI
Arm 1/1x10^11 E7 T Cell Receptor (TCR) T Cells1
Number of Participants With Non-serious Adverse Events Assessed by the Common Terminology Criteria for Adverse Events (CTCAE v5.0) Secondary · Date treatment consent signed to date off study, approximately 8 months and 6 days.

Here is the number of participants with non-serious adverse events assessed by the Common Terminology Criteria for Adverse Events (CTCAE v5.0). A non-serious adverse event is any untoward medical occurrence.

GroupValue95% CI
Arm 1/1x10^11 E7 T Cell Receptor (TCR) T Cells1

Adverse events — posted to ClinicalTrials.gov

Time frame: Date treatment consent signed to date off study, approximately 8 months and 6 days.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Arm 1/1x10^11 E7 T Cell Receptor (TCR) T Cells
Serious: 0/1 (0%)
Deaths: 0/1
Other adverse events (1 terms — click to expand)

ReactionSystemArm 1/1x10^11 E7 T Cell Re…
Vaginal painReproductive system and breast disorders

Data from ClinicalTrials.gov NCT03937791 adverse events section.

Sponsor's own description

Background: Human papillomavirus (HPV) can cause vulvar high-grade squamous intraepithelial lesions (HSIL). Sometimes, this can become cancer. Researchers want to see if T cell therapy can treat vulvar HSIL. In this therapy, a person s immune cells are genetically modified so they can attack the HPV. Objective: To test if a personalized immune treatment can cure vulvar HSIL. Eligibility: People ages 18 and older with vulvar HSIL that cannot be removed with surgery, or for which surgery has failed Design: Participants will be screened with: Medical history Physical exam HPV testing Venous assessment Chest x-ray Heart and pulmonary tests Participants will have a baseline visit. They may have a vulvar biopsy. Photographs will be taken of their lesions. Participants will have leukapheresis: Blood is removed from a needle in the arm and circulated through a machine that takes out the white blood cells. The other blood cells are returned through a needle in the other arm. The white blood cells will be used to grow treatment cells. Participants will receive the treatment through a tube inserted into an arm, neck, or chest vein. They will recover in the hospital for 1 to 2 days. They will have blood tests and take supportive medications. Participants may have one more treatment. Participants will have 5 follow-up visits in the first 3 months after treatment. They may have more visits if their disease is growing. Visits will include blood tests. They may include vulvar biopsies or leukapheresis. Participants will have an annual physical exam for 5 years after treatment that can be done at home or at the National Institutes of Health (NIH). Then they will have an annual phone or email questionnaire for another 10 years....

Publications & conference data

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

  1. Evolution of CD8<sup>+</sup> T Cell Receptor (TCR) Engineered Therapies for the Treatment of Cancer.
    Sun Y, Li F, Sonnemann H, Jackson KR, et al · · 2021 · cited 34× · PMID 34572028 · DOI 10.3390/cells10092379
  2. Recent developments in immunotherapy of cancers caused by human papillomaviruses.
    Fakhr E, Modic Ž, Cid-Arregui A. · · 2021 · cited 22× · PMID 33205441 · DOI 10.1111/imm.13285
  3. T-Cell Gene Therapy in Cancer Immunotherapy: Why It Is No Longer Just CARs on The Road.
    Crowther MD, Svane IM, Met Ö, Met Ö. · · 2020 · cited 17× · PMID 32630096 · DOI 10.3390/cells9071588
  4. Engineered T Cell Therapy for Gynecologic Malignancies: Challenges and Opportunities.
    Xu Y, Jiang J, Wang Y, Wang W, et al · · 2021 · cited 14× · PMID 34386017 · DOI 10.3389/fimmu.2021.725330
  5. 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
  6. Gene Augmentation and Editing to Improve TCR Engineered T Cell Therapy against Solid Tumors.
    Lo Presti V, Buitenwerf F, van Til NP, Nierkens S. · · 2020 · cited 11× · PMID 33287413 · DOI 10.3390/vaccines8040733
  7. Transgenic T-cell receptor immunotherapy for cancer: building on clinical success.
    Oppermans N, Kueberuwa G, Hawkins RE, Bridgeman JS. · · 2020 · cited 9× · PMID 32613155 · DOI 10.1177/2515135520933509
  8. Virus-specific T cells for malignancies - then, now and where to?
    Sharma S, Leung WK, Heslop HE. · · 2020 · cited 6× · PMID 33738181 · DOI 10.1007/s40778-020-00170-6

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