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MAGE-C2 TCR T cell therapy

Phase 1/2
Not yet recruiting
Conditions
advanced melanoma or HNSCC
Registration Number
2024-516922-70-00
Lead Sponsor
Erasmus Universitair Medisch Centrum Rotterdam (Erasmus MC)
Brief Summary

Phase I:

To study the safety and feasibility of AT with autologous MC2 TCR T cells, combined with epigenetic drug treatment, in patients with advanced melanoma or HNSCC. Adverse events (AEs) will be documented according to CTCAE v5.0.

To define the maximum tolerated dose (MTD) of MC2 TCR T cells in the combination treatment.

Phase II:

To assess the efficacy of AT with autologous MC2 TCR T cells at MTD, combined with epigenetic drug treatment, in patients with advanced melanoma or HNSCC.

Tumor response will be evaluated using RECIST v1 .1.

Detailed Description

Not available

Recruitment & Eligibility

Status
Authorised, recruitment pending
Sex
Not specified
Target Recruitment
20
Inclusion Criteria

18 years of age.

inoperable stage Ille or stage IV cutaneous melanoma, including ocular or mucosal melanoma, progressing after standard of care therapy, or recurrent/metastatic HNSCC

Patients must be HLA-A2 positive.

The primary tumor and/or metastasis have to be positive for MAGE-C2

Patients must have a clinical performance status of ECOG O or 1

Patients of both genders must be willing to practice a highly effective method of birth control during treatment and for four months after receiving the preparative regime

Patients must be able to understand and sign the Informed Consent document.

Exclusion Criteria

Life expectancy of less than three months.

Requirement for systemic steroid therapy

Patients who have active/symptomatic CNS metastases

Patients with pleural effusion or ascites.

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Phase I: Feasibility to deliver this sequence of treatmen

Phase I: Feasibility to deliver this sequence of treatmen

Phase II: Objective response rate according to RECIST v1 .1

Phase II: Objective response rate according to RECIST v1 .1

Phase II: PFS

Phase II: PFS

Phase I: AEs according to CTCAE 5.0

Phase I: AEs according to CTCAE 5.0

Phase I: Recommended Phase II dose

Phase I: Recommended Phase II dose

Phase II: OS

Phase II: OS

Secondary Outcome Measures
NameTimeMethod
Phase I and II: Persistence and function of MC2-specific T cells in peripheral blood.

Phase I and II: Persistence and function of MC2-specific T cells in peripheral blood.

Phase I and II: Systemic release of inflammatory cytokines after administration of autologous MC2 TCR T cells

Phase I and II: Systemic release of inflammatory cytokines after administration of autologous MC2 TCR T cells

Phase I and II: Immune parameters, in particular T cell parameters, in blood and tumor tissues (when available) prior to and during treatmen

Phase I and II: Immune parameters, in particular T cell parameters, in blood and tumor tissues (when available) prior to and during treatmen

Phase I and II: Global DNA hypomethylation and histone acetylation in PBMCs after epigenetic treatment and administration of autologous MC2 TCR T cells

Phase I and II: Global DNA hypomethylation and histone acetylation in PBMCs after epigenetic treatment and administration of autologous MC2 TCR T cells

Trial Locations

Locations (1)

Erasmus Universitair Medisch Centrum Rotterdam (Erasmus MC)

🇳🇱

Rotterdam, Netherlands

Erasmus Universitair Medisch Centrum Rotterdam (Erasmus MC)
🇳🇱Rotterdam, Netherlands
Astrid van der Veldt
Site contact
0107041566
invent.ctc@erasmusmc.nl

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