Master protocol to assess safety and recommended phase 2 dose of next generation NY-ESO-1–specific TCR T-cells in HLA-A*02 patients with synovial sarcoma or non-small cell lung cancer (Substudies 1 and 2).

Authors

null

Adam Jacob Schoenfeld

Memorial Sloan Kettering Cancer Center, New York, NY

Adam Jacob Schoenfeld , Mehmet Altan , Taofeek K. Owonikoko , Sandra P. D'Angelo , Brian H. Ladle , Jonathan Christopher Noujaim , Kai He , David A. Liebner , Adrian G. Sacher , John B. A. G. Haanen , Jeffrey Yachnin , Chao H. Huang , Brian Andrew Van Tine , Aisha N. Hasan , Thomas H. Faitg , Emily Butler , Aiman Shalabi , Steven Attia , Dejka M. Araujo

Organizations

Memorial Sloan Kettering Cancer Center, New York, NY, MD Anderson Cancer Center, Houston, TX, Emory University Winship Cancer Institute, Atlanta, GA, Johns Hopkins University, Baltimore, MD, Institut D’Hématologie-Oncologie, Hopital Maisonneuve-Rosemont, Montreal, QC, Canada, The Ohio State University, Columbus, OH, Princess Margaret Cancer Centre, Toronto, ON, Canada, Antoni van Leeuwenhoek Ziekenhuis, Amsterdam, Netherlands, Karolinska Institutet, Stockholm, Sweden, University of Kansas Medical Center, Kansas City, KS, Washington University in St. Louis, St. Louis, MO, GlaxoSmithKline, Philadelphia, PA, Mayo Clinic, Jacksonville, FL

Research Funding

Pharmaceutical/Biotech Company
GlaxoSmithKline (209012)

Background: Letetresgene autoleucel (lete-cel; GSK3377794) is an autologous T-cell therapy using a genetically modified T-cell receptor (TCR) to improve recognition of cancer cells expressing NY-ESO-1/LAGE-1a. Next generation NY-ESO-1 TCR T-cell therapies, such as GSK3901961 and GSK3845097, integrate added genetic modifications to enhance anticancer activity. GSK3901961 co-expresses the CD8α chain to stabilize TCR-human leukocyte A (HLA) class I interactions on CD4+ T cells, improving T-cell persistence and helper functions such as Type 1 T-helper antitumor responses. GSK3845097 co-expresses a dominant negative transforming growth factor-β (TGF-β) type II receptor to reduce TGF-β pathway activation and maintain T-cell proliferation, cytokine production, and cytotoxicity in the tumor microenvironment. A first-time-in-human master protocol (NCT04526509) will evaluate safety, tolerability, and recommended phase 2 dose (RP2D) of these and possible subsequent therapies. Substudy 1 will assess GSK3901961 in patients (pts) with advanced non-small cell lung cancer (NSCLC) or synovial sarcoma (SS). Substudy 2 will assess GSK3845097 in pts with advanced SS. Methods: Each substudy includes a dose confirmation stage to assess RP2D and a dose expansion stage. Key inclusion criteria are age ≥18 y; measurable disease per RECIST v1.1; HLA-A*02:01, A*02:05, or A*02:06 positivity; NY-ESO-1/LAGE-1a tumor expression; advanced (metastatic/unresectable) SS with t(X;18) translocation and anthracycline-based therapy receipt/completion/intolerance (SS only); and Stage IV NSCLC, receipt of ≥1 prior line(s) of standard of care (SOC) therapy including programmed death receptor- or ligand-1 inhibitors, and SOC chemotherapy receipt/intolerance (Substudy 1 only). Key exclusion criteria are prior malignancy that is not in complete remission or clinically significant systemic illness; prior receipt of gene/NY-ESO-1–specific therapy or allogenic stem cell/solid organ transplant; central nervous system metastases (SS only); and actionable genetic aberration and receipt/failure of ≥3 systemic therapy lines (Substudy 1 only). Primary endpoints are safety (adverse events) and tolerability (dose-limiting toxicities). Secondary endpoints include investigator-assessed overall response rate, duration of response, and maximum expansion/persistence and phenotype of infiltrating transduced T cells. Exploratory endpoints include laboratory parameters, overall survival, and anti-GSK3901961 or -GSK3845097 titers as applicable. Analyses will be descriptive. The substudies are enrolling. Funding: GSK (209012; NCT04526509). Editorial support was provided by Eithne Maguire, PhD, of Fishawack Indicia, part of Fishawack Health; funded by GSK. Previously presented at AACR 2021 (CT219). Clinical trial information: NCT04526509

Disclaimer

This material on this page is ©2024 American Society of Clinical Oncology, all rights reserved. Licensing available upon request. For more information, please contact licensing@asco.org

Abstract Details

Meeting

2021 ASCO Annual Meeting

Session Type

Poster Session

Session Title

Developmental Therapeutics—Immunotherapy

Track

Developmental Therapeutics—Immunotherapy

Sub Track

Cellular Immmunotherapy

Clinical Trial Registration Number

NCT04526509

Citation

J Clin Oncol 39, 2021 (suppl 15; abstr TPS2661)

DOI

10.1200/JCO.2021.39.15_suppl.TPS2661

Abstract #

TPS2661

Poster Bd #

Online Only

Abstract Disclosures