About this trial
The primary objective of this Phase 1 clinical trial is to evaluate the feasibility and tolerability of a novel generation of gene-modified tumor infiltrating lymphocytes (TILs) in a cohort of 10 patients aged 18-75 diagnosed with unresectable or metastatic melanoma. TILs will undergo transduction with the Interleukin-7 (IL-7) gene, for IL-7 production upon antigen engagement.
Participants will undergo:
* screening * tumor operation following autologous TIL production (incl. transduction) - takes approximately 4-6 weeks * admission for lymphodepleting chemotherapy (Cyclophosphamide and Fludarabine phosphate), TIL infusion and high-dose IL-2 infusions for a maximum of 6 doses * Following treatment, patients will undergo systematic and regularly planned assessments, encompassing clinical evaluation, biochemistry analyses, and PET/CT scans. This thorough follow-up regimen will be continued until any of the following events occur: progressive disease, withdrawal from study, or end of study, which spans a duration of 15 years for trials involving genetically modified organisms.
Eligibility criteria
Qualifiers
All the criteria listed in the following need to be met before patient inclusion.
Histologically confirmed inoperable or metastatic melanoma (stage IIIc or IV).
Progressive disease after standard treatment with PD-1 check-point inhibition or combination of aforementioned with CTLA-4 check-point inhibition.
Age: 18 - 75 years at time of signed Informed consent.
Disqualifiers
Patients will be excluded if they meet one of the criteria's listed below
Cytotoxic chemotherapy: Washout period 3 weeks before TR and LDC
Small molecules/TKI: Washout period 1 week before TR and LDC
Immune therapy (monoclonal AB therapy, CPI and biologics): 2 weeks before TR and LDC
Trial design
Treatments tested in this trial
- ADP-TILIL7
- Cyclophosphamide
- Fludarabine Phosphate
- Proleukin