NCT06193902

Brief Summary

This is a dose-escalation open-label Phase 1/2a study. The purpose of this first-in-human study is to assess the safety and tolerability of LEU011 (autologous CAR T cells targeting NKG2D ligands) in patients with solid tumours.

Trial Health

77
On Track

Trial Health Score

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

Enrollment
17

participants targeted

Target at below P25 for phase_1

Timeline
35mo left

Started Nov 2023

Longer than P75 for phase_1

Geographic Reach
1 country

2 active sites

Status
recruiting

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

Study Progress47%
Nov 2023May 2029

Study Start

First participant enrolled

November 13, 2023

Completed
29 days until next milestone

First Submitted

Initial submission to the registry

December 12, 2023

Completed
24 days until next milestone

First Posted

Study publicly available on registry

January 5, 2024

Completed
5.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2029

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2029

Last Updated

September 3, 2025

Status Verified

September 1, 2025

Enrollment Period

5.5 years

First QC Date

December 12, 2023

Last Update Submit

September 2, 2025

Conditions

Keywords

Solid Tumours, NKG2D Ligands, Adult

Outcome Measures

Primary Outcomes (2)

  • To evaluate the dose limiting toxicity, safety and tolerability of a single dose of LEU011 in subjects with NKG2DL expressing relapsed/refractory solid tumours

    Incidence and nature of dose limiting toxicities will be graded by American Society of Transplantation and Cellular Therapy (ASTCT) consensus criteria.

    28 days post administration of LEU011 immunotherapy

  • To identify a recommended Phase 2 dose (RP2D) of LEU011

    RP2D will be the MTD.

    28 days post administration of LEU011 immunotherapy

Study Arms (1)

LEU011

EXPERIMENTAL

Infusion of target dose of LEU011

Biological: LEU011

Interventions

LEU011BIOLOGICAL

Immunotherapy

LEU011

Eligibility Criteria

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

You may qualify if:

  • Histologically and/or cytologically confirmed solid tumour.
  • years or older at time of consent
  • Relapsed/refractory solid tumour with no standard treatment options available or suitable (e.g. hypersensitivity reaction) and no curative approach possible.
  • Tumour expression of NKG2DL protein. The minimum requirement is the presence of one or more ligands on 10% or more cells, encompassing tumour and/ or stroma.
  • At least one target lesion measurable by RECIST v1.1 criteria on CT or MRI scanning
  • Eastern Co-operative Oncology Performance Status of 0-1.
  • Normal cardiac function as assessed by electrocardiography and echocardiography (ECHO. Left ventricular ejection fraction must be normal according to institutional values.
  • Baseline oxygen saturation of at least 95%
  • Haematology results must show:
  • neutrophils \>1.5 x 109/L,
  • platelets \>100 x 109/L,
  • haemoglobin \>90g/L,
  • INR \<1.3.
  • Lymphocytes \>0.4 x 109/L
  • Biochemistry results must show:
  • +8 more criteria

You may not qualify if:

  • Subjects with HIV-1, HIV-2, HTLV-1, HTLV-2, active Hepatitis B, active Hepatitis C, or active Syphilis infection. Subjects without active Hepatitis B infection who are anti-core antibody positive can be considered for recruitment subject to suitability to receive nucleoside or nucleotide analogue prophylaxis.
  • Subject must not have received any anti-cancer treatment within 28 days of lymphodepletion (prior to LEU011). This criterion applies to the following additional therapies: (i) systemic corticosteroids (\> 20mg prednisolone/ day); (ii) any other systemic immunomodulatory agent (but see 11 below); (iii) radiotherapy; (iv) chemotherapy; (v) endocrine therapy or (vi) any investigational medicinal product.
  • Regarding (iv) Chemotherapy: Interval is extended to 6 weeks in the case of nitrosoureas. This criterion does not apply to the use of lymphodepleting chemotherapy prior to treatment with LEU011.
  • Prior LEU011 therapy. However, prior immune checkpoint blockade (e.g. anti-PD1, PD-L1 or CTLA-4) or immune agonist antibody therapy (e.g. anti-4-1BB, OX40, CD40 etc) does not preclude participation, but there must be a washout period of 30 days prior to treatment with LEU011.
  • Concurrent use of warfarin anticoagulant therapy and other coumarins is not permissible. Other classes of anticoagulant can be given.
  • The presence of major co-morbidity such as active major medical illness of the cardiovascular, respiratory or immune system that is likely to impair ability to undergo trial therapy, such as recent myocardial infarction, congestive cardiac failure, active gastrointestinal bleeding, active gastrointestinal ulceration, inflammatory bowel disease, ischaemic heart disease, peripheral arterial disease, pneumonitis, intestinal obstruction, sepsis or uncontrolled hypertension.
  • Clinically active autoimmune disease e.g., coeliac disease (an abnormal TTG antibody test precludes recruitment) or interstitial lung disease. Sub-clinical or quiescent autoimmune disease does not exclude from participation (e.g. euthyroid patients on thyroxine replacement therapy or patients with type 1 diabetes on insulin therapy).
  • Active infection that requires antimicrobial treatment.
  • Subjects who, in the Investigator's judgement, are unlikely to complete or comply with all protocol required study visits or procedures.
  • Hypersensitivity to any component of LEU011 (e.g. Albumin or DMSO allergy).
  • Cyclophosphamide or fludarabine allergy or contraindication.
  • Pregnancy.
  • Breastfeeding.
  • Subjects who have received a live vaccine four weeks or fewer before enrolment are ineligible for recruitment to the study. During treatment and for three months after treatment with fludarabine, administration of live vaccines is prohibited. None of the currently available covid 19 vaccines are considered to be live for this purpose since all are replication defective.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Guy's and St Thomas' NHS Foundation Trust

London, SE1 9RT, United Kingdom

RECRUITING

The Christie NHS Foundation Trust

Manchester, M20 4BX, United Kingdom

RECRUITING

MeSH Terms

Conditions

Neoplasms

Study Officials

  • John Maher

    Leucid Bio

    STUDY CHAIR

Central Study Contacts

Clinical Operations

CONTACT

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SEQUENTIAL
Model Details: Dose escalation study
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 12, 2023

First Posted

January 5, 2024

Study Start

November 13, 2023

Primary Completion (Estimated)

May 1, 2029

Study Completion (Estimated)

May 1, 2029

Last Updated

September 3, 2025

Record last verified: 2025-09

Data Sharing

IPD Sharing
Will not share

Locations