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临床试验/NCT05108623
NCT05108623已完成1 期

A Phase 1, Open-Label Study of the Safety, Tolerability and Preliminary Clinical Activity of Allogeneic Invariant Natural Killer T (iNKT) Cells (agenT-797) as a Single Agent and in Combination With Approved Immune Checkpoint Inhibitors in Patients With Relapsed/ Refractory Solid Tumors

MiNK Therapeutics8 个研究点 分布在 1 个国家目标入组 34 人开始时间: 2022年1月28日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
1 期
状态
已完成
入组人数
34
试验地点
8
主要终点
Number Of TEAEs By The Dose Of iNKT Cell Therapy

研究概览

简要总结

This is a Phase 1, open-label study to explore the safety, tolerability, and preliminary clinical activity of agenT-797, an unmodified, allogeneic iNKT cell therapy, in participants with relapsed/refractory (r/r) solid tumors, as well as define the recommended phase II dose in solid tumors. This Phase 1 study will also explore the safety, tolerability, and preliminary clinical activity of agenT-797 in combination with approved immune checkpoint inhibitors (ICIs), including pembrolizumab and nivolumab, in participants with r/r solid tumors.

研究设计

研究类型
Interventional
分配方式
Non Randomized
干预模型
Sequential
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Histological or cytological evidence of relapsed or refractory solid tumor malignancy for which no standard therapy is available or standard therapy has failed
  • Measurable disease per RECIST 1.1 as assessed by local site Investigator/radiology. Lesions situated in a previously irradiated area are considered measurable if progression has been demonstrated in such lesions
  • Part 2 only, participants must have progressed per Investigator assessment on pembrolizumab or nivolumab, and agree and are able to continue on the inhibitor(s) while on study
  • No other medical, surgical, or psychiatric condition (including active substance abuse) that would interfere with compliance to the protocol, as determined by the Principal Investigator

排除标准

  • Concurrent invasive malignancy
  • Brain and/or leptomeningeal metastases that are untreated or require current therapy
  • Prior radiotherapy within 2 weeks of start of study treatment

研究组 & 干预措施

Part 2: agenT-797 in Combination with approved ICIs

Experimental

Single prespecified dose of agenT-797 administered by IV infusion in combination with approved ICIs administered in accordance with manufacturer instructions and institutional guidelines as per standard of care

干预措施: agenT-797 (Drug)

Part 1: Monotherapy with agenT-797

Experimental

3+3 Dose escalation of agenT-797 will be administered as a single intravenous (IV) infusion.

干预措施: agenT-797 (Drug)

Part 2: agenT-797 in Combination with approved ICIs

Experimental

Single prespecified dose of agenT-797 administered by IV infusion in combination with approved ICIs administered in accordance with manufacturer instructions and institutional guidelines as per standard of care

干预措施: Approved ICIs (Drug)

结局指标

主要结局

Number Of TEAEs By The Dose Of iNKT Cell Therapy

时间窗: Baseline through 12 months

This will be determined according to the NCI CTCAE v5.0.

Number Of Dose-limiting Toxicities

时间窗: Baseline through first 14 days after administration

Number Of Adverse Events (AEs) By The Dose Of iNKT Cell Therapy

时间窗: Baseline through 12 months

This will be determined according to the NCI CTCAE v5.0.

Severity Grade Of AEs By Dose Of iNKT Cell Therapy

时间窗: Baseline through 12 months

This will be determined according to the NCI CTCAE v5.0.

Number Of Participants With Treatment-emergent Adverse Events (TEAEs)

时间窗: Baseline through 12 months

This will be determined according to the National Cancer Institute Common Terminology Criteria for Adverse Events version 5.0 (NCI CTCAE v5.0).

次要结局

  • Persistence Of agenT-797 In Peripheral Blood Samples(Baseline/Day 1 (pre-infusion, 5 minutes, 0.25, 0.5, 1, 2, and 4 hours after cell infusion), and on Days 2, 5, 8, 15, 22, and 29; Weeks 6, 8, and 12; and Months 6, 9, and 12)
  • Objective Response Rate (ORR)(Up to 12 months)
  • Progression-free Survival (PFS)(Up to 12 months)
  • Incidence Of Donor-specific Antibody(Baseline/Day 1 (pre-infusion), Day 8, Day 15, Day 29, Week 8, Week 12, Month 6, and end of study visit (up to 12 months))
  • Duration Of Response (DOR)(Up to 12 months)
  • Incidence Of Panel-reactive Antibody(Baseline/Day 1 (pre-infusion), Day 8, Day 15, Day 29, Week 8, Week 12, Month 6, and end of study visit (up to 12 months))

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (8)

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相关资讯

MiNK Therapeutics Reports Complete Remission in Metastatic Testicular Cancer Patient Using Allogeneic iNKT Cell Therapy- MiNK Therapeutics published a landmark case in Nature's Oncogene showing complete and durable remission in a patient with metastatic, treatment-refractory testicular cancer following treatment with agenT-797, their allogeneic iNKT cell therapy. - The patient achieved complete clinical, radiologic, and biochemical remission with no evidence of disease over two years after receiving a single infusion of agenT-797 alongside nivolumab, despite having failed multiple prior therapies including platinum-based chemotherapy, autologous stem cell transplant, and multiple immune checkpoint inhibitors. - The treatment was well-tolerated with no cytokine release syndrome or graft-versus-host disease, and donor iNKT cells remained detectable up to six months post-infusion. - Additional clinical evidence from MiNK's Phase 2 gastric cancer trial demonstrates immune activation, increased tumor infiltration, and extended survival beyond 12 months in several patients previously refractory to checkpoint inhibitors.last yearMiNK Therapeutics' Allo-iNKT Cell Therapy Shows Promise in Refractory Gastric Cancer- MiNK Therapeutics' agenT-797, combined with botensilimab and balstilimab, demonstrates robust immune activation in refractory gastroesophageal cancer. - The Phase 2 study reveals increased interferon-gamma levels and enhanced T-cell infiltration, suggesting improved clinical outcomes. - Early administration of agenT-797 alongside checkpoint inhibitors before chemotherapy amplifies immune responses, optimizing T-cell priming. - The off-the-shelf allogeneic iNKT platform offers a scalable and accessible treatment option for patients with hard-to-treat cancers.last year