NCT02366546

Brief Summary

Following pre-treatment with cyclophosphamide and/or fludarabine, NY-ESO-1-specific TCR gene transduced T lymphocytes are transferred to the patients with NY-ESO-1-expressing solid tumors.

Trial Health

55
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
9

participants targeted

Target at below P25 for phase_1

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

February 12, 2015

Completed
7 days until next milestone

First Posted

Study publicly available on registry

February 19, 2015

Completed
10 days until next milestone

Study Start

First participant enrolled

March 1, 2015

Completed
3.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2018

Completed
Last Updated

October 24, 2018

Status Verified

October 1, 2018

Enrollment Period

3.5 years

First QC Date

February 12, 2015

Last Update Submit

October 22, 2018

Conditions

Keywords

Adoptive cell transferCell therapyImmunotherapyNY-ESO-1Esophageal cancerMelanomaHead and neck cancerOvarian cancerSynovial sarcomaTCR gene therapy

Outcome Measures

Primary Outcomes (4)

  • Incidence and grade of adverse events (CTCAE)

    • Confirm the toxicity profile, which is measured by the degree of grade and seriousness, duration, causality, classification, etc. of the adverse events.

    4 weeks

  • Appearance of replication competent retrovirus by PCR

    Confirm no replication competent retrovirus observed.

    4 weeks

  • Appearance of clonality by LAM-PCR

    Confirm no clonality is observed.

    4 weeks

  • Kinetics of TBI-1301 in blood by realtime-PCR

    Evaluate persistence and expansion of transferred TBI-1301.

    8 weeks

Study Arms (4)

Low dose TBI-1301 with pre-treatment 1

EXPERIMENTAL

TBI-1301(5\*10\^8) single-dose administration with pre-treatment of cyclophosphamide alone.

Drug: TBI-1301Drug: Cyclophosphamide

High dose TBI-1301 with pre-treatment 1

EXPERIMENTAL

TBI-1301(5\*10\^9) single-dose administration with pre-treatment of cyclophosphamide alone.

Drug: TBI-1301Drug: Cyclophosphamide

High dose TBI-1301 with pre-treatment 2

EXPERIMENTAL

TBI-1301(5\*10\^9) single-dose administration with pre-treatment of cyclophosphamide and fludarabine.

Drug: TBI-1301Drug: CyclophosphamideDrug: Fludarabine

TBI-1301 with pre-treatment 1 or 2

EXPERIMENTAL

Arm1, 2 or 3, which is considered as optimal.

Drug: TBI-1301Drug: CyclophosphamideDrug: Fludarabine

Interventions

TBI-1301(5\*10\^8 or 5\*10\^9) is administered.

Also known as: NY-ESO-1-specific TCR gene transduced T lymphocytes
High dose TBI-1301 with pre-treatment 1High dose TBI-1301 with pre-treatment 2Low dose TBI-1301 with pre-treatment 1TBI-1301 with pre-treatment 1 or 2

Cyclophosphamide (750mg/m2/day x 2 days Intravenous (IV)) is administered as pre-treatment medication of TBI-1301.

Also known as: Endoxan
High dose TBI-1301 with pre-treatment 1High dose TBI-1301 with pre-treatment 2Low dose TBI-1301 with pre-treatment 1TBI-1301 with pre-treatment 1 or 2

Fludarabine (20mg/m2 x 5 days Intravenous(IV)) is administered as pre-treatment medication of TBI-1301 in combination with cyclophosphamide.

Also known as: Fludara
High dose TBI-1301 with pre-treatment 2TBI-1301 with pre-treatment 1 or 2

Eligibility Criteria

Age20 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Histologically or cytologically confirmed solid tumors
  • Solid tumor, which is unresectable, refractory to standard therapy (chemotherapy, radiotherapy, etc)
  • HLA-A\*02:01 or HLA-A\*02:06 positive
  • NY-ESO-1-expression by PCR or immunohistochemistry
  • ECOG Performance Status, 0 or 1
  • Age \>=20 years on consent
  • No treatment (surgery, chemotherapy, radiotherapy, etc.) and expected sufficient recovery from the treatment at the time of the lymphocytes collection for gene transfer.
  • Life expectancy \>=16 weeks after consent
  • No severe damage on the major organs (bone marrow, heart, lung, liver, kidney, etc) and meet the following lab value criteria:
  • WBC \>= 2,500/μL
  • Hemoglobin \>= 8.0g/dL
  • Platelets \>= 75,000/μL
  • T. bilirubin \< 1.5 x ULN
  • AST(GOT), ALT(GPT) \< 3.0 x ULN
  • Creatinine \< 1.5 x ULN
  • +1 more criteria

You may not qualify if:

  • The following serious complications are excluded from the study;
  • Unstable angina, cardiac infarction, or heart failure
  • Uncontrolled diabetes or hypertension
  • Active infection
  • Obvious interstitial pneumonia or lung fibrosis by chest X-ray
  • Active autoimmune disease requiring steroids or immunosuppressive therapy.
  • Serious hypersensitivity
  • Tumor cell invasion into CNS
  • Active multiple cancer
  • Positive for HBs antigen or HBV-DNA observed in serum
  • Positive for HCV antibody and HCV-RNA observed in serum
  • Positive for antibodies against HIV or HTLV-1
  • Left Ventricular Ejection Fraction (LVEF): \<= 50%
  • Percutaneous Oxygen saturation: \< 94%
  • History of serious hypersensitivity reactions to bovine or murine derived substances.
  • +4 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Mie University Hospital

Tsu, Mie-ken, Japan

Location

Related Publications (1)

  • Ishihara M, Kitano S, Kageyama S, Miyahara Y, Yamamoto N, Kato H, Mishima H, Hattori H, Funakoshi T, Kojima T, Sasada T, Sato E, Okamoto S, Tomura D, Nukaya I, Chono H, Mineno J, Kairi MF, Diem Hoang Nguyen P, Simoni Y, Nardin A, Newell E, Fehlings M, Ikeda H, Watanabe T, Shiku H. NY-ESO-1-specific redirected T cells with endogenous TCR knockdown mediate tumor response and cytokine release syndrome. J Immunother Cancer. 2022 Jun;10(6):e003811. doi: 10.1136/jitc-2021-003811.

MeSH Terms

Conditions

Esophageal NeoplasmsMelanomaHead and Neck NeoplasmsOvarian NeoplasmsSarcoma, Synovial

Interventions

Cyclophosphamidefludarabinefludarabine phosphate

Condition Hierarchy (Ancestors)

Gastrointestinal NeoplasmsDigestive System NeoplasmsNeoplasms by SiteNeoplasmsDigestive System DiseasesEsophageal DiseasesGastrointestinal DiseasesNeuroendocrine TumorsNeuroectodermal TumorsNeoplasms, Germ Cell and EmbryonalNeoplasms by Histologic TypeNeoplasms, Nerve TissueNevi and MelanomasSkin NeoplasmsSkin DiseasesSkin and Connective Tissue DiseasesEndocrine Gland NeoplasmsOvarian DiseasesAdnexal DiseasesGenital Diseases, FemaleFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesGenital Neoplasms, FemaleUrogenital NeoplasmsGenital DiseasesEndocrine System DiseasesGonadal DisordersNeoplasms, Connective TissueNeoplasms, Connective and Soft TissueSarcoma

Intervention Hierarchy (Ancestors)

Phosphoramide MustardsNitrogen Mustard CompoundsMustard CompoundsHydrocarbons, HalogenatedHydrocarbonsOrganic ChemicalsPhosphoramidesOrganophosphorus Compounds

Study Officials

  • Hiroshi Shiku, M.D., Ph.D.

    Department of Immuno-Gene Therapy, Mie University, Graduate School of Medicine Mie University Hospital

    STUDY CHAIR
  • Shinichi Kageyama, M.D., Ph.D.

    Department of Immuno-Gene Therapy, Mie University, Graduate School of Medicine Mie University Hospital

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

February 12, 2015

First Posted

February 19, 2015

Study Start

March 1, 2015

Primary Completion

September 1, 2018

Last Updated

October 24, 2018

Record last verified: 2018-10

Locations