The purpose of this study is to determine the safety and efficacy of MILs™ - NSCLC alone and in combination with nivolumab with or without tadalafil in subjects with locally advanced and unresectable or metastatic NSCLC who are refractory or relapsing to a PD-1 containing regimen.
This study will examine the safety and efficacy of Marrow Infiltrating Lymphocytes-Non-Small Cell Lung Cancer (MILs™ - NSCLC) combined with nivolumab with or without tadalafil in subjects with locally advanced and unresectable and metastatic NSCLC who were refractory to, or have relapsed on, an anti-PD-1 containing regimen. MILs™ - NSCLC are an adoptive cell therapy product derived via the activation and expansion of bone marrow T cells. Subjects will have bone marrow harvested during the Screening Period which will be used to manufacture the MILs™ - NSCLC. The MILs™ - NSCLC will then be administered on Day 0. Nivolumab will be administered on Day 1 and will continue every four weeks until treatment discontinuation. Tadalafil will be administered on Day 1 and will continue daily until treatment discontinuation.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
19
To evaluate the safety of MILs™ - NSCLC alone in subjects with locally advanced and unresectable or metastatic NSCLC
To evaluate the efficacy of MILs™ - NSCLC in combination with nivolumab in subjects with locally advanced and unresectable or metastatic NSCLC
To evaluate the efficacy of MILs™ - NSCLC in combination with nivolumab with or without tadalafil in subjects with locally advanced and unresectable or metastatic NSCLC
City of Hope
Duarte, California, United States
University of California - Los Angeles
Los Angeles, California, United States
Moffitt Cancer Center
Tampa, Florida, United States
Emory University
Atlanta, Georgia, United States
Karmanos Cancer Center
Detroit, Michigan, United States
Washington University
St Louis, Missouri, United States
University of Nebraska Medical Center
Omaha, Nebraska, United States
Cleveland Clinic
Cleveland, Ohio, United States
Fox Chase Cancer Center
Philadelphia, Pennsylvania, United States
Sarah Cannon Research Institute
Nashville, Tennessee, United States
Adverse Events per National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events version 5.0
Incidence, intensity, and type of AE
Time frame: From ICF through 100 days after the last dose of study treatment
Serious Adverse Events per NCI-CTCAE version 5.0
Incidence, intensity, and type of SAE
Time frame: From ICF through 100 days after the last dose of study treatment
Overall Response Rate (ORR) of MILs™ - NSCLC in combination with nivolumab with or without tadalafil
Proportion of subjects with reduction in tumor burden of a predefined amount per RECIST 1.1
Time frame: 24 months
Duration of response
Duration from first documented evidence of CR or PR until the first documented evidence of PD or death due to any cause, whichever occurs first
Time frame: up to 5 years after treatment discontinuation
Disease control rate
Proportion of subjects in the efficacy population who achieve an Investigator-assessed confirmed CR, PR, or SD per RECIST 1.1
Time frame: up to 5 years after treatment discontinuation
Progression-free survival
Date of first the administration of MILs™ - NSCLC until documented PD or death due to any cause, whichever occurs first
Time frame: up to 5 years after treatment discontinuation
Overall survival
Duration from the date of administration of MILs™ - NSCLC until death due to any cause
Time frame: up to 5 years after treatment discontinuation
Overall Response Rate (ORR) of MILs™ - NSCLC
Proportion of subjects with reduction in tumor burden of a predefined amount per RECIST 1.1
Time frame: 24 months
Safety of MILs™ - NSCLC alone and in combination with nivolumab with or without tadalafil as assessed by vital signs (pulse rate)
Pulse rate in beats/minute
Time frame: From ICF through 100 days after the last dose of study treatment
Safety of MILs™ - NSCLC alone and in combination with nivolumab with or without tadalafil as assessed by vital signs (weight)
Weight in pounds
Time frame: From ICF through 100 days after the last dose of study treatment
Safety of MILs™ - NSCLC alone and in combination with nivolumab with or without tadalafil as assessed by vital signs (blood pressure)
Systolic and diastolic blood pressure in mmHg
Time frame: From ICF through 100 days after the last dose of study treatment
Safety of MILs™ - NSCLC alone and in combination with nivolumab with or without tadalafil as assessed by vital signs (respiratory rate)
Respiratory rate in breaths/minute
Time frame: From ICF through 100 days after the last dose of study treatment
Safety of MILs™ - NSCLC alone and in combination with nivolumab with or without tadalafil as assessed by vital signs (temperature)
Termperature in Fahrenheit
Time frame: From ICF through 100 days after the last dose of study treatment
Safety of MILs™ - NSCLC alone and in combination with nivo. with or w/o tadalafil by liver function (ALT/AST (U/L), albumin (g/dL), tot. bilirubin (mg/dL)), kidney function (creatinine (mg/dL) and endocrine function (T3 free and T4 free (ng/dL))
Clinical chemistry results will be summarized and changes from baseline provided
Time frame: From ICF through 100 days after the last dose of study treatment
Safety of MILs™ - NSCLC alone and in combination with nivolumab with or without tadalafil by cell count (e.g. RBC (10^6/uL), WBC (10^3/uL), absolute cell count (10^3/uL), Hct (%) and Hgb (g/dL)
Hematology results will be summarized and changes from baseline provided
Time frame: From ICF through 100 days after the last dose of study treatment
Safety of MILs™ - NSCLC alone and in combination with nivolumab with or without tadalafil as assessed by APTT (seconds), fibrinogen (mg/dL), INR and protime (seconds)
Coagulation results will be summarized in data listings
Time frame: From ICF through 100 days after the last dose of study treatment
Safety of MILs™ - NSCLC alone and in combination with nivolumab with or without tadalafil as assessed by urine appearance, color, pH, specific gravity and presence of blood, bilirubin, glucose, ketone, leukocyte esterase, nitrite, protein, urobilinogen
Urinalysis results will be summarized in data listings
Time frame: From ICF through 100 days after the last dose of study treatment
Safety of MILs™ - NSCLC alone and in combination with nivolumab with or without tadalafil by electrocardiograms (ECGs) assessed by Investigators as normal, abnormal clinically significant or abnormal not clinically significant
ECGs results will be summarized and changes from baseline provided
Time frame: From ICF through 100 days after the last dose of study treatment
Safety of MILs™ - NSCLC alone and in combination with nivolumab with or without tadalafil by physical examination with abnormalities reported as adverse events
Physical examinations will be performed by the Investigators and any new clinically significant or changes in medical conditions will be reported as adverse events
Time frame: From ICF through 100 days after the last dose of study treatment
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