ATL001 in Patients With Metastatic or Recurrent Melanoma
About the study
This is a first-in-human, open-label, multi-centre, phase I/IIa study to characterize the safety and clinical activity of ATL001, autologous clonal neoantigen reactive T cells (cNeT) administered intravenously in adults with metastatic or recurrent melanoma.
Who can take part
You may be eligible to participate in the study if you meet the following criteria:
INCLUSION CRITERIA
Inclusion Criteria:
- Patient must be at least 18 years old.
- Patient must have given written informed consent.
- Patients must have histologically confirmed diagnosis of melanoma.
- Patient is considered medically fit to undergo procurement of starting material and ATL001 administration procedures.
- ECOG Performance Status 0-1.
- Adequate organ function per the laboratory parameters defined in the protocol.
- Female patients who are of childbearing potential must agree to use a highly effective method of contraception during the study for at least 12 months after the ATL001 infusion. Non-sterilised male participants who intend to be sexually active with a female partner of childbearing potential must use an acceptable method of contraception from the time of screening, throughout the duration of the study and for at least 6 months after the ATL001 infusion.
- Anticipated life expectancy ≥ 6 months at the time of tissue procurement.
9. Measurable disease according to RECIST v1.1 criteria. Additional inclusion criteria will apply as per the study protocol.
EXCLUSION CRITERIA
Exclusion Criteria:
- Patients with known leptomeningeal disease or untreated, symptomatic or progressing central nervous system (CNS) metastases. Lesions should be clinically and radiologically stable for 2 months after treatment and should not require steroids.
- Patients with ocular, acral or mucosal melanoma.
- Patients with hepatitis B or C, human immunodeficiency virus infection (HIV 1/2), syphilis or HTLV I/II infection.
- Patients requiring immunosuppressive treatments.
- Patients requiring regular steroids at a dose higher than prednisolone 10mg/day (or equivalent).
- Patients with clinically significant, progressive, and/or uncontrolled renal, hepatic, haematological, endocrine, pulmonary, cardiac, gastroenterological, or neurological disease.
- Patients with a history of immune mediated (CNS) toxicity or ≥ Grade 2 diarrhoea/colitis caused by, , previous immunotherapy within the past 6 months.
- Patients who are pregnant or breastfeeding.
- Patients who have undergone major surgery in the previous 3 weeks.
- Patients with an active concurrent cancer or a history of cancer within the past 3 years (except for in situ carcinomas, early prostate cancer with normal Prostate-Specific Antigen (PSA) or non-melanomatous skin cancers).
- Patients with a history of organ transplantation.
- Patients who have previously received any investigational cell or gene therapies.
- Patients with contraindications for protocol specified agents.
Additional Exclusion criteria will apply as per the study protocol.
Study Locations
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How to Apply
Contact the study center to learn if this study is a good match for you.
Study Details
Contition
Melanoma
Age
18 - 75
Phase
PHASE1/PHASE2
Participants Needed
40
Est. Completion Date
Jul 1, 2027
Treatment Type
INTERVENTIONAL
Sponsor
Achilles Therapeutics UK Limited
ClinicalTrials.gov NCT Identifier
NCT03997474
Study Number
ATX-ME-001
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