Gene Modified Immune Cells After Conditioning Regimen for the Treatment of Stage IIIC or IV Melanoma or Metastatic Solid Tumors
NCT04119024 · Status: RECRUITING · Phase: PHASE1 · Type: INTERVENTIONAL · Enrollment: 18
Last updated 2026-03-17
Summary
This phase I trial studies the side effects and best dose of modified immune cells (IL13Ralpha2 CAR T cells) after a chemotherapy conditioning regimen for the treatment of patients with stage IIIC or IV melanoma or solid tumors that have spread to other places in the body (metastatic). The study agent is called IL13Ralpha2 CAR T cells. T cells are a special type of white blood cell (immune cells) that have the ability to kill tumor cells. The T cells are obtained from the patient's own blood, grown in a laboratory, and modified by adding the IL13Ralpha2 CAR gene. The IL13Ralpha2 CAR gene is inserted into T cells with a virus called a lentivirus. The lentivirus allows cells to make the IL13Ralpha2 CAR protein. This CAR has been designed to bind to a protein on the surface of tumor cells called IL13Ralpha2. This study is being done to determine the dose at which the gene-modified immune cells are safe, how long the cells stay in the body, and if the cells are able to attack the cancer.
Conditions
- Metastatic Malignant Solid Neoplasm
- Metastatic Melanoma
- Pathologic Stage IIIC Cutaneous Melanoma AJCC v8
- Pathologic Stage IV Cutaneous Melanoma AJCC v8
- Recurrent Malignant Solid Neoplasm
- Refractory Malignant Solid Neoplasm
- Uveal Melanoma
- Acral Melanoma
- Neuroendocrine Tumors
- Paraganglioma
- Pheochromocytoma
- Adrenocortical Carcinoma
- Pancreatic Neuroendocrine Tumor
- Thyroid Cancer
- Breast Cancer
- Lung Adenocarcinoma
- Head and Neck Squamous Cell Carcinoma
Interventions
- PROCEDURE
-
Biopsy
Undergo biopsy
- PROCEDURE
-
Biospecimen Collection
Undergo collection of blood samples
- PROCEDURE
-
Computed Tomography
Undergo CT scan
- DRUG
-
Given IV
- DRUG
-
Fludarabine Phosphate
Given IV
- OTHER
-
Fludeoxyglucose F-18
Undergo FDG-PET/CT scan
- BIOLOGICAL
-
IL13Ralpha2-specific Hinge-optimized 4-1BB-co-stimulatory CAR/Truncated CD19-expressing Autologous TN/MEM Cells
Given IV
- PROCEDURE
-
Magnetic Resonance Imaging
Undergo MRI
- PROCEDURE
-
Positron Emission Tomography
Undergo PET scan
Sponsors & Collaborators
-
Melanoma Research Alliance
collaborator OTHER -
California Institute for Regenerative Medicine (CIRM)
collaborator OTHER -
City of Hope National Medical Center
collaborator OTHER -
Jonsson Comprehensive Cancer Center
collaborator OTHER -
Anusha Kalbasi
lead OTHER
Principal Investigators
-
Allison Betof Warner, MD, PhD · Stanford University
-
Antoni Ribas, MD, PhD · University of California, Los Angeles
-
Yan Xing, MD, PhD · City of Hope Medical Center
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Max Age
- 75 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-10-07
- Primary Completion
- 2026-10-31
- Completion
- 2026-10-31
- FDA Drug
- Yes
Countries
- United States
Study Locations
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