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Esophageal CancerPhase 2NCT04752358

ADP-A2M4CD8 in HLA-A2+ Subjects With MAGE-A4 Positive Esophageal or Esophagogastric Junction Cancers (SURPASS-2)

A Phase 2 study testing Autologous genetically modified ADP-A2M4CD8 cells in people with Esophageal Cancer and Esophagogastric Junction Cancer, run by Adaptimmune at 17 sites in 3 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

This study will investigate the efficacy of ADP-A2M4CD8 T-cell therapy in subjects who have the appropriate human leukocyte antigen (HLA) and tumor antigen status and whose esophageal or esophagogastric junction (EGJ) cancer expresses the MAGE-A4 protein. Read more about this study

Who is it for?
Ages 18 to 75 years
What is being tested?
Autologous genetically modified ADP-A2M4CD8 cells
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
3 participants
Where
17 sitesin 3 countries
Study dates
15 Sep 2021to 15 Dec 2023
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age ≥18 and <75 years
  • Diagnosis of Esophageal cancer or Esophagogastric junction cancer.
  • Previously received treatment for advanced or metastatic disease.
  • Measurable disease according to RECIST v1.1.
  • HLA-A*02 positive
  • Tumor shows MAGE-A4 expression confirmed by central laboratory.
Show all 9Show fewer
  • ECOG Performance Status of 0 or1.
  • Left ventricular ejection fraction (LVEF) ≥50%.
  • Note: other protocol defined Inclusion criteria may apply

Who cannot join

  • Positive for any HLA-A*02 allele other than: one of the inclusion alleles
  • History of allergic reactions attributed to compounds of similar chemical or biologic composition to fludarabine, cyclophosphamide or other agents used in the study
  • Active autoimmune or immune mediated disease
  • Leptomeningeal disease, carcinomatous meningitis or symptomatic CNS metastases
  • Other prior malignancy that is not considered by the Investigator to be in complete remission. Clinically significant cardiovascular disease
  • Uncontrolled intercurrent illness
Show all 9Show fewer
  • Active infection with human immunodeficiency virus, hepatitis B virus, hepatitis C virus, or human T cell leukemia virus
  • Pregnant or breastfeeding
  • Note: other protocol defined Inclusion/Exclusion criteria may apply.

Trial locations and contacts

17 sites in 3 countries.

17 sites in 3 countries

United States8 sites
  • University of Chicago Medicine

    Chicago, Illinois, 60637

  • City of Hope National Medical Center

    Duarte, California, 91010

  • University Of Texas, MD Anderson Cancer Center

    Houston, Texas, 77030

  • University Of Wisconsin Clinical Science Center

    Madison, Wisconsin, 53792

  • Memorial Sloan Kettering Cancer Center

    New York, New York, 10065

  • OU Health Stephenson Cancer Center

    Oklahoma City, Oklahoma, 73104

  • Providence Cancer Institute Franz Clinic

    Portland, Oregon, 97213

  • Washington University School of Medicine- Siteman Cancer Center

    St Louis, Missouri, 63110

Other trials in United States

Spain7 sites
  • Hospital Universitario 12 de Octubre

    Córdoba, Madrid, 28041

  • Hospital Clinico Universitario de Valencia

    Ibáñez, Valencia, 46010

  • Hospital Universitari Vall d'Hebron

    la Vall d'Hebron, Barcelona, 08035

  • Hospital Fundacion Jimenez Diaz

    Madrid, 228040

  • Hospital Universitario Madrid Sanchinarro (CIOCC)

    Madrid, 28050

  • Clinica Universidad de Navarra

    Navarro, 31008

  • Hospital Universitario Virgen del Rocio

    Seville, 41013

Other trials in Spain

Canada2 sites
  • McGill University Health Centre Glen Site

    Montreal, Quebec, H4A 3J1

  • Princess Margaret Cancer Centre

    Toronto, Ontario, M5G 2M9

Other trials in Canada

About this study

Official title: A Phase 2 Open-Label Clinical Trial of ADP-A2M4CD8 in Subjects With Advanced Esophageal or Esophagogastric Junction Cancers

This study will investigate the efficacy of ADP-A2M4CD8 T-cell therapy in subjects who have the appropriate human leukocyte antigen (HLA) and tumor antigen status and whose esophageal or esophagogastric junction (EGJ) cancer expresses the MAGE-A4 protein.

Being tested
Autologous genetically modified ADP-A2M4CD8 cells
Keywords
Cell Therapy, T Cell Therapy, SPEAR T Cell, MAGE-A4, Immuno-oncology, Metastatic, Esophagogastric Junction, Esophageal Cancer
Medical subject headings
Esophageal Neoplasms, Neoplasm Metastasis

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Autologous genetically modified ADP-A2M4CD8 cellsGenetic

    Infusion of autologous genetically modified ADP-A2M4CD8 on Day 1

Study groups in NCT04752358
Study groupRoleWhat they receive
Autologous genetically modified ADP-A2M4CD8 cellsExperimentalNot described
Receives: Genetic: Autologous genetically modified ADP-A2M4CD8 cells

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Overall Response Rate (ORR) by Independent Radiological Assessment Committee (IRAC)

    Confirmed tumor response (complete response [CR] or partial response [PR]) to treatment as assessed using Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 by IRAC

    Measured: From T-cell infusion to end of Interventional Phase (Up to 5 months from T-cell infusion).

Secondary outcomes (16)
  1. Number and Percentage of Participants With Adverse Events (AEs) Including Serious Adverse Events (SAEs), and Adverse Events of Special Interest (AESI)

    An AE was defined as any untoward medical occurrence in a subject or clinical study participant temporally associated with the use of the study intervention, whether or not considered related to the study intervention. Therefore, an AE could have been any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of study intervention. The number of participants with AEs (including SAEs), SAEs and AESI including cytokine release syndrome, ICANS, and prolonged cytopenia are presented.

    Measured: From start of lymphodepleting chemotherapy to end of Interventional Phase (up to 5 months)

  2. Time to Response (TTR) by IRAC

    TTR (CR or PR) was defined as the interval between the date of first T-cell infusion and the earliest date of first documented confirmed CR or confirmed PR.

    Measured: From T-cell infusion until first documented confirmed CR or PR

  3. Duration of Response (DoR) by IRAC

    DoR is defined as duration between the initial date of the confirmed complete or partial response to the date of progressive disease or death, where tumor response and disease progression were assessed by IRAC.

    Measured: From initial date of first confirmed response (CR or PR) until PD or death

  4. Best Overall Response (BOR) by IRAC

    BOR is the best response recorded from the start of T-cell infusion until disease progression as assessed by IRAC. Response categories are confirmed CR, confirmed PR, stable disease (SD) and confirmed progressive disease (PD).

    Measured: From T-cell infusion until disease progression

  5. Progression Free Survival (PFS) by IRAC

    PFS is defined as time from the T-cell infusion to the date of the first documentation of progressive disease (PD) as assessed by IRAC or death due to any cause, whichever occurs first.

    Measured: From T-cell infusion until first documented PD, as assessed by IRAC, or death due to any cause, whichever occurs first

  6. Overall Response Rate (ORR) by Investigator Assessment

    Confirmed tumor response (complete response [CR] or partial response [PR]) to treatment as assessed using Response Evaluation Criteria in Solid Tumors (RECIST) v1.1 by Investigator Assessment

    Measured: From T-cell infusion to end of Interventional Phase (Up to 5 months from T-cell infusion).

  7. Time to Response (TTR) by Investigator Assessment

    TTR (CR or PR) was defined as the interval between the date of first T-cell infusion and the earliest date of first documented confirmed CR or confirmed PR

    Measured: From T-cell infusion until first documented confirmed CR or PR

  8. Duration of Response (DoR) by Investigator Assessment

    DoR is defined as duration between the initial date of the confirmed complete or partial response to the date of progressive disease or death, where tumor response and disease progression were assessed by Investigator Assessment.

    Measured: From initial date of first confirmed response (CR or PR) until PD or death

  9. Best Overall Response (BOR) by Investigator Assessment

    BOR is the best response recorded from the start of T-cell infusion until disease progression as assessed by the Investigator. Response categories are confirmed CR, confirmed PR, stable disease (SD) and confirmed progressive disease (PD).

    Measured: From T-cell infusion until disease progression (Up to 5 months)

  10. Progression Free Survival (PFS) by Investigator Assessment

    PFS is defined as the time from the T-cell infusion to the date of the first documentation of progressive disease (PD) as assessed by investigator assessment or death due to any cause, whichever occurs first.

    Measured: From T-cell infusion until first documented PD, as assessed by Investigator, or death due to any cause, whichever occurs first (up to 5 months)

  11. Overall Survival (OS)

    OS is defined as the time from the date of first T-cell infusion to the date of death (due to any cause).

    Measured: From T-cell infusion to death due to any reason (up to 7 months)

  12. Replication Competent Lentivirus

    The presence of RCL was assessed by qPCR targeting a segment of the vesicular stomatitis virus glycoprotein (VSV G) coding sequence. 1 participant had at least 1 post-infusion sample tested for RCL.

    The count of participants with RCL post-infusion is presented.

    Measured: From T-cell infusion to end study (up to 7 months)

  13. Insertional Oncogenesis (IO)

    Deoxyribonucleic acid (DNA) from participants peripheral blood mononuclear cell (PBMC) samples are subjected to lentiviral vector integration site analysis by next-generation sequencing, thus evaluating both the clonality status of the transduced cell population and the genomic localization of individual integration sites. The outcome measure is the number of participants with integration sites representing more than 5% of all unique sites.

    Measured: From 1 year post T-cell infusion

  14. Peak Persistence

    Peak persistence of ADP-A2M4CD8 cells was reported as vector copy numbers per microgram of genomic DNA from peripheral blood mononuclear cell (PBMC).

    Measured: From T-cell infusion to end study (up to 7 months)

  15. Time to Peak Persistence

    Time from ADP-A2M4CD8 T-cell infusion to peak persistence of cells.

    Measured: From T-cell infusion to end study (up to 7 months)

  16. Concordance of the MAGE A-4 Clinical Trial Assay and in Vitro Diagnostic (IVD) Kit.

    Concordance of the MAGE A-4 clinical trial assay and in vitro diagnostic (IVD) kit.

    Measured: Screening visit

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted12 Feb 2021
  2. Study start15 Sep 2021
  3. Primary completion9 Jun 2023
  4. Study completion15 Dec 2023

Why it stopped: Study was terminated due to difficulty recruiting subjects and lack of efficacy

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
3 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04752358
Sponsor's protocol ID
ADP-0055-002
Status last verified
Aug 2024
First submitted
8 Feb 2021
Last updated
4 Sep 2024
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Autologous genetically modified ADP-A2M4CD8 cells in people with Esophageal Cancer and Esophagogastric Junction Cancer, run by Adaptimmune at 17 sites in 3 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 4 Sep 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 17 sites in United States, Spain, Canada. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 4 Sep 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Overall Response Rate (ORR) by Independent Radiological Assessment Committee (IRAC) (time frame: From T-cell infusion to end of Interventional Phase (Up to 5 months from T-cell infusion).). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 4 Sep 2024.

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