- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT07288203
A Study of Lifileucel (Tumor-infiltrating Lymphocytes) in Adults With Advanced Melanoma
A Phase 2, Multicenter, Open-label Study of Lifileucel (Tumor-infiltrating Lymphocytes [TIL]) in Participants With Previously Treated Advanced Melanoma
Study Overview
Status
Intervention / Treatment
Detailed Description
This is a Phase 2 study of the lifileucel treatment regimen in participants who previously received treatment for unresectable or metastatic (advanced) melanoma with 1 prior line of an anti-programmed cell death protein-1 (PD-1) or anti-programmed death ligand 1 (PD-L1) agent or whose melanoma progressed during and/or within ≤ 12 weeks after adjuvant anti-PD-(L)1 treatment (early relapse). Participants who have BRAF V600 mutation positive melanoma may have received or refused 1 additional prior line treatment with a BRAF inhibitor
± a MEK inhibitor
Study Type
Enrollment (Estimated)
Phase
- Phase 2
Contacts and Locations
Study Locations
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Queensland
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Greenslopes, Queensland, Australia, 4120
- Greenslopes Private Hospital
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Ontario, Canada
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Toronto, Ontario, Canada, Canada, M5G 2M9
- Princess Margaret Cancer Centre
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Quebec, Canada
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Montral, Quebec, Canada, Canada, H2X 0A9
- Centre Hospitalier de l'Université de Montréal
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London, United Kingdom, SW3 6JJ
- Royal Marsden Hospital
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Tennessee
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Nashville, Tennessee, United States, 37203
- Sarah Cannon Research Institute
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Participant has a histologically or pathologically confirmed diagnosis of Stage IIIC, IIID, or IV unresectable or metastatic melanoma.
- The participant has an ECOG performance status of 0 or 1 and an estimated life expectancy of > 6 months.
- The participant must have experienced radiographic disease progression on: 1 prior line of an anti-PD-(L)1 treatment (as a monotherapy or as part of a combination) for advanced melanoma and/or during or within ≤ 12 weeks after adjuvant anti-PD-(L)1 treatment (as a monotherapy or as part of a combination). Participants who have BRAF V600 mutation positive melanoma may have received 1 additional prior line of treatment with a BRAF inhibitor ± a MEK inhibitor.
- Participant is assessed as having at least one resectable lesion (or aggregate lesions) for lifileucel generation.
- Participant must have at least one measurable disease as defined by RECIST 1.1 following tumor resection.
- Participants who are > 70 years of age may be allowed to enroll after the investigator discusses with the medical monitor.
- Participants of childbearing potential or those with partners of childbearing potential must be willing to practice an approved method of highly effective birth control.
- Participants must have adequate organ function.
- Participant is willing to receive optimal supportive care, including intensive care, from enrollment until the first post-treatment tumor assessment.
Exclusion Criteria:
- Participant has melanoma of uveal/ocular origin.
- Participant has symptomatic untreated brain metastases.
- Participant has active uveitis that requires active treatment.
- Participant has an active medical illness(es) that, in the opinion of the investigator, would pose increased risks for study participation, such as systemic infections; seizure disorders; coagulation disorders; or other active major medical illnesses of the cardiovascular, respiratory, or immune systems.
- Participant has any form of primary or acquired immunodeficiency (eg, SCID or AIDS).
- Participant had another primary malignancy within the previous 3 years (except for those that do not require treatment or were curatively treated >1 year ago, and in the judgment of the investigator do not pose a significant risk of recurrence.)
- Participant has a history of allogeneic cell or organ transplant.
- Concurrent enrollment in another clinical study, unless it is an observational (non-interventional) clinical study or during the follow-up period of an interventional study.
Other protocol defined inclusion/exclusion criteria could apply.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
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Experimental: Single Arm
Lifileucel
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A tumor sample is resected from each patient for lifileucel manufacturing.
Patients will first receive the preparative non-myeloablative lymphodepletion (NMA-LD) regimen.
They will then receive the lifileucel infusion, followed by an abbreviated course of aldesleukin.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Objective Response Rate
Time Frame: 5 years
|
To evaluate the efficacy of lifileucel as measured by ORR per RECIST v1.1 as assessed by the IRC
|
5 years
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Complete Response Rate
Time Frame: 5 years
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To evaluate the efficacy of lifileucel as measured by CR rate per RECIST v1.1 as assessed by the IRC
|
5 years
|
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Duration of Response
Time Frame: 5 years
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To evaluate the efficacy of lifileucel as measured by DOR per RECIST v1.1 as assessed by the IRC
|
5 years
|
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Disease Control Rate
Time Frame: 5 years
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To evaluate the efficacy of lifileucel as measured by DCR per RECIST v1.1 as assessed by the IRC
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5 years
|
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Progression-Free Survival
Time Frame: 5 years
|
To evaluate the efficacy of lifileucel as measured by PFS per RECIST v1.1 as assessed by the IRC
|
5 years
|
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Objective Response Rate
Time Frame: 5 years
|
To evaluate the efficacy of lifileucel as measured by ORR per RECIST v1.1 as assessed by the investigators
|
5 years
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Complete Response Rate
Time Frame: 5 years
|
To evaluate the efficacy of lifileucel as measured CR rate per RECIST v1.1 as assessed by the investigators
|
5 years
|
|
Duration of Response
Time Frame: 5 years
|
To evaluate the efficacy of lifileucel as measured by DOR per RECIST v1.1 as assessed by the investigators
|
5 years
|
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Disease Control Rate
Time Frame: 5 years
|
To evaluate the efficacy of lifileucel as measured by DCR per RECIST v1.1 as assessed by the investigators
|
5 years
|
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Progression-Free Survival
Time Frame: 5 years
|
To evaluate the efficacy of lifileucel as measured by PFS per RECIST v1.1 as assessed by the investigators
|
5 years
|
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Overall Survival
Time Frame: 5 years
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To evaluate the efficacy of lifileucel as measured by OS
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5 years
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Adverse Events
Time Frame: 5 years
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To demonstrate safety and tolerability of lifileucel
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5 years
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- IOV-MEL-202
- 2025-522054-40-00 (Ctis)
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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