TAC T-cells for the Treatment of Claudin 18.2 Positive Solid Tumors (TACTIC-3) (NCT05862324) | Clinical Trial Compass
Active ā Not RecruitingPhase 1/2
TAC T-cells for the Treatment of Claudin 18.2 Positive Solid Tumors (TACTIC-3)
United States113 participantsStarted 2023-08-23
Plain-language summary
TAC01-CLDN18.2 is a novel cell therapy that consists of genetically engineered autologous T cells expressing T-cell Antigen Coupler (TAC) that recognizes Claudin 18.2. TAC directs T-cells to the targeted antigen (CLDN 18.2), and once engaged with the target, activates them via the endogenous T cell receptor.
This is an open-label, multicenter Phase ½ study that aims to establish safety, maximum tolerated dose (MTD) or recommended Phase 2 dose (RP2D), pharmacokinetic profile and efficacy of TAC01-CLDN18.2.
Who can participate
Age range18 Years
SexALL
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Inclusion criteria
ā. Signed, written informed consent obtained before any study procedures are conducted.
ā. Age ā„ 18 years at the time of informed consent.
ā. Tumor tissue samples positive for CLDN18.2 as assessed by central laboratory.
ā. Histologically confirmed advanced, metastatic, unresectable CLDN18.2+ solid tumors after at least 2 lines of prior therapy (Phase 1) and after at least 2 and no more than 4 prior lines of therapy (Phase 2). Subjects with PDAC may have been treated with 1 line of prior therapy.
ā. Subjects with incurable Claudin 18.2 expressing malignancies for which no standard-of-care targeted therapy exists may be enrolled regardless of the number of prior treatment lines.
ā. Specific Phase 1 tumor types include gastric, GEJ, esophageal adenocarcinoma, PDAC, colorectal cancer, cholangiocarcinoma, ovarian mucinous cancer, gallbladder cancer and NSCLC.
ā. Specific Phase 2 tumor types include gastric and esophageal adenocarcinoma (Group A), PDAC (Group B), and ovarian or NSCLC (Group C). Other tumor types are not eligible.
ā. Subjects with solid tumors with genetic alterations and mutations (e.g., BRAF, BRCA, EGFR mutations, and ALK translocation) where approved targeted therapies were available to their specific cancers must have been previously treated with such approved therapies, or refused such approved targeted therapy for their cancers, prior to enrollment, or in the opinion of the Investigator would be unlikely to tolerate or derive clinically meaningful benefit from these standard-of-care therapies.
Exclusion criteria
What they're measuring
1
Phase 1: Incidence of Treatment-Emergent Adverse Events (Safety and Tolerability)
Timeframe: 24 Months
2
Phase 2: Evaluate Overall Response Rate (ORR)
Timeframe: 24 Months
3
Phase 2: Evaluate Duration of Response (DoR)
Timeframe: 24 Months
4
Phase 2: Evaluate Overall survival (OS)
Timeframe: 24 Months
5
Phase 2: Evaluate Disease control rate (DCR)
Timeframe: 24 Months
6
Phase 2: Evaluate Progression-Free survival (PFS) or Time to progression (TTP)
ā. Adoptive cell transfer of any kind, including CAR T cells.
ā. Gene therapy
ā. Prior treatment with a CLDN18.2 targeted agent (Phase 2 only)
ā. Investigational medicinal product within 5 half-lives or 21 days prior to leukapheresis, whichever is shorter.
ā. Participation in or has participated in a study using an investigational device within 4 weeks prior to the first dose of study treatment.
ā. Receipt of a live or live-attenuated vaccine within 30 days prior to the first dose of study Intervention. Administration of killed vaccines are allowed.