A Study of Metastatic Gastrointestinal Cancers Treated With Tumor Infiltrating Lymphocytes in Which the Gene Encoding the Intracellular Immune Checkpoint CISH Is Inhibited Using CRISPR Genetic Engineering
NCT04426669 · Status: COMPLETED · Phase: PHASE1/PHASE2 · Type: INTERVENTIONAL · Enrollment: 23
Last updated 2026-02-23
Summary
A clinical trial to assess the safety and efficacy of genetically-engineered, neoantigen-specific Tumor Infiltrating Lymphocytes (TIL) in which the intracellular immune checkpoint CISH has been inhibited using CRISPR gene editing for the treatment of Gastro-Intestinal (GI) Cancer.
Conditions
- Gastrointestinal Epithelial Cancer
- Gastrointestinal Neoplasms
- Cancer of Gastrointestinal Tract
- Cancer, Gastrointestinal
- Gastrointestinal Cancer
- Colo-rectal Cancer
- Pancreatic Cancer
- Gall Bladder Cancer
- Colon Cancer
- Esophageal Cancer
- Stomach Cancer
Interventions
- DRUG
-
Day -6 and Day -5: Cyclophosphamide 60 mg/kg/dose as a 2 hour intravenous infusion with Mesna 15 mg/kg/dose, 1st dose prior to Cyclophosphamide infusion then at 3,6,9 and 12 hours later.
- DRUG
-
Day -7 to Day -3 : Fludarabine 25 mg/m\^2/dose as a 1 hour intravenous infusion per institutional guidelines once a day for 5 doses beginning on Day -7. Fludarabine will be started approximately 1 to 2 hours after the cyclophosphamide on Day -6 and Day -5.
- BIOLOGICAL
-
Tumor-Infiltrating Lymphocytes (TIL)
Day 0 : Each bag of autologous CISH inactivated TIL for infusion will be administered intravenously (IV) on the Patient Care Unit over 10-20 minutes at assigned dose level.
- DRUG
-
Aldesleukin
Days 1-4 : Aldesleukin at 720,000 U/kg as an intravenous infusion, every 8 -12 hours but, no more than 24 hours apart as tolerated for up to 6 doses.
Sponsors & Collaborators
-
Masonic Cancer Center, University of Minnesota
collaborator OTHER -
Intima Bioscience, Inc.
lead INDUSTRY
Principal Investigators
-
Emil Lou, MD, PhD · Division of Hematology, Oncology and Transplantation, University of Minnesota
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SEQUENTIAL
Eligibility
- Min Age
- 18 Years
- Max Age
- 70 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2020-05-15
- Primary Completion
- 2025-05-28
- Completion
- 2026-01-22
- FDA Drug
- Yes
Countries
- United States
Study Locations
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