Trial Outcomes & Findings for A Phase 1/2 Trial of TC-510 In Patients With Advanced Mesothelin-Expressing Cancer (NCT NCT05451849)

NCT ID: NCT05451849

Last Updated: 2026-07-13

Results Overview

TEAEs are defined as AEs that were reported or worsened on or after the first administration of protocol-defined lymphodepleting chemotherapy through 3 months after the last infusion of TC-510. To be defined as serious, the event met at least one of the following serious criteria: * Fatal * Life-threatening (places the patient at immediate risk of death) * Requires in-patient hospitalization or prolongation of existing hospitalization * Results in persistent or significant disability/incapacity * Congenital anomaly/birth defect * Other medically important serious event

Recruitment status

TERMINATED

Study phase

PHASE1/PHASE2

Target enrollment

14 participants

Primary outcome timeframe

From start of lymphodepleting chemotherapy through end of the interventional phase (up to approximately 38 months)

Results posted on

2026-07-13

Participant Flow

Fourteen (14) participants were screened and subsequently underwent leukapheresis in Phase 1 (Intent-to-Treat population). Six (6) participants received lymphodepleting chemotherapy and were dosed in Phase 1 (modified Intent-to-Treat population). No participants were subsequently included in Phase 2 as Phase I was terminated early due to the lack of a clear signal of robust clinical activity.

Participant milestones

Participant milestones
Measure
Phase 1
Eligible participants underwent leukapheresis to manufacture engineered T cells. Prior to dosing, participants had to remain eligible and, prior to dosing, were given lymphodepleting chemotherapy (fludarabine and cyclophosphamide). Six (6) participants were dosed once with a mean total of 50.7 x 10\^7 TC-510 T cells (mITT population). All subjects completed the interventional phase of the trial.
Overall Study
STARTED
14
Overall Study
COMPLETED
6
Overall Study
NOT COMPLETED
8

Reasons for withdrawal

Reasons for withdrawal
Measure
Phase 1
Eligible participants underwent leukapheresis to manufacture engineered T cells. Prior to dosing, participants had to remain eligible and, prior to dosing, were given lymphodepleting chemotherapy (fludarabine and cyclophosphamide). Six (6) participants were dosed once with a mean total of 50.7 x 10\^7 TC-510 T cells (mITT population). All subjects completed the interventional phase of the trial.
Overall Study
Did not meet eligibility criteria prior to lymphodepletion and dosing
8

Baseline Characteristics

A Phase 1/2 Trial of TC-510 In Patients With Advanced Mesothelin-Expressing Cancer

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Phase 1
n=6 Participants
Eligible participants underwent leukapheresis to manufacture engineered T cells. Prior to dosing, participants had to remain eligible and, prior to dosing, were given lymphodepleting chemotherapy (fludarabine and cyclophosphamide). Six (6) participants were dosed once with a mean total of 50.7 x 10\^7 TC-510 T cells (mITT population). All subjects completed the interventional phase of the trial.
Age, Customized
Mean Age
54 Years
n=20 Participants
Sex: Female, Male
Female
4 Participants
n=20 Participants
Sex: Female, Male
Male
2 Participants
n=20 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=20 Participants
Race (NIH/OMB)
Asian
0 Participants
n=20 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=20 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=20 Participants
Race (NIH/OMB)
White
6 Participants
n=20 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=20 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=20 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=20 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
6 Participants
n=20 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=20 Participants
Tumor type
MPM
3 Participants
n=20 Participants
Tumor type
Pancreatic
2 Participants
n=20 Participants
Tumor type
Ovarian
1 Participants
n=20 Participants

PRIMARY outcome

Timeframe: From start of lymphodepleting chemotherapy through end of the interventional phase (up to approximately 38 months)

Population: The modified ITT Population included all participants enrolled and treated with TC-510.

TEAEs are defined as AEs that were reported or worsened on or after the first administration of protocol-defined lymphodepleting chemotherapy through 3 months after the last infusion of TC-510. To be defined as serious, the event met at least one of the following serious criteria: * Fatal * Life-threatening (places the patient at immediate risk of death) * Requires in-patient hospitalization or prolongation of existing hospitalization * Results in persistent or significant disability/incapacity * Congenital anomaly/birth defect * Other medically important serious event

Outcome measures

Outcome measures
Measure
Phase 1
n=6 Participants
Eligible participants underwent leukapheresis to manufacture engineered T cells. Prior to dosing, participants had to remain eligible and, prior to dosing, were given lymphodepleting chemotherapy (fludarabine and cyclophosphamide). Six (6) participants were dosed once with a mean total of 50.7 x 10\^7 TC-510 T cells (mITT population). All subjects completed the interventional phase of the trial.
Number of Participants With Treatment Emergent Adverse Events (TEAE) and Serious TEAEs
Participants with any TEAEs · TEAE Grade >= 3
6 Participants
Number of Participants With Treatment Emergent Adverse Events (TEAE) and Serious TEAEs
Participants with any TEAEs related to TC-510 · TEAE Grade >= 3
6 Participants
Number of Participants With Treatment Emergent Adverse Events (TEAE) and Serious TEAEs
Participants with any TEAEs Grade >=3 related to TC-510 · TEAE Grade >= 3
3 Participants
Number of Participants With Treatment Emergent Adverse Events (TEAE) and Serious TEAEs
Participants with any Serious TEAEs · TEAE Grade >= 3
4 Participants
Number of Participants With Treatment Emergent Adverse Events (TEAE) and Serious TEAEs
Participants with Serious TEAEs related to TC-510 · TEAE Grade >= 3
3 Participants
Number of Participants With Treatment Emergent Adverse Events (TEAE) and Serious TEAEs
Subjects with any Serious TEAEs >=Grade 3 related to TC-510 · TEAE Grade >= 3
2 Participants
Number of Participants With Treatment Emergent Adverse Events (TEAE) and Serious TEAEs
Participants with any Serious TEAEs with fatal outcome · TEAE Grade >= 3
0 Participants

SECONDARY outcome

Timeframe: From first TC-510 infusion through study completion (up to approximately 38 months)

Population: The modified ITT Population included all participants enrolled and treated with TC-510.

ORR is the proportion of patients with a Complete Response (CR) or Partial Response (PR) via independently reviewed RECIST v 1.1 relative to the total number of patients in the mITT population.

Outcome measures

Outcome measures
Measure
Phase 1
n=6 Participants
Eligible participants underwent leukapheresis to manufacture engineered T cells. Prior to dosing, participants had to remain eligible and, prior to dosing, were given lymphodepleting chemotherapy (fludarabine and cyclophosphamide). Six (6) participants were dosed once with a mean total of 50.7 x 10\^7 TC-510 T cells (mITT population). All subjects completed the interventional phase of the trial.
Overall Response Rate (ORR)
1 Participants

SECONDARY outcome

Timeframe: From first TC-510 infusion through study completion (up to approximately 38 months)

Population: The modified ITT Population included all participants enrolled and treated with TC-510.

DCR is defined as the ORR plus the proportion of patients with Stable Disease (SD) for at least 8 weeks via independently reviewed RECIST v 1.1 relative to the total number of patients in the mITT population.

Outcome measures

Outcome measures
Measure
Phase 1
n=6 Participants
Eligible participants underwent leukapheresis to manufacture engineered T cells. Prior to dosing, participants had to remain eligible and, prior to dosing, were given lymphodepleting chemotherapy (fludarabine and cyclophosphamide). Six (6) participants were dosed once with a mean total of 50.7 x 10\^7 TC-510 T cells (mITT population). All subjects completed the interventional phase of the trial.
Disease Control Rate (DCR)
2 Participants

Adverse Events

Phase 1

Serious events: 4 serious events
Other events: 6 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
Phase 1
n=6 participants at risk
Eligible participants underwent leukapheresis to manufacture engineered T cells. Prior to dosing, participants had to remain eligible and, prior to dosing, were given lymphodepleting chemotherapy (fludarabine and cyclophosphamide). Six (6) participants were dosed once with a mean total of 50.7 x 10\^7 TC-510 T cells (mITT population). All subjects completed the interventional phase of the trial.
Immune system disorders
Cytokine Release Syndrome
33.3%
2/6 • From start of lymphodepleting chemotherapy through end of the interventional phase (up to approximately 38 months)
The modified ITT Population included all participants enrolled and treated with TC-510.
Immune system disorders
Pneumonitis
33.3%
2/6 • From start of lymphodepleting chemotherapy through end of the interventional phase (up to approximately 38 months)
The modified ITT Population included all participants enrolled and treated with TC-510.
Respiratory, thoracic and mediastinal disorders
Hypoxia
16.7%
1/6 • From start of lymphodepleting chemotherapy through end of the interventional phase (up to approximately 38 months)
The modified ITT Population included all participants enrolled and treated with TC-510.

Other adverse events

Other adverse events
Measure
Phase 1
n=6 participants at risk
Eligible participants underwent leukapheresis to manufacture engineered T cells. Prior to dosing, participants had to remain eligible and, prior to dosing, were given lymphodepleting chemotherapy (fludarabine and cyclophosphamide). Six (6) participants were dosed once with a mean total of 50.7 x 10\^7 TC-510 T cells (mITT population). All subjects completed the interventional phase of the trial.
Vascular disorders
Hypotension
16.7%
1/6 • From start of lymphodepleting chemotherapy through end of the interventional phase (up to approximately 38 months)
The modified ITT Population included all participants enrolled and treated with TC-510.
Cardiac disorders
Palpitations
16.7%
1/6 • From start of lymphodepleting chemotherapy through end of the interventional phase (up to approximately 38 months)
The modified ITT Population included all participants enrolled and treated with TC-510.
Cardiac disorders
Sinus tachycardia
16.7%
1/6 • From start of lymphodepleting chemotherapy through end of the interventional phase (up to approximately 38 months)
The modified ITT Population included all participants enrolled and treated with TC-510.
Immune system disorders
Cytokine Release Syndrome
83.3%
5/6 • From start of lymphodepleting chemotherapy through end of the interventional phase (up to approximately 38 months)
The modified ITT Population included all participants enrolled and treated with TC-510.
Respiratory, thoracic and mediastinal disorders
Hypoxia
50.0%
3/6 • From start of lymphodepleting chemotherapy through end of the interventional phase (up to approximately 38 months)
The modified ITT Population included all participants enrolled and treated with TC-510.
Respiratory, thoracic and mediastinal disorders
Pleuritic Pain
50.0%
3/6 • From start of lymphodepleting chemotherapy through end of the interventional phase (up to approximately 38 months)
The modified ITT Population included all participants enrolled and treated with TC-510.
Respiratory, thoracic and mediastinal disorders
Pneumonitis
50.0%
3/6 • From start of lymphodepleting chemotherapy through end of the interventional phase (up to approximately 38 months)
The modified ITT Population included all participants enrolled and treated with TC-510.
Respiratory, thoracic and mediastinal disorders
Cough
16.7%
1/6 • From start of lymphodepleting chemotherapy through end of the interventional phase (up to approximately 38 months)
The modified ITT Population included all participants enrolled and treated with TC-510.
Respiratory, thoracic and mediastinal disorders
Dypsnoea
16.7%
1/6 • From start of lymphodepleting chemotherapy through end of the interventional phase (up to approximately 38 months)
The modified ITT Population included all participants enrolled and treated with TC-510.
Investigations
Alanine aminotransferase increased
33.3%
2/6 • From start of lymphodepleting chemotherapy through end of the interventional phase (up to approximately 38 months)
The modified ITT Population included all participants enrolled and treated with TC-510.
Investigations
Aspartate aminotransferas increased
33.3%
2/6 • From start of lymphodepleting chemotherapy through end of the interventional phase (up to approximately 38 months)
The modified ITT Population included all participants enrolled and treated with TC-510.
Investigations
Lipase increased
33.3%
2/6 • From start of lymphodepleting chemotherapy through end of the interventional phase (up to approximately 38 months)
The modified ITT Population included all participants enrolled and treated with TC-510.
Investigations
Amylase increased
16.7%
1/6 • From start of lymphodepleting chemotherapy through end of the interventional phase (up to approximately 38 months)
The modified ITT Population included all participants enrolled and treated with TC-510.
Investigations
Blood alkaline phosphatase increased
16.7%
1/6 • From start of lymphodepleting chemotherapy through end of the interventional phase (up to approximately 38 months)
The modified ITT Population included all participants enrolled and treated with TC-510.
Investigations
Platelet count decreased
16.7%
1/6 • From start of lymphodepleting chemotherapy through end of the interventional phase (up to approximately 38 months)
The modified ITT Population included all participants enrolled and treated with TC-510.
Investigations
Troponin I increased
16.7%
1/6 • From start of lymphodepleting chemotherapy through end of the interventional phase (up to approximately 38 months)
The modified ITT Population included all participants enrolled and treated with TC-510.
Gastrointestinal disorders
Abdominal pain
16.7%
1/6 • From start of lymphodepleting chemotherapy through end of the interventional phase (up to approximately 38 months)
The modified ITT Population included all participants enrolled and treated with TC-510.
Gastrointestinal disorders
Pancreatitis
16.7%
1/6 • From start of lymphodepleting chemotherapy through end of the interventional phase (up to approximately 38 months)
The modified ITT Population included all participants enrolled and treated with TC-510.
Eye disorders
Dry eye
16.7%
1/6 • From start of lymphodepleting chemotherapy through end of the interventional phase (up to approximately 38 months)
The modified ITT Population included all participants enrolled and treated with TC-510.
General disorders
Fatigue
16.7%
1/6 • From start of lymphodepleting chemotherapy through end of the interventional phase (up to approximately 38 months)
The modified ITT Population included all participants enrolled and treated with TC-510.

Additional Information

Adaptimmune Ltd

Adaptimmune Ltd

Phone: +44 (0)1235 430000

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place