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    Clinical Trial Results:
    An Open-label, Multi-Center, Rollover Study in Patients with Advanced Melanoma After Completing an IMCgp100 Clinical Study

    Summary
    EudraCT number
    2016-002236-32
    Trial protocol
    GB  
    Global end of trial date
    22 Apr 2019

    Results information
    Results version number
    v1(current)
    This version publication date
    07 May 2020
    First version publication date
    07 May 2020
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    IMCgp100-401
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT02889861
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Immunocore
    Sponsor organisation address
    181 Washington Street, Conshohocken, United States,
    Public contact
    Shaad E. Abdullah, MD FACP, Immunocore, Ltd. , +1 267-422-4532, clinicaltrials@immunocore.com
    Scientific contact
    Shaad E. Abdullah, MD FACP, Immunocore, Ltd. , +1 267-422-4532, clinicaltrials@immunocore.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    22 Apr 2019
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    22 Apr 2019
    Global end of trial reached?
    Yes
    Global end of trial date
    22 Apr 2019
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The primary objective is to determine the number of participants with adverse events associated with IMCgp100 treatment.
    Protection of trial subjects
    Eligible participants were included in the study after providing written (witnessed, where required by law or regulation), IRB/IEC/REB-approved informed consent or, if incapable of doing so, after such consent had been provided by a legally acceptable representative of the participant. In cases where the participant’s representative gave consent, the participant was informed about the study to the extent possible given his/her understanding. If the participant was capable of doing so, he or she indicated assent by personally signing and dating the written informed consent document or a separate assent form.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    30 Nov 2016
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    United Kingdom: 3
    Worldwide total number of subjects
    3
    EEA total number of subjects
    3
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    1
    From 65 to 84 years
    2
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    Eligible participants have tolerated IMCgp100 (77 kDa bi-specific protein) for a minimum of 4 weeks of dosing without significant toxicities that would preclude further dosing in the opinion of the principal investigator or Sponsor.

    Pre-assignment
    Screening details
    Participants were eligible for enrollment in this study from parent studies that have completed and satisfied its primary endpoints or have been terminated by the Sponsor for reasons other than safety.

    Period 1
    Period 1 title
    Regimen 1 (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Arm title
    IMCgp100 weekly dosing regimen (QW)
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    IMCgp100
    Investigational medicinal product code
    Other name
    Bispecific soluble HLA-A2 restricted gp100-specific TCR fused to anti-CD3
    Pharmaceutical forms
    Infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    IMCgp100 dose as determined from previous regimen in parent IMCgp100 clinical study administered as an intravenous infusion over 15 minutes every week.

    Number of subjects in period 1
    IMCgp100 weekly dosing regimen (QW)
    Started
    3
    Completed
    1
    Not completed
    2
         Survival Follow-up
    2

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Regimen 1
    Reporting group description
    -

    Reporting group values
    Regimen 1 Total
    Number of subjects
    3 3
    Age categorical
    Units: Subjects
        Between 18 and 65 years
    1 1
        >=65 years
    2 2
    Gender categorical
    Units: Subjects
        Female
    1 1
        Male
    2 2

    End points

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    End points reporting groups
    Reporting group title
    IMCgp100 weekly dosing regimen (QW)
    Reporting group description
    -

    Primary: Incidence of Adverse Events: Number of Participants With Treatment-Emergent Adverse Events

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    End point title
    Incidence of Adverse Events: Number of Participants With Treatment-Emergent Adverse Events [1]
    End point description
    Incidence of adverse events was presented as the number of participants with treatment-emergent adverse events (TEAEs). TEAEs were defined as adverse events (AEs) that started or worsened in severity from the date of first dose of the rollover study (regardless of time) up until 90 days after the last dose of study drug of this rollover study. Participants with multiple events in the same category were counted only once in that category. Participants with events in more than 1 category were counted once in each of those categories. TEAEs indicated considered related to IMCgp100 were determined by the investigator to be possibly related or related to study drug.
    End point type
    Primary
    End point timeframe
    4 years
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No statistical analysis was performed for this outcome as the outcome measure was a count of subjects by predefined category of TEAE.
    End point values
    IMCgp100 weekly dosing regimen (QW)
    Number of subjects analysed
    3
    Units: number of participants
        Any TEAE
    3
        Any TEAE of CTCAE Grade ≥3
    2
        Any TEAE related to IMCgp100 by Investigator
    2
        Any TEAE of CTCAE Grade ≥3 and related to IMCgp10
    1
        Any serious TEAE
    0
        Any serious TEAE related to IMCgp100
    0
        Any TEAE leading to death
    0
        Any TEAE leading to discontinuation of study drug
    0
    No statistical analyses for this end point

    Secondary: Tolerability: Dose Interruptions and Reductions of IMCgp100 by Participant (Participant 4001001)

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    End point title
    Tolerability: Dose Interruptions and Reductions of IMCgp100 by Participant (Participant 4001001)
    End point description
    Tolerability of study treatment was assessed by summarizing the number of treatment dose interruptions and dose reductions. Reasons for dose interruptions and dose reductions were listed by participant and summarized.
    End point type
    Secondary
    End point timeframe
    4 years
    End point values
    IMCgp100 weekly dosing regimen (QW)
    Number of subjects analysed
    1
    Units: characteristic/study drug
        Number of cycles started (rollover)
    2
        Number of cycles completed (rollover)
    1
        Duration of IMCgp100 treatment on rollover study
    43
        Duration of interruption on rollover study (days)
    0
        Duration of IMCgp100 treatment from first parent
    423
        Total actual dose received (μg) (rollover)
    350
    No statistical analyses for this end point

    Secondary: Tolerability: Dose Interruptions and Reductions of IMCgp100 by Participant (Participant 4002001)

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    End point title
    Tolerability: Dose Interruptions and Reductions of IMCgp100 by Participant (Participant 4002001)
    End point description
    Tolerability of study treatment was assessed by summarizing the number of treatment dose interruptions and dose reductions. Reasons for dose interruptions and dose reductions were listed by participant and summarized.
    End point type
    Secondary
    End point timeframe
    4 years
    End point values
    IMCgp100 weekly dosing regimen (QW)
    Number of subjects analysed
    1
    Units: characteristic/study drug
        Number of cycles started (rollover)
    26
        Number of cycles completed (rollover)
    25
        Duration of IMCgp100 treatment on rollover study
    728
        Duration of interruption on rollover study (days)
    0
        Duration of IMCgp100 treatment from first parent
    1156
        Total actual dose received (μg) (rollover)
    5100
    No statistical analyses for this end point

    Secondary: Tolerability: Dose Interruptions and Reductions of IMCgp100 by Participant (Participant 4003001)

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    End point title
    Tolerability: Dose Interruptions and Reductions of IMCgp100 by Participant (Participant 4003001)
    End point description
    Tolerability of study treatment was assessed by summarizing the number of treatment dose interruptions and dose reductions. Reasons for dose interruptions and dose reductions were listed by participant and summarized.
    End point type
    Secondary
    End point timeframe
    4 years
    End point values
    IMCgp100 weekly dosing regimen (QW)
    Number of subjects analysed
    1
    Units: characteristic/study drug
        Number of cycles started (rollover)
    18
        Number of cycles completed (rollover)
    17
        Duration of IMCgp100 treatment on rollover study
    505
        Duration of interruption on rollover study (days)
    0
        Duration of IMCgp100 treatment from first parent
    960
        Total actual dose received (μg) (rollover)
    3500
    No statistical analyses for this end point

    Secondary: Assessments of Anti-IMCgp100 Antibody Formation: Number of Participants With Anti-IMCgp100 Antibody Formation

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    End point title
    Assessments of Anti-IMCgp100 Antibody Formation: Number of Participants With Anti-IMCgp100 Antibody Formation
    End point description
    The concentration/AE — immunogenicity relationship was explored graphically, and tabulated to characterize a relationship between the changes from screening immunogenicity presence and serum concentration of IMCgp100.
    End point type
    Secondary
    End point timeframe
    4 years
    End point values
    IMCgp100 weekly dosing regimen (QW)
    Number of subjects analysed
    3
    Units: participants
        Assessments of Anti-IMCgp100 Antibody Formation:
    2
    No statistical analyses for this end point

    Secondary: Overall Survival Status of All Participants Treated With IMCgp100: Number of Participants

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    End point title
    Overall Survival Status of All Participants Treated With IMCgp100: Number of Participants
    End point description
    This endpoint was used to estimate the overall survival (OS) in participants treated with IMCgp100. OS is defined as the time from the date of first dose of study drug in the parent study until death due to any cause. Any participant not known to have died at the time of analysis was right-censored based on the last recorded date on which the participant was known to be alive, i.e. the latest of (i) the “Date of death or Last contact” (for those participants still alive) on the End of Study electronic case report form page and (ii) “Date patient last known to be alive” on the Survival Follow Up eCRF page. Number of days was then converted to months.
    End point type
    Secondary
    End point timeframe
    4 years
    End point values
    IMCgp100 weekly dosing regimen (QW)
    Number of subjects analysed
    1
    Units: months
    number (not applicable)
        Dead
    27.0
        Study Terminated by Sponsor
    41.0
        Alive
    41.0
    No statistical analyses for this end point

    Secondary: Dose Intensity of IMCgp100 by Participant (Participant 4001001)

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    End point title
    Dose Intensity of IMCgp100 by Participant (Participant 4001001)
    End point description
    End point type
    Secondary
    End point timeframe
    4 years
    End point values
    IMCgp100 weekly dosing regimen (QW)
    Number of subjects analysed
    1
    Units: number
    number (not applicable)
        Dose intensity (μg/week) (rollover)
    57.0
        Relative dose intensity (%) (rollover)
    100
    No statistical analyses for this end point

    Secondary: Dose Intensity of IMCgp100 by Participant (Participant 4002001)

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    End point title
    Dose Intensity of IMCgp100 by Participant (Participant 4002001)
    End point description
    End point type
    Secondary
    End point timeframe
    4 years
    End point values
    IMCgp100 weekly dosing regimen (QW)
    Number of subjects analysed
    1
    Units: number
    number (not applicable)
        Dose intensity (μg/week) (rollover)
    49.0
        Relative dose intensity (%) (rollover)
    100
    No statistical analyses for this end point

    Secondary: Dose Intensity of IMCgp100 by Participant (Participant 4003001)

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    End point title
    Dose Intensity of IMCgp100 by Participant (Participant 4003001)
    End point description
    End point type
    Secondary
    End point timeframe
    4 years
    End point values
    IMCgp100 weekly dosing regimen (QW)
    Number of subjects analysed
    1
    Units: number
    number (not applicable)
        Dose intensity (μg/week) (rollover)
    48.5
        Relative dose intensity (%) (rollover)
    100
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    All participants who received any treatment with IMCgp100 were considered evaluable for safety. All AEs, regardless of study drug relationship, were collected through the 30-day Safety Follow up Period.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    22.0
    Reporting groups
    Reporting group title
    IMCgp100 weekly dosing regimen (QW)
    Reporting group description
    -

    Serious adverse events
    IMCgp100 weekly dosing regimen (QW)
    Total subjects affected by serious adverse events
         subjects affected / exposed
    0 / 3 (0.00%)
         number of deaths (all causes)
    0
         number of deaths resulting from adverse events
    0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    IMCgp100 weekly dosing regimen (QW)
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    3 / 3 (100.00%)
    Investigations
    ALT increased
         subjects affected / exposed
    1 / 3 (33.33%)
         occurrences all number
    1
    AST increased
         subjects affected / exposed
    1 / 3 (33.33%)
         occurrences all number
    2
    Lipase increased
         subjects affected / exposed
    1 / 3 (33.33%)
         occurrences all number
    5
    White blood cell count decreased
         subjects affected / exposed
    1 / 3 (33.33%)
         occurrences all number
    2
    Vascular disorders
    Hypertension
         subjects affected / exposed
    1 / 3 (33.33%)
         occurrences all number
    6
    General disorders and administration site conditions
    Chills
         subjects affected / exposed
    1 / 3 (33.33%)
         occurrences all number
    1
    Eye disorders
    Blepharitis
         subjects affected / exposed
    1 / 3 (33.33%)
         occurrences all number
    1
    Gastrointestinal disorders
    Constipation
         subjects affected / exposed
    1 / 3 (33.33%)
         occurrences all number
    1
    Gastrooesophageal reflux disease
         subjects affected / exposed
    1 / 3 (33.33%)
         occurrences all number
    1
    Vomiting
         subjects affected / exposed
    1 / 3 (33.33%)
         occurrences all number
    2
    Musculoskeletal and connective tissue disorders
    Arthralgia
         subjects affected / exposed
    1 / 3 (33.33%)
         occurrences all number
    2
    Infections and infestations
    Upper respiratory tract infection
         subjects affected / exposed
    1 / 3 (33.33%)
         occurrences all number
    1
    Metabolism and nutrition disorders
    Hypoalbuminaemia
         subjects affected / exposed
    1 / 3 (33.33%)
         occurrences all number
    2
    Hypomagnesaemia
         subjects affected / exposed
    1 / 3 (33.33%)
         occurrences all number
    4

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    07 Nov 2016
    Amendment 2 changes: -Added criteria for treatment beyond progression (Protocol Section 6.6.1) and rationale (Protocol Section 2.4) and treatment discontinuation in the setting of treatment beyond progression -Clarified that the dose and regimen of IMCgp100 was to be determined based upon the dose and schedule utilized in the parent study -Extended the Follow-up Period from 30 days to 90 days

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
    For support, Contact us.
    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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