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CAR T-cell Therapy

Genetically Modified T-Cells + Aldesleukin for Melanoma

Phase 1
Recruiting
Led By Rodabe N Amaria
Research Sponsored by M.D. Anderson Cancer Center
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Patients must have metastatic melanoma or stage III in-transit, subcutaneous, or regional nodal disease
Patients must have a lesion amenable to resection or the collection of up to 5 needle core samples for the generation of TIL
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 5 years
Awards & highlights

Study Summary

This trial is testing genetically modified T-cells followed by aldesleukin to treat melanoma. T-cells are a type of white blood cell that help the body fight infections. Genes that may help the T-cells recognize melanoma cells are placed into the T-cells in the laboratory. Adding these genes to the T cells may help them kill more tumor cells when they are put back in the body. Aldesleukin may enhance this effect by stimulating white blood cells to kill more melanoma cells.

Who is the study for?
This trial is for adults with stage III-IV melanoma who have adequate lung function, no severe psychiatric diseases, and are not pregnant or nursing. Participants must not have had recent cancer treatments, organ transplants, significant medical illnesses, or be on chronic steroids. They need measurable melanoma lesions suitable for T-cell generation and agree to use birth control.Check my eligibility
What is being tested?
The trial tests genetically modified T-cells designed to target melanoma followed by aldesleukin (a substance that can boost the immune system). It aims to find the best dose and observe side effects. The process involves modifying patients' own T-cells in a lab before reintroducing them into their bodies.See study design
What are the potential side effects?
Potential side effects may include reactions related to the immune system's enhancement such as flu-like symptoms from aldesleukin (fever, chills), fatigue, risk of infection due to white blood cell changes, and possible tissue damage at injection sites.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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My melanoma has spread or is in stage III.
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I have a tumor that can be surgically removed or sampled.
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I have a melanoma spot that can be biopsied and is at least 1 cm big.

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 5 years
This trial's timeline: 3 weeks for screening, Varies for treatment, and up to 5 years for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
(Cohort A) Generation of TGF alpha (TGFa)-DNRII and NGFR transduced tumor infiltrating lymphocytes (TILs)
(Cohort B) The primary endpoint of growing enough TIL for patient treatment and sample size is 15 patients.
Secondary outcome measures
(Cohort A) Number of DNRII transduced cells
(Cohort A) Number of NGFR transduced cells at infusion
(Cohort A) Number of NGFR transduced cells based on tumor biopsy
+1 more

Trial Design

1Treatment groups
Experimental Treatment
Group I: Treatment (chemotherapy, autologous T-cell immunotherapy)Experimental Treatment6 Interventions
Patients receive cyclophosphamide IV over 2 hours on days -7 and -6, fludarabine phosphate IV daily over 15-30 minutes on days -5 to -1, and TGFb DNRII-transduced autologous TIL and NGFR-transduced autologous T lymphocytes IV over up to 4 hours on day 0. Patients then receive high-dose aldesleukin IV over 15 minutes every 8-16 hours on days 1-5 (up to 15 doses) and 22-26 (up to 15 doses).
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Aldesleukin
FDA approved
Cyclophosphamide
FDA approved
Fludarabine
FDA approved
NGFR-transduced Autologous T Lymphocytes
2015
Completed Phase 2
~10

Find a Location

Who is running the clinical trial?

M.D. Anderson Cancer CenterLead Sponsor
2,972 Previous Clinical Trials
1,787,301 Total Patients Enrolled
102 Trials studying Melanoma
25,299 Patients Enrolled for Melanoma
National Cancer Institute (NCI)NIH
13,660 Previous Clinical Trials
40,924,666 Total Patients Enrolled
557 Trials studying Melanoma
193,218 Patients Enrolled for Melanoma
Rodabe N AmariaPrincipal InvestigatorM.D. Anderson Cancer Center
5 Previous Clinical Trials
143 Total Patients Enrolled
5 Trials studying Melanoma
143 Patients Enrolled for Melanoma

Media Library

NGFR-transduced Autologous T Lymphocytes (CAR T-cell Therapy) Clinical Trial Eligibility Overview. Trial Name: NCT01955460 — Phase 1
Melanoma Research Study Groups: Treatment (chemotherapy, autologous T-cell immunotherapy)
Melanoma Clinical Trial 2023: NGFR-transduced Autologous T Lymphocytes Highlights & Side Effects. Trial Name: NCT01955460 — Phase 1
NGFR-transduced Autologous T Lymphocytes (CAR T-cell Therapy) 2023 Treatment Timeline for Medical Study. Trial Name: NCT01955460 — Phase 1

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.

What medical purpose does TGFbDNRII-transduced Autologous Tumor Infiltrating Lymphocytes serve?

"Multiple sclerosis is often addressed with TGFbDNRII-transduced Autologous Tumor Infiltrating Lymphocytes. This therapeutic approach has demonstrated efficacy in treating other diseases, including acute myeloid leukemia, retinoblastoma, and histiocytic lymphoma."

Answered by AI

What has the research revealed about TGFbDNRII-transduced Autologous Tumor Infiltrating Lymphocytes thus far?

"Currently, there are 874 active studies looking into the effects of TGFbDNRII-transduced Autologous Tumor Infiltrating Lymphocytes. One hundred and fifty six of these trials have progressed to Phase 3. Despite the majority of research being conducted in Philadelphia, Pennsylvania, a total of 27051 sites around the world are currently running tests with this therapy."

Answered by AI

What is the participant count of this investigation?

"Unfortunately, this trial is no longer enrolling members. The original listing was put up on October 15th 2014 and the most recent update occured December 10th 2020. If you are in search of other trials, there are 816 clinical studies currently seeking patients with stage iiib cutaneous melanoma and 874 research projects that require participants for TGFbDNRII-transduced Autologous Tumor Infiltrating Lymphocytes therapies."

Answered by AI

To what extent could the utilization of TGFbDNRII-transduced Autologous Tumor Infiltrating Lymphocytes jeopardize patient safety?

"Due to the limited number of studies conducted on TGFbDNRII-transduced Autologous Tumor Infiltrating Lymphocytes and their safety, our team at Power has assigned it a score of 1."

Answered by AI

Are there openings available for participants to join this experiment?

"This research study is not presently looking for participants. It was initially published on October 15th 2014, and the most recent update occurred in December 10th 2020. However, if you are hoping to join an active trial there are 816 studies actively recruiting those with stage iiib cutaneous melanoma and 874 trials searching for individuals interested in TGFbDNRII-transduced Autologous Tumor Infiltrating Lymphocytes."

Answered by AI
~0 spots leftby Jun 2024