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Clinical Trial NCT06703346 for Neoplasms is active, not recruiting. See the Trial Radar Card View and AI discovery tools for all the details. Or ask anything here.
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Study to Evaluate Safety and Antitumor Activity of Lete-Cel (GSK3377794) in HLA-A2+ Participants With NY-ESO-1 Positive Previously Treated Advanced (Metastatic or Unresectable) Synovial Sarcoma or Myxoid/Round Cell Liposarcoma Phase 2 87

Active, not recruiting
Clinical Trial NCT06703346 is designed to study Treatment for Neoplasms. It is a Phase 2 interventional study that is active, not recruiting, having started on December 31, 2019, with plans to enroll 87 participants. Led by USWM CT, LLC, it is expected to complete by July 31, 2026. The latest data from ClinicalTrials.gov was last updated on February 25, 2026.
Brief Summary
This trial will evaluate safety and efficacy of human engineered T-cell therapies, in participants with advanced tumors. This trial is a sub study of the Master study NCT03967223.
Official Title

Evaluation of Safety and Antitumor Activity of Lete-Cel (GSK3377794) in HLA-A2+ Participants With NY-ESO-1 Positive Previously Treated Advanced (Metastatic or Unresectable) Synovial Sarcoma or Myxoid/Round Cell Liposarcoma

Conditions
Neoplasms
Other Study IDs
  • 208467 Substudy 2
NCT ID Number
Start Date (Actual)
2019-12-31
Last Update Posted
2026-02-25
Completion Date (Estimated)
2026-07-31
Enrollment (Estimated)
87
Study Type
Interventional
PHASE
Phase 2
Status
Active, not recruiting
Keywords
Adoptive T-cell therapy
Letetresgene autoleucel
Lete-cel
Primary Purpose
Treatment
Design Allocation
N/A
Interventional Model
Single Group
Masking
None (Open Label)
Arms / Interventions
Participant Group/ArmIntervention/Treatment
ExperimentalLetetresgene autoleucel
Letetresgene autoleucel (Lete-Cel (GSK3377794))
Letetresgene autoleucel will be administered
Cyclophosphamide
Cyclophosphamide will be used as a lymphodepleting chemotherapy
Fludarabine
Fludarabine will be used as a lymphodepleting chemotherapy
Primary Outcome Measures
Outcome MeasureMeasure DescriptionTime Frame
ORR (Overall Response Rate)
ORR is defined as the percentage of participants with a confirmed complete response (CR) or confirmed partial response (PR) via investigator assessment per Response Evaluation Criteria in Solid Tumors Criteria (RECIST) version 1.1 relative to the total number of participants in the analysis population. CR is defined as disappearance of all target lesions. Any pathological lymph nodes (whether target or non-target) must have reduction in short axis to less than (\<)10 millimeters (mm). PR is defined as at least a 30% decrease in the sum of the diameters of target lesions, taking as a reference, the baseline sum of the diameters (e.g., percent change from baseline). 95% CI is based on Clopper-Pearson exact confidence interval.
Up to approximately 36 months
Secondary Outcome Measures
Outcome MeasureMeasure DescriptionTime Frame
DCR (Disease Control Rate)
DCR, is defined as the percentage of participants with a confirmed CR, PR, or SD with minimal 12 weeks duration relative to the total number of participants within the analysis population at the time of primary analysis as determined by independent central review per RECIST v1.1. The observed DCR will be reported along with 95% Clopper-Pearson exact confidence interval (CI). DCR will be analyzed based on PEAP and mITT populations.
Up to approximately 36 months
PFS (Progression Free Survival)
PFS, is defined as the time from the date of T-cell infusion until the earliest date of radiological PD as assessed by independent central review per RECIST v1.1, or death due to any cause. For the analysis of PFS, if the participant received subsequent anticancer therapy prior to the date of documented events, PFS will be censored at the last adequate disease assessment (e.g., assessment when visit level response was CR, PR, or SD) prior to the initiation of the new anticancer therapy. If a participant does not have an adequate post-baseline disease assessment that is no later than the date of initiation of anti-cancer therapy, PFS will be censored at the date of the T-cell infusion date.
Up to approximately 54 months
OS (Overall survival)
OS is defined as the interval of time between the date of T-cell infusion and the date of death due to any cause. For participants who do not die, time of death will be censored at the date of last contact. The date of death should be taken from that recorded on the Record of Death page. Death on study due to any cause will be included. Survival will be listed and summarized using Kaplan-Meier quartile estimates along with 2-sided 95% CI.
up to 15 years post-T-cell infusion
DOR (Duration of response)
DOR is defined as, in the subset of participants who show a confirmed CR or PR as assessed by independent central review per RECIST v1.1, the time from first documented evidence of CR or PR until the first documented sign of disease progression or death. Duration of response will be summarized descriptively, if data warrant, using Kaplan-Meier medians and quartiles. Censoring: same as PFS censorship table.
Up to approximately 54 months
TTR (Time to response)
TTR is defined as the time from the date of T-cell infusion to initial date of confirmed response (PR or CR) as assessed by independent central review per RECIST v1.1 in the subset of participants who achieved a confirmed PR or CR. TTR will be listed and summarized descriptively using median and quartiles in the subset of participants with a confirmed response of PR or CR. Efficacy listings such as BOR, DOR, PFS and OS will be reported for the PEAP and mITT populations.
Up to approximately 54 months
Number of Participants with Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (TESAEs)
An AE is any untoward medical occurrence in a clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. SAE is defined as any untoward medical occurrence that, at any dose results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect, other situations which involve medical or scientific judgment or is associated with liver injury and impaired liver function.
Up to approximately 54 months
Number of Participants with AEs of Special Interest (AESIs)
An AESI may be of scientific and medical concern related to the treatment, monitored, and rapidly communicated by investigator to sponsor. AESIs included cytokine release syndrome (CRS), hematopoietic cytopenias (including pancytopenia and aplastic anemia), graft vs host disease (GVHD), ICANS, Guillain-Barre syndrome, treatment-related inflammatory response at tumor site(s), and neutropenia Grade 4 lasting ≥28 days.
Up to approximately 54 months
Number of Participants with TEAEs and TESAEs by Severity
An AE is any untoward medical occurrence in a clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. SAE is defined as any untoward medical occurrence that, at any dose results in death, is life-threatening, requires hospitalization or prolongation of existing hospitalization, results in disability/incapacity, is a congenital anomaly/birth defect, other situations which involve medical or scientific judgment or is associated with liver injury and impaired liver function. AEs and SAEs were graded according to National Cancer Institute-Common Toxicity Criteria for Adverse Events (NCI-CTCAE) version 5.0. Grade 1- Mild; Grade 2- Moderate; Grade 3- Severe or medically significant but not immediately life-threatening; Grade 4- Life-threatening consequences; Grade 5- Death related to AE.
Up to approximately 54 months
Number of Participants with AESIs by Severity
An AESI may be of scientific and medical concern related to the treatment, monitored, and rapidly communicated by investigator to sponsor. AESIs included cytokine release syndrome (CRS), hematopoietic cytopenias (including pancytopenia and aplastic anemia), graft vs host disease (GVHD), ICANS, Guillain-Barre syndrome, treatment-related inflammatory response at tumor site(s), and neutropenia Grade 4 lasting ≥28 days.
Up to approximately 54 months
Percentage of Participants with Replication Competent Lentivirus (RCL) Positive
RCL was monitored using a polymerase chain reaction (PCR)-based assay that detects and measures copies of the gene coding for the vector's envelope protein, namely vesicular stomatitis virus G protein (VSV-G).
Up to approximately 54 months
Instances of Insertional Oncogenesis (IO)
Instances of Insertional Oncogenesis (IO) was summarized descriptively
Up to approximately 54 months
Maximum Transgene Expansion (Cmax)
Cmax was defined as maximum observed persistence, determined directly from the persistence-time data. Blood samples were collected for PK analysis
Day 1 to Day 14
Time to Cmax (Tmax)
Tmax was defined as time to reach Cmax, determined directly from the persistence-time data. Blood samples were collected for PK analysis.
Day 1 to Day 14
Area Under the Time Curve from Zero to Time 28 Days (AUC [0-28])
Area under the persistence-time curve from time zero to Day 28. Blood samples were collected for PK analysis.
Up to 28 days
Participation Assistant
Eligibility Criteria

Eligible Ages
Child, Adult, Older Adult
Minimum Age
10 Years
Eligible Sexes
All
  • Participant must be ≥10 years of age at the time of signing the informed consent.
  • Participant scheduled to receive clinical drug product supply must also weigh ≥40 kg.
  • Participant has a diagnosis of synovial sarcoma or myxoid/round cell liposarcoma, confirmed by local histopathology with evidence of disease-specific translocation.
  • Participant has advanced (metastatic or unresectable) synovial sarcoma or myxoid/round cell liposarcoma. Unresectable refers to a tumor lesion in which clear surgical excision margins cannot be obtained without leading to significant functional compromise.
  • Male or female. Contraception requirements will apply at the time of leukapharesis and treatment.
  • Life expectancy ≥24 weeks
  • Participant has confirmed evidence of a relevant disease-specific translocation per below:
  • For synovial sarcoma, presence of a translocation involving chromosome 18 (SYT gene) and/or chromosome X (SSX1, SSX2 or SSX4 genes).
  • For myxoid/round cell liposarcoma, presence of a translocation involving chromosome 12 (DDIT3 gene) and/or chromosome 16 (FUS gene) and/or chromosome 22 (EWSR1 gene).
  • Participant is either currently being treated with or has completed at least one standard-of-care treatment including anthracycline-containing regimens (e.g., doxorubicin alone, doxorubicin with ifosfamide) for advanced (metastatic or inoperable) disease. Participants who are intolerant to anthracycline may receive ifosfamide alone unless intolerant to or ineligible to receive ifosfamide. Participants who received anthracycline-based therapy in the neoadjuvant/adjuvant setting and progressed will be eligible.
  • Participant must be positive for HLA-A*02:01, HLA-A*02:05, and/or HLA-A*02:06 alleles by a validated test in a designated central lab prior to leukapheresis
  • Participant's tumor has been pathologically reviewed by a designated central laboratory with confirmed positive NY-ESO-1 expression defined as ≥30% of cells that are 2+ or 3+ by immunohistochemistry.
  • Left ventricular ejection fraction ≥45% with no evidence of clinically significant pericardial effusion.
  • Performance status: for participants <16 years of age, Lansky >60, or for participants ≥16 and <18 years of age, Karnofsky >60, or for participants ≥18 years of age, Eastern Cooperative Oncology Group (ECOG) of 0-1.
  • Participant must have adequate organ function and blood cell counts, within 7 days prior to the day of the leukapheresis procedure
  • Participant is fit for leukapheresis and has adequate venous access for the cell collection
  • Female participants of childbearing potential (FCBP) must have a negative urine or serum pregnancy test.
  • Participant has measurable disease according to RECIST v1.1.
  • Participant has documented radiographic evidence of disease progression from prior line of therapy.
  • A biopsy (excisional, incisional, or core) of non-target tumor tissue obtained within 28 days prior to initiating lymphodepleting chemotherapy is mandatory if clinically feasible. This biopsy will be used as baseline for biomarker analyses. If it is not feasible to obtain a fresh biopsy, an archival tumor tissue (FFPE block) taken preferably after completion of the participant's last line of therapy, preferably within 90 days prior to initiating lymphodepleting chemotherapy, may be accepted.
  • A haematologist has been consulted prior to lymphodepletion in participants who have had a serious/significant bleeding/thrombosis history.

  • Central nervous system (CNS) metastases.
  • Any other prior malignancy that is not in complete remission.
  • Previous treatment with genetically engineered NY-ESO-1-specific T cells.
  • Previous NY-ESO-1 vaccine or NY-ESO-1 targeting antibody.
  • Prior gene therapy using an integrating vector
  • Previous allogeneic hematopoietic stem cell transplant
  • Clinically significant systemic illness (serious active infections or significant cardiac, pulmonary, hepatic, or other organ dysfunction, that in the judgment of the Investigator would compromise the participant's ability to tolerate protocol therapy or significantly increase the risk of complications) or prior or active demyelinating disease
  • Participant has received cytotoxic therapy within 3 weeks prior to lymphodepleting chemotherapy
  • Systemic corticosteroids or any other immunosuppressive therapy within 2 weeks prior to lymphodepleting chemotherapy.
  • Participant has received ≥50 Gy to a significant volume of the pelvis, long bones or spine, or a cumulative dose of radiation that, in the Investigator's opinion would predispose patients to prolonged cytopenia after lymphodepletion.
  • All of the participant's measurable lesions have been irradiated within 3 months prior to lymphodepletion. An irradiated measurable lesion with unequivocal progression following irradiation may be considered a target lesion regardless of time from last radiotherapy dose.
  • Participant has received an anti-cancer vaccine within 2 months in the absence of tumor response. The participant should be excluded if their disease is responding to an experimental vaccine given within 6 months.
  • Participant has received live vaccine within 4 weeks prior to lymphodepletion or intends to receive live vaccine during the 3-month period following administration of lete-cel.
  • Participant has received immune therapy (monoclonal antibody therapy, checkpoint inhibitors) within 4 weeks of lymphodepletion.
  • Participant had major surgery ≥28 days of first dose of study intervention
USWM CT, LLC logoUSWM CT, LLC
No contact data.
38 Study Locations in 7 Countries
Royal Marsden Hospital, London, SW3 6JJ, United Kingdom
University College Hospital-London, London, WC1E 6AG, United Kingdom
Christie Hospital NHS Foundation Trust, Manchester, M20 4BX, United Kingdom
The Netherlands Cancer Institute, Amsterdam, 1066 CX, Netherlands
Centre Léon Bérard, Lyon, 69373, France
CHU de Bordeaux GH Sud Hôpital Haut Lévêque, Pessac, 33604, France

California

City of Hope National Medical Center, Duarte, California, 91010, United States
Stanford Hospital and Clinics, Stanford, California, 94305, United States

Colorado

Sarah Cannon Research Institute, Denver, Colorado, 80218, United States

Florida

Mayo Clinic Jacksonville, Jacksonville, Florida, 32224, United States

Illinois

University of Chicago, Chicago, Illinois, 60637, United States

Iowa

University of Iowa College of Medicine, Iowa City, Iowa, 52242-1009, United States

Massachusetts

Dana Farber Cancer Institute, Boston, Massachusetts, 02114, United States
Massachusetts General Hospital, Boston, Massachusetts, 02114, United States

Michigan

University of Michigan Medical Center, Ann Arbor, Michigan, 48109, United States

Minnesota

Minnesota Oncology Hematology, Minneapolis, Minnesota, 55455, United States
Mayo Clinic Rochester, Rochester, Minnesota, 55905, United States

Missouri

Washington University, St Louis, Missouri, 63110, United States

New York

Memorial Sloan Kettering cancer center, New York, New York, 10065, United States

North Carolina

Duke University Medical Center, Durham, North Carolina, 27710, United States

Ohio

Ohio State University-Columbus, Columbus, Ohio, 43210, United States

Oregon

Oregon Health and Science University, Portland, Oregon, 97239, United States

Pennsylvania

University of Pittsburgh, Hillman Cancer centre, Pittsburgh, Pennsylvania, 15232, United States

Tennessee

Sarah Cannon Research Institute, Nashville, Tennessee, 37203, United States

Texas

University Of Texas Southwestern Medical Center, Dallas, Texas, 75390-8565, United States
University of Texas Southwestern Medical Center, Dallas, Texas, 75390-9063, United States

Utah

University of Utah, Salt Lake City, Utah, 84112, United States

Virginia

Virginia Commonwealth University, Richmond, Virginia, 23298, United States

Washington

Fred Hutchinson Cancer Research Center, Seattle, Washington, 98109-1024, United States

Wisconsin

Froedtert Hospital, Milwaukee, Wisconsin, 53226, United States

Ontario

Princess Margaret Cancer Centre, Toronto, Ontario, M5G 2M9, Canada

Quebec

CIUSSS de L'Est-De-Lile-De-Montreal, Montreal, Quebec, H1T 2M4, Canada

Lombardy

Fondazione IRCCS Instituto Nazionale Dei Tumori, Milan, Lombardy, 20133, Italy
Ircss Istituto Clinico Humanitas, Rozzano (MI), Lombardy, 20089, Italy
Hospital Santa Creu Y Sant Pau, Barcelona, 08025, Spain
Ico Duran y Reynals l'Hospitalet de Llobrega, Barcelona, 08907, Spain
Hospital Universitario Fundación Jiménez Díaz, Madrid, 28040, Spain
Hospital Virgen Del Rocio, Seville, 41013, Spain