Study on LN-145, Using a Patient's Own Immune Cells to Treat Cervical Cancer
Sponsor: Iovance Biotherapeutics, Inc.
ClinicalTrials ID:NCT03108495
This clinical trial is testing a new treatment that uses a patient's own immune cells, called tumor infiltrating lymphocytes (TIL), to fight cervical cancer that has come back, spread, or is not responding to other treatments.
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Program Overview
The study is exploring a treatment where a patient's own immune cells, known as tumor infiltrating lymphocytes (TIL), are collected, grown in a lab, and then infused back into the patient to help fight cervical cancer. This is followed by a medication called IL-2 to support the immune cells. The treatment is for patients with cervical cancer that has returned, spread, or is persistent despite other treatments.
Description
LN-145 is a type of treatment that uses a patient's own immune cells to target cervical cancer. The process involves collecting these cells from the patient, growing them in a lab, and then infusing them back into the patient after a special preparation that reduces certain blood cells. This is followed by a medication called IL-2 to help the immune cells work better. The study is for patients with cervical cancer that has come back, spread, or is not responding to other treatments.
Eligibility Criteria
Inclusion Criteria
- Must be 18 years or older. Patients over 70 may join after consulting with the study team.
- Have cervical cancer that has returned, spread, or is persistent and cannot be cured with surgery or radiation.
- Have at least one tumor that can be removed for cell collection, with minimal risk and short hospital stay.
- Have at least one measurable tumor for tracking.
- Have had one to three previous chemotherapy treatments for cervical cancer.
- For Cohort 2: Must have received a checkpoint inhibitor treatment.
- For Cohort 3 (U.S. only): Must not have had treatments other than chemoradiation or surgery for local disease.
- Must stop any cancer treatments at least 28 days before cell collection.
- Have a good performance status (ECOG 0 or 1).
- Have adequate organ function.
- No active infections requiring treatment and must be HIV negative. Hepatitis infections must be controlled.
- Women of childbearing potential must use effective birth control during and for 12 months after treatment.
- Must show disease progression after the most recent therapy before joining the study.
Exclusion Criteria
- Have had an organ transplant or previous cell therapy, except for LN-145 re-treatment.
- Require ongoing steroid treatment above a certain dose.
- Have unresolved side effects from previous treatments, except for certain conditions like hair loss.
- Have allergies to any study drugs or components.
- Have active infections or major medical conditions affecting the heart, lungs, or immune system.
- Have untreated or symptomatic brain metastases.
- Have primary immune deficiencies or require dialysis.
- Have certain heart or lung function issues.
- Have had another cancer within the last 3 years, except for certain treated cancers.
- Be pregnant, breastfeeding, or unable to consent.
- Have received a live vaccine recently.
- Have cancer needing immediate treatment or would be disadvantaged by joining the study.
- For Cohorts 1 and 3: Have had previous immunotherapy.
- Have had significant bleeding recently.
- For Cohort 3: Have active or past autoimmune or inflammatory disorders.
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