Metastatic Melanoma
Conditions
Keywords
LN-144, Non-uveal melanoma, Lifileucel (LN-144), 22-322
Brief summary
This is an open label study evaluating lifileucel (LN-144) in patients with melanoma brain metastases.
Detailed description
Lifileucel (LN-144) is an autologous Tumor Infiltrating Lymphocytes (TIL) cell therapy that utilizes a 22-day centralized GMP process. Lifileucel is infused as part of a treatment regimen that includes preparative NMA-LD, followed by one-time autologous TIL infusion, and a short course of high-dose IL-2.
Interventions
A portion of the patient's tumor is resected and serves as the starting material for manufacturing lifileucel. After preparative NMA-LD, patients are infused with their autologous TIL (lifileucel), followed by a short course of high-dose IL-2.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Metastatic melanoma with asymptomatic brain metastases 2. At least one resectable lesion (or aggregate of lesions resected) of a minimum 1.5 cm in diameter post-resection to generate TIL 3. Must be ≥ 18 years of age at time of consent 4. ECOG performance status of 0-1 and estimated life expectancy of ≥ 3 months 5. Adequate hematologic parameters and organ function
Exclusion criteria
1. Received organ allograft, except kidney transplant, or prior cell transfer therapy including TIL and CAR-T therapies 2. Ongoing grade 2-4 toxicity from prior immunotherapy (excluding endocrine, ocular toxicity or vitiligo) 3. History of hypersensitivity to any component or excipient of lifileucel or other treatment regimen drugs 4. Symptomatic brain metastases 5. Chronic systemic steroid therapy of \> 10 mg/day 6. Active medical illness(es) that would pose increased risk for protocol participation 7. Must have negative syphilis assay and be seronegative for HIV, positive serology for HBV must have corresponding PCR assay and may be enrolled if viral load by PCR is undetectable 8. Primary immunodeficiency 9. Received live or attenuated vaccine within 28 days prior to beginning NMA-LD 10. Pregnant or breastfeeding 11. Patients who cannot receive gadolinium-enhanced MRI.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Feasibility of treatment with LN-144 in patients with asymptomatic Metastatic Melanoma to the Brain (MMB) | 1 year | measured by the number of patients who undergo surgery and successfully undergo LN-144 infusion |
Countries
United States
Contacts
Memorial Sloan Kettering Cancer Center