A Phase II Trial of LM103 in Advanced Melanoma
A Multicenter, Randomized, Controlled, Open-label, Phase II Trial on Autologous Tumor Infiltrating Lymphocyte Injection (LM103 TILs) for the Treatment of Advanced Melanoma
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 2
Contacts and Locations
Study Contact
Study Contact
- Name: Jun Guo, Prof. Dr. Med
- Phone Number: 86-10-88121122
- Email: guoj307@126.com
Study Locations
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Beijing, China
- Recruiting
- Beijing Cancer Hospital
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Contact:
- Jun Guo
- Phone Number: +861088121122
- Email: guoj307@126.com
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Beijing Municipality
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Beijing, Beijing Municipality, China
- Recruiting
- Beijing Go Broad Hospital
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Contact:
- Chuanliang Cui
- Phone Number: +8613691489319
- Email: 1008ccl@163.com
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Fujian
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Fuzhou, Fujian, China
- Recruiting
- Fujian Cancer Hospital
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Contact:
- Yu Chen
- Phone Number: +8613859089836
- Email: 13859089836@139.com
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Guangdong
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Guangzhou, Guangdong, China
- Recruiting
- Sun Yat-sen University Cancer Center
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Contact:
- Xiaoshi Zhang
- Phone Number: +8615915733209
- Email: zhangxsh@sysucc.org.cn
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Guangxi
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Nanning, Guangxi, China
- Recruiting
- The First Affiliated Hospital of Guangxi Medical University
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Contact:
- Jie Ma
- Phone Number: +8613978851892
- Email: majie086@163.com
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Nanning, Guangxi, China
- Recruiting
- Guangxi Medical University Cancer Hospital
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Contact:
- Zhenchao Yuan
- Phone Number: +8618677102309
- Email: yzhenchao11@163.com
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Henan
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Zhengzhou, Henan, China
- Recruiting
- The Third People's Hospital of Zhengzhou
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Contact:
- Xianbin Liang
- Phone Number: +8615038212930
- Email: wslxb666@126.com
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Hubei
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Wuhan, Hubei, China
- Recruiting
- Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
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Contact:
- Jing Chen
- Phone Number: +8615807183251
- Email: bswhunion@163.com
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Jiangsu
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Nanjing, Jiangsu, China
- Recruiting
- Nanjing Drum Tower Hospital
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Contact:
- Zhengyun Zou
- Phone Number: +8613815891858
- Email: zouzhengyun001@163.com
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Shanxi
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Xi’an, Shanxi, China
- Recruiting
- The Second Affiliated Hospital of Xi'an Jiaotong University
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Contact:
- Yinbin Zhang
- Phone Number: +8615334213430
- Email: 23227119@qq.com
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Sichuan
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Chengdu, Sichuan, China
- Recruiting
- West China Hospital of Sichuan University
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Contact:
- Yu Jiang
- Phone Number: +8618980601130
- Email: jiangyuwork@126.com
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Tianjin Municipality
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Tianjin, Tianjin Municipality, China
- Recruiting
- Tianjin Medical University Cancer Institute & Hospital
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Contact:
- Xiubao Ren
- Phone Number: +8618622221235
- Email: renxiubao@tjmuch.com
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Zhejiang
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Hangzhou, Zhejiang, China
- Recruiting
- Zhejiang Cancer Hospital
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Contact:
- Meiyu Fang
- Phone Number: +8613750851650
- Email: fangmy@zjcc.org.cn
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- At the date of signing Informed Consent Form (ICF), 18 ~75 years old, male or female;
- Expected survival time >3 months;
- ECOG performance status 0-1;
- Patients with unresectable recurrent/metastatic melanoma (excluding uveal melanoma) who have failed at least two lines of standard treatment: • Patients need to have failed or be intolerant to PD-1 antibody treatment; • If the BRAF V600 mutation is positive, treatment with BRAF±MEK inhibitors must fail; • If the NRAS mutation is positive, treatment with Tunlametinib must fail;
- Patients have lesions that can be used for surgical resection or biopsy puncture;
- Even after tumor tissue resection/biopsy puncture, there should still be at least one measurable lesion (according to RECIST1.1);
- Patients have sufficient hematology and organ functions;
- Voluntarily sign a written informed consent form (ICF).
Exclusion Criteria:
- A history of other malignant tumors within the past 5 years, excluding malignant tumors that can be expected to heal after treatment (including but not limited to well-treated thyroid cancer, cervical carcinoma in situ, basal or squamous cell skin cancer, or ductal carcinoma in situ of the breast treated by radical surgery);
- Adverse reactions caused by previous treatments have not been recovered to grade ≤1(CTCAE V5.0) (excluding the laboratory tests from the inclusion criteria, alopecia and neurotoxicity, and hypothyroidism, adrenal insufficiency and hypopituitarism that cannot be restored to grade 2 as determined by the investigators for a long time);
- Any immune-related adverse reaction (irAE) with a severity level greater than grade 3 that has occurred during any previous immunotherapy and has been permanently discontinued;
- Have received vaccination within two months prior to tumor tissue procurement surgery, or plan to receive vaccination during the study;
- Have received TIL cell therapy, allogeneic T cell therapy or NK cell therapy within 6 months prior to signing the ICF;
- Have received allogeneic hematopoietic stem cell transplantation or solid organ transplantation in the past;
- Suffering from central nervous system metastases and/or cancerous meningitis. Patients who have received brain metastasis treatment and whose conditions have been stable for at least 6 months, and there is no evidence of new or expanded brain metastases may consider participating in this study;
- Suffering from or suspected of having an active autoimmune disease;
- Suffering from a large amount of pleural effusion or ascites with clinical symptoms or requiring symptomatic treatment;
- Patients with current or previous irreversible interstitial lung disease;
- Suffering from serious cardiovascular and cerebrovascular diseases;
- Suffering from an active infection that requires systemic treatment;
- Suffering from infectious diseases such as hepatitis B, hepatitis C, syphilis, AIDS;
- Patients with esophageal or gastric varices requiring immediate intervention (such as ligation or sclerotherapy), or those with a higher risk of bleeding as recommended by the investigator or gastroenterologist or hepatologist, evidence of portal hypertension (including splenomegaly found in imaging examinations), or a history of variceal bleeding must undergo endoscopic assessment within 3 months before enrollment;
- Uncontrolled metabolic disorders, such as diabetes, or other non-malignant organ or systemic diseases or secondary reactions to cancer, can lead to higher medical risks and/or uncertainties in survival assessment;
- Those who are known to be allergic to any component of the investigational drug and the LM103 product formula;
- Women who are pregnant or breastfeeding;
- As determined by the investigators, there are other severe, acute or chronic medical diseases, mental disorders or laboratory abnormalities that may increase the risks related to participation in the study or may interfere with the interpretation of the study results.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: LM103 TILs Group
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Extract, culture and expand tumor-infiltrating lymphocytes from resected tumor tissues in vitro for the manufactur of LM103 TILs injection.
After NMA-LD, the subjects received LM103 infusion and followed by IL-2 supportive treatment.
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Active Comparator: Chemotherapy Group
Chemotherapy regimen selected by investigators
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The subjects will start treatment with a chemotherapy regimen selected by the investigators, including dacarbazine, temozolomide, paclitaxel, carboplatin/cisplatin.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Progression-free survival (PFS)
Time Frame: Every 6 weeks in the first 6 months after treatment and every 12 weeks from 6 months to 24 months
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PFS confirmed by the Independent Review Committee (IRC) according to RECIST 1.1
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Every 6 weeks in the first 6 months after treatment and every 12 weeks from 6 months to 24 months
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Overall survival (OS)
Time Frame: Maximum 24 months
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OS and OS rates in 6, 12, 18, 24 months
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Maximum 24 months
|
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PFS
Time Frame: Every 6 weeks in the first 6 months after treatment and every 12 weeks from 6 months to 24 months
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PFS confirmed by the investigators according to RECIST 1.1
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Every 6 weeks in the first 6 months after treatment and every 12 weeks from 6 months to 24 months
|
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Objective Response Rate (ORR)
Time Frame: Every 6 weeks in the first 6 months after treatment and every 12 weeks from 6 months to 24 months
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ORR assessed by IRC and investigators according to RECIST 1.1
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Every 6 weeks in the first 6 months after treatment and every 12 weeks from 6 months to 24 months
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Disease Control Rates (DCR)
Time Frame: Every 6 weeks in the first 6 months after treatment and every 12 weeks from 6 months to 24 months
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DCR assessed by IRC and investigators according to RECIST 1.1
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Every 6 weeks in the first 6 months after treatment and every 12 weeks from 6 months to 24 months
|
|
Duration of Response (DoR)
Time Frame: Every 6 weeks in the first 6 months after treatment and every 12 weeks from 6 months to 24 months
|
DoR assessed by IRC and investigators according to RECIST 1.1
|
Every 6 weeks in the first 6 months after treatment and every 12 weeks from 6 months to 24 months
|
|
Adverse Events (AEs)
Time Frame: Maximum 24 months
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AEs will be recorded and assessed according to CTCAE Version 5.0
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Maximum 24 months
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Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
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 (Actual)
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
Additional Relevant MeSH Terms
- Organic Chemicals
- Heterocyclic Compounds, 1-Ring
- Heterocyclic Compounds
- Azoles
- Hydrocarbons
- Cycloparaffins
- Hydrocarbons, Alicyclic
- Hydrocarbons, Cyclic
- Terpenes
- Triazenes
- Imidazoles
- Inorganic Chemicals
- Chlorine Compounds
- Nitrogen Compounds
- Coordination Complexes
- Taxoids
- Cyclodecanes
- Diterpenes
- Platinum Compounds
- Temozolomide
- Carboplatin
- Dacarbazine
- Paclitaxel
- Cisplatin
Other Study ID Numbers
Other Study ID Numbers
- LM103-MM-CT02
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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