Treatment of patients with solid tumors with genetically modified patients' own T-cells, recognizing a particular tumor marker

2024-515114-41-00 Protocol IMA203-101 Phase I and Phase II (Integrated) - First administration to humans Ongoing, recruiting

Start 10 Aug 2020 · Status Ongoing, recruiting · 1 EU/EEA countries · 8 sites · Protocol IMA203-101

Overview

Sponsor-declared trial summary

Phase Phase I and Phase II (Integrated) - First administration to humans
Status Ongoing, recruiting
Participants planned 543
Countries 1
Sites 8

Solid tumors

1) To evaluate safety and tolerability of treatment with ACTengine® IMA203/IMA203CD8 products as monotherapy or in combination with nivolumab (Phase I) 2) To determine the maximum tolerated dose (MTD) and/or recommended Phase 2 dose (RP2D) for IMA203/IMA203CD8 (Phase I) 3) To evaluate safety and tolerability of treatme…

Key facts

Sponsor
Immatics US Inc.
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Neoplasms [C04]
Trial duration
10 Aug 2020 → ongoing
Decision date (initial)
2024-08-27
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes
Funding sources
Immatics Biotechnologies GmbH · Immatics US Inc

External identifiers

EU CT number
2024-515114-41-00
EudraCT number
2019-002370-31
ClinicalTrials.gov
NCT03686124

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Safety, Efficacy, Dose response

1) To evaluate safety and tolerability of treatment with ACTengine® IMA203/IMA203CD8 products as monotherapy or in combination with nivolumab (Phase I)
2) To determine the maximum tolerated dose (MTD) and/or recommended Phase 2 dose (RP2D) for IMA203/IMA203CD8 (Phase I)
3) To evaluate safety and tolerability of treatment with ACTengine® IMA203 product as monotherapy (Phase II)
4) To evaluate the anti-tumor activity of IMA203 (Phase II)

Conditions and MedDRA coding

Solid tumors

VersionLevelCodeTermSystem organ class
21.1 LLT 10065252 Solid tumor 10029104

Study design 3 periods

#TitleAllocationBlindingRoles blindedArms
1 Phase Ia: Dose escalation/de-escalation
Patients participating in the dose escalation part of the clinical trial (IMA203/IMA203CD8 respectively) will sequentially be allocated to the dose-level cohort according to the dose escalation procedures
Not Applicable None
2 Phase Ib - Dose extension
Following the identification of provisional / anticipated final maximum tolerated dose (MTD) and/or recommended Phase 2 dose (RP2D), the safety and initial anti-tumor activity data of IMA203 /IMA203CD8 monotherapy or in combination with a checkpoint inhibitor collected in the Phase Ia dose escalation part will be substantiated in Phase Ib extension cohorts.
Not Applicable None IMA203 Monotherapy: Patients will receive IMA203 as monotherapy according to assigned dose
IMA203 in combination with nivolumab: Patients will receive IMA203 in combination with nivolumab
IMA203CD8 in combination with nivolumab: Patients will receive IMA203CD8 in combination with nivolumab
IMA203CD8 monotherapy in indication specific extension cohorts: Patients will receive IMA203CD8 monotherapy within indication specific extension cohorts
IMA203CD8 monotherapy with or without IL-2: Patient will receive IMA203CD8 with or without IL-2 as monotherapy
IMA203 Monotherapy (flat dose): Patients will receive IMA203 as monotherapy according to assigned dose
3 Phase II
Patients will receive IMA203 monotherapy within indication specific Phase 2 cohorts at final RP2D
Not Applicable None

Regulatory references

Scientific advice from competent authorities
Paul-Ehrlich-Institut
Plan to share IPD
No

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 7

  1. Patient must have pathologically confirmed advanced and/or metastatic solid tumor with defined tumor target expression
  2. Patients ≥ 18 years of age
  3. Eastern Cooperative Oncology Group (ECOG) performance status 0 to 1
  4. Confirmed HLA status
  5. Adequate hepatic and renal function, acceptable coagulation status and adequate organ and marrow function
  6. Patients must have measurable disease according to RECIST 1.1
  7. Patients must have recovered from infections to Grade 1 or lower (Nivolumab combination arm)

Exclusion criteria 6

  1. Patients with history of other malignancies or with active brain metastases
  2. The patient is pregnant or is breastfeeding
  3. Patients with prior allogenic stem cell transplantation or solid organ transplantation
  4. History of hypersensitivity to CY, FLU or IL-2 and Rescue medication
  5. The patient has concurrent severe and/or uncontrolled medical disease or any other condition that would, in the investigator's or sponsor's judgment, contraindicate the patient's participation in the clinical study because of safety concerns or compliance with clinical study procedures
  6. Patients with a history of severe immune-related toxicities, defined as any Grade 3 or 4 toxicities related to prior PD1/PD-L1 inhibitor therapy (Nivolumab combination arm)

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 5

  1. Treatment-emergent adverse events (TEAEs) (Phase I/II)
  2. Adverse Events of special interest (AESIs) (Phase I/II)
  3. Serious TEAEs (Phase I/II)
  4. Number of patients with dose-limiting toxicities (Phase I)
  5. Objective response rate based on best overall response of complete response and partial response centrally assessed using RECIST 1.1 (Phase II)

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 3

IMA203CD8

PRD9613338 · Product

Active substance
IMA203CD8
Pharmaceutical form
INFUSION
Route of administration
INTRAVENOUS USE
Authorisation status
Not Authorised
MA holder
IMMATICS US INC.
Paediatric formulation
No
Orphan designation
No

IMA203

PRD7629213 · Product

Active substance
Autologous T-Cells Transduced with the Lentiviral LV-R11KEA Encoding T-Cell Receptor Targeting Patient-Specific Tumor-Associated Antigens
Pharmaceutical form
DISPERSION FOR INFUSION
Route of administration
INTRAVENOUS USE
Authorisation status
Not Authorised
MA holder
IMMATICS US INC.
Paediatric formulation
No
Orphan designation
No

OPDIVO 10 mg/mL concentrate for solution for infusion.

PRD2941375 · Product

Active substance
Nivolumab
Substance synonyms
BMS936558, ABP 206
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS ADMINISTRATION
Authorisation status
Authorised
ATC code
L01FF01 — -
Marketing authorisation
EU/1/15/1014/002
MA holder
BRISTOL-MYERS SQUIBB PHARMA EEIG
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Immatics US Inc.

Sponsor organisation
Immatics US Inc.
Address
13203 Murphy Road
City
Stafford
Postcode
77477-4303
Country
United States

Scientific contact point

Organisation
Immatics US Inc.
Contact name
Clinical Development

Public contact point

Organisation
Immatics US Inc.
Contact name
Clinical Development

Third parties 14

OrganisationCity, countryDuties
Genewiz Germany GmbH
ORG-100049496
Leipzig, Germany Laboratory analysis
Quanticate UK Limited
ORG-100027726
Hitchin, United Kingdom Other, Data management
Imaging Endpoints II LLC
ORG-100045399
Scottsdale, United States Other
Precision for Medicine GmbH
ORG-100044456
Berlin, Germany Other
Medidata Solutions International Limited
ORG-100048319
London, United Kingdom Other, E-data capture
Scope International AG
ORG-100009715
Mannheim, Germany On site monitoring
Cogitars GmbH
ORG-100044720
Heidelberg, Germany Code 10
MicroCoat Biotechnologie GmbH
ORG-100031937
Bernried Am Starnberger See, Germany Laboratory analysis
Winicker-Norimed Medizinische Forschung GmbH
ORG-100035700
Nuremberg, Germany Code 11
Angle Europe Limited
ORG-100051451
Guildford, United Kingdom Laboratory analysis
ProtaGene CGT GmbH
ORG-100041450
Heidelberg, Germany Laboratory analysis
spm²-safety projects & more GmbH
ORG-100013935
Hirschberg An Der Bergstrasse, Germany Code 8
Labcorp
ORG-100011514
Burlington, United States Laboratory analysis
The University of Texas MD Anderson Cancer Center
ORL-000009972
Houston TX, United States Laboratory analysis

Locations

1 EU/EEA country · 8 investigational sites

By country

CountryMS statusPlanned subjectsSites
Germany Ongoing, recruiting 272 8
Rest of world
United States
271

Investigational sites

Germany

8 sites · Ongoing, recruiting
Klinikum rechts der Isar der TU Muenchen AöR
Klinik und Poliklinik für Innere Medizin III, Hämatologie und Onkologie, Ismaninger Strasse 22, Au-Haidhausen, Munich
Universitaetsklinikum Heidelberg AöR
Nationales Centrum für Tumorerkrankungen (NCT), Im Neuenheimer Feld 460, Neuenheim, Heidelberg
Charite Universitaetsmedizin Berlin KöR
Klinik für Hämatologie und Onkologie CCC, Hindenburgdamm 30, Lichterfelde, Berlin
University Medical Center Hamburg-Eppendorf
II. Medizinische Klinik, Martinistrasse 52, Eppendorf, Hamburg
Universitaetsklinikum Carl Gustav Carus Dresden an der Technischen Universitaet Dresden AöR
Early Clinical Trial Unit (NCT/UCC ECTU), Fetscherstrasse 74, Johannstadt-Nord, Dresden
Universitaetsmedizin der Johannes Gutenberg-Universitaet Mainz KöR
III. Medizinische Klinik und Poliklinik, Langenbeckstrasse 1, Oberstadt, Mainz
Universitaetsklinikum Bonn AöR
Medizinische Klinik III, Abt. für Hämatologie, Onkologie und Rheumatologie, Venusberg-Campus 1, Venusberg, Bonn
Universitaetsklinikum Wuerzburg AöR
Interdisziplinäres Studienzentrum mit ECTU, Straubmuehlweg 2a, Grombuehl, Wuerzburg

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Germany 2020-08-10 2020-08-10

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 20 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Protocol 2024-515114-41-00_Redacted 13.0
Protocol (for publication) D4_EORTC QLQ-C30_DE_EN_Redacted 3
Protocol (for publication) D4_EQ-5D-5L_DE_EN_Redacted 1
Protocol (for publication) D4_Patient Card_DE_Redacted 4.0
Protocol (for publication) D4_Patient questionnaire_DE_EN_Redacted 1.0
Recruitment arrangements (for publication) K1_Recruitment arrangements_Redacted 2.0
Recruitment arrangements (for publication) K2_Recruitment material_social media posts_Redacted 1.0
Subject information and informed consent form (for publication) L1_SIS and ICF_adults ICF1_DE_EN_redacted 19
Subject information and informed consent form (for publication) L1_SIS and ICF_adults ICF2_IMA203_DE_EN_redacted 18
Subject information and informed consent form (for publication) L1_SIS and ICF_adults ICF2_IMA203CD8_DE_EN_redacted 13
Subject information and informed consent form (for publication) L1_SIS and ICF_adults legal guardian_DE_EN_redacted 7.0
Subject information and informed consent form (for publication) L1_SIS and ICF_adults optional biosample_DE_EN_redacted 5.0
Subject information and informed consent form (for publication) L1_SIS and ICF_adults pregnant partner_DE_EN_redacted 7.0
Subject information and informed consent form (for publication) L1_SIS and ICF_Greenphire_ICF_DE_EN_redacted 3.0
Subject information and informed consent form (for publication) L2_Clincard-GreenSpace_DE_EN_redacted 10
Subject information and informed consent form (for publication) L2_ConneX Travel_DE_EN_redacted 1
Subject information and informed consent form (for publication) L2_Other subject information material description_ACTengine_Pathway_DE_EN 1
Subject information and informed consent form (for publication) L2_Other subject information material description_Patient Journey Video_Script_DE_EN 1
Summary of Product Characteristics (SmPC) (for publication) E2_SmPC_Opdivo 4
Synopsis of the protocol (for publication) D1_Protocol layperson synopsis DE 2024-515114-41-00_Redacted 2.0

Application history

7 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-08-14 Germany Acceptable with conditions
2024-08-22
2024-08-27
2 SUBSTANTIAL MODIFICATION SM-1 2024-10-21 Germany Acceptable
2024-12-06
2024-12-10
3 SUBSTANTIAL MODIFICATION SM-2 2025-01-15 Germany Acceptable
2025-02-06
2025-02-07
4 SUBSTANTIAL MODIFICATION SM-3 2025-06-30 Germany Acceptable
2025-08-26
2025-08-26
5 SUBSTANTIAL MODIFICATION SM-4 2025-09-16 Germany Acceptable
2025-11-21
2025-11-21
6 SUBSTANTIAL MODIFICATION SM-5 2025-12-12 Germany Acceptable 2025-12-29
7 SUBSTANTIAL MODIFICATION SM-6 2026-03-27 Germany Acceptable
2026-05-11
2026-05-13