Locoregional or Systemic Administration of Autologous Tumor Infiltrating Lymphocytes in Patients With Metastatic Melanoma

Trial statusNot yet recruiting
Trial phasePhase 1
Trial typeInterventional
Biological sexAll
Age18-90
SponsorVastra Gotaland Region

About this trial

The purpose of this study is to evaluate the feasibility, safety and tolerability of locoregional or systemic administration of autologous tumor infiltrating lymphocytes in patients with metastatic melanoma

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Participants must be at least 18 years of age.

Can provide a signed informed consent as described in the protocol, including compliance with the requirements and restrictions listed in the ICF and in this protocol.

World Health Organization (WHO) Performance Status 0 or 1.

stage IV uveal melanoma with confirmed progression following prior systemic therapy with tebentafusp (if HLA A2:01 positive) OR

Disqualifiers

Any serious or uncontrolled medical conditions that, in the investigator's opinion, may increase the risk associated with study participation or study drug administration, impair the ability of the subject to receive protocol therapy (including operation), or interfere with the interpretation of study results.

Subjects with a condition requiring systemic treatment with either corticosteroids (> 10 mg daily prednisone equivalents) or other immunosuppressive medications within 14 days of study drug administration. Inhaled or topical steroids and adrenal replacement doses > 10 mg daily prednisone equivalents are permitted in the absence of active autoimmune disease.

Women who are pregnant or breastfeeding.

Any condition that potentially hamper compliance with the study protocol and follow-up schedule; those conditions should be discussed with the subject before registration in the trial.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Autologous Tumor Infiltrating Lymphocytes (TIL)

    Drug

    Cohort 1: Administered via hepatic arterial infusion Cohort 2: Administered via intravenous infusion

  • Melphalan

    Drug

    1 mg/kg, IV

  • Interleukin-2

    Drug

    2 MIU, subcutaneous twice daily for up to 14 days.

Treatment groups

18 Participants
are divided into 2 treatment groups
Group A: Cohort 1Experimental treatment 3 interventions
Group B: Cohort 2Experimental treatment 3 interventions

Trial outcomes

Primary outcomes

1

Incidence and severity of adverse events

Incidence and severity of adverse events (AEs) and serious adverse events (SAEs). graded according to the NCI Common Terminology Criteria for Adverse Events (CTCAE) Version 5.0

Time frame
5 years

Secondary outcomes

1

Objective response rate (ORR)

RECIST 1.1

Time frame
2 years
2

Progression free-survival (PFS)

Evaluation of Progression-free survival

Time frame
2 years
3

hepatic Progression-free survival (hPFS)

Evaluation of hepatic Progression-free survival

Time frame
2 years
4

Duration of objective response (DOR)

Evaluation of duration of a response by RECIST 1.1

Time frame
2 years

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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