"Re-Stimulated" TILs and IL-2 Therapy for Platinum Resistant Ovarian, Fallopian Tube, or Primary β¦ (NCT01883297) | Clinical Trial Compass
Active β Not RecruitingPhase 1
"Re-Stimulated" TILs and IL-2 Therapy for Platinum Resistant Ovarian, Fallopian Tube, or Primary Peritoneal Cancer
Canada3 participantsStarted 2015-01
Plain-language summary
This is a phase I clinical study for patients with platinum-resistant high grade serous ovarian, fallopian tube, or primary peritoneal cancer, and the response to a combination of cyclophosphamide, autologous tumor-infiltrating lymphocytes (TILs), autologous dendritic cells (DCs), and OKT3 (anti-CD3 antibody), along with low-dose interleukin-2 (IL-2) therapy.
Who can participate
Age range18 Years
SexALL
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Inclusion criteria
β. Platinum resistant high grade serous ovarian, fallopian tube, or primary peritoneal cancer.
β. Tumor is suitable for harvest (i.e., lesion to be harvested for TIL evaluation has a total volume of β₯1cm3) or patient has previously undergone tumor harvest under other REB approved studies involving clinical evaluation of TILs.
β. If tumor harvest is required, subject must be a suitable surgical candidate in the opinion of the operating surgeon.
β. Patient age: β₯ 18 years.
β. Clinical performance status of ECOG 0 or 1.
β. Life expectancy \> 5 months from the date of consent for TIL evaluation.
β. Ability to understand and has signed the Pre-Screening Consent Form.
β. Patients are willing to be tested for transmissible diseases (active Hepatitis B (HBV) or Hepatitis C (HCV), human immunodeficiency virus (HIV), Human T-Cell Lymphotropic Virus (HTLV), Herpes Simplex Virus (HSV), Cytomegalovirus (CMV), Syphilis (with West Nile Virus only tested between May 1st and November 30th)
Exclusion criteria
β. Subjects with ongoing or prior use systemic steroid therapy within 4 weeks before the TILs infusion will be excluded. Use of topical, intranasal and inhaled corticosteroids, or systemic corticosteroids at physiologic doses are allowed. Oral steroid use as premedication to prevent allergic reactions to radiologic contrast is allowed.
β. Subjects cannot be HIV positive.
What they're measuring
1
Number of occurrences and severity of side effects
Timeframe: Starting at first dose of study treatment up to 10 years
β. Subjects cannot have active hepatitis B or hepatitis C, syphilis, or Human T-Cell Lymphotropic Virus (HTLV).
β. The number of prior lines of chemotherapy is not limited. However, if the subject has had β₯3 lines of prior chemotherapy for platinum refractory or platinum resistant disease, documentation of a response to one of these lines is required. Response can be defined by RECIST 1.1 or CA125 as defined by the modified GCIG criteria (See Section 11).
β. The subject cannot have any active systemic infections, coagulation disorders or other active major medical illnesses of the cardiovascular, respiratory or immune system, uncontrolled psychiatric disorders, or other conditions that may affect compliance with the trial.
β. The subject must have no active underlying cardiac illnesses defined by positive stress test, LVEF\<40% or ongoing life-threatening arrhythmias (i.e., for patients older than 60 years of age or otherwise clinically indicated).
β. Subjects who have a prolonged history of cigarette smoking or symptoms of respiratory dysfunction will be excluded if they have an abnormal pulmonary function test as evidenced by a FEV1 \< 60% predicted.