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.
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
- Conditions the study is for
- Esophageal Cancer, Esophagogastric Junction Cancer
- 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.
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- 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
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- 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
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
Canada2 sites
McGill University Health Centre Glen Site
Montreal, Quebec, H4A 3J1
Princess Margaret Cancer Centre
Toronto, Ontario, M5G 2M9
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.
- Conditions
- Esophageal Cancer, Esophagogastric Junction Cancer
- 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 group | Role | What they receive |
|---|---|---|
| Autologous genetically modified ADP-A2M4CD8 cells | Experimental | Not 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.
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)
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)
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
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
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
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
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).
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
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
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)
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)
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)
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)
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
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)
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)
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.
- First posted12 Feb 2021
- Study start15 Sep 2021
- Primary completion9 Jun 2023
- Study completion15 Dec 2023
Why it stopped: Study was terminated due to difficulty recruiting subjects and lack of efficacy
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Other trials for Esophageal CancerStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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)
Sponsor and investigators
- Lead sponsor
- Adaptimmune
- Sponsor type
- Industry (pharma, biotech, devices)
- Collaborators
- ICON plc
- Responsible party
- Sponsor
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
- Results posted
- Yes, on ClinicalTrials.gov
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 4 Sep 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2 Open-Label Clinical Trial of ADP-A2M4CD8 in Subjects With Advanced Esophageal or Esophagogastric Junction Cancers
- ClinicalTrials.gov ID
- NCT04752358
- Acronym / sponsor ID
- ADP-0055-002
- Conditions
- Esophageal Cancer, Esophagogastric Junction Cancer
- Keywords
- Cell Therapy, T Cell Therapy, SPEAR T Cell, MAGE-A4, Immuno-oncology, Metastatic, Esophagogastric Junction, Esophageal Cancer
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Study was terminated due to difficulty recruiting subjects and lack of efficacy
- Enrolment
- 3 participants (actual)
- Lead sponsor
- AdaptimmuneIndustry (pharma, biotech, devices)
- Collaborators
- ICON plc
- Study start
- 15 Sep 2021 (actual)
- Primary completion
- 9 Jun 2023 (actual)
- Study completion
- 15 Dec 2023 (actual)
- First posted
- 12 Feb 2021 (actual)
- Results
- Posted 4 Sep 2024
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Autologous genetically modified ADP-A2M4CD8 cells | Experimental | Genetic: Autologous genetically modified ADP-A2M4CD8 cells |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- 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
Key exclusion criteria (9 listed)
- 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
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Autologous genetically modified ADP-A2M4CD8 cellsInfusion of autologous genetically modified ADP-A2M4CD8 on Day 1 | Genetic | Autologous genetically modified ADP-A2M4CD8 cells |
Primary outcome
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).
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
16 secondary outcomes
Number and Percentage of Participants With Adverse Events (AEs) Including Serious Adverse Events (SAEs), and Adverse Events of Special Interest (AESI)
Time frame: From start of lymphodepleting chemotherapy to end of Interventional Phase (up to 5 months)
Time to Response (TTR) by IRAC
Time frame: From T-cell infusion until first documented confirmed CR or PR
Duration of Response (DoR) by IRAC
Time frame: From initial date of first confirmed response (CR or PR) until PD or death
Best Overall Response (BOR) by IRAC
Time frame: From T-cell infusion until disease progression
Progression Free Survival (PFS) by IRAC
Time frame: From T-cell infusion until first documented PD, as assessed by IRAC, or death due to any cause, whichever occurs first
Overall Response Rate (ORR) by Investigator Assessment
Time frame: From T-cell infusion to end of Interventional Phase (Up to 5 months from T-cell infusion).
Time to Response (TTR) by Investigator Assessment
Time frame: From T-cell infusion until first documented confirmed CR or PR
Duration of Response (DoR) by Investigator Assessment
Time frame: From initial date of first confirmed response (CR or PR) until PD or death
Best Overall Response (BOR) by Investigator Assessment
Time frame: From T-cell infusion until disease progression (Up to 5 months)
Progression Free Survival (PFS) by Investigator Assessment
Time frame: 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)
Overall Survival (OS)
Time frame: From T-cell infusion to death due to any reason (up to 7 months)
Replication Competent Lentivirus
Time frame: From T-cell infusion to end study (up to 7 months)
Insertional Oncogenesis (IO)
Time frame: From 1 year post T-cell infusion
Peak Persistence
Time frame: From T-cell infusion to end study (up to 7 months)
Time to Peak Persistence
Time frame: From T-cell infusion to end study (up to 7 months)
Concordance of the MAGE A-4 Clinical Trial Assay and in Vitro Diagnostic (IVD) Kit.
Time frame: Screening visit
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 4 Sep 2024.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
17 sites in 3 countries: see every site and its status.
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.