Study of LN-145, Autologous Tumor Infiltrating Lymphocytes in the Treatment of Patients With Cervical Carcinoma
A Phase 2, Multicenter Study to Evaluate the Efficacy and Safety Using Autologous Tumor Infiltrating Lymphocytes (LN-145) in Patients With Recurrent, Metastatic or Persistent Cervical Carcinoma
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Contact
Study Contact
- Name: Iovance Biotherapeutics Clinical Inquiries
- Phone Number: 650-260-7120
- Email: Clinical.Inquiries@iovance.com
Study Contact Backup
- Name: Iovance Biotherapeutics Clinical Inquiries
- Phone Number: 866-565-4410
- Email: Clinical.Inquiries@iovance.com
Study Locations
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Lyon, France, 69008
- Centre léon bérard
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Villejuif, France, 94805
- Gustave Roussy Cancer Campus
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Rhone-alpes
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Pierre-Bénite, Rhone-alpes, France, 69495
- Centre Hospitalier Lyon Sud
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Bavaria
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Erlangen, Bavaria, Germany, 91054
- Universitätsklinikum Erlangen
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Saxony
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Dresden, Saxony, Germany, 01307
- Universitatsklinikum Carl Gustav Carus
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Milano
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Miano, Milano, Italy, 20141
- Istituto Europeo di Oncologia
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AZ
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Amsterdam, AZ, Netherlands, 1105
- Academisch Medisch Centrum
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Barcelona, Spain, 08035
- Hospital Universitari Vall d'Hebron
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Barcelona, Spain, 08908
- Institut Catala d'Oncologia
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Madrid, Spain, 28007
- Hospital General Universitario Gregorio Marañon
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Madrid, Spain, 28050
- Hospital Universitario Madrid Sanchinarro
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Navarre
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Pamplona, Navarre, Spain, 31008
- Clinica Universidad de Navarra
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Bern, Switzerland, CH-3010
- Inselspital
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Lausanne, Switzerland
- Centre Hospitalier Universitaire Vaudois Lausanne - Centre Pluridisciplinaire d'Oncologie
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London, United Kingdom, SE1 9RT
- Guy's & St.Thomas NHS Foundation Trust
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England
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Bristol, England, United Kingdom, BS2 8ED
- Bristol Haematology and Oncology Centre
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London, England, United Kingdom, W1G 6AD
- Sarah Cannon Research Institute London
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London, England, United Kingdom, W1G 6BW
- University College London Hospitals NHS Foundation Trust
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Scotland
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Glasgow, Scotland, United Kingdom, G12 0YN
- NHS Greater Glasgow and Clyde
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Arizona
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Phoenix, Arizona, United States, 85013
- St. Joseph's Hospital and Medical Center Center For Women's Health
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California
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Los Angeles, California, United States, 90033
- University of Southern California
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San Diego, California, United States, 92093
- University of California San Diego
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Florida
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Miami, Florida, United States, 33136
- Sylvester Comprehensive Cancer Center
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Orlando, Florida, United States, 32806
- University of Florida Health Cancer Center
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Tampa, Florida, United States, 33612
- University of South Florida H. Lee Moffitt Cancer Center and Research Institute
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Georgia
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Augusta, Georgia, United States, 30912-0003
- Augusta University
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Illinois
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Chicago, Illinois, United States, 60637
- University of Chicago
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Kentucky
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Louisville, Kentucky, United States, 40202
- James Graham Brown Cancer Center
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Louisiana
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New Orleans, Louisiana, United States, 70112
- LSU Health Sciences Center
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Maryland
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Baltimore, Maryland, United States, 21287-0013
- The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
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Massachusetts
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Boston, Massachusetts, United States, 02215
- Dana Farber Cancer Institute
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Michigan
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Detroit, Michigan, United States, 48201
- Karmanos Cancer Institute
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New Jersey
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Newark, New Jersey, United States, 07103
- Rutgers University
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New York
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Buffalo, New York, United States, 14263
- Roswell Park Cancer Institute
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Ohio
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Cleveland, Ohio, United States, 44195
- Cleveland Clinic
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Columbus, Ohio, United States, 43210
- The Ohio State University Comprehensive Cancer Center
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Oklahoma
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Oklahoma City, Oklahoma, United States, 73104
- University of Oklahoma Health Sciences Center
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Pennsylvania
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Pittsburgh, Pennsylvania, United States, 15232
- UPMC Cancer Center
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Pittsburgh, Pennsylvania, United States, 15224
- Allegheny Health
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South Dakota
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Sioux Falls, South Dakota, United States, 57105
- Avera Medical Group Oncology
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Texas
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Houston, Texas, United States, 77030
- MD Anderson Cancer Center
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Virginia
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Charlottesville, Virginia, United States, 22908
- University of Virginia
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Wisconsin
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Milwaukee, Wisconsin, United States, 53225
- Medical College of Wisconsin
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
To be eligible for the study, patients must meet ALL of the following criteria prior to participation:
- Must be ≥ 18 years of age at the time of consent. Enrollment of patients > 70 years of age may be allowed after consultation with the Medical Monitor.
- Must have recurrent, metastatic, or persistent squamous cell carcinoma (SCC), adenosquamous carcinoma (ASC), or adenocarcinoma (AC) of the cervix that is not amenable to curative treatment with surgery and/or radiation therapy.
- At least one resectable lesion (or aggregate of lesions resected) of a minimum 1.5 cm in diameter post-resection to generate TIL; surgical removal with minimal morbidity (defined as any procedure for which expected hospitalization is ≤ 3 days)
- At least one measurable target lesion, as defined by RECIST v1.1.
Cohort 1 and Cohort 2: Progression during or following at least one, but no more than three, prior systemic chemotherapeutic treatments for recurrent, metastatic, or persistent cervical carcinoma
- A line of systemic therapy is defined as any chemotherapy or multiple-agent chemotherapy regimen that was administered for recurrent, metastatic, or persistent SCC, ASC, or AC of the cervix.
- A bevacizumab and chemotherapy combination is encouraged as a prior line of treatment.
- Neither chemoradiation, nor chemotherapy in the neoadjuvant or adjuvant settings are considered as a prior line of systemic therapy.
Cohort 2: Must also have previously received treatment with a checkpoint inhibitor (ie, PD-1, PD-L1]) in the setting of recurrent, metastatic, or persistent disease either as monotherapy or in combination (eg, in combination with chemotherapy or another immune agent)
Cohort 3 (United States only): Must have not received any therapies other than prior chemoradiation or surgery for loco-regional disease
- Any prior therapy directed at the malignant tumor, including chemotherapy, biologic/targeted agents, and immunologic agents must be discontinued at least 28 days prior to tumor resection.
- Have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
- Must have adequate organ function.
- Patient has no evidence of any active viral, bacterial, or fungal infection requiring ongoing systemic treatment. Patients must be seronegative for the human immunodeficiency virus (HIV). Patients with acute or chronic hepatitis infections may be enrolled if the viral load by nucleic acid amplification test (NAAT) is undetectable with/without active treatment
- Patients of childbearing potential must be willing to take the appropriate precaution to avoid pregnancy for the duration of the study and practice an approved, highly effective method of birth control during treatment and for 12 months after receiving the last protocol-related therapy.
- Prior to study Enrollment (tumor resection), patient must have documentation of radiological disease progression after the most recent therapy
Exclusion Criteria:
Patients who meet any of the following criteria are not eligible for participation in this study:
- Patients who have received an organ allograft or prior cell transfer therapy except for prior LN-145 therapy in the setting of re-treatment only.
- Patients who require ongoing systemic steroid therapy (> 10 mg/day of prednisone or other steroid equivalent dose).
- Patients who currently have prior therapy-related toxicities Grade > 1 according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) v5.0; except for peripheral neuropathy, alopecia, or vitiligo prior to Enrollment (tumor resection).
. Patients who have a history of hypersensitivity to any component or excipient of LN-145 or other study drugs:
• NMA-LD preparative regimen (cyclophosphamide, mesna, and fludarabine)
- Patients who have active systemic infections, coagulation disorders, or other active major medical illness(es) of the cardiovascular, respiratory, or immune system, including evidence in the medical history of urinary tract obstruction, a positive cardiac stress test, myocardial infarction, cardiac arrhythmia, obstructive or restrictive pulmonary disease, or other conditions that in the opinion of the Investigator would increase the risk of participation.
Patients with symptomatic and/or untreated brain metastases (of any size and any number)
• Patients with definitively treated brain metastases may be considered for Enrollment, and must be stable for ≥ 14 days prior to beginning the NMA-LD preparative regimen
- Patients who have any form of primary immunodeficiency (such as severe combined immunodeficiency [SCID] or acquired immunodeficiency syndrome [AIDS])
- Patients who have a diagnosis of end-stage renal disorder requiring hemodialysis
- Patients who have a left ventricular ejection fraction (LVEF) < 45% or who are New York Heart Association (NYHA) Class 2 or higher.
- Patients who have a documented forced expiratory volume in 1 second (FEV1) of ≤ 60%
- Patients who have had another primary malignancy within the previous 3 years (except for curatively treated localized malignancy that has not required treatment for > 1 year, and in the judgement of the Investigator, does not pose a significant risk of recurrence including, but not limited to, non-melanoma skin cancer or bladder cancer)
Patients who are of the following protected classes will be excluded, including:
- Pregnant, parturient, or breastfeeding women
- Persons who are hospitalized without consent or those deprived of liberty because of a judiciary or administrative decision
- Patients with a legal protection measure or a person who cannot express his/her consent
- Patients in emergency situations who cannot consent to the study
- Patients who have received a live or attenuated vaccine within 28 days prior to beginning the NMA-LD preparative regimen
- Patients whose cancer requires immediate attention or who would otherwise suffer a disadvantage by participating in this study
- Cohort 1 and Cohort 3: Patients who have received prior treatment with immunotherapy (eg, PD-1, PD-L1, or anti-cytotoxic T lymphocyte-associated antigen-4 [CTLA-4] antibodies)
- Patients who have Grade ≥ 2 hemorrhage within 14 days prior to Enrollment (tumor resection)
- Cohort 3: Patients may not have active or prior documented autoimmune or inflammatory disorders (including pneumonitis, inflammatory bowel disease [eg, colitis or Crohn's disease], diverticulitis [with the exception of diverticulosis], systemic lupus erythematosus, sarcoidosis syndrome, or Wegener syndrome [granulomatosis with polyangiitis, Graves' disease, rheumatoid arthritis, hypophysitis, uveitis, etc.]).
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Cohort 1 LN-145 monotherapy
Post-NMA lymphodepletion, patients are infused with their autologous TIL (LN-145) followed by IL-2 administration.
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A tumor sample is resected from each patient and cultured ex vivo to expand the population of tumor infiltrating lymphocytes.
Other Names:
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Experimental: Cohort 2 LN-145 monotherapy
Patients previously treated with an antiprogrammed cell death protein-1 (PD-1) or anti-programmed death-ligand 1 (PD-L1) checkpoint inhibitor: Post-NMA lymphodepletion, patients are infused with their autologous TIL (LN-145) followed by IL-2 administration.
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A tumor sample is resected from each patient and cultured ex vivo to expand the population of tumor infiltrating lymphocytes.
Other Names:
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Experimental: Cohort 3 - Combination Arm (TIL + Pembrolizumab) - US Only
Patients will be administered with pembrolizumab, followed by NMA lymphodepletion, then infused with their autologous TIL (LN-145) followed by pembrolizumab every 3 or 6 weeks post IL-2 administration up to 24 months.
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A tumor sample is resected from each patient and cultured ex vivo to expand the population of tumor infiltrating lymphocytes.
The first dose of anti-PD-1 immunotherapy will be administered following tumor resection.
Other Names:
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Experimental: Cohort 4 - Non-enrolling Cohort
Cohort includes patient population not meeting inclusion criteria in cohort 1 and 2. Post-NMA lymphodepletion, patients are infused with their autologous TIL (LN-145) followed by IL-2 administration.
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A tumor sample is resected from each patient and cultured ex vivo to expand the population of tumor infiltrating lymphocytes.
Other Names:
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Experimental: Cohort 5 Retreatment Cohort
Patients who have been previously treated with LN-145 may be given a second treatment with TIL.
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A tumor sample is resected from each patient and cultured ex vivo to expand the population of tumor infiltrating lymphocytes.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Cohort 3: Adverse Events
Time Frame: Up to 60 months
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To characterize the safety profile of LN-145 in combination with pembrolizumab in patients with recurrent, metastatic, or persistent cervical carcinoma as assessed by incidence of adverse events.
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Up to 60 months
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Cohort 4: Efficacy and Adverse Events
Time Frame: Up to 60 months
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To explore the efficacy and safety profile of LN-145 in previously enrolled patients with recurrent, metastatic, or persistent cervical carcinoma
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Up to 60 months
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Cohort 5: Efficacy and Adverse Events
Time Frame: Up to 60 months
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To explore the efficacy and safety profile of LN-145 in re-treated patients with recurrent, metastatic, or persistent cervical carcinoma
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Up to 60 months
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Cohort 1 and 2: Objective Response Rate
Time Frame: Up to 60 months
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To evaluate the efficacy of LN-145 in patients with recurrent, metastatic, or persistent cervical carcinoma based on the objective response rate (ORR) as assessed by the Investigator per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1
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Up to 60 months
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Cohort 1 and 2: Overall Survival
Time Frame: Up to 60 months
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To evaluate overall survival (OS) in patients with recurrent, metastatic, or persistent cervical carcinoma
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Up to 60 months
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Cohort 1 and 2: Adverse Events
Time Frame: Up to 60 months
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To characterize the safety profile of LN-145 in patients with recurrent, metastatic, or persistent cervical carcinoma as assessed by incidence of adverse events
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Up to 60 months
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Cohort 3: Objective Response Rate
Time Frame: Up to 60 months
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To evaluate the efficacy of LN-145 in combination with pembrolizumab in patients with recurrent, metastatic, or persistent cervical carcinoma based on the objective response rate (ORR) as assessed by the Investigator per RECIST v1.1
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Up to 60 months
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Cohort 3: Duration of Response
Time Frame: Up to 60 months
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To evaluate the efficacy of LN-145 in combination with pembrolizumab in patients with recurrent, metastatic, or persistent cervical carcinoma by assessing duration of response (DOR) as assessed by the Investigator per RECIST v1.1.
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Up to 60 months
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Cohort 3: Disease Control Rate
Time Frame: Up to 60 months
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To evaluate the efficacy of LN-145 in combination with pembrolizumab in patients with recurrent, metastatic, or persistent cervical carcinoma by assessing disease control rate (DCR) as assessed by the Investigator per RECIST v1.1.
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Up to 60 months
|
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Cohort 3: Progression-Free Survival
Time Frame: Up to 60 months
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To evaluate the efficacy of LN-145 in combination with pembrolizumab in patients with recurrent, metastatic, or persistent cervical carcinoma by assessing progression-free survival (PFS) as assessed by the Investigator per RECIST v1.1.
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Up to 60 months
|
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Cohort 3: Overall Survival
Time Frame: Up to 60 months
|
To evaluate overall survival (OS) in patients with recurrent, metastatic, or persistent cervical carcinoma
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Up to 60 months
|
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Cohort 1 and 2: Duration of Response
Time Frame: Up to 60 months
|
To evaluate the efficacy parameters of LN-145 in patients with recurrent, metastatic, or persistent cervical carcinoma by assessing duration of response (DOR) as assessed by the Investigator per RECIST v1.1
|
Up to 60 months
|
|
Cohort 1 and 2: Disease Control Rate
Time Frame: Up to 60 months
|
To evaluate the efficacy parameters of LN-145 in patients with recurrent, metastatic, or persistent cervical carcinoma by assessing disease control rate (DCR) as assessed by the Investigator per RECIST v1.1
|
Up to 60 months
|
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Cohort 1 and 2: Progression-Free Survival
Time Frame: Up to 60 months
|
To evaluate the efficacy parameters of LN-145 in patients with recurrent, metastatic, or persistent cervical carcinoma by assessing progression-free survival (PFS) as assessed by the Investigator per RECIST v1.1
|
Up to 60 months
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Iovance Medical Monitor, Iovance Biotherapeutics, Inc.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Urogenital Diseases
- Genital Diseases
- Urogenital Neoplasms
- Neoplasms by Site
- Neoplasms
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Uterine Diseases
- Genital Diseases, Female
- Genital Neoplasms, Female
- Uterine Cervical Diseases
- Uterine Neoplasms
- Uterine Cervical Neoplasms
- Amino Acids, Peptides, and Proteins
- Proteins
- Receptors, Cell Surface
- Membrane Proteins
- Receptors, Immunologic
- Toll-Like Receptors
- Receptors, Pattern Recognition
- pembrolizumab
- Toll-Like Receptor 1
Other Study ID Numbers
Other Study ID Numbers
- C-145-04
- 2024-510634-41-00 (Ctis)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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