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Trial Title: A Study of TBio-4101 (TIL) and Pembrolizumab in Patients With Advanced Solid Tumors

NCT ID: NCT05576077

Condition: Breast Cancer
Colorectal Cancer
Uveal Melanoma
Cutaneous Melanoma
Non-Small Cell Lung Cancer
Head and Neck Squamous Cell Carcinoma

Conditions: Official terms:
Melanoma
Squamous Cell Carcinoma of Head and Neck
Pembrolizumab

Conditions: Keywords:
MSS-CRC
TIL
Tumor infiltrating lymphocyte
TNBC
HR+ Breast
ER+ Breast
MSI-CRC
personalized medicine
ocular melanoma

Study type: Interventional

Study phase: Phase 1

Overall status: Recruiting

Study design:

Allocation: Non-Randomized

Intervention model: Parallel Assignment

Intervention model description: Patients enrolled into a Cohort based on malignancy.

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Biological
Intervention name: TBio-4101
Description: TBio-4101 is an autologous selected and expanded tumor infiltrating lymphocyte (TIL) product generated following ex vivo expansion of tumor reactive TIL population found in tumor harvest. After preparation with non-myeloablative lymphodepletion chemotherapy (cyclophosphamide and fludarabine) followed by low dose radiation,TBio-4101, and IL-2.
Arm group label: Breast Cancer
Arm group label: Colorectal carcinoma
Arm group label: Cutaneous Melanoma
Arm group label: Head and Neck Squamous Cell Carcinoma
Arm group label: Non-Small Cell Lung Cancer
Arm group label: Uveal Melanoma

Other name: TIL, autologous, tumor-reactive, T-cell product

Intervention type: Drug
Intervention name: Pembrolizumab
Description: Pembrolizumab will be administered after TIL infusion and continue every 3-6 weeks for up to 2 years.
Arm group label: Breast Cancer
Arm group label: Colorectal carcinoma
Arm group label: Cutaneous Melanoma
Arm group label: Head and Neck Squamous Cell Carcinoma
Arm group label: Non-Small Cell Lung Cancer
Arm group label: Uveal Melanoma

Other name: Keytruda

Summary: A multicenter trial to investigate TBio-4101, an autologous, neoantigen-selected, tumor-reactive TIL product, in patients with advanced solid malignancies.

Detailed description: This is a Phase 1 study to investigate TBio-4101. TBio-4101 is an autologous tumor infiltrating lymphocyte (TIL) therapy that utilizes tumor specific antigens to select, sort, and expand patient-specific tumor-reactive T-cells to be reinfused into the patient. The adoptive cell therapy is further enhanced through the use of non-myeloablative chemotherapy prior to TIL infusion, followed by the TIL plus IL-2 infusion. Low-dose radiation therapy is administered prior to and after TIL plus IL-2 infusion. Pembrolizumab is provided after the resolution of IL-2 toxicities. The trial is open to solid tumors of varying tumor mutational burdens.

Criteria for eligibility:
Criteria:
Key Inclusion Criteria: - Advanced or metastatic breast carcinoma, colorectal adenocarcinoma, uveal melanoma, cutaneous melanoma, non-small cell lung cancer, or head and neck squamous cell carcinoma that has failed or is refractory to standard of care therapy - Have at least one target lesion that can be used for response assessments and have at least 1 tumor amenable for tissue harvest for TIL manufacturing. - ECOG performance status of 0 or 1 - Demonstrate adequate organ function - Additional inclusion criteria exist Key Exclusion Criteria: - Known additional malignancy that is progressing or has required active treatment within the past 3 years - Diagnosis of immunodeficiency or receiving chronic systemic steroid therapy or any other form of immunosuppressive - Currently infected with HIV Type 1 and Type 2, hepatitis B virus (HBV), hepatitis C virus (HCV), treponema pallidum (e.g., syphilis), West Nile virus (WNV), Human T-lymphotropic virus types 1 or II (HTLV I/II), or cytomegalovirus (CMV) - Known active central nervous system (CNS) metastases and/or carcinomatous meningitis. Patients with previously treated brain metastases may participate provided they are radiologically stable - Serious cardiac condition, such as uncontrolled hypertension, concurrent congestive heart failure, prior history of Class III/IV cardiac disease (New York Heart Association [NYHA]), history of cardiac ischemia within the past 6 months, or prior history of cardiac arrhythmia requiring treatment. Patients who are > 60 years of age must undergo cardiology clearance exam and cardiac stress test. - Prior cell therapy or organ transplant - History of severe immediate hypersensitivity reaction to cyclophosphamide, fludarabine, IL-2, or pembrolizumab, or any of their constituents - LVEF ≤ 45% - FEV1 ≤ 60% of predicted value and DLCO (corrected) < 60% of predicted value - Chronic anti-coagulant therapy that cannot either be discontinued or temporarily changed - Additional exclusion criteria exist

Gender: All

Minimum age: 18 Years

Maximum age: 70 Years

Healthy volunteers: No

Locations:

Facility:
Name: University of California Irvine

Address:
City: Irvine
Zip: 92868
Country: United States

Status: Recruiting

Contact:
Last name: Juan Miranda

Phone: 714-509-2951
Email: jlmirand@hs.uci.edu

Investigator:
Last name: Ritesh Parajuli
Email: Principal Investigator

Facility:
Name: Memorial Healthcare System

Address:
City: Hollywood
Zip: 33021
Country: United States

Status: Not yet recruiting

Contact:
Last name: Andres Alvarez

Phone: 954-276-9321
Email: andralavarez@mhs.net

Contact backup:
Last name: Shoria Martelly

Phone: 954-844-8732
Email: smartelly@mhs.net

Investigator:
Last name: Atif Hussein
Email: Principal Investigator

Facility:
Name: University of Miami

Address:
City: Miami
Zip: 33136
Country: United States

Status: Recruiting

Contact:
Last name: Lauren Miro

Phone: 305-243-7590
Email: lem183@med.miami.edu

Investigator:
Last name: Agustin Pimentel, MD
Email: Principal Investigator

Facility:
Name: Orlando Health

Address:
City: Orlando
Zip: 32806
Country: United States

Status: Recruiting

Contact:
Last name: Adult Oncology Patient Referral
Email: r-adultonctrialreferral@orlandohealth.com

Investigator:
Last name: Sajeve Thomas, MD
Email: Principal Investigator

Facility:
Name: Moffitt Cancer Center

Address:
City: Tampa
Zip: 33612-9497
Country: United States

Status: Recruiting

Contact:
Last name: Yvonne Nguyen

Phone: 813-745-6869
Email: yvonne.nguyen@moffitt.org

Investigator:
Last name: Dae Won Kim
Email: Principal Investigator

Facility:
Name: University of Chicago

Address:
City: Chicago
Zip: 60637
Country: United States

Status: Recruiting

Contact:
Last name: Cesar Mireles
Email: Cesar.Mireles@bsd.uchicago.edu

Contact backup:
Last name: Ligia Monterroza
Email: Ligia.Monterroza@bsd.uchicago.edu

Investigator:
Last name: Daniel Olson, MC
Email: Principal Investigator

Facility:
Name: Norton Cancer Institute

Address:
City: Louisville
Zip: 40202
Country: United States

Status: Recruiting

Contact:
Last name: NCI Research

Phone: 502-629-2500

Phone ext: 19460
Email: earlyphase-nciresearch@nortonhealthcare.org

Contact backup:

Phone: 502-629-2500

Investigator:
Last name: Jaspreet Grewal, MD
Email: Principal Investigator

Facility:
Name: Providence Healthcare Research Institute

Address:
City: Portland
Zip: 97213
Country: United States

Status: Recruiting

Contact:
Last name: Isa Ngirailemesang

Phone: 503-215-2714
Email: Isa.Ngirailemesang@providence.org

Contact backup:
Last name: Patrick Rethwisch
Email: Patrick.rethwisch@providence.org

Investigator:
Last name: Matthew Taylor
Email: Principal Investigator

Facility:
Name: Allegheny Research Institute

Address:
City: Pittsburgh
Zip: 15224
Country: United States

Status: Recruiting

Contact:
Last name: Lindsey Brown

Phone: 412-578-5426
Email: Lindsey.brown@ahn.org

Contact backup:
Last name: Frankie Houser

Phone: (412) 578-1646
Email: Frankie.Houser2@ahn.org

Investigator:
Last name: Yazan Samhouri, MD
Email: Principal Investigator

Facility:
Name: MD Anderson Cancer Center

Address:
City: Houston
Zip: 77030
Country: United States

Status: Recruiting

Contact:
Last name: Amber Sherrard

Phone: 713-563-9710
Email: AESherrard@mdanderson.org

Contact backup:
Last name: Ashabari Sprenger
Email: amukherjee1@mdanderson.org

Investigator:
Last name: Aung Nang, MD
Email: Principal Investigator

Facility:
Name: Medical College of Wisconsin

Address:
City: Milwaukee
Zip: 53226
Country: United States

Status: Recruiting

Contact:
Last name: Lauren Windowski, BS

Phone: 414-805-8937
Email: lwinkowski@mcw.edu

Contact backup:

Phone: (414) 805-5136

Investigator:
Last name: Sailaja Kamaraju, MD
Email: Principal Investigator

Facility:
Name: Princess Margaret Cancer Centre

Address:
City: Toronto
Zip: M5G 2C1
Country: Canada

Status: Recruiting

Contact:
Last name: Shivali Suri

Phone: 416-946-4501

Phone ext: 2639
Email: Shivali.Suri@uhn.ca

Contact backup:
Last name: Jeshani Sivakumar
Email: jeshani.sivakumar@uhn.ca

Investigator:
Last name: Marcus Butler, MD
Email: Principal Investigator

Facility:
Name: Montreal University Hospital Center

Address:
City: Montréal
Zip: H2X 0C1
Country: Canada

Status: Recruiting

Contact:
Last name: Adeline Hamon
Email: adeline.hamon.chum@ssss.gouv.qc.ca

Contact backup:
Last name: Dr. Simon Turcotte
Email: simon.turcotte.med@ssss.gouv.qc.ca

Investigator:
Last name: Simon Turcotte, MD
Email: Principal Investigator

Start date: January 17, 2023

Completion date: June 30, 2025

Lead sponsor:
Agency: Turnstone Biologics, Corp.
Agency class: Industry

Source: Turnstone Biologics, Corp.

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05576077

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