NCT05395052

Brief Summary

This is a Phase 1 dose-finding study of FT536 given in combination with a monoclonal antibody following lymphodepletion in participants with advanced solid tumors. The study will consist of a dose-escalation stage and an expansion stage where participants will be enrolled into indication-specific cohorts.

Trial Health

57
Monitor

Trial Health Score

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

Enrollment
5

participants targeted

Target at below P25 for phase_1

Timeline
Completed

Started May 2022

Geographic Reach
1 country

5 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

May 13, 2022

Completed
14 days until next milestone

First Posted

Study publicly available on registry

May 27, 2022

Completed
4 days until next milestone

Study Start

First participant enrolled

May 31, 2022

Completed
1.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 11, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 11, 2023

Completed
Last Updated

September 21, 2023

Status Verified

September 1, 2023

Enrollment Period

1.2 years

First QC Date

May 13, 2022

Last Update Submit

September 19, 2023

Conditions

Outcome Measures

Primary Outcomes (2)

  • Determine the Recommended Phase 2 Dose (RP2D)

    The RP2Ds of FT536 monotherapy and FT536 + monoclonal antibody (mAbs) will be determined. The RP2D will be determined based on the overall safety and efficacy profile.

    Up to approximately 3 years

  • Number of Participants with ≥ Adverse Event (AE) according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), v5.0

    The safety and tolerability of FT536 monotherapy and in combination with mAbs will be determined.

    Following enrollment completion within dose escalation and expansion, approximately 3 years

Study Arms (6)

Cohort A/A2/AA/AA2: FT536 Monotherapy

EXPERIMENTAL

FT536 monotherapy in participants with locally advanced or metastatic non-small cell lung cancer (NSCLC), colorectal cancer (CRC), breast cancer (BC), ovarian cancer, or pancreatic cancer.

Drug: FT536Drug: CyclophosphamideDrug: FludarabineDrug: IL-2

Cohort B/B2/BB/BB2: FT536 + Avelumab

EXPERIMENTAL

FT536 + avelumab combination therapy in participants with locally advanced or metastatic solid tumor indications with documented PD-L1 expression.

Drug: FT536Drug: CyclophosphamideDrug: FludarabineCombination Product: AvelumabDrug: IL-2

Cohort C/C2/CC/CC2: FT536 + Pembrolizumab, Nivolumab, or Atezolizumab

EXPERIMENTAL

FT536 + pembrolizumab, nivolumab, or atezolizumab in participants with locally advanced or metastatic solid tumor indications with documented PD-L1 expression.

Drug: FT536Drug: CyclophosphamideDrug: FludarabineCombination Product: PembrolizumabCombination Product: NivolumabCombination Product: AtezolizumabDrug: IL-2

Cohort D/D2/DD/DD2: FT536 + Trastuzumab

EXPERIMENTAL

FT536 + trastuzumab in participants with locally advanced or metastatic documented human epidermal growth factor receptor 2 (HER2+) expressing tumors

Drug: FT536Drug: CyclophosphamideDrug: FludarabineCombination Product: TrastuzumabDrug: IL-2

Cohort E/E2/EE/EE2: FT536 + Cetuximab

EXPERIMENTAL

FT536 + cetuximab in participants with locally advanced or metastatic squamous NSCLC, CRC, or head and neck cancer.

Drug: FT536Drug: CyclophosphamideDrug: FludarabineCombination Product: CetuximabDrug: IL-2

Cohort F/F2/FF/FF2: FT536 + Amivantamab

EXPERIMENTAL

FT536 + amivantamab in participants with locally advanced or metastatic NSCLC.

Drug: FT536Drug: CyclophosphamideDrug: FludarabineCombination Product: AmivantamabDrug: IL-2

Interventions

FT536DRUG

FT536 is an allogeneic natural killer (NK)-cell immunotherapy

Also known as: NK Cell Therapy
Cohort A/A2/AA/AA2: FT536 MonotherapyCohort B/B2/BB/BB2: FT536 + AvelumabCohort C/C2/CC/CC2: FT536 + Pembrolizumab, Nivolumab, or AtezolizumabCohort D/D2/DD/DD2: FT536 + TrastuzumabCohort E/E2/EE/EE2: FT536 + CetuximabCohort F/F2/FF/FF2: FT536 + Amivantamab

Lympho-conditioning agent

Also known as: Cy
Cohort A/A2/AA/AA2: FT536 MonotherapyCohort B/B2/BB/BB2: FT536 + AvelumabCohort C/C2/CC/CC2: FT536 + Pembrolizumab, Nivolumab, or AtezolizumabCohort D/D2/DD/DD2: FT536 + TrastuzumabCohort E/E2/EE/EE2: FT536 + CetuximabCohort F/F2/FF/FF2: FT536 + Amivantamab

Lympho-conditioning agent

Also known as: Flu
Cohort A/A2/AA/AA2: FT536 MonotherapyCohort B/B2/BB/BB2: FT536 + AvelumabCohort C/C2/CC/CC2: FT536 + Pembrolizumab, Nivolumab, or AtezolizumabCohort D/D2/DD/DD2: FT536 + TrastuzumabCohort E/E2/EE/EE2: FT536 + CetuximabCohort F/F2/FF/FF2: FT536 + Amivantamab
IL-2DRUG

For Cohort AA ONLY: To be combined with FT536 at the MTD or MAD

Also known as: Interleukin-2
Cohort A/A2/AA/AA2: FT536 Monotherapy
AvelumabCOMBINATION_PRODUCT

Monoclonal antibody

Also known as: Bavencio
Cohort B/B2/BB/BB2: FT536 + Avelumab
PembrolizumabCOMBINATION_PRODUCT

For Cohorts C/CC, the combination product (monoclonal antibody) will be ONE of the following: pembrolizumab, nivolumab, or atezolizumab.

Also known as: Keytruda
Cohort C/C2/CC/CC2: FT536 + Pembrolizumab, Nivolumab, or Atezolizumab
NivolumabCOMBINATION_PRODUCT

For Cohorts C/CC, the combination product (monoclonal antibody) will be ONE of the following: pembrolizumab, nivolumab, or atezolizumab.

Also known as: Opdivo
Cohort C/C2/CC/CC2: FT536 + Pembrolizumab, Nivolumab, or Atezolizumab
AtezolizumabCOMBINATION_PRODUCT

For Cohorts C/CC, the combination product (monoclonal antibody) will be ONE of the following: pembrolizumab, nivolumab, or atezolizumab.

Also known as: Tecentriq
Cohort C/C2/CC/CC2: FT536 + Pembrolizumab, Nivolumab, or Atezolizumab
TrastuzumabCOMBINATION_PRODUCT

Monoclonal antibody

Also known as: Herceptin
Cohort D/D2/DD/DD2: FT536 + Trastuzumab
CetuximabCOMBINATION_PRODUCT

Monoclonal antibody

Also known as: Erbitux
Cohort E/E2/EE/EE2: FT536 + Cetuximab
AmivantamabCOMBINATION_PRODUCT

Monoclonal antibody

Also known as: Rybrevant
Cohort F/F2/FF/FF2: FT536 + Amivantamab

Eligibility Criteria

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

You may qualify if:

  • Participants with locally advanced or metastatic disease who have progressed/relapsed, are refractory, intolerant to or refuse standard therapy approved for their specific tumor type:
  • Cohort A/A2/AA/AA2: NSCLC, CRC, BC, ovarian cancer, or pancreatic cancer
  • Cohorts B/B2/BB/BB2 and C/C2/CC/CC2: Subjects with NSCLC, HNSCC, gastroesophageal adenocarinoma, triple negative breast cancer, or urothelial carcinoma whose tumors express PD-L1 according to defined cutoff
  • Cohort D/D2/DD/DD2: Subjects with advanced solid tumor whose tumor(s) express HER2 defined as: ≥2+ by IHC, Average HER2 copy number ≥4 signals per cell by in situ hybridization or ≥4 copies as determined by next generation sequencing
  • Cohort E/E2/EE/EE2: Squamous NSCLC; head and neck cancer that relapsed or progressed following prior cetuximab treatment; CRC subjects who are KRAS/NRAS/BRAF wild-type are required to have progressed/relapsed on prior cetuximab or panitumumab
  • Cohort F/F2/FF/FF2: NSCLC known to have at least one of the following: epidermal growth factor receptor (EGFR) driver mutation(s) and have progressed on or were intolerant to at least one prior line of EGFR Tyrosine Kinase Inhibitor (TKI) or were not candidates for or declined TKI; mesenchymal-epithelial transition (MET) exon 14 skipping mutation that has progressed on or intolerant of at least one prior line of MET TKI or were not candidates for or declined TKI; MET amplification defined as MET/CEP7 ratio ≥1.8 by Fluorescence in situ hybridization (FISH)
  • Has measurable disease per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1
  • For subjects with \>1 measurable lesion by RECIST v1.1 that can be safely accessed, willingness to undergo tumor biopsy
  • Agrees to contraceptive use for women and men as defined in the protocol

You may not qualify if:

  • Is a pregnant or breast-feeding female
  • Has Eastern Cooperative Oncology Group (ECOG) performance status ≥2
  • Has evidence of insufficient organ function
  • Has clinically significant cardiovascular disease including left-ventricular ejection fraction \< 45%
  • Has received any therapy within 2 weeks prior to Day 1 or five half-lives, whichever is shorter or any investigational therapy within 28 days prior to Day 1
  • Has a known active malignancy in the central nervous system (CNS) that hasn't remained stable for at least 3 months following effective treatment for CNS disease
  • Has a non-malignant CNS disease such as stroke, epilepsy, CNS vasculitis or neurodegenerative disease or receipt of medications for these conditions
  • Has had any active malignancy other than those studied in this trial within 2 years of the first dose of study therapy
  • Is currently receiving or likely to require immunosuppressive therapy
  • Has an active bacterial, fungal, or viral infections including hepatitis B, hepatitis C, or human immunodeficiency virus (HIV)
  • Has received a live vaccine within 6 weeks prior to start of lympho-conditioning
  • Has a known allergy to albumin (human) or dimethyl sulfoxide (DMSO)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (5)

Honor Health Research Institute

Scottsdale, Arizona, 85258, United States

Location

UCLA Division of Hematology-Oncology

Los Angeles, California, 90404, United States

Location

Hackensack University Medical Center - John Theurer Cancer Center

Hackensack, New Jersey, 07601, United States

Location

Carolina BioOncology Institute

Huntersville, North Carolina, 28078, United States

Location

NEXT Oncology

San Antonio, Texas, 78229, United States

Location

MeSH Terms

Conditions

Carcinoma, Non-Small-Cell LungColorectal NeoplasmsBreast NeoplasmsOvarian NeoplasmsPancreatic NeoplasmsHead and Neck Neoplasms

Interventions

CyclophosphamidefludarabineInfluenza VaccinesInterleukin-2avelumabpembrolizumabNivolumabatezolizumabTrastuzumabCetuximabamivantamab

Condition Hierarchy (Ancestors)

Carcinoma, BronchogenicBronchial NeoplasmsLung NeoplasmsRespiratory Tract NeoplasmsThoracic NeoplasmsNeoplasms by SiteNeoplasmsLung DiseasesRespiratory Tract DiseasesIntestinal NeoplasmsGastrointestinal NeoplasmsDigestive System NeoplasmsDigestive System DiseasesGastrointestinal DiseasesColonic DiseasesIntestinal DiseasesRectal DiseasesBreast DiseasesSkin 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 DisordersPancreatic Diseases

Intervention Hierarchy (Ancestors)

Phosphoramide MustardsNitrogen Mustard CompoundsMustard CompoundsHydrocarbons, HalogenatedHydrocarbonsOrganic ChemicalsPhosphoramidesOrganophosphorus CompoundsViral VaccinesVaccinesBiological ProductsComplex MixturesInterleukinsCytokinesIntercellular Signaling Peptides and ProteinsPeptidesAmino Acids, Peptides, and ProteinsLymphokinesProteinsBiological FactorsAntibodies, Monoclonal, HumanizedAntibodies, MonoclonalAntibodiesImmunoglobulinsImmunoproteinsBlood ProteinsSerum GlobulinsGlobulins

Study Officials

  • Fate Trial Disclosure

    Fate Therapeutics

    STUDY DIRECTOR

Study Design

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

Study Record Dates

First Submitted

May 13, 2022

First Posted

May 27, 2022

Study Start

May 31, 2022

Primary Completion

August 11, 2023

Study Completion

August 11, 2023

Last Updated

September 21, 2023

Record last verified: 2023-09

Data Sharing

IPD Sharing
Will not share

Locations