70 Participants Needed

Genetically-Engineered Immune Cells for Lung Cancer

(CheckCell-2 Trial)

Recruiting at 1 trial location
Age: 18+
Sex: Any
Trial Phase: Phase 1 & 2
Sponsor: Intima Bioscience, Inc.
Must be taking: Anti-PD-1/PD-L1 immunotherapy
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

A clinical trial to assess the safety and efficacy of genetically-engineered Tumor Infiltrating Lymphocytes (TIL) in which the intracellular immune checkpoint CISH has been inhibited using CRISPR gene editing for the treatment of Metastatic Non-small Cell Lung Cancer (NSCLC).

Will I have to stop taking my current medications?

The trial does not specify if you need to stop all current medications, but you cannot use systemic steroids (except certain contraceptives) within 21 days before the investigational treatment and after. It's best to discuss your specific medications with the trial team.

Is the genetically-engineered immune cell treatment for lung cancer safe for humans?

Research shows that genetically-engineered immune cells, like CRISPR-edited T cells, have been tested in humans with lung cancer and are generally safe, with only mild side effects reported. These studies suggest that the treatment is feasible and does not cause severe adverse effects.12345

How is the CISH Inactivated TIL treatment different from other lung cancer treatments?

CISH Inactivated TIL treatment is unique because it involves genetically-engineered immune cells specifically designed to enhance the body's immune response against lung cancer, potentially overcoming the challenges faced by other therapies in solid tumors. This approach aims to improve the effectiveness and persistence of immune cells in the tumor environment, which is a significant hurdle for existing treatments.46789

What data supports the effectiveness of the treatment CISH Inactivated TIL for lung cancer?

Research on similar treatments, like CAR-T cells and other engineered T cell therapies, shows promise in treating various cancers by enhancing immune responses. Although these therapies face challenges in solid tumors like lung cancer, advancements in engineering T cells to overcome immune suppression and improve their effectiveness are ongoing.4671011

Who Is on the Research Team?

EL

Emil Lou, MD, PhD

Principal Investigator

Division of Hematology, Oncology, and Transplantation, University of Minnesota

EM

Erminia Massarelli, MD, PhD, MS

Principal Investigator

Department of Medical Oncology & Therapeutics Research, City of Hope

Are You a Good Fit for This Trial?

Adults aged 18-70 with metastatic non-small cell lung cancer (NSCLC), either PD-L1 negative or positive, who are candidates for first-line anti-PD-1/anti-PD-L1 immunotherapy with chemo. They must have good organ function, agree to use contraception, and can stay near the treatment site for follow-ups. Exclusions include those with certain medical conditions, prior malignancies within 3 years, severe allergies to specific drugs, recent live vaccines, active infections or coagulation disorders.

Inclusion Criteria

I agree to stay near the treatment site until the 4-week follow-up.
Your blood test results from the past 3 months meet certain requirements.
Voluntary written consent prior to the performance of any research-related procedures
See 9 more

Exclusion Criteria

I have a health condition that may make it hard for me to handle strong cancer treatment.
I have had serious lung inflammation or currently have lung disease needing steroids.
I am currently dealing with an opportunistic infection.
See 13 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive a non-myeloablative, lymphodepleting preparative regimen of cyclophosphamide and fludarabine, followed by CISH inactivated TIL and high-dose aldesleukin

11 months

Follow-up

Participants are monitored for safety and effectiveness after treatment, including maintenance pembrolizumab for some cohorts

3.5 years

Long-term follow-up

Participants are monitored for progression-free survival, duration of response, clinical benefit rate, tumor growth change, overall survival, and toxicity incidence

2-5 years

What Are the Treatments Tested in This Trial?

Interventions

  • CISH Inactivated TIL
Trial Overview The trial is testing genetically-engineered Tumor Infiltrating Lymphocytes (TIL) where CISH has been inactivated using CRISPR gene editing. This is combined with standard treatments like Pembrolizumab and chemotherapy to see if it's safe and effective against metastatic NSCLC.
How Is the Trial Designed?
4Treatment groups
Experimental Treatment
Group I: CISH CRISPR TIL plus pembrolizumab / Phase I ArmExperimental Treatment5 Interventions
Dose Expansion with Maintenance Therapy Cohort Non-myeloablative, lymphodepleting preparative regimen of cyclophosphamide and fludarabine +escalating doses of CISH inactivated TIL + high-dose aldesleukin Maintenance pembrolizumab during follow-up
Group II: CISH CRISPR TIL / Phase II Arm PD-L1 Positive CohortExperimental Treatment5 Interventions
PD-L1 positive is defined as tumors with a PD-L1 Tumor Proportion Score (TPS) ≥ 1%. Non-myeloablative, lymphodepleting preparative regimen of cyclophosphamide and fludarabine +recommended phase II dose (from phase I) of CISH inactivated TIL + high-dose aldesleukin May include maintenance pembrolizumab during follow-up
Group III: CISH CRISPR TIL / Phase II Arm PD-L1 Negative CohortExperimental Treatment5 Interventions
Non-myeloablative, lymphodepleting preparative regimen of cyclophosphamide and fludarabine +recommended phase II dose (from phase I) of CISH inactivated TIL + high-dose aldesleukin May include maintenance pembrolizumab during follow-up
Group IV: CISH CRISPR TIL / Phase I ArmExperimental Treatment4 Interventions
Dose Escalation/Expansion Cohort Non-myeloablative, lymphodepleting preparative regimen of cyclophosphamide and fludarabine +escalating doses of CISH inactivated TIL + high-dose aldesleukin

Find a Clinic Near You

Who Is Running the Clinical Trial?

Intima Bioscience, Inc.

Lead Sponsor

Trials
2
Recruited
90+

Published Research Related to This Trial

CAR-T cell therapy has shown remarkable success in treating blood cancers, but its effectiveness against solid tumors is limited due to the immunosuppressive environment of these tumors.
There is a pressing need for the development of next-generation personalized CAR-T cells targeting solid tumors, focusing on improving their efficacy, survival, persistence, and safety, particularly in lung cancer.
CAR-T Cells for the Treatment of Lung Cancer.Chocarro, L., Arasanz, H., Fernández-Rubio, L., et al.[2022]
The TIL 3.0 method, which uses IL-2 combined with agonistic antibodies, significantly enhances the expansion of tumor-infiltrating lymphocytes (TIL) from non-small cell lung cancer (NSCLC) tumors, producing 5.3 times more TIL compared to the traditional TIL 1.0 method.
TIL 3.0 not only increases the quantity of CD8+ TIL but also maintains a diverse T-cell repertoire that closely resembles the original tumor's clonal hierarchy, suggesting a greater potential for effective adoptive cell transfer therapies in NSCLC.
Combined IL-2, agonistic CD3 and 4-1BB stimulation preserve clonotype hierarchy in propagated non-small cell lung cancer tumor-infiltrating lymphocytes.Shah, P., Forget, MA., Frank, ML., et al.[2022]
CAR-T cell therapies have shown significant clinical success in treating cancer by effectively targeting tumor-associated antigens, leading to complete and durable responses in many patients during early trials.
Despite their effectiveness, there are safety concerns regarding potential toxicities from engineered cells, prompting the exploration of strategies like integrating failsafe switches to enhance safety in cancer immunotherapy.
Engineering Hematopoietic Cells for Cancer Immunotherapy: Strategies to Address Safety and Toxicity Concerns.Resetca, D., Neschadim, A., Medin, JA.[2018]

Citations

Beyond chemotherapy and targeted therapy: adoptive cellular therapy in non-small cell lung cancer. [2021]
CAR-T Cells for the Treatment of Lung Cancer. [2022]
T Cells Engineered against a Native Antigen Can Surmount Immunologic and Physical Barriers to Treat Pancreatic Ductal Adenocarcinoma. [2022]
Engineered cells for costimulatory enhancement combined with IL-21 enhance the generation of PD-1-disrupted CTLs for adoptive immunotherapy. [2018]
Molecular approaches to cancer immunotherapy. [2012]
Safety and feasibility of CRISPR-edited T cells in patients with refractory non-small-cell lung cancer. [2022]
Simultaneous Genetic Ablation of PD-1, LAG-3, and TIM-3 in CD8 T Cells Delays Tumor Growth and Improves Survival Outcome. [2022]
Combined IL-2, agonistic CD3 and 4-1BB stimulation preserve clonotype hierarchy in propagated non-small cell lung cancer tumor-infiltrating lymphocytes. [2022]
Engineering Hematopoietic Cells for Cancer Immunotherapy: Strategies to Address Safety and Toxicity Concerns. [2018]
10.United Statespubmed.ncbi.nlm.nih.gov
Harnessing features of adaptive NK cells to generate iPSC-derived NK cells for enhanced immunotherapy. [2022]
The prospect of genetically engineering natural killer cells for cancer immunotherapy. [2022]
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