NCT04596033

Brief Summary

TiTAN-1 is a first-in-human study of GEN-011, an experimental treatment being evaluated in adult patients with advanced cancer. GEN-011 is a T cell therapy made specific to each patient, using the patient's own circulating immune cells. First, Genocea confirms which cancer proteins are recognized already by each patient's T cells using ATLAS™. Then, immune cells that recognize these cancer proteins are multiplied many times (a process called PLANET™) to create a personalized GEN-011 cell therapy, which is given back to the patient in one or more intravenous (IV) infusions.

Trial Health

57
Monitor

Trial Health Score

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

Enrollment
49

participants targeted

Target at P50-P75 for phase_1

Timeline
Completed

Started Nov 2020

Geographic Reach
1 country

8 active sites

Status
terminated

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

September 30, 2020

Completed
22 days until next milestone

First Posted

Study publicly available on registry

October 22, 2020

Completed
20 days until next milestone

Study Start

First participant enrolled

November 11, 2020

Completed
1.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 27, 2022

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 27, 2022

Completed
Last Updated

July 15, 2022

Status Verified

July 1, 2022

Enrollment Period

1.6 years

First QC Date

September 30, 2020

Last Update Submit

July 13, 2022

Conditions

Keywords

PersonalizedImmunotherapySolid TumorPersonalCell TherapyCarcinomaMelanomaLungBladderCancerKidneyAnalSquamousTiTANATLASPLANETTiTAN-1AutologousNeoantigen

Outcome Measures

Primary Outcomes (1)

  • Incidence of Treatment-Emergent Adverse Events

    Adverse events will be graded according to the NC Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0

    2 years after first GEN-011 infusion

Secondary Outcomes (4)

  • T cell responses to GEN-011

    2 years after first GEN-011 infusion

  • Duration of response

    2 years after first GEN-011 infusion

  • Progression-free survival

    2 years after first GEN-011 infusion

  • Overall survival

    From first GEN-011 infusion through study completion, at least 2 years

Other Outcomes (3)

  • Immune cell phenotyping

    2 years after first GEN-011 infusion

  • Epitope Spread

    4 weeks after first GEN-011 infusion

  • Tumor infiltrating immune cell

    2 years after first GEN-011 infusion

Study Arms (2)

Multiple Low Dose (MLD)

EXPERIMENTAL

GEN-011 is administered by IV infusion at 4-week intervals, up to 5 doses maximum. Each dose is followed by IL-2 administration. MLD patients will not undergo lymphodepletion.

Biological: GEN-011Drug: IL-2

Single High Dose (SHD)

EXPERIMENTAL

GEN-011 is administered as a single IV infusion at the maximum available cell yield, after the patient completes a fludarabine/cyclophosphamide lymphodepletion regimen. The single GEN-011 dose is followed by IL-2 administration.

Biological: GEN-011Drug: IL-2Drug: FludarabineDrug: Cyclophosphamide

Interventions

GEN-011BIOLOGICAL

Personalized neoantigen adoptive cell therapy (ACT)

Multiple Low Dose (MLD)Single High Dose (SHD)
IL-2DRUG

Cytokine

Also known as: Interleukin-2
Multiple Low Dose (MLD)Single High Dose (SHD)

Lymphodepletion drug

Single High Dose (SHD)

Lymphodepletion drug

Single High Dose (SHD)

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Consents to study procedures
  • Diagnosis of one of the following solid tumors: cutaneous melanoma, non-small cell lung cancer (NSCLC), squamous cell carcinoma of the head and neck (SCCHN), urothelial carcinoma (UC), renal cell carcinoma (RCC), small cell lung cancer (SCLC), cutaneous squamous cell carcinoma (CSCC), anal squamous cell carcinoma (ASCC), merkel cell carcinoma (MCC).
  • Received, been intolerant of, or been ineligible to receive standard of care treatment regimen.
  • Measurable disease per RECIST criteria
  • Life expectancy \> 6 months and ECOG status 0 or 1
  • Capacity to tolerate lymphodepletion (SHD group only) and IL-2 therapy
  • Tumor tissue available
  • Willing to use contraceptives for 90 days after receiving GEN-011, and not currently pregnant.
  • Adequate blood, liver, kidney, and lung function
  • Sufficient stimulatory neoantigens identified in ATLAS

You may not qualify if:

  • Receiving immunosuppressive medications
  • Serious ongoing viral, bacterial, or fungal infection
  • History of cardiac arrhythmias or significant heart block
  • History of leptomeningeal carcinomatosis
  • Active autoimmune disease
  • Portal vein thrombosis
  • Malignant disease other than those treated in this study
  • Receiving other investigational anti-cancer therapy
  • Prior stem cell or solid organ transplant
  • Primary immune deficiency disease
  • Significant ongoing toxicities from prior therapies
  • A history of allergic reaction to sulfur derivatives

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (8)

Banner MD Anderson Cancer Center

Gilbert, Arizona, 85234, United States

Location

Moffitt Cancer Center

Tampa, Florida, 33612, United States

Location

University of Chicago Medical Center

Chicago, Illinois, 60637, United States

Location

Dana Farber Cancer Institute

Boston, Massachusetts, 02215, United States

Location

Columbia University Medical Center

New York, New York, 10032, United States

Location

Memorial Sloan Kettering Cancer Center

New York, New York, 10065, United States

Location

Sarah Cannon Research Institute

Nashville, Tennessee, 37203, United States

Location

MD Anderson Cancer Center

Houston, Texas, 77030, United States

Location

MeSH Terms

Conditions

MelanomaCarcinoma, Non-Small-Cell LungSquamous Cell Carcinoma of Head and NeckCarcinoma, Transitional CellCarcinoma, Renal CellSmall Cell Lung CarcinomaAnus NeoplasmsCarcinoma, Merkel CellCarcinomaNeoplasms

Interventions

Interleukin-2fludarabineCyclophosphamide

Condition Hierarchy (Ancestors)

Neuroendocrine TumorsNeuroectodermal TumorsNeoplasms, Germ Cell and EmbryonalNeoplasms by Histologic TypeNeoplasms, Nerve TissueNevi and MelanomasSkin NeoplasmsNeoplasms by SiteSkin DiseasesSkin and Connective Tissue DiseasesCarcinoma, BronchogenicBronchial NeoplasmsLung NeoplasmsRespiratory Tract NeoplasmsThoracic NeoplasmsLung DiseasesRespiratory Tract DiseasesCarcinoma, Squamous CellNeoplasms, Glandular and EpithelialHead and Neck NeoplasmsAdenocarcinomaKidney NeoplasmsUrologic NeoplasmsUrogenital NeoplasmsFemale Urogenital DiseasesFemale Urogenital Diseases and Pregnancy ComplicationsUrogenital DiseasesKidney DiseasesUrologic DiseasesMale Urogenital DiseasesRectal NeoplasmsColorectal NeoplasmsIntestinal NeoplasmsGastrointestinal NeoplasmsDigestive System NeoplasmsDigestive System DiseasesGastrointestinal DiseasesIntestinal DiseasesAnus DiseasesRectal DiseasesPolyomavirus InfectionsDNA Virus InfectionsVirus DiseasesInfectionsTumor Virus InfectionsCarcinoma, Neuroendocrine

Intervention Hierarchy (Ancestors)

InterleukinsCytokinesIntercellular Signaling Peptides and ProteinsPeptidesAmino Acids, Peptides, and ProteinsLymphokinesProteinsBiological FactorsPhosphoramide MustardsNitrogen Mustard CompoundsMustard CompoundsHydrocarbons, HalogenatedHydrocarbonsOrganic ChemicalsPhosphoramidesOrganophosphorus Compounds

Study Officials

  • Thomas Davis, MD

    Genocea Biosciences, Inc.

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 30, 2020

First Posted

October 22, 2020

Study Start

November 11, 2020

Primary Completion

June 27, 2022

Study Completion

June 27, 2022

Last Updated

July 15, 2022

Record last verified: 2022-07

Locations