Following the development of further safety and monitoring protocols, the IOV-LUN-202 trial can resume patient enrollment.
The FDA has announced it will lift the partial clinical hold on the IOV-LUN-202 trial investigating the TIL cell therapy LN-145 for the treatment of NSCLC following collaboration with the FDA and an independent data monitoring committee to develop additional safety and monitoring measures.1
In December 2023, the FDA placed the IOV-LUN-202 on a partial clinical hold following a patient death potentially related to the nonmyeloablative lymphodepletion preconditioning regimen.2
IOV-LUN-202 is investigating LN-145 for the treatment of patients with advanced unresectable or metastatic NSCLC without EGFR, ROS, or ALK mutations. Patients must have been previously treated with chemotherapy, an anti-PD-1 agent, and at least 1 additional line of targeted therapy for those with actionable genetic mutations. The enrollment of approximately 120 patients is expected to be completed by 2025.1
Initial findings were released in July 2023 and showed an overall response rate (ORR) of 26.1%, consisting of 1 complete response and 5 partial responses. The disease control rate (DCR) was 82.6%. The median duration of response (DOR) was not reached, and it ranged from 1.4+ to 9.7+ months.2,3 Updated findings from November 2023 showed that 71% of confirmed responders had ongoing responses and confirmed DORs greater than 6 months.1
The study’s primary end point is ORR, and the secondary end points include complete response rate, DOR, DCR, progression-free survival, overall survival, incidence of adverse events, and core biopsies.4
Four cohorts are included in the study, including:
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