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CAR T-cell Therapy

Tumor Infiltrating Lymphocytes for Ovarian Cancer

Phase 2
Waitlist Available
Led By Amir A Jazaeri
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
Ovarian cancer cohort only: Subjects must have failed at least two prior lines of chemotherapy
Pancreatic adenocarcinoma cohort only: Subjects must have progressed on, or received maximal benefit from, front-line therapy
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 5 years
Awards & highlights

Study Summary

This trial is testing how well autologous tumor-infiltrating lymphocytes work in treating patients with ovarian, colorectal, or pancreatic cancer that has come back or does not respond to treatment.

Who is the study for?
This trial is for adults with recurrent or refractory ovarian, colorectal, or pancreatic ductal adenocarcinoma. Participants must have a tumor that can be biopsied and an ECOG performance status of 0-1. They should not have had recent treatments, HIV infection, significant heart/lung diseases, other cancers within 5 years, or certain chronic conditions. Women of childbearing potential must use effective birth control.Check my eligibility
What is being tested?
The study tests autologous tumor infiltrating lymphocytes (MDA-TIL), which are T-cells grown from the patient's own tumor to boost the immune system against cancer cells. The process includes collecting T-cells from a biopsy and administering them back into the patient after chemotherapy with cyclophosphamide and fludarabine followed by interleukin-2 support.See study design
What are the potential side effects?
Potential side effects include reactions related to immune stimulation such as fever and fatigue; complications from cell infusion; effects from chemotherapy like nausea and low blood counts; organ inflammation due to immune response; increased risk of infections; and possible heart stress due to interleukin-2.

Eligibility Criteria

Inclusion Criteria

You may be eligible if you check “Yes” for the criteria below
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I have ovarian cancer and previous treatments with at least two types of chemotherapy did not work.
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My pancreatic cancer has not improved with initial treatment.
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I stopped all cancer treatments 28 days before my tumor removal surgery.
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My heart test before starting treatment was normal.
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My ovarian cancer is high grade and not mucinous.
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My colorectal cancer has spread and cannot be cured with current treatments.
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I have pancreatic cancer but do not have ascites or carcinomatosis.
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I do not have HIV.
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I have a tumor that can be partially removed for testing, separate from the main tumor being monitored.
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I have a confirmed diagnosis of pancreatic cancer with limited spread.

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
Objective response rate (ORR)
Secondary outcome measures
Complete response rate (CRR)
Disease control rate (DCR)
Duration of response (DOR)
+3 more
Other outcome measures
Assessment of immunological phenotype of autologous tumor infiltrating lymphocytes MDA-TIL
Duration of tumor infiltrating lymphocyte (TIL) persistence
Health-related quality of life
+2 more

Trial Design

1Treatment groups
Experimental Treatment
Group I: Treatment (autologous tumor infiltrating lymphocytes MDA-TIL)Experimental Treatment5 Interventions
LYMPHODEPLETION REGIMEN: Patients receive cyclophosphamide IV over 2 hours on days -7 and -6, and fludarabine IV over 15-30 minutes on days -5 to -1 in the absence of disease progression or unacceptable toxicity. T-CELL INFUSION: Patients receive autologous tumor infiltrating lymphocytes MDA-TIL IV over 45 minutes on day 0. Patients then receive IL-2 IV over 30 minutes on days 1-4 for up to 6 doses in the absence of disease progression or unacceptable toxicity.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Cyclophosphamide
1995
Completed Phase 3
~3770
Fludarabine
2012
Completed Phase 3
~1100
Interleukin-2
1994
Completed Phase 3
~700

Find a Location

Who is running the clinical trial?

Iovance BiotherapeuticsUNKNOWN
M.D. Anderson Cancer CenterLead Sponsor
2,967 Previous Clinical Trials
1,804,742 Total Patients Enrolled
Bristol-Myers SquibbIndustry Sponsor
2,638 Previous Clinical Trials
4,128,454 Total Patients Enrolled

Media Library

Autologous Tumor Infiltrating Lymphocytes MDA-TIL (CAR T-cell Therapy) Clinical Trial Eligibility Overview. Trial Name: NCT03610490 — Phase 2
Colorectal Cancer Research Study Groups: Treatment (autologous tumor infiltrating lymphocytes MDA-TIL)
Colorectal Cancer Clinical Trial 2023: Autologous Tumor Infiltrating Lymphocytes MDA-TIL Highlights & Side Effects. Trial Name: NCT03610490 — Phase 2
Autologous Tumor Infiltrating Lymphocytes MDA-TIL (CAR T-cell Therapy) 2023 Treatment Timeline for Medical Study. Trial Name: NCT03610490 — Phase 2

Frequently Asked Questions

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

Is the age criterion for this clinical trial inclusive of geriatric individuals?

"This investigation is only open to individuals aged 18-70. For those outside this age bracket, there are a total of 6152 trials that cater to their demographic; 589 for minors and 5563 for seniors."

Answered by AI

What evidence is there of prior research utilizing Autologous Tumor Infiltrating Lymphocytes MDA-TIL?

"At present, there are 901 active clinical trials investigating Autologous Tumor Infiltrating Lymphocytes MDA-TIL with 161 of them in their third phase. While Philadelphia, Pennsylvania is a major hub for these studies, 28476 other sites worldwide are working on the same research."

Answered by AI

Has the FDA authorized Autologous Tumor Infiltrating Lymphocytes MDA-TIL for medical use?

"Autologous Tumor Infiltrating Lymphocytes MDA-TIL has been granted a score of 2 on the safety scale due to prior clinical data confirming its security, but no evidence suggesting it is efficacious."

Answered by AI

Who meets the qualifications to participate in this trial?

"This clinical endeavour is admitting 27 individuals, aged between 18 and 70 years old, who have metastasized colorectal adenocarcinoma. Additionally, patients must satisfy the following standards: Accessibility of tumor for excisional biopsy (core biopsies may also be allowed) to generate TILs other than target lesions used for response assessment; termination of any prior therapies geared towards malignant tumour such as radiation therapy, chemotherapy or biological/targeted agents at least 28 days before resectioning the neoplasm to prepare TIL treatments; attaining an ECOG performance status either 0 or 1 within"

Answered by AI

How has Autologous Tumor Infiltrating Lymphocytes MDA-TIL been used in therapeutic settings?

"Autologous Tumor Infiltrating Lymphocytes MDA-TIL is a potential treatment option for retinoblastoma, acute and myelocytic leukemia, and multiple sclerosis."

Answered by AI

How many patients is the trial recruiting?

"At this time, no further participants are being accepted for the trial first posted on August 17th 2018. Alternatively, there are 5055 clinical trials actively looking to enrol patients with metastatic colorectal adenocarcinoma and another 901 studies seeking volunteers for Autologous Tumor Infiltrating Lymphocytes MDA-TIL."

Answered by AI

Is there an ongoing recruitment of participants for this clinical trial?

"At this moment in time, no additional participants are being recruited for the trial which initially opened on August 17th 2018. For individuals looking for other studies, there is presently 5055 medical trials admitting patients with metastatic colorectal adenocarcinoma and 901 investigations taking partakers suffering from Autologous Tumor Infiltrating Lymphocytes MDA-TIL."

Answered by AI

Who else is applying?

What state do they live in?
Texas
How old are they?
18 - 65
What portion of applicants met pre-screening criteria?
Met criteria
~7 spots leftby Jan 2025