An Open-label, Phase 1, Multicenter Study to Evaluate the Safety and Preliminary Anti-tumor activity of NT-175 in Human Leukocyte Antigen-A*02:01-Positive Adult Subjects with Unresectable, Advanced and/or Metastatic Solid Tumors That Are Positive for the TP53 R175H Mutation

ENROLLING
Protocol # :
23-317
Conditions
Non-Small Cell Lung Cancer
Head and Neck Squamous Cell Carcinoma
Colorectal Carcinoma
Pancreatic Adenocarcinoma
Breast Cancer
Other Solid Tumors
Phase
I
Disease Sites
Neuroendocrine/Carcinoid
Gastroesophageal Junction
Gallbladder/Biliary
Other specified personal risk factors, not elsewhere classified
Lip, Oral Cavity and Pharynx
Esophagus
Stomach
Small Intestine
Colon
Rectum
Anus
Liver
Pancreas
Other Digestive Organ
Larynx
Lung
Other Respiratory and Intrathoracic Organs
Bones and Joints
Soft Tissue
Other Skin
Breast
Cervix
Corpus Uteri
Ovary
Other Female Genital
Prostate
Other Male Genital
Urinary Bladder
Kidney
Other Urinary
Eye and Orbit
Brain and Nervous System
Thyroid
Unknown Sites
Ill-Defined Sites
Other Endocrine System
Kaposi's Sarcoma
Melanoma, Skin
Principal Investigator
Awad, Mark

Trial Description

Phase I Study of NT-175, an autologous T cell therapy product genetically engineered to
express an HLA-A*02:01-restricted T cell receptor (TCR), targeting TP53 R175H mutant solid
tumors.

Eligibility Requirements

Key Inclusion Criteria

- Subjects must be at least 18 years of age, at the time of signing the informed
consent.

- Subjects must be capable of giving signed informed consent.

- Subject must be diagnosed with one of the histologies below:

- NSCLC

- Colorectal adenocarcinoma

- HNSCC

- Pancreatic adenocarcinoma

- Breast cancer

- Any other solid tumor

- Tumors must harbor a TP53 R175H variant mutation and subject must be HLA-A*02:01
positive (at least 1 allele) as confirmed by an CLIA-accredited laboratory-based test.

- Subject has advanced solid cancer, defined as unresectable, advanced, and/or
metastatic disease (Stage III or IV) after at least 1 line of approved systemic
standard of care (SOC) treatment regimen and for which there are no available curative
treatment options.

- Subject has at least 1 measurable lesion per computed tomography (CT) scan or magnetic
resonance imaging (MRI).

- Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1 at the time of
enrollment

- Adequate hematological, renal, hepatic, pulmonary, and cardiac function

- Per Investigator judgement, subject is likely to complete study visits and/or
procedures per the protocol and comply with study requirements for study participation

Key Exclusion Criteria

- Any another primary malignancy within the 3 years prior to enrollment (except for
non-melanoma skin cancer, carcinoma in situ (eg, cervix, bladder, breast) or low-grade
prostate cancer

- Known, active primary central nervous system (CNS) malignancy

- History of prior adoptive cell and gene therapy, allogeneic stem cell transplant or
solid organ transplantation.

- History of stroke or transient ischemic attack within the 12 months prior to
enrollment.

- History of clinically significant cardiac disease within the 6 months prior to
enrollment or heart failure at any time prior to enrollment.

- Systemic therapy within at least 2 weeks or 3 half-lives, whichever is shorter, prior
to enrollment.

- History of severe immediate hypersensitivity reaction to cyclophosphamide,
fludarabine, or rIL-2; or known sensitivity or allergy to methotrexate, gentamicin, or
other aminoglycosides.

- Any form of primary immunodeficiency.

- Live vaccine ≤ 4 weeks prior to enrollment or plans to have a live vaccine prior to
planned lymphodepleting chemotherapy and/or NT-175 treatment.

- Active immune-mediated disease requiring systemic steroids or other immunosuppressive
treatment (except if related to prior checkpoint inhibitor therapy)

- Female of childbearing potential who is lactating or breast feeding at the time of
enrollment.

- Known to have Li-Fraumeni syndrome or is known to have relatives who are diagnosed
with Li-Fraumeni syndrome.

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