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A Phase 2, multicenter, open-label study of lifileucel (tumor-infiltrating lymphocytes [TIL]) in participants with previously treated advanced endometrial cancer
Cancer Categories
Gynecologic
Karmanos Trial ID
2024-087
NCT ID
NCT06481592
Age Group
Adult
Scope
National
Phase
Phase II
Includes controlled clinical studies conducted to evaluate the effectiveness of the drug for a particular indication or indications in participants with the disease or condition under study and to determine the common short-term side effects and risks.
Phase II
Principal Investigator
Robert
Morris, M.D.
Oncology - Gynecologic, Oncology - Surgical
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Objective:
Primary Objectives:
To evaluate the efficacy of lifileucel as measured by ORR per RECIST v1.1 in participants with dMMR or pMMR tumors based on the central laboratory assessment of MMR status
Secondary Objectives:
To evaluate the efficacy of lifileucel as measured by CR rate, DOR, DCR, PFS, and OS in participants with dMMR or pMMR tumors based on the central laboratory assessment of MMR status
To demonstrate safety and tolerability of lifileucel in participants with advanced endometrial cancer
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Eligibility
Locations
Applicable Disease Site
Therapies | Drugs | Devices
Eligibility
Eligibility
Inclusion Criteria:
Participants must have a histologically confirmed diagnosis of endometrial carcinoma. All histologies, including carcinosarcoma, will be allowed. Uterine sarcoma will not be allowed.
Participants who have received the following previous therapies:
At least 1 but no more than 4 lines of prior systemic therapy with no more than 2 lines of chemotherapy in any setting (ie, neoadjuvant or adjuvant setting as well as for recurrent, metastatic, or primary unresectable disease. .
Participants have received platinum-based chemotherapy and anti-PD-1/PD-L1 therapy.
Participants who declined platinum-based chemotherapy regimen and/or an anti-PD-1/PD-L1 therapy or were deemed ineligible for such therapies by the investigator may be considered after discussion with the medical monitor.
Systemic therapy counting towards lines of therapy includes chemotherapy, targeted therapy, immunotherapy, and antibody drug conjugates, given alone or in combination. Hormonal therapy does not count as a line of therapy.
Participants must have either (i) documented radiographic disease progression during or after the last line of therapy or (ii) discontinued their last line of therapy because of treatment intolerance or toxicity or (iii) with medical monitor discussion, participant/physician decision in the context of stable disease with evidence of tumor growth.
Participants who have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 and estimated life expectancy of >6 months.
Participants having at least one resectable lesion and at least one measurable lesion, following resection of the lesion for TIL generation.
Participants who have adequate organ function, including adequate cardiopulmonary function.
Participants of childbearing potential must be willing to practice an approved method of highly effective birth control during treatment and up to 12 months after the last dose of study intervention.
Participants who are >70 years of age may be allowed to enroll after the investigator discusses with the medical monitor.
Exclusion Criteria:
Participants who have symptomatic untreated brain metastases.
Participants who have had a history of allogeneic organ transplant or any form of cell therapy involving prior conditioning chemotherapy within the past 20 years.
Participants who require systemic steroid therapy > 10 mg/day prednisone or another steroid equivalent dose.
Participants who have any form of primary immunodeficiency.
Participants who have another primary malignancy within the previous 3 years.
Locations
Locations
Karmanos Cancer Institute - Detroit Headquarters
4100 John R
Detroit, MI 48201
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Phone:
1-800-527-6266
Applicable Disease Site
Applicable Disease Site
Other Female Genital
Therapies, Drugs, Devices
Therapies | Drugs | Devices
Therapies
Biological Therapy, Cellular Therapy, Chemotherapy
Drugs
Cyclophosphamide; Filgrastim; Fludarabine Phosphate; Interleukin-2; Lifileucel; Mesna
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