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Human Papillomavirus (HPV) 16+ Relapsed/Refractory CancerPhase 1NCT03912831

Study to Evaluate the Safety and Efficacy of KITE-439 in HLA-A*02:01+ Adults With Relapsed/Refractory HPV16+ Cancers

A Phase 1 study testing KITE-439, Cyclophosphamide and Fludarabine in people with Human Papillomavirus (HPV) 16+ Relapsed/Refractory Cancer, run by Gilead Sciences at 9 sites in United States.

Terminated

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

Official record
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Trial summary

This study has 2 parts: Phase 1A and Phase 1B. The primary objectives of Phase 1A are to evaluate the safety of KITE-439 and to determine a recommended Phase 1B dose. The primary objective of Phase 1B is to estimate the efficacy of KITE-439 in adults who are human leukocyte antigen (HLA)-A*02:01+ and have… Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
KITE-439, Cyclophosphamide and Fludarabine
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
8 participants
Where
9 sitesUnited States
Study dates
30 Apr 2019to 18 Feb 2022
Phase
Phase 1
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

  • Advanced cancer defined as relapsed or refractory disease after at least 1 line of therapy that included systemic chemotherapy and that is not amenable to definitive locoregional therapy
  • HPV16+ tumor as confirmed by the central laboratory
  • HLA type is HLA-A*02:01+ per local assessment
  • Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1

Who cannot join

  • Presence of fungal, bacterial, viral, or other infection requiring anti-microbials for management
  • Note: Simple urinary tract infection (UTI) and uncomplicated bacterial pharyngitis are permitted if responding to active treatment and after consultation with the Kite medical monitor
  • Primary immunodeficiency
  • History of autoimmune disease (eg, Crohns, rheumatoid arthritis, systemic lupus) resulting in end organ injury or requiring systemic immunosuppression/systemic disease modifying agents within the last 2 years prior to enrollment
  • Known history of infection with human immunodeficiency virus (HIV), hepatitis B (HBsAg positive), or hepatitis C (anti-HCV positive). A history of treated hepatitis B or hepatitis C is permitted if the viral load is undetectable per quantitative polymerase chain reaction (qPCR) and/or nucleic acid testing
  • Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Trial locations and contacts

9 sites in 1 country.

9 sites in 1 country

United States9 sites
  • Dana-Farber Cancer Institute

    Boston, Massachusetts, 02215

  • University of Chicago Medical Center

    Chicago, Illinois, 60640

  • City of Hope

    Duarte, California, 91010

  • Banner MD Anderson Cancer Center

    Gilbert, Arizona, 85234

  • The University of Texas MD Anderson Cancer Center

    Houston, Texas, 77030

  • Ronald Reagan UCLA Medical Center

    Los Angeles, California, 90095

  • Memorial Sloan Kettering Cancer Center

    New York, New York, 10065

  • Fred Hutchinson Cancer Research Center

    Seattle, Washington, 98109

  • H. Lee Moffitt Cancer Center and Research Institute

    Tampa, Florida, 33612

Other trials in United States

About this study

Official title: A Phase 1 Study Evaluating the Safety and Efficacy of HPV16 E7 T Cell Receptor Engineered T Cells (KITE-439) in HLA-A*02:01+ Subjects With Relapsed/Refractory HPV16+ Cancers

This study has 2 parts: Phase 1A and Phase 1B. The primary objectives of Phase 1A are to evaluate the safety of KITE-439 and to determine a recommended Phase 1B dose. The primary objective of Phase 1B is to estimate the efficacy of KITE-439 in adults who are human leukocyte antigen (HLA)-A*02:01+ and have relapsed/refractory human papillomavirus (HPV)16+ cancers.

Being tested
KITE-439, Cyclophosphamide, Fludarabine, Interleukin-2
Medical subject headings
Papillomavirus Infections, Neoplasms

What participants receive

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

  • KITE-439Drug

    A single infusion of E7 TCR T cells (KITE-439).

  • CyclophosphamideDrug

    Administered intravenously.

  • FludarabineDrug

    Administered intravenously.

  • Interleukin-2Drug

    Administered subcutaneously.

Study groups in NCT03912831
Study groupRoleWhat they receive
Phase 1A: 1 x 10^6 KITE-439 (Cohort 1)ExperimentalParticipants will receive conditioning chemotherapy of cyclophosphamide 30 mg/kg, intravenous (IV) infusion, once on Days -7 and -6 and fludarabine, 25 mg/m^2, IV infusion, once on Days -7 to -3 followed by KITE-439 infusion, up to 1 × 10^6 E7 T-cell receptor (TCR) T cells/kg on Day 0 along with the interleukin-2 of 2,50,000 IU/kg, subcutaneous (SC) injection, once on Days 0 to 6.
Receives: Drug: KITE-439; Drug: Cyclophosphamide; Drug: Fludarabine; Drug: Interleukin-2
Phase 1A: 3 x 10^6 KITE-439 (Cohort 2)ExperimentalParticipants will receive conditioning chemotherapy of cyclophosphamide 30 mg/kg, IV infusion, once on Days -7 and -6 and fludarabine, 25 mg/m^2, IV infusion, once on Days -7 to -3 followed by KITE-439 infusion, up to 3 × 10^6 E7 TCR T cells/kg on Day 0 along with the interleukin-2 of 2,50,000 IU/kg, SC injection, once on Days 0 to 6.
Receives: Drug: KITE-439; Drug: Cyclophosphamide; Drug: Fludarabine; Drug: Interleukin-2
Phase 1A: 1 x 10^7 KITE-439 (Cohort 3)ExperimentalParticipants will receive conditioning chemotherapy of cyclophosphamide 30 mg/kg, IV infusion, once on Days -7 and -6 and fludarabine, 25 mg/m^2, IV infusion, once on Days -7 to -3 followed by KITE-439 infusion, up to 1 × 10^7 E7 TCR T cells/kg on Day 0 along with the interleukin-2 of 2,50,000 IU/kg, SC injection, once on Days 0 to 6.
Receives: Drug: KITE-439; Drug: Cyclophosphamide; Drug: Fludarabine; Drug: Interleukin-2
Phase 1A: 3 x 10^7 KITE-439 (Cohort 4)ExperimentalParticipants will receive conditioning chemotherapy of cyclophosphamide 30 mg/kg, IV infusion, once on Days -7 and -6 and fludarabine, 25 mg/m^2, IV infusion, once on Days -7 to -3 followed by KITE-439 infusion, up to 3 × 10^7 E7 TCR T cells/kg on Day 0 along with the interleukin-2 of 2,50,000 IU/kg, SC injection, once on Days 0 to 6.
Receives: Drug: KITE-439; Drug: Cyclophosphamide; Drug: Fludarabine; Drug: Interleukin-2
Phase 1A: 1 x 10^8 KITE-439 (Cohort 5)ExperimentalParticipants will receive conditioning chemotherapy of cyclophosphamide 30 mg/kg, IV infusion, once on Days -7 and -6 and fludarabine, 25 mg/m^2, IV infusion, once on Days -7 to -3 followed by KITE-439 infusion, up to 1 × 10^8 E7 TCR T cells/kg on Day 0 (maximum allowable dose is 5 × 10^9 E7 TCR T cells) along with the interleukin-2 of 2,50,000 IU/kg, SC injection, once on Days 0 to 6.
Receives: Drug: KITE-439; Drug: Cyclophosphamide; Drug: Fludarabine; Drug: Interleukin-2
Phase 1A: 1 x 10^8 KITE-439 (Cohort 6)ExperimentalParticipants will receive conditioning chemotherapy of cyclophosphamide 30 mg/kg, IV infusion, once on Days -7 and -6 and fludarabine, 25 mg/m^2, IV infusion, once on Days -7 to -3 followed by KITE-439 infusion, up to 1 × 10^8 E7 TCR T cells/kg on Day 0 (maximum allowable dose is 1 × 10^10 E7 TCR T cells) along with the interleukin-2 of 2,50,000 IU/kg, SC injection, once on Days 0 to 6.
Receives: Drug: KITE-439; Drug: Cyclophosphamide; Drug: Fludarabine; Drug: Interleukin-2
Phase 1B: KITE-439ExperimentalParticipants will receive cyclophosphamide 30 mg/kg, IV infusion, once on Days -7 and -6 and fludarabine, 25 mg/m^2, IV infusion, once on Days -7 to -3 followed by KITE-439 infusion, at a dose selected based on Phase 1A along with the interleukin-2 of 2,50,000 IU/kg, SC injection, once on Days 0 to 6.
Receives: Drug: KITE-439; Drug: Cyclophosphamide; Drug: Fludarabine; Drug: Interleukin-2

What is being measured

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

  1. Phase 1A: Percentage of Participants Experiencing Adverse Events Defined as Dose-Limiting Toxicities (DLTs)

    A DLT is defined as protocol-defined KITE-439 related Grade 3 events with onset within the first 21 days following KITE-439 infusion and which do not resolve to ≤Grade 2 events within 48 hours, ≥Grade 4 events with onset within the first 21 days following KITE-439 infusion, regardless of duration.

    Measured: First infusion date of KITE-439 up to 21 days

  2. Phase 1B: Objective Response Rate (ORR)

    ORR was defined as the percentage of participants who achieve a complete response (CR) or partial response (PR) as evaluated by modified Response Evaluation Criteria in Solid Tumors (RECIST) v1.1.

    Measured: Up to 1.4 years

Secondary outcomes (7)
  1. Phase 1B: Duration of Response (DOR)

    For participants who experience an objective response, DOR was defined as the time from the date of their first objective response to the date of disease progression per modified RECIST v1.1 or death from any cause.

    Measured: Up to 1.4 years

  2. Phase 1B: Progression-Free Survival (PFS)

    PFS was defined as the time from the KITE-439 infusion date to the date of disease progression per modified RECIST v1.1 or death from any cause.

    Measured: Up to 1.4 years

  3. Phase 1B: Overall Survival

    Overall survival was defined as the time from KITE-439 infusion to the date of death.

    Measured: Up to 1.4 years

  4. Phase 1B: Percentage of Participants Experiencing Adverse Events

    Measured: Up to 1.4 years

  5. Phase 1B: Percentage of Participants With Anti-KITE-439 Antibodies

    Measured: Up to 1.4 years

  6. Phase 1B: Percentage of Participants With Replication-competent Retrovirus (RCR)

    Measured: Up to 1.4 years

  7. Phase 1B: Levels of E7 TCR T Cells

    Measured: Up to 1.4 years

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 2019
  2. Study start30 Apr 2019
  3. Primary completion18 Feb 2022
  4. Study completion18 Feb 2022

Why it stopped: Development program terminated

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
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
8 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03912831
Sponsor's protocol ID
KT-US-478-0401
Status last verified
Dec 2023
First submitted
10 Apr 2019
Last updated
26 Dec 2023
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Kirtane K, Niu J, Blumenschein G, Massarelli E, Hanna GJ, Lee S, Bishop MR, Konecny GE, Mao D, Zheng Y, Rodriguez K, Kim JJ, Williams C, Schweitzer C, Adhikary S, Jung AS, Klebanoff CA. A phase 1 trial of HPV16 E7 T-cell receptor-engineered T cells in patients with relapsed/refractory HPV16-positive cancers (KITE-439 trial). Front Oncol. 2026 May 21;16:1809354. doi: 10.3389/fonc.2026.1809354. eCollection 2026.

    PubMed 42266673

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing KITE-439, Cyclophosphamide and Fludarabine in people with Human Papillomavirus (HPV) 16+ Relapsed/Refractory Cancer, run by Gilead Sciences at 9 sites in United States.

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 4 inclusion and 6 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 26 Dec 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 9 sites in United States. 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 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.

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 26 Dec 2023). 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 1A: Percentage of Participants Experiencing Adverse Events Defined as Dose-Limiting Toxicities (DLTs) (time frame: First infusion date of KITE-439 up to 21 days). The study lists 2 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 NCT03912831, 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 26 Dec 2023.

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