Second chance: Out-of-Spec cancer therapy offered to desperate patients
NCT ID NCT05398640
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This program gives patients with advanced melanoma access to AMTAGVI, a cell therapy, even when the manufactured batch doesn't meet commercial standards but is still considered safe. It's for people who are already eligible for AMTAGVI and have a product made for them that failed quality checks. The goal is to provide a potential treatment option when no other commercial supply is available.
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Study facts
What this study's own registry entry says, in plain language.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Eligible for treatment with AMTAGVI per United States Prescribing Information (USPI) 2. Have an AMTAGVI product manufactured for commercial treatment; however, the final manufactured product did not meet commercial release criteria but was deemed safe and acceptable for release after risk/benefit assessment 3. Patients of childbearing potential or those with partners of childbearing potential must be willing to practice an approved method of highly effective birth control during treatment and for 12 months after receiving the last protocol-related therapy Exclusion Criteria: 1. History of hypersensitivity to cyclophosphamide, mesna, fludarabine, or any component of lifileucel cryopreservation medium 2. Ongoing systemic infection 3. Cardiopulmonary or renal disorder which may make patient ineligible for treatment with cyclophosphamide, fludarabine or IL-2, at the discretion of the Treating Physician 4. Experience a significant worsening in clinical status that would, in the opinion of the Treating Physician, increase the risk of toxicities from treatment with lymphodepleting chemotherapy, AMTAGVI product that is out of specification, or IL-2 5. Any other condition, laboratory abnormality and/or pre-treatment assessment that places patient at unacceptable risk if they were to participate in the EAP based on the Treating Physician's judgment 6. Pregnant or breastfeeding
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Genom att skicka in godkänner du våra Användarvillkor
Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
48 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Show contact details
Enter your email to view the contact information for this study.
Genom att skicka in godkänner du våra Användarvillkor
Study contacts
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Contact
Email: •••••@•••••
Locations
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Avera Cancer Institute
AVAILABLESioux Falls, South Dakota, 57105, United States
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Banner Health MD Anderson
AVAILABLEGilbert, Arizona, 85234, United States
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Barbara Ann Karmanos Cancer Hospital
AVAILABLEDetroit, Michigan, 48201, United States
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City of Hope
AVAILABLEDuarte, California, 91010, United States
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Cleveland Clinic
AVAILABLECleveland, Ohio, 44195, United States
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Dana Farber Cancer Institute
AVAILABLEBoston, Massachusetts, 02215, United States
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Emory University Hospital
AVAILABLEAtlanta, Georgia, 30322, United States
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Fox Chase Cancer Center
AVAILABLEPhiladelphia, Pennsylvania, 19111, United States
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Fred Hutchinson Cancer Research Center
AVAILABLESeattle, Washington, 98109, United States
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Georgetown University Medical Center
AVAILABLEWashington D.C., District of Columbia, 20007, United States
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Hackensack University Medical Center
AVAILABLEHackensack, New Jersey, 07601, United States
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HonorHealth
AVAILABLEScottsdale, Arizona, 85258, United States
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Intermountain Healthcare
AVAILABLESalt Lake City, Utah, 84107, United States
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Lehigh Valley Health Network
AVAILABLEAllentown, Pennsylvania, 18105, United States
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MD Anderson Cancer Center - U of Texas
AVAILABLEHouston, Texas, 77030, United States
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MD Anderson Cancer Center at Cooper
AVAILABLECamden, New Jersey, 08103, United States
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Massachusetts General Hospital
AVAILABLEBoston, Massachusetts, 02114, United States
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Medical College of Wisconsin
AVAILABLEMilwaukee, Wisconsin, 53226, United States
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Memorial Sloan Kettering Cancer Center
AVAILABLENew York, New York, 10065, United States
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Moffitt Cancer Center
AVAILABLETampa, Florida, 33612, United States
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New York Presbyterian Weill Cornell Medical Center
AVAILABLENew York, New York, 10065, United States
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Northside Hospital
AVAILABLEAtlanta, Georgia, 30342, United States
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Northwestern University
AVAILABLEChicago, Illinois, 60611, United States
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Oregon Health and Science University
AVAILABLEPortland, Oregon, 97239, United States
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Orlando Health Cancer Institute
AVAILABLEOrlando, Florida, 32806, United States
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Providence Cancer Center Oncology and Hematology Care Clinic
AVAILABLEPortland, Oregon, 97213, United States
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SCRI Oncology Partners
AVAILABLENashville, Tennessee, 37203, United States
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South Austin Medical Center
AVAILABLEAustin, Texas, 78704, United States
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St. Lukes Hospital
AVAILABLEBethlehem, Pennsylvania, 18015-1000, United States
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Stanford Hospital
AVAILABLEStanford, California, 94305, United States
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Texas Oncology-Baylor Charles A. Sammons Cancer Center
AVAILABLEDallas, Texas, 75246, United States
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The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
AVAILABLEBaltimore, Maryland, 21287-0013, United States
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The University of Kansas Cancer Center
AVAILABLEWestwood, Kansas, 66205, United States
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Thomas Jefferson University
AVAILABLEPhiladelphia, Pennsylvania, 19701, United States
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University of Chicago
AVAILABLEChicago, Illinois, 60637, United States
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University of Colorado Hospital
AVAILABLEAurora, Colorado, 80045, United States
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University of Iowa Hospital
AVAILABLEIowa City, Iowa, 52242, United States
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University of Kentucky-Markey Cancer Center
AVAILABLELexington, Kentucky, 40536, United States
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University of Louisville - James Graham Brown Cancer Center
AVAILABLELouisville, Kentucky, 40202, United States
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University of Maryland
AVAILABLEBaltimore, Maryland, 21201, United States
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University of Miami
AVAILABLEMiami, Florida, 33136, United States
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University of Nebraska Medical Center
AVAILABLEOmaha, Nebraska, 68198, United States
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University of Pittsburgh Medical Center - Hillman Cancer Center
AVAILABLEPittsburgh, Pennsylvania, 15232, United States
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VCU Medical Center (Virginia Commonwealth University)
AVAILABLERichmond, Virginia, 23298, United States
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Vanderbilt University
AVAILABLENashville, Tennessee, 37232, United States
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Washington University - Barnes Jewish Hospital
AVAILABLESt Louis, Missouri, 63110, United States
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West Penn Hospital
AVAILABLEPittsburgh, Pennsylvania, 15224, United States
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Yale New Haven Hospital
AVAILABLENew Haven, Connecticut, 06510, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- New antibody aims to preserve immune checkpoint while fighting cancer
- Can a DNA vaccine teach the immune system to hunt melanoma?
- Can an immune booster make chemo hit melanoma harder?
- A quest to find biomarkers that match melanoma patients with the right immunotherapy
- Can a triple immunotherapy attack beat advanced melanoma?