A Cancer Research UK Phase I Trial of Adoptive Transfer of Autologous Tumor Antigen-Specific T Cells With Preconditioning Chemotherapy and Intravenous IL2 in Patients With Advanced CEA Positive Tumors
OBJECTIVES:
Primary
- To evaluate the feasibility of MFE23 scFv-expressing autologous anti-CEA MFEz T
lymphocytes in combination with preconditioning chemotherapy comprising
cyclophosphamide and fludarabine phosphate plus aldesleukin in patients with
CEA-positive tumors.
- To assess the toxicity of this regimen in these patients.
- To determine the dose of MFE23 scFv-expressing autologous anti-CEA MFEz T lymphocytes
required to give optimal survival of these cells in the circulation (recommended phase
II dose).
Secondary
- To assess whether MFE23 scFv-expressing autologous anti-CEA MFEz T lymphocytes isolated
from the circulation are functional.
- To determine the preliminary tumor response to MFE23 scFv-expressing autologous
anti-CEA MFEz T lymphocytes.
- To evaluate the safety of MFE23 scFv-expressing autologous anti-CEA MFEz T lymphocytes.
OUTLINE: This is a phase I, dose-escalation study of MFE23 scFv-expressing autologous
anti-CEA MFEz T lymphocytes.
Patients undergo leukapheresis 7-14 days before study therapy begins. Cells are then
transduced with a retrovirus vector and expanded to produce MFE23 scFv-expressing autologous
anti-CEA MFEz T lymphocytes.
Patients receive preconditioning chemotherapy comprising fludarabine phosphate IV over 15
minutes on days -5 to -1 or cyclophosphamide IV over 1 hour on days -7 to -6 and fludarabine
phosphate IV over 15 minutes on days -5 to -1. They receive MFE23 scFv-expressing autologous
anti-CEA MFEz T lymphocytes IV over 30 minutes on day 0. Patients also receive high-dose
aldesleukin IV over 15 minutes every 8 hours for up to 12 doses beginning on day 0, in the
absence of disease progression or unacceptable toxicity. If there is evidence of MFE23
scFv-expressing autologous anti-CEA MFEz T lymphocytes survival, patients may receive
additional high-dose aldesleukin.
Patients undergo blood sample collection periodically for pharmacokinetic and
pharmacodynamic studies. Some patients may undergo a tumor biopsy.
After completion of study treatment, patients are followed up every 2 weeks for 6 weeks,
every 4 weeks for 6 months, every 3 months for 1 year, and then every 6 months thereafter.
Peer Reviewed and Funded or Endorsed by Cancer Research UK
Interventional
Masking: Open Label, Primary Purpose: Treatment
Percentage of patients (goal is 50%) who are evaluable for MFE23 scFv-expressing autologous anti-CEA MFEz T lymphocytes survival
No
Robert E. Hawkins, MD
Principal Investigator
Christie Hospital NHS Foundation Trust
United Kingdom: Medicines and Healthcare Products Regulatory Agency
CDR0000685060
NCT01212887
August 2007
April 2010
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