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AzTrials

NeoplasmsPhase 2NCT06703346

Study to Evaluate Safety and Antitumor Activity of Lete-Cel (GSK3377794) in HLA-A2+ Participants With NY-ESO-1 Positive Previously Treated Advanced (Metastatic or Unresectable) Synovial Sarcoma or Myxoid/Round Cell Liposarcoma

A Phase 2 study testing Letetresgene autoleucel (Lete-Cel (GSK3377794)), Cyclophosphamide and Fludarabine in people with Neoplasms, run by USWM CT, LLC at 38 sites in 7 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

This trial will evaluate safety and efficacy of human engineered T-cell therapies, in participants with advanced tumors. This trial is a sub study of the Master study NCT03967223. Read more about this study

Who is it for?
Ages 10 years and older
Conditions the study is for
Neoplasms
What is being tested?
Letetresgene autoleucel (Lete-Cel (GSK3377794)), Cyclophosphamide and Fludarabine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
82 participants
Where
38 sitesin 7 countries
Study dates
31 Dec 2019to 24 Jul 2026
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 10 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Participant must be ≥10 years of age at the time of signing the informed consent.
  • Participant scheduled to receive clinical drug product supply must also weigh ≥40 kg.
  • Participant has a diagnosis of synovial sarcoma or myxoid/round cell liposarcoma, confirmed by local histopathology with evidence of disease-specific translocation.
  • Participant has advanced (metastatic or unresectable) synovial sarcoma or myxoid/round cell liposarcoma. Unresectable refers to a tumor lesion in which clear surgical excision margins cannot be obtained without leading to significant functional compromise.
  • Male or female. Contraception requirements will apply at the time of leukapharesis and treatment.
  • Life expectancy ≥24 weeks
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  • Participant has confirmed evidence of a relevant disease-specific translocation per below:
  • For synovial sarcoma, presence of a translocation involving chromosome 18 (SYT gene) and/or chromosome X (SSX1, SSX2 or SSX4 genes).
  • For myxoid/round cell liposarcoma, presence of a translocation involving chromosome 12 (DDIT3 gene) and/or chromosome 16 (FUS gene) and/or chromosome 22 (EWSR1 gene).
  • Participant is either currently being treated with or has completed at least one standard-of-care treatment including anthracycline-containing regimens (e.g., doxorubicin alone, doxorubicin with ifosfamide) for advanced (metastatic or inoperable) disease. Participants who are intolerant to anthracycline may receive ifosfamide alone unless intolerant to or ineligible to receive ifosfamide. Participants who received anthracycline-based therapy in the neoadjuvant/adjuvant setting and progressed will be eligible.
  • Participant must be positive for HLA-A*02:01, HLA-A*02:05, and/or HLA-A*02:06 alleles by a validated test in a designated central lab prior to leukapheresis
  • Participant's tumor has been pathologically reviewed by a designated central laboratory with confirmed positive NY-ESO-1 expression defined as ≥30% of cells that are 2+ or 3+ by immunohistochemistry.
  • Left ventricular ejection fraction ≥45% with no evidence of clinically significant pericardial effusion.
  • Performance status: for participants <16 years of age, Lansky >60, or for participants ≥16 and <18 years of age, Karnofsky >60, or for participants ≥18 years of age, Eastern Cooperative Oncology Group (ECOG) of 0-1.
  • Participant must have adequate organ function and blood cell counts, within 7 days prior to the day of the leukapheresis procedure
  • Participant is fit for leukapheresis and has adequate venous access for the cell collection
  • Female participants of childbearing potential (FCBP) must have a negative urine or serum pregnancy test.
  • Participant has measurable disease according to RECIST v1.1.
  • Participant has documented radiographic evidence of disease progression from prior line of therapy.
  • A biopsy (excisional, incisional, or core) of non-target tumor tissue obtained within 28 days prior to initiating lymphodepleting chemotherapy is mandatory if clinically feasible. This biopsy will be used as baseline for biomarker analyses. If it is not feasible to obtain a fresh biopsy, an archival tumor tissue (FFPE block) taken preferably after completion of the participant's last line of therapy, preferably within 90 days prior to initiating lymphodepleting chemotherapy, may be accepted.
  • A haematologist has been consulted prior to lymphodepletion in participants who have had a serious/significant bleeding/thrombosis history.

Who cannot join

  • Central nervous system (CNS) metastases.
  • Any other prior malignancy that is not in complete remission.
  • Previous treatment with genetically engineered NY-ESO-1-specific T cells.
  • Previous NY-ESO-1 vaccine or NY-ESO-1 targeting antibody.
  • Prior gene therapy using an integrating vector
  • Previous allogeneic hematopoietic stem cell transplant
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  • Clinically significant systemic illness (serious active infections or significant cardiac, pulmonary, hepatic, or other organ dysfunction, that in the judgment of the Investigator would compromise the participant's ability to tolerate protocol therapy or significantly increase the risk of complications) or prior or active demyelinating disease
  • Participant has received cytotoxic therapy within 3 weeks prior to lymphodepleting chemotherapy
  • Systemic corticosteroids or any other immunosuppressive therapy within 2 weeks prior to lymphodepleting chemotherapy.
  • Participant has received ≥50 Gy to a significant volume of the pelvis, long bones or spine, or a cumulative dose of radiation that, in the Investigator's opinion would predispose patients to prolonged cytopenia after lymphodepletion.
  • All of the participant's measurable lesions have been irradiated within 3 months prior to lymphodepletion. An irradiated measurable lesion with unequivocal progression following irradiation may be considered a target lesion regardless of time from last radiotherapy dose.
  • Participant has received an anti-cancer vaccine within 2 months in the absence of tumor response. The participant should be excluded if their disease is responding to an experimental vaccine given within 6 months.
  • Participant has received live vaccine within 4 weeks prior to lymphodepletion or intends to receive live vaccine during the 3-month period following administration of lete-cel.
  • Participant has received immune therapy (monoclonal antibody therapy, checkpoint inhibitors) within 4 weeks of lymphodepletion.
  • Participant had major surgery ≥28 days of first dose of study intervention

Trial locations and contacts

38 sites in 7 countries.

38 sites in 7 countries

United States24 sites
  • University of Michigan Medical Center

    Ann Arbor, Michigan, 48109

  • Dana Farber Cancer Institute

    Boston, Massachusetts, 02114

  • Massachusetts General Hospital

    Boston, Massachusetts, 02114

  • University of Chicago

    Chicago, Illinois, 60637

  • Ohio State University-Columbus

    Columbus, Ohio, 43210

  • University Of Texas Southwestern Medical Center

    Dallas, Texas, 75390-8565

  • University of Texas Southwestern Medical Center

    Dallas, Texas, 75390-9063

  • Sarah Cannon Research Institute

    Denver, Colorado, 80218

  • City of Hope National Medical Center

    Duarte, California, 91010

  • Duke University Medical Center

    Durham, North Carolina, 27710

  • University of Iowa College of Medicine

    Iowa City, Iowa, 52242-1009

  • Mayo Clinic Jacksonville

    Jacksonville, Florida, 32224

  • Froedtert Hospital

    Milwaukee, Wisconsin, 53226

  • Minnesota Oncology Hematology

    Minneapolis, Minnesota, 55455

  • Sarah Cannon Research Institute

    Nashville, Tennessee, 37203

  • Memorial Sloan Kettering cancer center

    New York, New York, 10065

  • University of Pittsburgh, Hillman Cancer centre

    Pittsburgh, Pennsylvania, 15232

  • Oregon Health and Science University

    Portland, Oregon, 97239

  • Virginia Commonwealth University

    Richmond, Virginia, 23298

  • Mayo Clinic Rochester

    Rochester, Minnesota, 55905

  • University of Utah

    Salt Lake City, Utah, 84112

  • Fred Hutchinson Cancer Research Center

    Seattle, Washington, 98109-1024

  • Washington University

    St Louis, Missouri, 63110

  • Stanford Hospital and Clinics

    Stanford, California, 94305

Other trials in United States

Spain4 sites
  • Hospital Santa Creu Y Sant Pau

    Barcelona, 08025

  • Ico Duran y Reynals l'Hospitalet de Llobrega

    Barcelona, 08907

  • Hospital Universitario Fundación Jiménez Díaz

    Madrid, 28040

  • Hospital Virgen Del Rocio

    Seville, 41013

Other trials in Spain

United Kingdom3 sites
  • Royal Marsden Hospital

    London, SW3 6JJ

  • University College Hospital-London

    London, WC1E 6AG

  • Christie Hospital NHS Foundation Trust

    Manchester, M20 4BX

Other trials in United Kingdom

Canada2 sites
  • CIUSSS de L'Est-De-Lile-De-Montreal

    Montreal, Quebec, H1T 2M4

  • Princess Margaret Cancer Centre

    Toronto, Ontario, M5G 2M9

Other trials in Canada

France2 sites
  • Centre Léon Bérard

    Lyon, 69373

  • CHU de Bordeaux GH Sud Hôpital Haut Lévêque

    Pessac, 33604

Other trials in France

Italy2 sites
  • Fondazione IRCCS Instituto Nazionale Dei Tumori

    Milan, Lombardy, 20133

  • Ircss Istituto Clinico Humanitas

    Rozzano (MI), Lombardy, 20089

Other trials in Italy

Netherlands1 site
  • The Netherlands Cancer Institute

    Amsterdam, 1066 CX

Other trials in Netherlands

About this study

Official title: Evaluation of Safety and Antitumor Activity of Lete-Cel (GSK3377794) in HLA-A2+ Participants With NY-ESO-1 Positive Previously Treated Advanced (Metastatic or Unresectable) Synovial Sarcoma or Myxoid/Round Cell Liposarcoma

This trial will evaluate safety and efficacy of human engineered T-cell therapies, in participants with advanced tumors. This trial is a sub study of the Master study NCT03967223.

Conditions
Neoplasms
Being tested
Letetresgene autoleucel (Lete-Cel (GSK3377794)), Cyclophosphamide, Fludarabine
Keywords
Adoptive T-cell therapy, Letetresgene autoleucel, Lete-cel
Medical subject headings
Neoplasms

What participants receive

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

  • Letetresgene autoleucel (Lete-Cel (GSK3377794))Drug

    Letetresgene autoleucel will be administered

  • CyclophosphamideDrug

    Cyclophosphamide will be used as a lymphodepleting chemotherapy

  • FludarabineDrug

    Fludarabine will be used as a lymphodepleting chemotherapy

Study groups in NCT06703346
Study groupRoleWhat they receive
Letetresgene autoleucelExperimentalNot described
Receives: Drug: Letetresgene autoleucel (Lete-Cel (GSK3377794)); Drug: Cyclophosphamide; Drug: Fludarabine

What is being measured

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

  1. ORR (Overall Response Rate)

    ORR is defined as the percentage of participants with a confirmed complete response (CR) or confirmed partial response (PR) via investigator assessment per Response Evaluation Criteria in Solid Tumors Criteria (RECIST) version 1.1 relative to the total number of participants in the analysis population. CR is defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to less than (<)10 millimeters (mm). PR is defined as at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference, the baseline sum of the diameters (e.g., percent change from baseline). 95% CI is based on Clopper-Pearson exact confidence interval.

    Measured: Up to approximately 36 months

Secondary outcomes (14)
  1. DCR (Disease Control Rate)

    DCR, is defined as the percentage of participants with a confirmed CR, PR, or SD with minimal 12 weeks duration relative to the total number of participants within the analysis population at the time of primary analysis as determined by independent central review per RECIST v1.1. The observed DCR will be reported along with 95% Clopper-Pearson exact confidence interval (CI). DCR will be analyzed based on PEAP and mITT populations.

    Measured: Up to approximately 36 months

  2. PFS (Progression Free Survival)

    PFS, is defined as the time from the date of T-cell infusion until the earliest date of radiological PD as assessed by independent central review per RECIST v1.1, or death due to any cause. For the analysis of PFS, if the participant received subsequent anticancer therapy prior to the date of documented events, PFS will be censored at the last adequate disease assessment (e.g., assessment when visit level response was CR, PR, or SD) prior to the initiation of the new anticancer therapy. If a participant does not have an adequate post-baseline disease assessment that is no later than the date of initiation of anti-cancer therapy, PFS will be censored at the date of the T-cell infusion date.

    Measured: Up to approximately 54 months

  3. OS (Overall survival)

    OS is defined as the interval of time between the date of T-cell infusion and the date of death due to any cause. For participants who do not die, time of death will be censored at the date of last contact. The date of death should be taken from that recorded on the Record of Death page. Death on study due to any cause will be included. Survival will be listed and summarized using Kaplan-Meier quartile estimates along with 2-sided 95% CI.

    Measured: up to 15 years post-T-cell infusion

  4. DOR (Duration of response)

    DOR is defined as, in the subset of participants who show a confirmed CR or PR as assessed by independent central review per RECIST v1.1, the time from first documented evidence of CR or PR until the first documented sign of disease progression or death. Duration of response will be summarized descriptively, if data warrant, using Kaplan-Meier medians and quartiles. Censoring: same as PFS censorship table.

    Measured: Up to approximately 54 months

  5. TTR (Time to response)

    TTR is defined as the time from the date of T-cell infusion to initial date of confirmed response (PR or CR) as assessed by independent central review per RECIST v1.1 in the subset of participants who achieved a confirmed PR or CR.

    TTR will be listed and summarized descriptively using median and quartiles in the subset of participants with a confirmed response of PR or CR.

    Efficacy listings such as BOR, DOR, PFS and OS will be reported for the PEAP and mITT populations.

    Measured: Up to approximately 54 months

  6. Number of Participants with Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (TESAEs)

    An AE is any untoward medical occurrence in a clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. SAE is defined as any untoward medical occurrence that, at any dose results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect, other situations which involve medical or scientific judgment or is associated with liver injury and impaired liver function.

    Measured: Up to approximately 54 months

  7. Number of Participants with AEs of Special Interest (AESIs)

    An AESI may be of scientific and medical concern related to the treatment, monitored, and rapidly communicated by investigator to sponsor. AESIs included cytokine release syndrome (CRS), hematopoietic cytopenias (including pancytopenia and aplastic anemia), graft vs host disease (GVHD), ICANS, Guillain-Barre syndrome, treatment-related inflammatory response at tumor site(s), and neutropenia Grade 4 lasting ≥28 days.

    Measured: Up to approximately 54 months

  8. Number of Participants with TEAEs and TESAEs by Severity

    An AE is any untoward medical occurrence in a clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. SAE is defined as any untoward medical occurrence that, at any dose results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect, other situations which involve medical or scientific judgment or is associated with liver injury and impaired liver function. AEs and SAEs were graded according to National Cancer Institute-Common Toxicity Criteria for Adverse Events (NCI-CTCAE) version 5.0. Grade 1- Mild; Grade 2- Moderate; Grade 3- Severe or medically significant but not immediately life-threatening; Grade 4- Life-threatening consequences; Grade 5- Death related to AE.

    Measured: Up to approximately 54 months

  9. Number of Participants with AESIs by Severity

    An AESI may be of scientific and medical concern related to the treatment, monitored, and rapidly communicated by investigator to sponsor. AESIs included cytokine release syndrome (CRS), hematopoietic cytopenias (including pancytopenia and aplastic anemia), graft vs host disease (GVHD), ICANS, Guillain-Barre syndrome, treatment-related inflammatory response at tumor site(s), and neutropenia Grade 4 lasting ≥28 days.

    Measured: Up to approximately 54 months

  10. Percentage of Participants with Replication Competent Lentivirus (RCL) Positive

    RCL was monitored using a polymerase chain reaction (PCR)-based assay that detects and measures copies of the gene coding for the vector's envelope protein, namely vesicular stomatitis virus G protein (VSV-G).

    Measured: Up to approximately 54 months

  11. Instances of Insertional Oncogenesis (IO)

    Instances of Insertional Oncogenesis (IO) was summarized descriptively

    Measured: Up to approximately 54 months

  12. Maximum Transgene Expansion (Cmax)

    Cmax was defined as maximum observed persistence, determined directly from the persistence-time data. Blood samples were collected for PK analysis

    Measured: Day 1 to Day 14

  13. Time to Cmax (Tmax)

    Tmax was defined as time to reach Cmax, determined directly from the persistence-time data. Blood samples were collected for PK analysis.

    Measured: Day 1 to Day 14

  14. Area Under the Time Curve from Zero to Time 28 Days (AUC [0-28])

    Area under the persistence-time curve from time zero to Day 28. Blood samples were collected for PK analysis.

    Measured: Up to 28 days

Timeline

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

  1. First posted25 Nov 2024
  2. Study start31 Dec 2019
  3. Primary completion1 Mar 2024
  4. Study completion24 Jul 2026

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
Single group
Masking
None (open label)
Enrolment
82 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06703346
Sponsor's protocol ID
208467 Substudy 2
Status last verified
Aug 2026
First submitted
21 Nov 2024
Last updated
13 Aug 2026
Results posted
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 Letetresgene autoleucel (Lete-Cel (GSK3377794)), Cyclophosphamide and Fludarabine in people with Neoplasms, run by USWM CT, LLC at 38 sites in 7 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 21 inclusion and 15 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: finished, as of the sponsor's last update on 13 Aug 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 38 sites in United States, Spain, United Kingdom, Canada, France and 2 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

ORR (Overall Response Rate) (time frame: Up to approximately 36 months). 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 13 Aug 2026.

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