Active, not recruiting
Phase 2
A Study of Lifileucel (Tumor-infiltrating Lymphocytes) in Adults With Advanced Melanoma
Condition(s) studied
Melanoma (Skin Cancer)Unresectable MelanomaMetastatic Melanoma
Investigational drug(s) / intervention(s)
Lifileucel: 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.
Study summary
This is a Phase 2, multicenter, open-label study of lifileucel (tumor-infiltrating lymphocytes \[TIL\]) in participants with previously treated advanced melanoma
Eligibility
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 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 or choose lifileucel as an alternative option to 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.
Primary outcome measure(s)
- Objective Response Rate — 12 months
To evaluate the efficacy of lifileucel as measured by ORR per RECIST v1.1 as assessed by the investigators
Trial sites (5)
| Facility | City | Region | Status |
| Sarah Cannon Research Institute |
Nashville |
Tennessee |
|
| Greenslopes Private Hospital |
Greenslopes |
Queensland |
|
| Princess Margaret Cancer Centre |
Toronto |
Ontario, Canada |
|
| Centre Hospitalier de l'Universite de Montreal |
Montral |
Quebec, Canada |
|
| Royal Marsden Hospital |
London |
United Kingdom |
|
More Iovance Biotherapeutics, Inc. trials in Canada
Other trials for the same condition