An Open-label, Phase 1, Multi-Center Master Protocol to Evaluate the Safety and Preliminary Anti-Tumor Activity of TCR-engineered T cells Recognizing KRAS Mutations in Adult Subjects with Unresectable, Advanced, and/or Metastatic Solid Tumors

ENROLLING
Protocol # :
25-552
Conditions
Non-Small Cell Lung Cancer
Colorectal Carcinoma
Pancreatic Ductal Adenocarcinoma
Endometrial Cancer
Solid Tumor, Adult
KRAS G12D
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
Marks, Jennifer, Aline

Trial Description

Phase I Study, a master protocol to investigate TCR-Engineered T cells recognizing KRAS
mutations in adult subjects with Unresectable, Advanced, and/or Metastatic Solid Tumors.

Eligibility Requirements

Key Inclusion Criteria:

- Age ≥18 years

- Diagnosed with NSCLC, Colorectal adenocarcinoma, Pancreatic adenocarcinoma,
Endometrial Cancer or any other solid tumor

- Tumors must harbor a KRAS G12D variant mutation and subject must be HLA-C*08:02
positive, HLA-A*11:01 or HLA-A*11:02 positive in at least one allele

- 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.

- Presence of at least 1 measurable lesion per RECIST v1.1

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

Key Exclusion Criteria:

- Any other 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.

- Any form of primary immunodeficiency.

- 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

- Prior treatment with pan-KRAS or KRAS G12D targeting agents unless presence of KRAS
G12D mutation is confirmed after the completion of treatment with pan-KRAS or KRAS
G12D targeting agents.

25-552