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Non Small Cell Lung CancerPhase 2NCT04069936

Marrow Infiltrating Lymphocytes - Non-Small Cell Lung Cancer (MILs™ - NSCLC) Alone or in Combination With Nivolumab With or Without Tadalafil in Locally Advanced and Unresectable or Metastatic NSCLC

A Phase 2 study testing MILs™ - NSCLC, nivolumab and tadalafil in people with Non Small Cell Lung Cancer and Lung Cancer, run by WindMIL Therapeutics at 10 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

The purpose of this study is to determine the safety and efficacy of MILs™ - NSCLC alone and in combination with nivolumab with or without tadalafil in subjects with locally advanced and unresectable or metastatic NSCLC who are refractory or relapsing to a PD-1 containing regimen. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
MILs™ - NSCLC, nivolumab and tadalafil
Could I receive a placebo?
No, everyone receives an active treatment
How many people
19 participants
Where
10 sitesUnited States
Study dates
15 Oct 2019to 30 Nov 2021
Phase
Phase 2
Are there results?
None posted in the registry

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

  • Eastern Cooperative Oncology Group (ECOG) Performance Status 0 or 1.
  • Locally advanced and unresectable, or metastatic NSCLC.
  • Histologically or cytologically confirmed, either squamous or non-squamous NSCLC.
  • Measurable disease as per RECIST 1.1
  • Willingness to undergo bone marrow aspiration (BMA).
  • No more than one treatment regimen following an anti-PD-1 antibody containing treatment regimen prior to BMA collection.
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  • Subjects may have BMA collected while on an anti-PD-1 antibody containing treatment regimen or while on a treatment regimen immediately following an anti-PD-1 antibody containing treatment regimen.
  • BMA may be collected while on an anti-PD-1 antibody containing treatment regimen or while on a treatment regimen immediately following an anti-PD-1 antibody containing treatment regimen. However, the subjects must have radiographic evidence of disease progression prior to lymphodepletion.
  • ≥ 21 days have lapsed since last cytotoxic chemotherapy treatment prior to collection of the BMA.
  • Previous treatment with the appropriate targeted therapy if the subject has known EGFR/ALK/ROS1 rearrangements.
  • Willingness to provide a fresh tumor biopsy during Screening Period or formalin-fixed, paraffin-embedded tissue collected at the time of most recent relapse. Note: Archival tissue regardless of biopsy date may be considered.
  • Adequate renal, hepatic and bone marrow function defined as total bilirubin </= 1.5 x ULN (except for subjects with Gilbert's disease ≤ 3.0 x ULN with direct bilirubin </= 1.5 x ULN ). Aminotransferase (AST) / Alanine Aminotransferase (ALT) </= 3.0 X ULN (subjects with liver involvement will be allowed </= 5.0 X ULN). Serum creatinine </= 1.5 x ULN; if serum creatinine is 1.5 to 2.0 × ULN, then the creatinine clearance (calculated using the Cockcroft-Gault formula or measured) must be ≥ 40 mL/min. Lymphocyte >/= 0.7 x 10^9/L. ANC >/= 1.5 x 10^9/L. Platelets >/= 100 × 10^9/L. WBC >/= 2.0 ×10^9/L. Hemoglobin > 9.0 g/dL.
  • Women of childbearing potential and male subjects (even if they are surgically sterilized or had a vasectomy) and their partners must agree to abstain or to use an effective form of birth control during the study for at least 6 months following administration of the last dose of lymphodepletion or for at least 5 months following the last dose of nivolumab for females and 7 months for males, whichever is longer. In addition, male subjects must not donate sperm during this period.
  • Capable of giving and has provided a signed ICF, which includes compliance with the requirements and restrictions listed in the ICF and in this protocol.

Who cannot join

  • Insufficient activation/expansion of T cells or other problems with the subject's MILs™ - NSCLC product which would prohibit administration.
  • Major surgical procedure within 7 days of the first dose of lymphodepletion treatment.
  • Prior malignancy active within the previous 3 years from date of BMA collection except for locally curable cancers that have been apparently cured, such as basal or squamous cell skin cancer, superficial bladder cancer, or carcinoma in situ of the prostate, cervix, or breast.
  • Subjects with symptomatic uncontrolled brain metastases requiring treatment with steroids or anti-seizure medications within 28 days prior to the BMA are excluded. However, participants with brain metastases that have been previously treated and are stable on subsequent scan(s) are allowed and subjects with untreated possible brain metastases that are new at the time of screening and are < 1 cm and asymptomatic are allowed. Subjects with asymptomatic untreated CNS disease may undergo BMA prior to treatment of such disease.
  • Infection requiring treatment with intravenous antibiotics, antifungal, or antiviral agents within 7 days prior to the BMA.
  • Presence of an autoimmune disease requiring active systemic treatment.
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  • Clinically significant, uncontrolled cardiovascular disease, including congestive heart failure Grade III or IV according to the New York Heart Association classification, myocardial infarction or unstable angina within the previous 6 months prior to BMA collection.
  • Known diagnosis of human immunodeficiency virus (HIV) or active viral hepatitis.
  • Administration of neutrophil growth factor support within 14 days prior to the BMA.
  • Use of systemic corticosteroids (glucocorticoids) for greater than one day within 28 days prior to the BMA.
  • Planned use of systemic corticosteroids (glucocorticoids) for greater than one day within 28 days prior to MILs™ - NSCLC administration.
  • Prior radiation to both sides of the pelvis. Prior radiation to one side of the pelvis is permitted as long as the other side of the pelvis.
  • Subjects with history of life-threatening toxicity related to prior immune therapy except those that are unlikely to re-occur with standard countermeasures.
  • Receipt of live attenuated vaccine within 30 days of planned Day 0.
  • History of allergy or hypersensitivity to MILs™-NSCLC, cyclophosphamide, fludarabine, nivolumab, tadalafil or their components.
  • Pregnant or lactating females.
  • Prior or ongoing clinically significant illness, medical condition, surgical history, physical finding, or laboratory abnormality that, in the Investigator's opinion, could affect the safety of the subject or impair the assessment of study results.
  • Unwilling or unable to comply with the protocol.

Trial locations and contacts

10 sites in 1 country.

10 sites in 1 country

United States10 sites
  • Emory University

    Atlanta, Georgia, 30322

  • Cleveland Clinic

    Cleveland, Ohio, 44195

  • Karmanos Cancer Center

    Detroit, Michigan, 48201

  • City of Hope

    Duarte, California, 91010

  • University of California - Los Angeles

    Los Angeles, California, 90095

  • Sarah Cannon Research Institute

    Nashville, Tennessee, 37203

  • University of Nebraska Medical Center

    Omaha, Nebraska, 68198

  • Fox Chase Cancer Center

    Philadelphia, Pennsylvania, 19111

  • Washington University

    St Louis, Missouri, 63110

  • Moffitt Cancer Center

    Tampa, Florida, 33612

Other trials in United States

About this study

Official title: A Phase 2a, Open-Label, Multi-Center Study to Assess the Efficacy and Safety of Marrow Infiltrating Lymphocytes - Non-Small Cell Lung Cancer (MILs™ - NSCLC) Alone or in Combination With Nivolumab With or Without Tadalafil in Subjects With Locally Advanced and Unresectable or Metastatic NSCLC Previously Treated With Anti-PD-1

The purpose of this study is to determine the safety and efficacy of MILs™ - NSCLC alone and in combination with nivolumab with or without tadalafil in subjects with locally advanced and unresectable or metastatic NSCLC who are refractory or relapsing to a PD-1 containing regimen.

Read the detailed description

This study will examine the safety and efficacy of Marrow Infiltrating Lymphocytes-Non-Small Cell Lung Cancer (MILs™ - NSCLC) combined with nivolumab with or without tadalafil in subjects with locally advanced and unresectable and metastatic NSCLC who were refractory to, or have relapsed on, an anti-PD-1 containing regimen. MILs™ - NSCLC are an adoptive cell therapy product derived via the activation and expansion of bone marrow T cells. Subjects will have bone marrow harvested during the Screening Period which will be used to manufacture the MILs™ - NSCLC. The MILs™ - NSCLC will then be administered on Day 0. Nivolumab will be administered on Day 1 and will continue every four weeks until treatment discontinuation. Tadalafil will be administered on Day 1 and will continue daily until treatment discontinuation.

Being tested
MILs™ - NSCLC, nivolumab, tadalafil
Keywords
metastatic, locally advanced, lung cancer, non-small cell lung cancer, unresectable, NSCLC, cell therapy, autologous cell therapy, adoptive cell therapy
Medical subject headings
Carcinoma, Non-Small-Cell Lung, Lung Neoplasms, Neoplasm Metastasis

What participants receive

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

  • MILs™ - NSCLCBiological

    Also called Marrow Infiltrating Lymphocytes

    To evaluate the safety of MILs™ - NSCLC alone in subjects with locally advanced and unresectable or metastatic NSCLC

  • nivolumabBiological

    To evaluate the efficacy of MILs™ - NSCLC in combination with nivolumab in subjects with locally advanced and unresectable or metastatic NSCLC

  • tadalafilDrug

    To evaluate the efficacy of MILs™ - NSCLC in combination with nivolumab with or without tadalafil in subjects with locally advanced and unresectable or metastatic NSCLC

Study groups in NCT04069936
Study groupRoleWhat they receive
MILs™ - NSCLC plus nivolumab with or without tadalafilExperimentalLocally advanced and unresectable and metastatic NSCLC subjects previously treated with anti-programmed cell death-1 (PD-1) will be treated with MILs™ - NSCLC plus nivolumab with or without tadalafil.
Receives: Biological: MILs™ - NSCLC; Biological: nivolumab; Drug: tadalafil

What is being measured

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

  1. Adverse Events per National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events version 5.0

    Incidence, intensity, and type of AE

    Measured: From ICF through 100 days after the last dose of study treatment

  2. Serious Adverse Events per NCI-CTCAE version 5.0

    Incidence, intensity, and type of SAE

    Measured: From ICF through 100 days after the last dose of study treatment

  3. Overall Response Rate (ORR) of MILs™ - NSCLC in combination with nivolumab with or without tadalafil

    Proportion of subjects with reduction in tumor burden of a predefined amount per RECIST 1.1

    Measured: 24 months

Secondary outcomes (16)
  1. Duration of response

    Duration from first documented evidence of CR or PR until the first documented evidence of PD or death due to any cause, whichever occurs first

    Measured: up to 5 years after treatment discontinuation

  2. Disease control rate

    Proportion of subjects in the efficacy population who achieve an Investigator-assessed confirmed CR, PR, or SD per RECIST 1.1

    Measured: up to 5 years after treatment discontinuation

  3. Progression-free survival

    Date of first the administration of MILs™ - NSCLC until documented PD or death due to any cause, whichever occurs first

    Measured: up to 5 years after treatment discontinuation

  4. Overall survival

    Duration from the date of administration of MILs™ - NSCLC until death due to any cause

    Measured: up to 5 years after treatment discontinuation

  5. Overall Response Rate (ORR) of MILs™ - NSCLC

    Proportion of subjects with reduction in tumor burden of a predefined amount per RECIST 1.1

    Measured: 24 months

  6. Safety of MILs™ - NSCLC alone and in combination with nivolumab with or without tadalafil as assessed by vital signs (pulse rate)

    Pulse rate in beats/minute

    Measured: From ICF through 100 days after the last dose of study treatment

  7. Safety of MILs™ - NSCLC alone and in combination with nivolumab with or without tadalafil as assessed by vital signs (weight)

    Weight in pounds

    Measured: From ICF through 100 days after the last dose of study treatment

  8. Safety of MILs™ - NSCLC alone and in combination with nivolumab with or without tadalafil as assessed by vital signs (blood pressure)

    Systolic and diastolic blood pressure in mmHg

    Measured: From ICF through 100 days after the last dose of study treatment

  9. Safety of MILs™ - NSCLC alone and in combination with nivolumab with or without tadalafil as assessed by vital signs (respiratory rate)

    Respiratory rate in breaths/minute

    Measured: From ICF through 100 days after the last dose of study treatment

  10. Safety of MILs™ - NSCLC alone and in combination with nivolumab with or without tadalafil as assessed by vital signs (temperature)

    Termperature in Fahrenheit

    Measured: From ICF through 100 days after the last dose of study treatment

  11. Safety of MILs™ - NSCLC alone and in combination with nivo. with or w/o tadalafil by liver function (ALT/AST (U/L), albumin (g/dL), tot. bilirubin (mg/dL)), kidney function (creatinine (mg/dL) and endocrine function (T3 free and T4 free (ng/dL))

    Clinical chemistry results will be summarized and changes from baseline provided

    Measured: From ICF through 100 days after the last dose of study treatment

  12. Safety of MILs™ - NSCLC alone and in combination with nivolumab with or without tadalafil by cell count (e.g. RBC (10^6/uL), WBC (10^3/uL), absolute cell count (10^3/uL), Hct (%) and Hgb (g/dL)

    Hematology results will be summarized and changes from baseline provided

    Measured: From ICF through 100 days after the last dose of study treatment

  13. Safety of MILs™ - NSCLC alone and in combination with nivolumab with or without tadalafil as assessed by APTT (seconds), fibrinogen (mg/dL), INR and protime (seconds)

    Coagulation results will be summarized in data listings

    Measured: From ICF through 100 days after the last dose of study treatment

  14. Safety of MILs™ - NSCLC alone and in combination with nivolumab with or without tadalafil as assessed by urine appearance, color, pH, specific gravity and presence of blood, bilirubin, glucose, ketone, leukocyte esterase, nitrite, protein, urobilinogen

    Urinalysis results will be summarized in data listings

    Measured: From ICF through 100 days after the last dose of study treatment

  15. Safety of MILs™ - NSCLC alone and in combination with nivolumab with or without tadalafil by electrocardiograms (ECGs) assessed by Investigators as normal, abnormal clinically significant or abnormal not clinically significant

    ECGs results will be summarized and changes from baseline provided

    Measured: From ICF through 100 days after the last dose of study treatment

  16. Safety of MILs™ - NSCLC alone and in combination with nivolumab with or without tadalafil by physical examination with abnormalities reported as adverse events

    Physical examinations will be performed by the Investigators and any new clinically significant or changes in medical conditions will be reported as adverse events

    Measured: From ICF through 100 days after the last dose of study treatment

Timeline

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

  1. First posted28 Aug 2019
  2. Study start15 Oct 2019
  3. Primary completion28 Oct 2021
  4. Study completion30 Nov 2021

Why it stopped: Resourcing

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
Not applicable
Intervention model
Sequential
Model description
In Part 1, approximately 3-6 subjects will be treated with MILs™ - NSCLC alone. Following Part 1, approximately 20 subjects will be treated with MILs™ - NSCLC plus nivolumab with or without tadalafil.
Masking
None (open label)
Enrolment
19 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04069936
Sponsor's protocol ID
CLN-P18001
Status last verified
Jul 2022
First submitted
16 Aug 2019
Last updated
2 Aug 2022
Results posted
No
Data monitoring committee
No
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 MILs™ - NSCLC, nivolumab and tadalafil in people with Non Small Cell Lung Cancer and Lung Cancer, run by WindMIL Therapeutics at 10 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 14 inclusion and 18 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 2 Aug 2022. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 10 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 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?

The study was stopped early (reason given: Resourcing). Results are not available in the source record.

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?

Adverse Events per National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events version 5.0 (time frame: From ICF through 100 days after the last dose of study treatment). The study lists 3 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 2 Aug 2022.

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Clinical Trial NCT04069936 | AzTrials