Melanoma Clinical Trial

ACTengine® IMA203/IMA203CD8 as Monotherapy or in Combination With Nivolumab in Recurrent and/or Refractory Solid Tumors

Summary

The study purpose is to establish the safety and tolerability of IMA203/IMA203CD8 products with or without combination with nivolumab in patients with solid tumors that express preferentially expressed antigen in melanoma (PRAME).

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Full Description

SCREENING: Patient eligibility will be determined by protocol inclusion/exclusion criteria including HLA (human leukocyte antigen) screening and a biopsy (or collection of archival tumor tissue) for biomarker screening. If the patient is eligible, white blood cells will be taken during leukapheresis for the manufacture of an IMA203 or an IMA203CD8 product.

MANUFACTURING: IMA203 and IMA203CD8 products will be made from the patients' white blood cells.

TREATMENT: Lymphodepletion with cyclophosphamide and fludarabine will occur in the days before the IMA203/IMA203CD8 product infusion to improve the duration of time that IMA203/IMA203CD8 product stays in the body. The patient will be admitted to the hospital during the T-cell infusion.

After the IMA203/IMA203CD8 product infusion, a low dose of IL-2 will be given subcutaneously daily for 10 days.

In Extension Cohort B (IMA203) nivolumab will be administered intravenously.

Patients will be monitored closely throughout the study. The follow-up phase ends 5 years post infusion.

View Eligibility Criteria

Eligibility Criteria

Inclusion Criteria:

Patients must have recurrent/progressing and/or refractory solid tumors and must have received or not be eligible for all available indicated standard of care treatment.
Eastern Cooperative Oncology Group (ECOG) performance status 0-1
HLA phenotype positive for the study
Measurable disease according to RECIST 1.1
Adequate selected organ function per protocol
Patient's tumor must express tumor antigen by "IMADetect® RT-qPCR
Life expectancy more than 3 months
Female patient of childbearing potential must use adequate contraception prior to study entry until 12 months after the infusion of IMA203/IMA203CD8
Male patient must agree to use effective contraception or be abstinent while on study and for 6 months after the infusion of IMA203/IMA203CD8
The patient must have recovered from any side effects of prior therapy to Grade 1 or lower prior to lymphodepletion.

Exclusion Criteria:

History of other malignancies (except for adequately treated basal or squamous cell carcinoma or carcinoma in situ) within the last 3 years
Pregnant or breastfeeding
Serious autoimmune disease Note: At the discretion of the investigator, these patients may be included if their disease is well controlled without the use of immunosuppressive agents.
History of cardiac conditions as per protocol
Prior stem cell transplantation or solid organ transplantation
Concurrent severe and/or uncontrolled medical disease that could compromise participation in the study
History of or current immunodeficiency disease or prior treatment compromising immune function at the discretion of the treating physician
Positive for HIV infection or with active hepatitis B virus (HBV) or active hepatitis C virus (HCV) infection.
Patients with LDH greater than 2.5-fold ULN.
Any condition contraindicating leukapheresis, lymphodepletion, low-dose IL-2, and/or IMA203/IMA203CD8 treatment
Patients with active brain metastases
Concurrent treatment in another clinical trial.
For nivolumab treatment, patients must not have a history of severe immune-related toxicities, defined as any Grade 3 or 4 toxicities related to prior PD1/PD-L1 inhibitor therapy (e.g., atezolizumab, pembrolizumab or nivolumab etc.).

Other protocol defined inclusion/exclusion criteria could apply

Study is for people with:

Melanoma

Phase:

Phase 1

Estimated Enrollment:

186

Study ID:

NCT03686124

Recruitment Status:

Recruiting

Sponsor:

Immatics US, Inc.

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There are 9 Locations for this study

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University of Miami Hospital and Clinics
Miami Florida, 33136, United States More Info
Columbia University Medical Center
New York New York, 10032, United States More Info
Ran Reshef, MD
Principal Investigator
University of Pittsburgh Medical Center
Pittsburgh Pennsylvania, 15232, United States More Info
Jason Luke, M.D.
Contact
412-623-6132
[email protected]
Jason Luke, M.D.
Principal Investigator
University of Texas MD Anderson Cancer Center
Houston Texas, 77030, United States More Info
Dejka M Araujo, M.D.
Contact
713-792-3626
[email protected]
Dejka M Araujo, M.D.
Principal Investigator
Universitätsklinikum Würzburg
Würzburg Bavaria, 97080, Germany
Universitätsklinikum Bonn - Medizinische Klinik III
Bonn North Rhine-Westphalia, 53127, Germany
Universitätsklinikum C.-G.-Carus Dresden
Dresden Saxony, 01307, Germany
Charité Benjamin Franklin - Klinik für Hämatologie und Onkologie
Berlin , 12203, Germany
Universitätsklinikum Hamburg-Eppendorf
Hamburg , 20246, Germany

How clear is this clinincal trial information?

Study is for people with:

Melanoma

Phase:

Phase 1

Estimated Enrollment:

186

Study ID:

NCT03686124

Recruitment Status:

Recruiting

Sponsor:


Immatics US, Inc.

How clear is this clinincal trial information?

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