Tumor, SolidPhase 1NCT05108623
A Study Investigating agenT-797 in Participants With Relapsed/Refractory Solid Tumors
A Phase 1 study testing agenT-797 and Approved ICIs in people with Tumor, Solid, run by MiNK Therapeutics at 8 sites in United States.
Trial summary
This is a Phase 1, open-label study to explore the safety, tolerability, and preliminary clinical activity of agenT-797, an unmodified, allogeneic iNKT cell therapy, in participants with relapsed/refractory (r/r) solid tumors, as well as define the recommended phase II dose in solid tumors. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Tumor, Solid
- What is being tested?
- agenT-797 and Approved ICIs
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 34 participants
- Where
- 8 sitesUnited States
- Study dates
- 28 Jan 2022to 2 Jan 2024
- Phase
- Phase 1
- Are there results?
- None posted in the registry
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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Histological or cytological evidence of relapsed or refractory solid tumor malignancy for which no standard therapy is available or standard therapy has failed
- Measurable disease per RECIST 1.1 as assessed by local site Investigator/radiology. Lesions situated in a previously irradiated area are considered measurable if progression has been demonstrated in such lesions
- Part 2 only, participants must have progressed per Investigator assessment on pembrolizumab or nivolumab, and agree and are able to continue on the inhibitor(s) while on study
- No other medical, surgical, or psychiatric condition (including active substance abuse) that would interfere with compliance to the protocol, as determined by the Principal Investigator
Who cannot join
- Concurrent invasive malignancy
- Brain and/or leptomeningeal metastases that are untreated or require current therapy
- Prior radiotherapy within 2 weeks of start of study treatment
Trial locations and contacts
8 sites in 1 country.
8 sites in 1 country
United States8 sites
University of Colorado
Aurora, Colorado, 80045
Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02215
University of Cincinnati Cancer Center
Cincinnati, Ohio, 45267
University of Southern California
Los Angeles, California, 90033
Norton Cancer Health
Louisville, Kentucky, 40241
Sarah Cannon Research Institute
Nashville, Tennessee, 37203
Providence Portland Medical Center
Portland, Oregon, 97213
LifeSpan - Rhode Island Hospital
Providence, Rhode Island, 02903
About this study
Official title: A Phase 1, Open-Label Study of the Safety, Tolerability and Preliminary Clinical Activity of Allogeneic Invariant Natural Killer T (iNKT) Cells (agenT-797) as a Single Agent and in Combination With Approved Immune Checkpoint Inhibitors in Patients With Relapsed/ Refractory Solid Tumors
This is a Phase 1, open-label study to explore the safety, tolerability, and preliminary clinical activity of agenT-797, an unmodified, allogeneic iNKT cell therapy, in participants with relapsed/refractory (r/r) solid tumors, as well as define the recommended phase II dose in solid tumors. This Phase 1 study will also explore the safety, tolerability, and preliminary clinical activity of agenT-797 in combination with approved immune checkpoint inhibitors (ICIs), including pembrolizumab and nivolumab, in participants with r/r solid tumors.
- Conditions
- Tumor, Solid
- Being tested
- agenT-797, Approved ICIs
- Keywords
- Tumor, Solid Tumor, Immunotherapy, iNKT cells
- Medical subject headings
- Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
agenT-797Drug
agenT-797 is an off-the-shelf cell therapy consisting of ≥ 95% allogeneic human unmodified iNKT cells isolated from 1 healthy donor mononuclear cell apheresis unit and expanded ex vivo.
Approved ICIsDrug
Nivolumab and pembrolizumab
| Study group | Role | What they receive |
|---|---|---|
| Part 1: Monotherapy with agenT-797 | Experimental | 3+3 Dose escalation of agenT-797 will be administered as a single intravenous (IV) infusion. Receives: Drug: agenT-797 |
| Part 2: agenT-797 in Combination with approved ICIs | Experimental | Single prespecified dose of agenT-797 administered by IV infusion in combination with approved ICIs administered in accordance with manufacturer instructions and institutional guidelines as per standard of care Receives: Drug: agenT-797; Drug: Approved ICIs |
What is being measured
The primary outcome is the main question the study is designed to answer.
Number Of Participants With Treatment-emergent Adverse Events (TEAEs)
This will be determined according to the National Cancer Institute Common Terminology Criteria for Adverse Events version 5.0 (NCI CTCAE v5.0).
Measured: Baseline through 12 months
Number Of Adverse Events (AEs) By The Dose Of iNKT Cell Therapy
This will be determined according to the NCI CTCAE v5.0.
Measured: Baseline through 12 months
Number Of TEAEs By The Dose Of iNKT Cell Therapy
This will be determined according to the NCI CTCAE v5.0.
Measured: Baseline through 12 months
Severity Grade Of AEs By Dose Of iNKT Cell Therapy
This will be determined according to the NCI CTCAE v5.0.
Measured: Baseline through 12 months
Number Of Dose-limiting Toxicities
Measured: Baseline through first 14 days after administration
Secondary outcomes (6)
Persistence Of agenT-797 In Peripheral Blood Samples
This will be measured as a length of time, through collection of peripheral blood mononuclear cells and analysis by flow cytometry.
Measured: Baseline/Day 1 (pre-infusion, 5 minutes, 0.25, 0.5, 1, 2, and 4 hours after cell infusion), and on Days 2, 5, 8, 15, 22, and 29; Weeks 6, 8, and 12; and Months 6, 9, and 12
Objective Response Rate (ORR)
For solid tumors, this will be determined per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1 guidelines and for prostate cancer (not evaluable per RECIST 1.1), Prostate Cancer Working Group 3 (PCWG3) will be used.
Measured: Up to 12 months
Duration Of Response (DOR)
For solid tumors, this will be determined per RECIST 1.1 guidelines and for prostate cancer (not evaluable per RECIST 1.1), PCWG3 will be used.
Measured: Up to 12 months
Progression-free Survival (PFS)
For solid tumors, this will be determined per RECIST 1.1 guidelines and for prostate cancer (not evaluable per RECIST 1.1), PCWG3 will be used.
Measured: Up to 12 months
Incidence Of Panel-reactive Antibody
Measured: Baseline/Day 1 (pre-infusion), Day 8, Day 15, Day 29, Week 8, Week 12, Month 6, and end of study visit (up to 12 months)
Incidence Of Donor-specific Antibody
Measured: Baseline/Day 1 (pre-infusion), Day 8, Day 15, Day 29, Week 8, Week 12, Month 6, and end of study visit (up to 12 months)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted5 Nov 2021
- Study start28 Jan 2022
- Primary completion2 Jan 2024
- Study completion2 Jan 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Tumor, SolidStudies 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 1
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Enrolment
- 34 participants (actual)
Sponsor and investigators
- Lead sponsor
- MiNK Therapeutics
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Medical Director, Study director, MiNK Therapeutics
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05108623
- Sponsor's protocol ID
- 2021-1306
- Status last verified
- Apr 2024
- First submitted
- 12 Oct 2021
- Last updated
- 24 Apr 2024
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Publications
Hadfield MJ, Safran H, Purbhoo MA, Grossman JE, Buell JS, Carneiro BA. Overcoming resistance to programmed cell death protein 1 (PD-1) blockade with allogeneic invariant natural killer T-cells (iNKT). Oncogene. 2024 Mar;43(10):758-762. doi: 10.1038/s41388-024-02948-y. Epub 2024 Jan 29.
PubMed 38281989
Study at a glance
From the registry record, last updated by the sponsor on 24 Apr 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 1, Open-Label Study of the Safety, Tolerability and Preliminary Clinical Activity of Allogeneic Invariant Natural Killer T (iNKT) Cells (agenT-797) as a Single Agent and in Combination With Approved Immune Checkpoint Inhibitors in Patients With Relapsed/ Refractory Solid Tumors
- ClinicalTrials.gov ID
- NCT05108623
- Acronym / sponsor ID
- 2021-1306
- Conditions
- Tumor, Solid
- Keywords
- Tumor, Solid Tumor, Immunotherapy, iNKT cells
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 34 participants (actual)
- Lead sponsor
- MiNK TherapeuticsIndustry (pharma, biotech, devices)
- Study start
- 28 Jan 2022 (actual)
- Primary completion
- 2 Jan 2024 (actual)
- Study completion
- 2 Jan 2024 (actual)
- First posted
- 5 Nov 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a Phase 1, open-label study to explore the safety, tolerability, and preliminary clinical activity of agenT-797, an unmodified, allogeneic iNKT cell therapy, in participants with relapsed/refractory (r/r) solid tumors, as well as define the recommended phase II dose in solid tumors. This Phase 1 study will also explore the safety, tolerability, and preliminary clinical activity of agenT-797 in combination with approved immune checkpoint inhibitors (ICIs), including pembrolizumab and nivolumab, in participants with r/r solid tumors.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Sequential
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Part 1: Monotherapy with agenT-797 | Experimental | Drug: agenT-7973+3 Dose escalation of agenT-797 will be administered as a single intravenous (IV) infusion. |
| Part 2: agenT-797 in Combination with approved ICIs | Experimental | Drug: agenT-797, Drug: Approved ICIsSingle prespecified dose of agenT-797 administered by IV infusion in combination with approved ICIs administered in accordance with manufacturer instructions and institutional guidelines as per standard of care |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Histological or cytological evidence of relapsed or refractory solid tumor malignancy for which no standard therapy is available or standard therapy has failed
- Measurable disease per RECIST 1.1 as assessed by local site Investigator/radiology. Lesions situated in a previously irradiated area are considered measurable if progression has been demonstrated in such lesions
- Part 2 only, participants must have progressed per Investigator assessment on pembrolizumab or nivolumab, and agree and are able to continue on the inhibitor(s) while on study
- No other medical, surgical, or psychiatric condition (including active substance abuse) that would interfere with compliance to the protocol, as determined by the Principal Investigator
Key exclusion criteria (3 listed)
- Concurrent invasive malignancy
- Brain and/or leptomeningeal metastases that are untreated or require current therapy
- Prior radiotherapy within 2 weeks of start of study treatment
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 |
|---|---|---|
| agenT-797agenT-797 is an off-the-shelf cell therapy consisting of ≥ 95% allogeneic human unmodified iNKT cells isolated from 1 healthy donor mononuclear cell apheresis unit and expanded ex vivo. | Drug | Part 1: Monotherapy with agenT-797, Part 2: agenT-797 in Combination with approved ICIs |
| Approved ICIsNivolumab and pembrolizumab | Drug | Part 2: agenT-797 in Combination with approved ICIs |
Primary outcome
Number Of Participants With Treatment-emergent Adverse Events (TEAEs)
Time frame: Baseline through 12 months
This will be determined according to the National Cancer Institute Common Terminology Criteria for Adverse Events version 5.0 (NCI CTCAE v5.0).
Number Of Adverse Events (AEs) By The Dose Of iNKT Cell Therapy
Time frame: Baseline through 12 months
This will be determined according to the NCI CTCAE v5.0.
Number Of TEAEs By The Dose Of iNKT Cell Therapy
Time frame: Baseline through 12 months
This will be determined according to the NCI CTCAE v5.0.
Severity Grade Of AEs By Dose Of iNKT Cell Therapy
Time frame: Baseline through 12 months
This will be determined according to the NCI CTCAE v5.0.
Number Of Dose-limiting Toxicities
Time frame: Baseline through first 14 days after administration
6 secondary outcomes
Persistence Of agenT-797 In Peripheral Blood Samples
Time frame: Baseline/Day 1 (pre-infusion, 5 minutes, 0.25, 0.5, 1, 2, and 4 hours after cell infusion), and on Days 2, 5, 8, 15, 22, and 29; Weeks 6, 8, and 12; and Months 6, 9, and 12
Objective Response Rate (ORR)
Time frame: Up to 12 months
Duration Of Response (DOR)
Time frame: Up to 12 months
Progression-free Survival (PFS)
Time frame: Up to 12 months
Incidence Of Panel-reactive Antibody
Time frame: Baseline/Day 1 (pre-infusion), Day 8, Day 15, Day 29, Week 8, Week 12, Month 6, and end of study visit (up to 12 months)
Incidence Of Donor-specific Antibody
Time frame: Baseline/Day 1 (pre-infusion), Day 8, Day 15, Day 29, Week 8, Week 12, Month 6, and end of study visit (up to 12 months)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Apr 2024.
- Background: PubMed 38281989Hadfield MJ, Safran H, Purbhoo MA, Grossman JE, Buell JS, Carneiro BA. Overcoming resistance to programmed cell death protein 1 (PD-1) blockade with allogeneic invariant natural killer T-cells (iNKT). Oncogene. 2024 Mar;43(10):758-762. doi: 10.1038/s41388-024-02948-y. Epub 2024 Jan 29.
- Nivolumab \[Package Insert\]. Princeton, NJ: Bristol Myers Squibb Company: 2014.Link provided by the sponsor.
- Pembrolizumab \[Package Insert\]. White House Station, NJ: Merck \& Co. Inc.; 2014-2021.Link provided by the sponsor.
- Individual participant dataSharing planned: Undecided
Related trials for Tumor, Solid
RecruitingPhase 1
A Study to Evaluate the Safety and Antitumor Activity of GS-1206 in Adults With Solid Tumors
Solid Tumor
RecruitingPhase 1/2
Docetaxel and SX-682 in Recurrent/Metastatic Head and Neck Squamous Cell Carcinoma, Salivary Gland Carcinoma, and Advanced Prostate Cancer
Head and Neck Cancer, Head and Neck Squamous Cell Carcinoma
RecruitingPhase 1/2
Study of RAS(ON) Inhibitors in Combination With Ivonescimab in Patients With Solid Tumors
Advanced Solid Tumors, Metastatic Solid Tumors
Active, not recruitingPhase 1
A Study to Evaluate the Safety, Pharmacokinetics, and Activity of RO7566802 as a Single Agent and in Combination With Atezolizumab in Participants With Locally Advanced or Metastatic Solid Tumors
Locally Advanced Solid Tumors, Recurrent Solid Tumors
RecruitingObservational study
Prospective Evaluation Of Delayed Effects Of Pediatric Car T Cell Therapy
B-ALL, Hematologic Malignancy
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.
Medical Director study director
MiNK Therapeutics
8 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing agenT-797 and Approved ICIs in people with Tumor, Solid, run by MiNK Therapeutics at 8 sites in United States.
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 4 inclusion and 3 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: finished, as of the sponsor's last update on 24 Apr 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 8 sites in United States. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
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?
Number Of Participants With Treatment-emergent Adverse Events (TEAEs) (time frame: Baseline through 12 months). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05108623, which also lists 1 linked publication.
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 24 Apr 2024.