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Select Advanced Solid TumorsPhase 1/2NCT03515551

Safety and Efficacy of IMCnyeso in Advanced NY-ESO-1 and/or LAGE-1A Positive Cancers

A Phase 1/2 study testing IMCnyeso in people with Select Advanced Solid Tumors, run by Immunocore Ltd at 12 sites in 3 countries.

Terminated

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

Official record
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Trial summary

IMCnyeso is a bispecific fusion protein designed for the treatment of cancers that express NY-ESO-1 and/or LAGE-1A. This was a first-in-human trial designed to evaluate the safety and efficacy of IMCnyeso in HLA-A*02:01-positive adult participants whose cancer is positive for NY-ESO-1 and/or LAGE-A1. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Select Advanced Solid Tumors
What is being tested?
IMCnyeso
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
29 participants
Where
12 sitesin 3 countries
Study dates
15 Jun 2018to 10 May 2021
Phase
Phase 1/2
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
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • HLA-A*0201 positive
  • NY-ESO-1 and/or LAGE-1A positive tumor
  • ECOG PS 0 or 1
  • Selected advanced solid tumors
  • Relapsed from, refractory to, or intolerant of standard therapy
  • If applicable, must agree to use highly effective contraception

Who cannot join

  • Symptomatic or untreated central nervous system metastasis
  • Inadequate washout from prior anticancer therapy
  • Significant ongoing toxicity from prior anticancer treatment
  • Impaired baseline organ function as evaluated by out-of-range laboratory values
  • Clinically significant cardiac disease
  • Active infection requiring systemic antibiotic therapy
Show all 11Show fewer
  • Known history of human immunodeficiency virus (HIV)
  • Active hepatitis B virus (HBV) or hepatitis C virus (HCV)
  • Ongoing treatment with systemic steroids or other immunosuppressive therapies
  • Significant secondary malignancy
  • Pregnancy or lactation

Trial locations and contacts

12 sites in 3 countries.

12 sites in 3 countries

United States8 sites
  • University of Colorado Hospital

    Aurora, Colorado, 80045

  • MD Anderson Cancer Center

    Houston, Texas, 77030

  • University of Iowa Hospital and Clinics

    Iowa City, Iowa, 52242

  • Tennessee Oncology NASH - SCRI

    Nashville, Tennessee, 37203

  • Memorial Sloan Kettering Cancer Center

    New York, New York, 10065

  • Thomas Jefferson University Hospital

    Philadelphia, Pennsylvania, 19107

  • UPMC - Hillman Cancer Center

    Pittsburgh, Pennsylvania, 15232

  • Washington University School of Medicine in St. Louis

    St Louis, Missouri, 63110

Other trials in United States

United Kingdom3 sites
  • Sarah Cannon Research Institute UK

    London, W1G 6AD

  • The Christie Hospital

    Manchester, M20 4BX

  • Royal Marsden Hospital

    Sutton, SW3 6JJ

Other trials in United Kingdom

Canada1 site
  • Princess Margaret Cancer Centre

    Toronto, Ontario, M5G 2M9

Other trials in Canada

About this study

Official title: A Phase I/II Study of IMCnyeso, HLA- A*0201-Restricted, NY-ESO-1- and LAGE-1A-specific Soluble T Cell Receptor and Anti-CD3 Bispecific Molecule, in HLA-A*0201 Positive Patients With Advanced NY-ESO-1 and/or LAGE - 1A Positive Cancer

IMCnyeso is a bispecific fusion protein designed for the treatment of cancers that express NY-ESO-1 and/or LAGE-1A. This was a first-in-human trial designed to evaluate the safety and efficacy of IMCnyeso in HLA-A*02:01-positive adult participants whose cancer is positive for NY-ESO-1 and/or LAGE-A1.

Read the detailed description

This was planned to be a multi-center, open label, dose finding Phase 1/2 study of single agent IMCnyeso administered in participants with NY-ESO-1 and/or LAGE-A1 positive tumors. The primary objective of the dose escalation phase (Phase 1) was to determine the maximum tolerated dose (MTD) and/or recommended Phase 2 dose (RP2D) of IMCnyeso in participants with advanced solid tumors. Preliminary efficacy was to be evaluated in Phase 2. The study was terminated early (prior to initiation of Phase 2) by the Sponsor as a strategic decision (not based on any safety signal).

Being tested
IMCnyeso
Keywords
IMCnyeso, Immunotherapy

What participants receive

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

  • IMCnyesoDrug

    Weekly IV infusions of IMCnyeso

Study groups in NCT03515551
Study groupRoleWhat they receive
Phase 1: Dose EscalationExperimentalFour fixed-dose, dose escalation cohorts (Cohorts 1 to 4) and 3 intrapatient dose escalation cohorts (Cohorts 5 to 7) to establish the MTD/RP2D of IMCnyeso.
Receives: Drug: IMCnyeso
Phase 2: Dose ExpansionExperimentalThree planned cohorts treated at the RP2D to make a preliminary assessment of the anti-tumor activity of IMCnyeso. Phase 2 was not initiated and data were not collected.
Receives: Drug: IMCnyeso

What is being measured

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

  1. Phase 1: Number of Participants With Dose-limiting Toxicities

    Dose-limiting toxicities were defined as an adverse event or abnormal laboratory value assessed as having a suspected relationship to study drug that occurs within the evaluation period, from the first dose up until Day 28 after the first dose

    Measured: Up to 35 months

  2. Phase 1: Number of Participants With Adverse Events

    Treatment-emergent adverse events are defined as any adverse event (AE) that started after the first dose of study drug up to 30 days after last dose of study drug, including abnormal laboratory values, vital signs, or electrocardiogram results. AE severity is graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 4.03.

    Measured: Up to 35 months

  3. Phase 1: Number of Participants With No Dose Interruptions or Reductions

    Tolerability of study treatment was assessed by summarizing the number of participants with no treatment dose interruptions and dose reductions

    Measured: Up to 35 months

  4. Phase 2: Best Overall Response (BOR)

    Best overall response per RECIST v.1.1

    Measured: Up to 35 months

Secondary outcomes (10)
  1. Phase 2: Number of Participants With Adverse Events

    Treatment-emergent adverse events are defined as any adverse event (AE) that started after the first dose of study drug up to 30 days after last dose of study drug, including abnormal laboratory values, vital signs, or electrocardiogram results.

    Measured: Up to 35 months

  2. Phase 2: Number of Participants With No Dose Interruptions or Reductions

    Tolerability of study treatment was assessed by summarizing the number of participants with no treatment dose interruptions and dose reductions

    Measured: Up to 35 months

  3. Phase 1: Number of Participants With Best Overall Response (BOR)

    Number of participants with best overall response, including complete response, partial response, stable disease, and progressive disease, based on local Investigator assessment as defined in RECIST v.1.1.

    Measured: Up to 35 months

  4. Phase 1 and Phase 2: Progression-free Survival

    Progression-free survival is defined as the time from first dose until the date of objective progression, or death from any cause, whichever occurs first.

    Measured: Up to 35 months

  5. Phase 1 and Phase 2: Duration of Response

    Duration of response is defined as the time from the date of first documented objective response (CR or PR) until the date of documented disease progression or death.

    Measured: Up to 35 months

  6. Phase 1 and Phase 2: Overall Survival

    Overall Survival is defined as the time (in months) from the date of randomization to the date of death due to any cause.

    Measured: Up to 35 months

  7. Area Under the Plasma Concentration-time Curve From Time Zero to the Time of Last Measurable Concentration (AUC0-last)

    Measured: Predose and 1, 2, 4, 6, 8, and 12 hours post dose on Cycle 1 Day 1 and Cycle 1 Day 15

  8. Maximum Observed Plasma Drug Concentration After Single Dose Administration (Cmax)

    Measured: Predose and 1, 2, 4, 6, 8, and 12 hours post dose on Cycle 1 Day 1 and Cycle 1 Day 15

  9. Time to Reach Maximum Plasma Concentration (Tmax)

    Measured: Predose and 1, 2, 4, 6, 8, and 12 hours post dose on Cycle 1 Day 1 and Cycle 1 Day 15

  10. Number of Participants With Anti-IMCnyeso Antibody Formation

    Number of participants with positive treatment-boosted or treatment-induced anti-IMCnyeso antibody titers

    Measured: Up to 35 months

Timeline

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

  1. First posted3 May 2018
  2. Study start15 Jun 2018
  3. Primary completion10 May 2021
  4. Study completion10 May 2021

Why it stopped: Strategic decision to stop development and not based on any safety concerns

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 1/2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
29 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03515551
Sponsor's protocol ID
IMCnyeso-101
Status last verified
Mar 2022
First submitted
5 Apr 2018
Last updated
11 Mar 2022
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Lopez JS, Milhem M, Butler MO, Thistlethwaite F, Van Tine BA, D'Angelo SP, Johnson ML, Sato T, Arkenau HT, Edukulla R, Wustner J, Marshall S, Rodon J. Phase 1 study of IMCnyeso, a T cell receptor bispecific ImmTAC targeting NY-ESO-1-expressing malignancies. Cell Rep Med. 2025 Apr 15;6(4):101994. doi: 10.1016/j.xcrm.2025.101994. Epub 2025 Mar 6.

    PubMed 40054461

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing IMCnyeso in people with Select Advanced Solid Tumors, run by Immunocore Ltd at 12 sites in 3 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 6 inclusion and 11 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 11 Mar 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 12 sites in United States, United Kingdom, Canada. 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 combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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 11 Mar 2022). 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?

Phase 1: Number of Participants With Dose-limiting Toxicities (time frame: Up to 35 months). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03515551, which also lists 1 linked publication.

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 11 Mar 2022.

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