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Active, not recruiting Phase 2

Spearhead 1 Study in Subjects With Advanced Synovial Sarcoma or Myxoid/Round Cell Liposarcoma

NCT04044768 · tracked via the Priya Life Science USA tracker
Phase
Phase 2
Started
2019-08-13
Last updated
2026-08-26

Condition(s) studied

Synovial SarcomaMyxoid Liposarcoma

Investigational drug(s) / intervention(s)

afamitresgene autoleucel (previously ADP-A2M4)

afamitresgene autoleucel (previously ADP-A2M4): Single infusion of autologous genetically modified afamitresgene autoleucel (previously ADP-A2M4) Dose: 1.0 x109 to 10x109 transduced by a single intravenous infusion

Study summary

This is a study to investigate the efficacy and safety of ADP-A2M4 in HLA-A\*02 eligible and MAGE-A4 positive subjects with metastatic or inoperable (advanced) Synovial Sarcoma (Cohort 1, 2 and 3 ) or MRCLS (Cohort 1) .

Eligibility

Sex
ALL
Min age
10 Years
Max age
75 Years
Healthy volunteers
No
Key Inclusion Criteria * Age ≥16 (10 years at selected sites) and \<=75 years * Diagnosis of advanced synovial sarcoma (Cohort 1, Cohort 2 and Cohort 3) or myxoid liposarcoma / myxoid round cell liposarcoma (Cohort 1 only) confirmed by cytogenetics. * Previously received either an anthracycline or ifosfamide containing regimen. * Measurable disease according to RECIST v1.1 prior to lymphodepletion * HLA-A\*02:01, HLA-A\*02:02, HLA-A\*02:03 or HLA-A\*02:06 positive * Tumor shows MAGE-A4 expression confirmed by central laboratory. North America Only (United States and Canada): Tumor (either an archival specimen or a fresh biopsy) shows MAGE-A4 expression of ≥1+ staining in ≥10% of the cells by immunohistochemistry. * ECOG Performance Status of 0 or1. For subjects aged ≥10 to ≥16 years old: Lansky Score ≥60%. • Left ventricular ejection fraction (LVEF) ≥50%. Note: other protocol defined Inclusion criteria may apply Key Exclusion Criteria: * HLA-A\*02:05 in either allele * Received or plans to receive the following therapy/treatment prior to leukapheresis or lymphodepleting chemotherapy: Cytotoxic chemotherapy, Tyrosine kinase inhibitor (TKI) (e.g. pazopanib), Immune therapy (including monoclonal antibody therapy, checkpoint inhibitors,), Anti-cancer Vaccine, Gene therapy using an integrating vector (subjects who have received a gene therapy using a lentiviral vector may be eligible for the study), Corticosteroids or any other immunosuppressive therapy, Investigational treatment or interventional clinical trial, Allogeneic hematopoietic stem cell transplant, Radiotherapy to the target lesions, Major surgery * History of allergic reactions attributed to compounds of similar chemical or biologic composition to fludarabine, cyclophosphamide or other agents used in the study. * History of autoimmune or immune mediated disease * Symptomatic CNS metastases including leptomeningeal disease. * Other prior malignancy that is not considered by the Investigator to be in complete remission * Clinically significant cardiovascular disease * Uncontrolled intercurrent illness * Active infection with human immunodeficiency virus, hepatitis B virus, hepatitis C virus, or human T cell leukemia virus * Pregnant or breastfeeding Note: other protocol defined Exclusion criteria may apply.

Primary outcome measure(s)

  • Overall Response Rate (ORR) (Cohort 1) — From T-cell infusion until disease progression/recurrence as of data cut off (up to 2 years). Response was assessed at Week 4, Week 8, Week 12, Week 16, and Week 24, and every 2 months +/- 28 days until confirmed disease progression.
    Percentage of participants with confirmed tumor response (complete \[CR\] or partial \[PR\] response) to treatment as assessed using Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 by Independent Radiologist review (Cohort 1)

Trial sites (26)

FacilityCityRegionStatus
City of Hope Duarte California
Stanford Cancer Center Palo Alto California
University of Colorado Aurora Colorado
Mayo Clinic Jacksonville Jacksonville Florida
Moffitt Cancer Center Tampa Florida
Northwestern University Robert H. Lurie Comprehensive Cancer Center Chicago Illinois
National Cancer Institute Bethesda Maryland
Massachusetts General Hospital Boston Massachusetts
Dana Farber Cancer Institute Boston Massachusetts
University of Michigan Ann Arbor Michigan
Washington University School of Medicine St Louis Missouri
Memorial Sloan-Kettering Cancer Center New York New York
Ohio State University Columbus Ohio
Vanderbilt Nashville Tennessee
MD Anderson Cancer Center Houston Texas
Fred Hutch Seattle Washington
Medical College of WI Froedtert Hospital Milwaukee Wisconsin
Princess Margaret Cancer Centre Toronto Ontario
Centre Leon Berard Lyon France
Hospital Haut Leveque, CHU Bordeaux Pessac France
Gustave Roussy Cancer Center Villejuif France
Hospital Universitari Vall D'Hebron Barcelona Catalonia
Start Madrid-FJD, Fundación Jimѐnez Díaz Madrid Spain
Hospital Universitario Virgen del Rocio Seville Spain
UCLH Cancer Clinical Trials Unit London United Kingdom
The Christie NHS Foundation Trust Manchester United Kingdom
Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT04044768 on ClinicalTrials.gov ↗ ← All trials in the USA