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FT536 Monotherapy and in Combination With Monoclonal Antibodies in Advanced Solid Tumors


2022-05-31


2023-08-11


2023-08-11


5

Study Overview

FT536 Monotherapy and in Combination With Monoclonal Antibodies in Advanced Solid Tumors

This is a Phase 1 dose-finding study of FT536 given in combination with a monoclonal antibody following lymphodepletion in participants with advanced solid tumors. The study will consist of a dose-escalation stage and an expansion stage where participants will be enrolled into indication-specific cohorts.

N/A

  • Non Small Cell Lung Cancer
  • Colorectal Cancer
  • Breast Cancer
  • Ovarian Cancer
  • Pancreatic Cancer
  • Head and Neck Cancer
  • GastroEsophageal Cancer
  • DRUG: FT536
  • DRUG: Cyclophosphamide
  • DRUG: Fludarabine
  • DRUG: IL-2
  • COMBINATION_PRODUCT: Avelumab
  • COMBINATION_PRODUCT: Pembrolizumab
  • COMBINATION_PRODUCT: Nivolumab
  • COMBINATION_PRODUCT: Atezolizumab
  • COMBINATION_PRODUCT: Trastuzumab
  • COMBINATION_PRODUCT: Cetuximab
  • COMBINATION_PRODUCT: Amivantamab
  • DRUG: IL-2
  • FT536-101

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates Results Reporting Dates Study Record Updates

2022-05-13  

N/A  

2023-09-19  

2022-05-25  

N/A  

2023-09-21  

2022-05-27  

N/A  

2023-09  

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

Design Details

Primary Purpose:
Treatment


Allocation:
Non Randomized


Interventional Model:
Sequential


Masking:
None


Arms and Interventions

Participant Group/ArmIntervention/Treatment
EXPERIMENTAL: Cohort A/A2/AA/AA2: FT536 Monotherapy

FT536 monotherapy in participants with locally advanced or metastatic non-small cell lung cancer (NSCLC), colorectal cancer (CRC), breast cancer (BC), ovarian cancer, or pancreatic cancer.

DRUG: FT536

  • FT536 is an allogeneic natural killer (NK)-cell immunotherapy

DRUG: Cyclophosphamide

  • Lympho-conditioning agent

DRUG: Fludarabine

  • Lympho-conditioning agent

DRUG: IL-2

  • For Cohort AA ONLY: To be combined with FT536 at the MTD or MAD
EXPERIMENTAL: Cohort B/B2/BB/BB2: FT536 + Avelumab

FT536 + avelumab combination therapy in participants with locally advanced or metastatic solid tumor indications with documented PD-L1 expression.

DRUG: FT536

  • FT536 is an allogeneic natural killer (NK)-cell immunotherapy

DRUG: Cyclophosphamide

  • Lympho-conditioning agent

DRUG: Fludarabine

  • Lympho-conditioning agent

COMBINATION_PRODUCT: Avelumab

  • Monoclonal antibody

DRUG: IL-2

  • For Cohorts BB-FF ONLY: To be combined with FT536 + mAb at the MTD or MAD
EXPERIMENTAL: Cohort C/C2/CC/CC2: FT536 + Pembrolizumab, Nivolumab, or Atezolizumab

FT536 + pembrolizumab, nivolumab, or atezolizumab in participants with locally advanced or metastatic solid tumor indications with documented PD-L1 expression.

DRUG: FT536

  • FT536 is an allogeneic natural killer (NK)-cell immunotherapy

DRUG: Cyclophosphamide

  • Lympho-conditioning agent

DRUG: Fludarabine

  • Lympho-conditioning agent

COMBINATION_PRODUCT: Pembrolizumab

  • For Cohorts C/CC, the combination product (monoclonal antibody) will be ONE of the following: pembrolizumab, nivolumab, or atezolizumab.

COMBINATION_PRODUCT: Nivolumab

  • For Cohorts C/CC, the combination product (monoclonal antibody) will be ONE of the following: pembrolizumab, nivolumab, or atezolizumab.

COMBINATION_PRODUCT: Atezolizumab

  • For Cohorts C/CC, the combination product (monoclonal antibody) will be ONE of the following: pembrolizumab, nivolumab, or atezolizumab.

DRUG: IL-2

  • For Cohorts BB-FF ONLY: To be combined with FT536 + mAb at the MTD or MAD
EXPERIMENTAL: Cohort D/D2/DD/DD2: FT536 + Trastuzumab

FT536 + trastuzumab in participants with locally advanced or metastatic documented human epidermal growth factor receptor 2 (HER2+) expressing tumors

DRUG: FT536

  • FT536 is an allogeneic natural killer (NK)-cell immunotherapy

DRUG: Cyclophosphamide

  • Lympho-conditioning agent

DRUG: Fludarabine

  • Lympho-conditioning agent

COMBINATION_PRODUCT: Trastuzumab

  • Monoclonal antibody

DRUG: IL-2

  • For Cohorts BB-FF ONLY: To be combined with FT536 + mAb at the MTD or MAD
EXPERIMENTAL: Cohort E/E2/EE/EE2: FT536 + Cetuximab

FT536 + cetuximab in participants with locally advanced or metastatic squamous NSCLC, CRC, or head and neck cancer.

DRUG: FT536

  • FT536 is an allogeneic natural killer (NK)-cell immunotherapy

DRUG: Cyclophosphamide

  • Lympho-conditioning agent

DRUG: Fludarabine

  • Lympho-conditioning agent

COMBINATION_PRODUCT: Cetuximab

  • Monoclonal antibody

DRUG: IL-2

  • For Cohorts BB-FF ONLY: To be combined with FT536 + mAb at the MTD or MAD
EXPERIMENTAL: Cohort F/F2/FF/FF2: FT536 + Amivantamab

FT536 + amivantamab in participants with locally advanced or metastatic NSCLC.

COMBINATION_PRODUCT: Amivantamab

  • Monoclonal antibody

DRUG: IL-2

  • For Cohorts BB-FF ONLY: To be combined with FT536 + mAb at the MTD or MAD
Primary Outcome MeasuresMeasure DescriptionTime Frame
Determine the Recommended Phase 2 Dose (RP2D)The RP2Ds of FT536 monotherapy and FT536 + monoclonal antibody (mAbs) will be determined. The RP2D will be determined based on the overall safety and efficacy profile.Up to approximately 3 years
Number of Participants with ≥ Adverse Event (AE) according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), v5.0The safety and tolerability of FT536 monotherapy and in combination with mAbs will be determined.Following enrollment completion within dose escalation and expansion, approximately 3 years
Secondary Outcome MeasuresMeasure DescriptionTime Frame

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person’s general health condition or prior treatments.

Ages Eligible for Study:
ALL

Sexes Eligible for Study:
18 Years

Accepts Healthy Volunteers:

    Inclusion Criteria:

  • Participants with locally advanced or metastatic disease who have progressed/relapsed, are refractory, intolerant to or refuse standard therapy approved for their specific tumor type:

  • Cohort A/A2/AA/AA2: NSCLC, CRC, BC, ovarian cancer, or pancreatic cancer
    Cohorts B/B2/BB/BB2 and C/C2/CC/CC2: Subjects with NSCLC, HNSCC, gastroesophageal adenocarinoma, triple negative breast cancer, or urothelial carcinoma whose tumors express PD-L1 according to defined cutoff
    Cohort D/D2/DD/DD2: Subjects with advanced solid tumor whose tumor(s) express HER2 defined as: ≥2+ by IHC, Average HER2 copy number ≥4 signals per cell by in situ hybridization or ≥4 copies as determined by next generation sequencing
    Cohort E/E2/EE/EE2: Squamous NSCLC; head and neck cancer that relapsed or progressed following prior cetuximab treatment; CRC subjects who are KRAS/NRAS/BRAF wild-type are required to have progressed/relapsed on prior cetuximab or panitumumab
    Cohort F/F2/FF/FF2: NSCLC known to have at least one of the following: epidermal growth factor receptor (EGFR) driver mutation(s) and have progressed on or were intolerant to at least one prior line of EGFR Tyrosine Kinase Inhibitor (TKI) or were not candidates for or declined TKI; mesenchymal-epithelial transition (MET) exon 14 skipping mutation that has progressed on or intolerant of at least one prior line of MET TKI or were not candidates for or declined TKI; MET amplification defined as MET/CEP7 ratio ≥1.8 by Fluorescence in situ hybridization (FISH)

  • Has measurable disease per Response Evaluation Criteria in Solid Tumors (RECIST) v1.1
  • For subjects with >1 measurable lesion by RECIST v1.1 that can be safely accessed, willingness to undergo tumor biopsy
  • Agrees to contraceptive use for women and men as defined in the protocol

  • Exclusion Criteria:

  • Is a pregnant or breast-feeding female
  • Has Eastern Cooperative Oncology Group (ECOG) performance status ≥2
  • Has evidence of insufficient organ function
  • Has clinically significant cardiovascular disease including left-ventricular ejection fraction < 45%
  • Has received any therapy within 2 weeks prior to Day 1 or five half-lives, whichever is shorter or any investigational therapy within 28 days prior to Day 1
  • Has a known active malignancy in the central nervous system (CNS) that hasn't remained stable for at least 3 months following effective treatment for CNS disease
  • Has a non-malignant CNS disease such as stroke, epilepsy, CNS vasculitis or neurodegenerative disease or receipt of medications for these conditions
  • Has had any active malignancy other than those studied in this trial within 2 years of the first dose of study therapy
  • Is currently receiving or likely to require immunosuppressive therapy
  • Has an active bacterial, fungal, or viral infections including hepatitis B, hepatitis C, or human immunodeficiency virus (HIV)
  • Has received a live vaccine within 6 weeks prior to start of lympho-conditioning
  • Has a known allergy to albumin (human) or dimethyl sulfoxide (DMSO)

Collaborators and Investigators

This is where you will find people and organizations involved with this study.


    • STUDY_DIRECTOR: Fate Trial Disclosure, Fate Therapeutics

    Publications

    The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

    General Publications

    No publications available