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Trial Title: A Study of LN-144 in People With Metastatic Melanoma to the Brain

NCT ID: NCT05640193

Condition: Metastatic Melanoma

Conditions: Official terms:
Melanoma

Conditions: Keywords:
LN-144
Non-uveal melanoma
Lifileucel (LN-144)
22-322

Study type: Interventional

Study phase: Phase 1

Overall status: Active, not recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Biological
Intervention name: Lifileucel (LN-144)
Description: A portion of the patient's tumor is resected and serves as the starting material for manufacturing lifileucel. After preparative NMA-LD, patients are infused with their autologous TIL (lifileucel), followed by a short course of high-dose IL-2.
Arm group label: Participants with Melanoma Brain Metastases

Summary: This is an open label study evaluating lifileucel (LN-144) in patients with melanoma brain metastases.

Detailed description: Lifileucel (LN-144) is an autologous Tumor Infiltrating Lymphocytes (TIL) cell therapy that utilizes a 22-day centralized GMP process. Lifileucel is infused as part of a treatment regimen that includes preparative NMA-LD, followed by one-time autologous TIL infusion, and a short course of high-dose IL-2.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. Metastatic melanoma with asymptomatic brain metastases 2. At least one resectable lesion (or aggregate of lesions resected) of a minimum 1.5 cm in diameter post-resection to generate TIL 3. Must be ≥ 18 years of age at time of consent 4. ECOG performance status of 0-1 and estimated life expectancy of ≥ 3 months 5. Adequate hematologic parameters and organ function Exclusion Criteria: 1. Received organ allograft, except kidney transplant, or prior cell transfer therapy including TIL and CAR-T therapies 2. Ongoing grade 2-4 toxicity from prior immunotherapy (excluding endocrine, ocular toxicity or vitiligo) 3. History of hypersensitivity to any component or excipient of lifileucel or other treatment regimen drugs 4. Symptomatic brain metastases 5. Chronic systemic steroid therapy of > 10 mg/day 6. Active medical illness(es) that would pose increased risk for protocol participation 7. Must have negative syphilis assay and be seronegative for HIV, positive serology for HBV must have corresponding PCR assay and may be enrolled if viral load by PCR is undetectable 8. Primary immunodeficiency 9. Received live or attenuated vaccine within 28 days prior to beginning NMA-LD 10. Pregnant or breastfeeding 11. Patients who cannot receive gadolinium-enhanced MRI.

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Memorial Sloan Kettering Cancer Center (All Protocol Activities)

Address:
City: New York
Zip: 10065
Country: United States

Start date: November 25, 2022

Completion date: November 2025

Lead sponsor:
Agency: Memorial Sloan Kettering Cancer Center
Agency class: Other

Collaborator:
Agency: Iovance Biotherapeutics, Inc.
Agency class: Industry

Source: Memorial Sloan Kettering Cancer Center

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05640193
http://www.mskcc.org/mskcc/html/44.cfm

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