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Cervical CarcinomaPhase 2NCT03108495

Study of LN-145, Autologous Tumor Infiltrating Lymphocytes in the Treatment of Patients With Cervical Carcinoma

A Phase 2 study testing LN-145 and LN-145 + pembrolizumab in people with Cervical Carcinoma, run by Iovance Biotherapeutics, Inc. at 43 sites in 8 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
Search all trials

Trial summary

Prospective, multicenter, multiple cohort, open label, interventional study evaluating adoptive cell therapy (ACT) with autologous tumor infiltrating lymphocytes (TIL) infusion (LN-145), with or without pembrolizumab, followed by IL-2 after a non-myeloablative lymphodepletion (NMA-LD) preparative regimen for the… Read more about this study

Who is it for?
Ages 18 years and older, women only
Conditions the study is for
Cervical Carcinoma
What is being tested?
LN-145 and LN-145 + pembrolizumab
Could I receive a placebo?
No, everyone receives an active treatment
How many people
210 participants
Where
43 sitesin 8 countries
Study dates
22 Jun 2017to 22 Aug 2025
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • Women only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • To be eligible for the study, participants must meet ALL of the following criteria prior to participation:
  • Must be ≥ 18 years of age at the time of consent. Enrollment of participants > 70 years of age may be allowed after consultation with the Medical Monitor.
  • Must have recurrent, metastatic, or persistent squamous cell carcinoma (SCC), adenosquamous carcinoma (ASC), or adenocarcinoma (AC) of the cervix that is not amenable to curative treatment with surgery and/or radiation therapy.
  • At least one resectable lesion (or aggregate of lesions resected) of a minimum 1.5 cm in diameter post-resection to generate TIL; surgical removal with minimal morbidity (defined as any procedure for which expected hospitalization is ≤ 3 days)
  • At least one measurable target lesion, as defined by RECIST v1.1.
  • Cohort 1 and Cohort 2: Progression during or following at least one, but no more than three, prior systemic chemotherapeutic treatments for recurrent, metastatic, or persistent cervical carcinoma
Show all 17Show fewer
  • A line of systemic therapy is defined as any chemotherapy or multiple-agent chemotherapy regimen that was administered for recurrent, metastatic, or persistent SCC, ASC, or AC of the cervix.
  • A bevacizumab and chemotherapy combination is encouraged as a prior line of treatment.
  • Neither chemoradiation, nor chemotherapy in the neoadjuvant or adjuvant settings are considered as a prior line of systemic therapy.
  • Cohort 2: Must also have previously received treatment with a checkpoint inhibitor (ie, PD-1, PD-L1]) in the setting of recurrent, metastatic, or persistent disease either as monotherapy or in combination (eg, in combination with chemotherapy or another immune agent)
  • Cohort 3 (United States only): Must have not received any therapies other than prior chemoradiation or surgery for loco-regional disease
  • Any prior therapy directed at the malignant tumor, including chemotherapy, biologic/targeted agents, and immunologic agents must be discontinued at least 28 days prior to tumor resection.
  • Have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  • Must have adequate organ function.
  • Participant has no evidence of any active viral, bacterial, or fungal infection requiring ongoing systemic treatment. Participants must be seronegative for the human immunodeficiency virus (HIV). Participants with acute or chronic hepatitis infections may be enrolled if the viral load by nucleic acid amplification test (NAAT) is undetectable with/without active treatment
  • Participants of childbearing potential must be willing to take the appropriate precaution to avoid pregnancy for the duration of the study and practice an approved, highly effective method of birth control during treatment and for 12 months after receiving the last protocol-related therapy.
  • Prior to study Enrollment (tumor resection), participant must have documentation of radiological disease progression after the most recent therapy

Who cannot join

  • Participants who meet any of the following criteria are not eligible for participation in this study:
  • Participants who have received an organ allograft or prior cell transfer therapy except for prior LN-145 therapy in the setting of re-treatment only.
  • Participants who require ongoing systemic steroid therapy (> 10 mg/day of prednisone or other steroid equivalent dose).
  • Participants who currently have prior therapy-related toxicities Grade > 1 according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) v5.0; except for peripheral neuropathy, alopecia, or vitiligo prior to Enrollment (tumor resection).
  • . Participants who have a history of hypersensitivity to any component or excipient of LN-145 or other study drugs:
  • NMA-LD preparative regimen (cyclophosphamide, mesna, and fludarabine)
Show all 24Show fewer
  • Participants who have active systemic infections, coagulation disorders, or other active major medical illness(es) of the cardiovascular, respiratory, or immune system, including evidence in the medical history of urinary tract obstruction, a positive cardiac stress test, myocardial infarction, cardiac arrhythmia, obstructive or restrictive pulmonary disease, or other conditions that in the opinion of the Investigator would increase the risk of participation.
  • Participants with symptomatic and/or untreated brain metastases (of any size and any number)
  • Participants with definitively treated brain metastases may be considered for Enrollment, and must be stable for ≥ 14 days prior to beginning the NMA-LD preparative regimen
  • Participants who have any form of primary immunodeficiency (such as severe combined immunodeficiency [SCID] or acquired immunodeficiency syndrome [AIDS])
  • Participants who have a diagnosis of end-stage renal disorder requiring hemodialysis
  • Participants who have a left ventricular ejection fraction (LVEF) < 45% or who are New York Heart Association (NYHA) Class 2 or higher.
  • Participants who have a documented forced expiratory volume in 1 second (FEV1) of ≤ 60%
  • Participants who have had another primary malignancy within the previous 3 years (except for curatively treated localized malignancy that has not required treatment for > 1 year, and in the judgement of the Investigator, does not pose a significant risk of recurrence including, but not limited to, non-melanoma skin cancer or bladder cancer)
  • Participants who are of the following protected classes will be excluded, including:
  • Pregnant, parturient, or breastfeeding women
  • Persons who are hospitalized without consent or those deprived of liberty because of a judiciary or administrative decision
  • Participants with a legal protection measure or a person who cannot express his/her consent
  • Participants in emergency situations who cannot consent to the study
  • Participants who have received a live or attenuated vaccine within 28 days prior to beginning the NMA-LD preparative regimen
  • Participants whose cancer requires immediate attention or who would otherwise suffer a disadvantage by participating in this study
  • Cohort 1 and Cohort 3: Participants who have received prior treatment with immunotherapy (eg, PD-1, PD-L1, or anti-cytotoxic T lymphocyte-associated antigen-4 [CTLA-4] antibodies)
  • Participants who have Grade ≥ 2 hemorrhage within 14 days prior to Enrollment (tumor resection)
  • Cohort 3: Participants may not have active or prior documented autoimmune or inflammatory disorders (including pneumonitis, inflammatory bowel disease [eg, colitis or Crohn's disease], diverticulitis [with the exception of diverticulosis], systemic lupus erythematosus, sarcoidosis syndrome, or Wegener syndrome [granulomatosis with polyangiitis, Graves' disease, rheumatoid arthritis, hypophysitis, uveitis, etc.]).

Trial locations and contacts

43 sites in 8 countries.

43 sites in 8 countries

United States24 sites
  • Augusta University

    Augusta, Georgia, 30912-0003

  • The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins

    Baltimore, Maryland, 21287-0013

  • Dana Farber Cancer Institute

    Boston, Massachusetts, 02215

  • Roswell Park Cancer Institute

    Buffalo, New York, 14263

  • University of Virginia

    Charlottesville, Virginia, 22908

  • University of Chicago

    Chicago, Illinois, 60637

  • Cleveland Clinic

    Cleveland, Ohio, 44195

  • The Ohio State University Comprehensive Cancer Center

    Columbus, Ohio, 43210

  • Karmanos Cancer Institute

    Detroit, Michigan, 48201

  • MD Anderson Cancer Center

    Houston, Texas, 77030

  • University of Southern California

    Los Angeles, California, 90033

  • James Graham Brown Cancer Center

    Louisville, Kentucky, 40202

  • Sylvester Comprehensive Cancer Center

    Miami, Florida, 33136

  • Medical College of Wisconsin

    Milwaukee, Wisconsin, 53225

  • LSU Health Sciences Center

    New Orleans, Louisiana, 70112

  • Rutgers University

    Newark, New Jersey, 07103

  • University of Oklahoma Health Sciences Center

    Oklahoma City, Oklahoma, 73104

  • University of Florida Health Cancer Center

    Orlando, Florida, 32806

  • St. Joseph's Hospital and Medical Center Center For Women's Health

    Phoenix, Arizona, 85013

  • Allegheny Health

    Pittsburgh, Pennsylvania, 15224

  • UPMC Cancer Center

    Pittsburgh, Pennsylvania, 15232

  • University of California San Diego

    San Diego, California, 92093

  • Avera Medical Group Oncology

    Sioux Falls, South Dakota, 57105

  • University of South Florida H. Lee Moffitt Cancer Center and Research Institute

    Tampa, Florida, 33612

Other trials in United States

Spain5 sites
  • Hospital Universitari Vall d'Hebrón

    Barcelona, 08035

  • Institut Català d'Oncologia

    Barcelona, 08908

  • Hospital General Universitario Gregorio Marañon

    Madrid, 28007

  • Hospital Universitario Madrid Sanchinarro

    Madrid, 28050

  • Clínica Universidad de Navarra

    Pamplona, Navarre, 31008

Other trials in Spain

United Kingdom5 sites
  • Bristol Haematology and Oncology Centre

    Bristol, England, BS2 8ED

  • NHS Greater Glasgow and Clyde

    Glasgow, Scotland, G12 0YN

  • Sarah Cannon Research Institute London

    London, England, W1G 6AD

  • University College London Hospitals NHS Foundation Trust

    London, England, W1G 6BW

  • Guy's & St.Thomas NHS Foundation Trust

    London, SE1 9RT

Other trials in United Kingdom

France3 sites
  • Centre Léon Bérard

    Lyon, 69008

  • Centre Hospitalier Lyon Sud

    Pierre-Bénite, Auvergne-Rhône-Alpes, 69495

  • Gustave Roussy Cancer Campus

    Villejuif, 94805

Other trials in France

Germany2 sites
  • Universitätsklinikum Carl Gustav Carus

    Dresden, Saxony, 01307

  • Universitätsklinikum Erlangen

    Erlangen, Bavaria, 91054

Other trials in Germany

Switzerland2 sites
  • Inselspital

    Bern, CH-3010

  • Centre Hospitalier Universitaire Vaudois Lausanne - Centre Pluridisciplinaire d'Oncologie

    Lausanne

Other trials in Switzerland

Italy1 site
  • Istituto Europeo di Oncologia

    Miano, Milano, 20141

Other trials in Italy

Netherlands1 site
  • Academisch Medisch Centrum

    Amsterdam, AZ, 1105

Other trials in Netherlands

About this study

Official title: A Phase 2, Multicenter Study to Evaluate the Efficacy and Safety Using Autologous Tumor Infiltrating Lymphocytes (LN-145) in Patients With Recurrent, Metastatic or Persistent Cervical Carcinoma

Prospective, multicenter, multiple cohort, open label, interventional study evaluating adoptive cell therapy (ACT) with autologous tumor infiltrating lymphocytes (TIL) infusion (LN-145), with or without pembrolizumab, followed by IL-2 after a non-myeloablative lymphodepletion (NMA-LD) preparative regimen for the treatment of participants with recurrent, metastatic, or persistent cervical carcinoma.

Read the detailed description

LN-145 is an adoptive cell transfer therapy that utilizes an autologous TIL manufacturing process, as originally developed by the NCI, for the treatment of participants with recurrent, metastatic, or persistent cervical carcinoma. The cell transfer therapy used in this study involves participants receiving a non-myeloablative lymphodepletion (NMA-LD) preparative regimen, followed by infusion of autologous TIL, with or without pembrolizumab, followed by the administration of a regimen of IL-2.

Being tested
LN-145, LN-145 + pembrolizumab
Keywords
LN-145, Cell Therapy, Autologous Adoptive Cell Transfer, Autologous Adoptive Cell Therapy, Cellular Immuno-therapy, Tumor Infiltrating Lymphocytes, TIL, IL-2, Pembrolizumab
Medical subject headings
Uterine Cervical Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • LN-145Biological

    Also called TIL, autologous tumor infiltrating lymphocytes

    A tumor sample is resected from each participant and cultured ex vivo to expand the population of tumor infiltrating lymphocytes.

  • LN-145 + pembrolizumabBiological

    Also called TIL, autologous tumor infiltrating lymphocytes; pembrolizumab (anti-PD-1 immunotherapy)

    A tumor sample is resected from each participant and cultured ex vivo to expand the population of tumor infiltrating lymphocytes. The first dose of anti-PD-1 immunotherapy will be administered following tumor resection.

Study groups in NCT03108495
Study groupRoleWhat they receive
Cohort 1 LN-145 monotherapyExperimentalLN-145 monotherapy in participants who have progressed during or following systemic therapy; this cohort is no longer open for enrollment.
Receives: Biological: LN-145
Cohort 2 LN-145 monotherapyExperimentalLN-145 monotherapy in participants who have previously received a PD-1/PD-L1 checkpoint inhibitor either as monotherapy or combination therapy.
Receives: Biological: LN-145
Cohort 3 - Combination Arm (TIL + Pembrolizumab) - US OnlyExperimentalLN-145 in combination with pembrolizumab in participants who have not received any therapies other than prior chemoradiation or surgery for loco-regional disease.
Receives: Biological: LN-145 + pembrolizumab
Cohort 4 - Previously Enrolled CohortExperimentalLN-145 monotherapy in previously enrolled participants who do not meet requirements for inclusion in the other study cohorts; this cohort is not open for enrollment.
Receives: Biological: LN-145
Cohort 5 Retreatment CohortExperimentalLN-145 monotherapy as a re-treatment.
Receives: Biological: LN-145

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Cohort 1 and 2: Objective Response Rate

    To evaluate the efficacy of LN-145 in participants with recurrent, metastatic, or persistent cervical carcinoma based on the objective response rate (ORR) as assessed by the Investigator per Response Evaluation Criteria In Solid Tumors (RECIST v1.1) for target lesions based on imaging: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.

    Measured: Up to 60 months

  2. Cohort 3: Number of Participants With Adverse Events

    To characterize the safety profile of LN-145 in combination with pembrolizumab in participants with recurrent, metastatic, or persistent cervical carcinoma as assessed by number of participants with adverse events.

    Measured: Up to 60 months

  3. Cohort 4: Number of Participants With Adverse Events

    To explore the safety profile of LN-145 in previously enrolled participants with recurrent, metastatic, or persistent cervical carcinoma as assessed by number of participants with adverse events.

    Measured: Up to 60 months

  4. Cohort 4: Efficacy/Objective Response Rate

    To explore the efficacy of LN-145 in previously enrolled participants with recurrent, metastatic, or persistent cervical carcinoma based on the objective response rate (ORR) as assessed by the Investigator per Response Evaluation Criteria In Solid Tumors (RECIST v1.1) for target lesions based on imaging: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.

    Measured: Up to 60 months

  5. Cohort 5: Number of Participants With Adverse Events

    To explore the safety profile of LN-145 in re-treated participants with recurrent, metastatic, or persistent cervical carcinoma as assessed by number of participants with adverse events.

    Measured: Up to 60 months

  6. Cohort 5: Efficacy/Objective Response Rate

    To explore the efficacy of LN-145 in re-treated participants with recurrent, metastatic, or persistent cervical carcinoma based on the objective response rate (ORR) as assessed by the Investigator per Response Evaluation Criteria In Solid Tumors (RECIST v1.1) for target lesions based on imaging: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.

    Measured: Up to 60 months

Secondary outcomes (10)
  1. Cohort 1 and 2: Duration of Response

    To evaluate the efficacy parameters of LN-145 in participants with recurrent, metastatic, or persistent cervical carcinoma by assessing duration of response (DOR) as assessed by the Investigator per Response Evaluation Criteria In Solid Tumors (RECIST v1.1) for target lesions based on imaging: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions. DOR is measured from the first time response (PR/CR) criteria are met until the first date of progression, or the participant expires.

    Measured: Up to 60 months

  2. Cohort 1 and 2: Disease Control Rate

    To evaluate the efficacy parameters of LN-145 in participants with recurrent, metastatic, or persistent cervical carcinoma by assessing disease control rate (DCR) as assessed by the Investigator per Response Evaluation Criteria In Solid Tumors (RECIST v1.1) for target lesions based on imaging: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Stable Disease (SD), <20% increase nadir SLD (sum of longest diameter of target lesions). DCR is defined as the proportion of participants who have CR or PR or SD per RECIST v1.1.

    Measured: Up to 60 months

  3. Cohort 1 and 2: Progression-Free Survival

    To evaluate the efficacy parameters of LN-145 in participants with recurrent, metastatic, or persistent cervical carcinoma by assessing progression-free survival (PFS) as assessed by the Investigator per Response Evaluation Criteria In Solid Tumors (RECIST v1.1). Progression is defined using RECIST v1.1 as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions.

    Measured: Up to 60 months

  4. Cohort 1 and 2: Overall Survival

    To evaluate overall survival (OS) in participants with recurrent, metastatic, or persistent cervical carcinoma

    Measured: Up to 60 months

  5. Cohort 1 and 2: Number of Participants With Adverse Events

    To characterize the safety profile of LN-145 in participants with recurrent, metastatic, or persistent cervical carcinoma as assessed by number of participants with adverse events.

    Measured: Up to 60 months

  6. Cohort 3: Objective Response Rate

    To evaluate the efficacy of LN-145 in combination with pembrolizumab in participants with recurrent, metastatic, or persistent cervical carcinoma based on the objective response rate (ORR) as assessed by the Investigator per Response Evaluation Criteria In Solid Tumors (RECIST v1.1) for target lesions based on imaging: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.

    Measured: Up to 60 months

  7. Cohort 3: Duration of Response

    To evaluate the efficacy of LN-145 in combination with pembrolizumab in participants with recurrent, metastatic, or persistent cervical carcinoma by assessing duration of response (DOR) as assessed by the Investigator per Response Evaluation Criteria In Solid Tumors (RECIST v1.1) for target lesions based on imaging: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions. DOR is measured from the first time response (PR/CR) criteria are met until the first date of progression, or the participant expires.

    Measured: Up to 60 months

  8. Cohort 3: Disease Control Rate

    To evaluate the efficacy of LN-145 in combination with pembrolizumab in participants with recurrent, metastatic, or persistent cervical carcinoma by assessing disease control rate (DCR) as assessed by the Investigator per Response Evaluation Criteria In Solid Tumors (RECIST v1.1) for target lesions based on imaging: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), >=30% decrease in the sum of the longest diameter of target lesions; Stable Disease (SD), <20% increase nadir SLD (sum of longest diameter of target lesions). DCR is defined as the proportion of participants who have CR or PR or SD per RECIST v1.1.

    Measured: Up to 60 months

  9. Cohort 3: Progression-Free Survival

    To evaluate the efficacy of LN-145 in combination with pembrolizumab in participants with recurrent, metastatic, or persistent cervical carcinoma by assessing progression-free survival (PFS) as assessed by the Investigator per Response Evaluation Criteria In Solid Tumors (RECIST v1.1). Progression is defined using RECIST v1.1 as a 20% increase in the sum of the longest diameter of target lesions, or a measurable increase in a non-target lesion, or the appearance of new lesions.

    Measured: Up to 60 months

  10. Cohort 3: Overall Survival

    To evaluate overall survival (OS) in participants with recurrent, metastatic, or persistent cervical carcinoma.

    Measured: Up to 60 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted11 Apr 2017
  2. Study start22 Jun 2017
  3. Primary completion22 Aug 2025
  4. Study completion22 Aug 2025

Why it stopped: After reviewing available safety and efficacy data to date, Iovance concluded the study reached the required number of events for evaluation of study endpoints.

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
210 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03108495
Sponsor's protocol ID
C-145-04
Other IDs
2024-510634-41-00
Status last verified
Aug 2026
First submitted
27 Mar 2017
Last updated
25 Sep 2026
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing LN-145 and LN-145 + pembrolizumab in people with Cervical Carcinoma, run by Iovance Biotherapeutics, Inc. at 43 sites in 8 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 17 inclusion and 24 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 25 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 43 sites in United States, Spain, United Kingdom, France, Germany and 3 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 31 Jul 2026). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Cohort 1 and 2: Objective Response Rate (time frame: Up to 60 months). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Sep 2026.

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