Safety and Efficacy of OBX-115 in Advanced Solid Tumors
A Phase 1/2, Open-Label Study to Investigate the Safety and Efficacy of Membrane Bound IL15 Expressing Tumor-Infiltrating Lymphocytes (OBX-115) In Participants With Advanced Solid Tumors
Who can join
As published by the study on ClinicalTrials.gov. "Not stated" means the study hasn't said — ask the study team.
- Age
- 18 Years and older
- Sex
- All sexes
- Healthy volunteers
- Not accepted
- Compensation
- Not stated
Other requirements are listed under Eligibility below. Only the study team can confirm whether you can join.
What to expect
No one can promise a trial will help you personally — that is what the research is trying to find out.
What participation involves
Not stated in the study description — ask the study team about visits and procedures.
- Compensation
- Not stated
- Study-related exams and procedures are typically provided at no cost. This is how many trials work in general — confirm the details for this study with the study team.
- Participants are monitored closely by the research team throughout the study.
- Some participants may receive access to an investigational treatment, which is still being studied.
- Your participation helps researchers learn whether this approach could help future patients.
About this study
In plain language
This study tests the safety of an experimental treatment called OBX-115 and how well it works. It is for adults with advanced melanoma, a type of skin cancer, or non-small cell lung cancer that has spread.
This is a study to investigate the safety and efficacy of an investigational OBX-115 regimen in adult participants with advanced solid tumors.
Compensation is read from the study's own description and may be missing — always confirm with the study team.
Eligibility
Who can join
- Be age 18 or older, with melanoma or non-small cell lung cancer confirmed by a tissue test.
- For previously treated melanoma: the cancer must have worsened on scans after PD-1/PD-L1 treatment, which helps the immune system fight cancer. No more than 2 prior courses of whole-body treatment are allowed, with special rules for treatment around surgery. Other rules apply to BRAF/MEK targeted drugs.
- For the first-treatment melanoma group: the cancer cannot be removed by surgery or has spread. Up to 2 doses of PD-1/PD-L1 treatment are allowed, with limits based on when the cancer worsened.
- For lung cancer: the cancer must have returned or not responded to approved treatments. Special rules apply to prior immune therapy, targeted drugs, and chemotherapy.
- Have tumor tissue that can be collected to make OBX-115, with at least one tumor left afterward that can be measured.
- Be fully active or able to do light work, and be expected to live more than 6 months.
- Have only mild or no remaining side effects from prior cancer treatment. Be healed from prior surgery, with no remaining surgical problems.
- Meet study rules for blood counts and heart, liver, lung, and kidney function. Agree to the study's birth control or no-sex rules.
Who can't join
- Have melanoma that started inside the eye, or a genetically similar type.
- Have a history of cancer spread to the brain or the tissue around the brain and spinal cord. Some people with 4 or fewer brain tumors may qualify under special rules.
- Have an illness that makes the study too risky, or lung cancer with serious fluid buildup around the lungs that does not respond to treatment.
- Have an immune system deficiency, or need more than 10 mg of prednisone daily or an equal dose of another whole-body steroid.
- Have had an allergic reaction to any part of the study treatment, or another cancer in the past 3 years, with some exceptions.
- Have had an organ transplant or cell treatment from a donor, or genetically changed cell treatment. Prior engineered TIL treatment, which uses changed immune cells from a tumor, is allowed.
- Have received a live or weakened-live vaccine within 28 days before treatment to reduce immune cells.
- Have a positive infection screening test or an active, uncontrolled infection found during screening or needing ongoing whole-body treatment.
Simplified for readability. The official criteria below are what the study team uses.
Official eligibility criteria
Inclusion Criteria: 1. Participant must be 18 years of age or older at the time of signing the informed consent. 2. Participant has a histologically confirmed diagnosis of advanced/metastatic melanoma or relapsed refractory metastatic non-small cell lung cancer (NSCLC). 3. Cohort and indication specific criteria as follows: 1. Phase 1 and Phase 2 Cohort 1 (enrollment complete): * Participants with unresectable or metastatic melanoma must have experienced documented radiographic disease progression after systemic therapy containing a programmed cell death protein 1 (PD-1)/programmed death ligand 1 (PD-L1) blocking antibody. * Participants with melanoma must not exceed 2 prior lines of systemic therapy. Neoadjuvant/Adjuvant treatment will not be considered a prior line of systemic therapy unless the participant progressed during or within the 12 weeks after the last dose of the adjuvant PD-1/PD-L1 blocking antibody. 2. Phase 1 and Phase 2 Cohort 2 (recruiting): * Participants with non-small cell lung cancer should have relapsed or are refractory to approved systemic therapies (approved ICI-based regimen for all appropriate participants and/or an approved targeted therapy for known molecular abnormalities if applicable to their disease). * Participants who received PD-1/PD-L1 inhibitor-based therapy in the adjuvant or neoadjuvant setting and whose disease relapsed or progressed to metastatic disease within 6 months of their last systemic PD-1/PD-L1 treatment are eligible without requiring additional treatment in the metastatic setting. * Participants who experienced disease progression following a prior cytotoxic chemotherapy-based regimen may have received no more than one additional chemotherapy-containing regimen. However, participants must not have had disease progression while receiving this second-chemotherapy containing regimen. 3. Phase 2 Cohort 3 (recruiting): * Participants with unresectable or metastatic melanoma must have experienced documented radiographic disease progression after systemic therapy containing a programmed cell death protein 1 (PD-1)/programmed death ligand 1 (PD-L1) blocking antibody. * Participants with melanoma must not exceed 2 prior lines of systemic therapy. Neoadjuvant/Adjuvant treatment will not be considered a prior line of systemic therapy unless the participant progressed during or within the 12 weeks after the last dose of the (neo)adjuvant PD-1/PD-L1 blocking antibody. * Participants with targetable BRAF mutations are not required to have received prior BRAF inhibitors. Participants must not have disease progression on a BRAF/MEK inhibitor that was given as the most recent line of therapy. 4. Phase 2 Cohort 4 (recruiting): * Participants with frontline unresectable or metastatic melanoma. * Participants may have received up to 2 doses of system therapy containing a programmed cell death protein 1 (PD-1)/programmed death ligand 1 (PD-L1) blocking antibody-based treatment of unresectable metastatic melanoma (but must not have known clinical progression prior to tumor procurement.) Neoadjuvant/Adjuvant treatment will not be considered a prior line of systemic therapy; however, participants whose disease progressed within 12 weeks after the last dose of the PD-1/PD-L1 blocking antibody given as (neo)adjuvant treatment (primary ICI resistant) are not eligible. 4. Participant is assessed as having at least one lesion (or aggregate lesions) suitable for OBX-115 generation. 5. After tumor tissue procurement, the participant will have at least one remaining measurable lesion, as defined by RECIST v1.1. 6. Participant has an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 and an estimated life expectancy of greater than 6 months. 7. Participant has recovered from all prior anticancer treatment-related AEs to at least Grade 1 (per Common Terminology Criteria for Adverse Events \[CTCAE\]). 8. Participants must have completed post-operative recovery from any prior surgical procedures with wound healing and resolution of all surgical complications prior to planned tumor procurement surgery. 9. Both male and female (women of childbearing potential) participants agree to the follow protocol specified contraceptive and/or abstinence requirements. 10. Participant has protocol specified hematologic parameters for absolute neutrophil count (ANC) and platelet count. 11. Participant has adequate cardiac, liver, lung, and kidney organ function as specified in the protocol. Exclusion Criteria: 1. Participant has melanoma of uveal origin or its other genetic equivalents (e.g. GNA11 and GNAQ). 2. Participant has a history of brain metastases or leptomeningeal disease. Participants may be considered for enrollment if they have 4 or fewer brain metastatic lesions that are that have been treated, if clinically indicated. Asymptomatic brain metastases that are equivocal or too small to warrant treatment may not be counted towards the above set limits upon discussion and agreement from the Medical Monitor. 3. Participant has an active medical illness(es) that, in the opinion of the Investigator, would pose increased risks for study participation. 4. Participants with non-small cell lung cancer with refractory and clinically significant pleural effusions. 5. Participant has any form of primary or acquired immunodeficiency. 6. Participant has a history of hypersensitivity to any component of the study intervention. 7. Participant had another primary malignancy within the previous 3 years (with protocol specified exceptions). 8. Participant has a history of allogeneic organ transplant, allogeneic cell therapy, or genetically engineered cell therapy. Prior engineered TIL cell therapy is allowed. 9. Participant requires systemic steroid therapy of greater than10 mg/day of prednisone or equivalent. 10. Participant received a live or attenuated vaccination within 28 days prior to the start of lymphodepletion (LD). 11. Participant has evidence of positive infectious disease screening and/or any active uncontrolled viral, bacterial, or fungal disease requiring ongoing systemic treatment or identified during screening.
Study sites (9)
CA
- The Angeles Clinic and Research Institute (Melanoma) · Los Angeles, CA 90025Saba Mukarram · Study contact · SMukarram@theangelesclinic.orgOmid Hamid, MD · Principal investigatorMore trials in Los Angeles
- USC Norris Comprehensive Cancer Center (Melanoma/NSCLC) · Los Angeles, CA 90033Sandy Tran · Study contact · 323-865-3935 · sandy.tran@med.usc.eduGino In, MD · Principal investigatorMore trials in Los Angeles
- Stanford Cancer Institute (Melanoma/NSCLC) · Stanford, CA 94305Samantha Lam · Study contact · 650-736-3054 · samalam@stanford.eduAllison Betof, MD · Principal investigatorMore trials in Stanford
FL
- Orlando Health Cancer Institute (Melanoma/NSCLC) · Orlando, FL 32806Danielle Ramos · Study contact · 321-841-6764 · danielle.ramos1@orlandohealth.comTirrell T. Johnson, MD · Principal investigatorMore trials in Orlando
KY
- James Graham Brown Cancer Center (Melanoma/NSCLC) · Louisville, KY 40202Melissa B. Hall · Study contact · Mmbaro01@louisville.eduJason Chesney, MD, PhD · Principal investigatorMore trials in Louisville
NY
- Memorial Sloan Kettering (Melanoma/NSCLC) · New York, NY 10065Melanoma · Study contact · 6464979067NSCLC · Study contact · 6464979163Alexander Shoushtari, MD · Principal investigatorMore trials in New York
OH
- The Ohio State University · Columbus, OH 43210More trials in Columbus
PA
- Allegheny Research Institute (Melanoma/NSCLC) · Pittsburgh, PA 15224Lindsay Brown · Study contact · lindsey.brown@ahn.orgDeanna Huffman, DO · Principal investigatorMore trials in Pittsburgh
TX
- M.D. Anderson Cancer Center (Melanoma/NSCLC) · Houston, TX 77030Steffy Jose · Study contact · SJose3@mdanderson.orgRodabe Amaria, MD · Principal investigatorMore trials in Houston