Clinical Drug Experience Knowledgebase

Criteria

Inclusion Criteria:

Male or female patients aged ≥18 years
Performance status Eastern Cooperative Oncology Group (ECOG) 0 or 1
Subjects with histological or cytological confirmation of advanced malignant melanoma, renal cell carcinoma or NSCLC which are refractory to current standard treatments or who have indolent disease for which immunotherapy may be beneficial
Measurable disease according to the irRC criteria

Adequate bone marrow, liver and renal function as assessed by the following laboratory requirements to be conducted <2 weeks prior to Cycle 1:

Creatinine ≤ 1.5 x upper limit of normal (ULN) OR a calculated creatinine clearance ≥ 50 ml/min
Total bilirubin ≤ 1.5 x ULN
Alanine transaminase (ALT) and aspartate transaminase (AST) ≤ 2.5 x ULN or ≤ 5 x ULN with liver metastases
Absolute lymphocyte count ≥1.0 x 10E9/L
Absolute Neutrophil Count (ANC) ≥1.5 x 10E9/L
Platelets ≥100 x 10E9/L
Haemoglobin ≥ 10 g/dL
Life expectancy of at least 3 months
Suitable increase in starting γδ T cell number to final γδ T cell number in the proliferation assay between 10 days in culture
Able to give informed, written consent
For female patients and female partners of male patients: must be surgically sterile, postmenopausal, or compliant with two forms of contraception (one of which must be a barrier method) during and for 6 months after the treatment period; female patients must have a negative urine pregnancy test at screening and must not be breast-feeding.

Exclusion Criteria:

Other primary cancers apart from non-melanoma skin cancers, carcinoma - in situ of the cervix, or a prior cancer treated with curative intent more than 2 years ago without any evidence or recurrent disease
Uncontrolled systemic infection
Systemic steroid therapy or other immune-suppressants (except in cases where the patient is receiving treatment with replacement doses for adrenal insufficiency)
Treatment with bisphosphonates, for instance zoledronate, in the previous 3 months and throughout the trial
New York Heart Association (NYHA) functional class ≥3 or myocardial infarction within 6 months
Clinically-significant uncontrolled cardiac arrhythmia other than asymptomatic atrial fibrillation not requiring therapy.
Ulcerative Colitis / Inflammatory bowel disease, Addison's disease
Pregnancy or lactation before or during the trial. A urine pregnancy test will be carried out at screening
Taking any other investigational medicinal product (IMP) or participation in another interventional clinical trial in the previous 30 days
Less than 4 weeks since systemic anti-cancer therapy (tyrosine kinase inhibitors, chemotherapy, immunotherapy, hormonal therapy, radiotherapy) and less than 6 weeks since mitomycin C and nitrosureas
Substance abuse, medical, psychological or social conditions that may interfere with the subject's participation in the trial or evaluation of the trial results
Any other condition considered by a trial physician to be inappropriate for inclusion to the study such as contraindications to leukapheresis (contraindications to heparin which are: recent cerebral haemorrhage; peptic ulcer; recent surgery to eye or nervous system; hypersensitivity to heparin; past history of Type II heparin induced thrombocytopenia; past history of significant spontaneous haemorrhage; known haemophilia or other bleeding disorder).
Serological evidence of active infection