This study will investigate the safety and activity of NEO-PTC-01 in patients with unresectable or metastatic melanoma. NEO-PTC-01 is an autologous personalized T cell (PTC) product for adoptive cell therapy that is manufactured ex vivo and targets neoantigens displayed on the patient's tumor and the tumor microenvironment. The study will be conducted in two parts, Part 1 (Dose Finding) and Part 2 (Dose Expansion).
Part 1 will test two doses of NEO-PTC-01 and will be structured according to a 3+3 dose escalation design. After the highest tolerated NEO-PTC-01 dose is identified, 2 additional evaluations in Part 1 are planned to investigate the combination of NEO-PTC-01 with either interleukin (IL) 2-directed or programmed cell death protein 1 (PD-1) inhibitor therapy, respectively. Part 2 will test the dose deemed to be safe in the dose-finding part of the study to further define the safety of NEO-PTC-01 in patients currently receiving PD-1/ programmed death ligand 1 (PD-L1) inhibitors (as single agent or in combination with cytotoxic T-lymphocyte-associated antigen-4 \[CTLA4\] inhibitors) as first line therapy for metastatic melanoma. Patients who were treated on previous protocol versions and left the study due to disease progression or who have completed the 52-week follow-up period, may re-enter the study for an extended 5-year follow up in which additional assessments will be conducted.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
22
Administered via intravenous infusion.
Administered via intravenous infusion.
Administered via intravenous infusion.
Universitair Ziekenhuis Brussel
Brussels, Belgium
Netherlands Cancer Institute - Antoni van Leeuwenhoek
Amsterdam, Netherlands
Rate of adverse events (AEs), including serious adverse events (SAEs) and AEs leading to treatment discontinuation
Rate of AEs, including SAEs and AEs leading to treatment discontinuation and those AEs and SAEs detected during symptom-directed physical examinations (changes in safety laboratory evaluations, physical examination findings, and vital signs).
Time frame: Day 1 up 5 years
Progression-free survival, defined as the time from the date of first dosing of NEO-PTC-01 to the date of first documented progressive disease (PD) or death, whichever comes first
Clinical activity endpoints, based on investigator assessment of serial radiographic evaluations \[Computed Tomography (CT) or Magnetic Resonance Imaging (MRI)\] to determine response to treatment and progression of disease based on Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1.
Time frame: Day 1 up 5 years
Objective response rate, defined as the proportion of patients who achieve complete response (CR) or partial response (PR) based on RECIST v1.1
Clinical activity endpoints, based on investigator assessment of serial radiographic evaluations (CT or MRI) to determine response to treatment and progression of disease based on RECIST version 1.1.
Time frame: Day 1 up 5 years
Duration of response, defined as the date of the first documentation of a confirmed response to the date of the first documented PD
Clinical activity endpoints, based on investigator assessment of serial radiographic evaluations (CT or MRI) to determine response to treatment and progression of disease based on RECIST version 1.1.
Time frame: Day 1 up 5 years
Clinical benefit rate, defined as the proportion of patients who achieve CR, PR, or stable disease (SD) based on RECIST v1.1
Clinical activity endpoints, based on investigator assessment of serial radiographic evaluations (CT or MRI) to determine response to treatment and progression of disease based on RECIST version 1.1.
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Time frame: Day 1 up 5 years
Best overall response, defined as the best response according to RECIST 1.1
Clinical activity endpoints, based on investigator assessment of serial radiographic evaluations (CT or MRI) to determine response to treatment and progression of disease based on RECIST version 1.1
Time frame: Day 1 up 5 years
Time to first subsequent therapy, defined as the time from end of treatment to the start date of first subsequent therapy
Clinical activity endpoints, based on investigator assessment of serial radiographic evaluations (CT or MRI) to determine response to treatment and progression of disease based on RECIST version 1.1.
Time frame: Day 1 up 5 years
Overall survival, defined as the time from the date of first dosing of NEO-PTC-01 to the date of death due to any cause
Time frame: Day 1 up 5 years