Personalized cell therapy shows promise but trial ends early
NCT ID NCT03645928
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tested a personalized treatment using immune cells taken from a patient's own tumor, called tumor-infiltrating lymphocytes (TIL). The cells were grown in a lab and given back to the patient to fight their cancer. The trial included people with advanced melanoma, head and neck cancer, or non-small cell lung cancer. The study was terminated early, so the full results are not available, but the approach may still offer hope for future treatments.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- tumor-infiltrating lymphocytes (TIL) called lifileucel and LN-145
- What this could lead to
- If successful, this approach could offer a new treatment option for people with advanced solid tumors that have not responded to other therapies.
- What could go wrong
- This trial was terminated early, so results are limited. TIL therapy is complex and can cause serious side effects, and it may not work for everyone.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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225 people
The number who actually took part.
- Started
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May 2019
- Finished
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Feb 2026
- 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
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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 * Must have a confirmed diagnosis of malignancy of their receptive \[RL7.1\]histologies: unresectable or metastatic melanoma Stage IIIC to IV (Cohorts 1A,1B and 1C), advanced, recurrent or metastatic HNSCC (Cohort 2A), or Stage III or Stage IV non-small cell lung cancer (Cohorts 3A, 3B, and 3C). Stage IV NSCLC with no actionable mutations (EGFR, ALK, ROS1) with effective targeted therapy (Cohorts 3D and 3E). * Cohorts 1A, 1D, 2A, 3A, 3D and 3E: If previously treated, patients must have progressed on or after most recent therapy and must not have received ICIs as part of one of the counted lines of prior therapy. Patients must have radiologically documented disease progression while receiving or after the completion of the most recent prior treatment. Patients may have received up to 3 prior systemic anticancer therapies (except for Cohort 3A, where patients whose tumors harbor actionable mutations may have received up to 4 prior systemic therapies). Patients in Cohort 1D may have had no prior therapy for advanced disease. Patients in Cohorts 3D and 3E may have had no prior systemic therapy for Stage IV disease. * Cohorts 1B, 1C, 3B, and 3C: Unresectable or metastatic melanoma patients in Cohorts 1B or 1C must have previously received systemic therapy with a PD-1 blocking antibody. NSCLC patients in Cohort 3B must have previously received systemic therapy with any ICI (except for those patients with known oncogene driver mutations that are sensitive to targeted therapies) as part of 1 - 3 prior lines of therapy. NSCLC patients in Cohort 3C must have previously received 1 line of ICI monotherapy. No other systemic therapy for metastatic disease is allowed. Prior chemoradiation and/or chemotherapy in the adjuvant and/or neoadjuvant settings are allowed. * Must have at least 1 resectable lesion * Must have remaining measurable disease as defined by RECIST 1.1 following tumor resection * Must be ≥ 18 years at the time of consent for Cohorts 1A, 1C, 1D, 2A, 3A, 3B, 3C, 3D and 3E. Patients must be ≥ 12 years at the time of consent for Cohort 1B. Enrollment of patients \> 70 years of age may be allowed after consultation with the Medical Monitor. * Must have an Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1, and an estimated life expectancy of ≥ 6 months. * Patients of childbearing potential or those with partners of childbearing potential must be willing to practice an approved method of birth control during treatment and for 12 months after their last dose of aldesleukin, 4 months after their last dose of pembrolizumab, 5 months after their last dose of ipilimumab or nivolumab, or nivolumab-relatlimab; 6 months after the last dose of carboplatin; 14 months after the last dose of cisplatin; and 6 months after the last dose of pemetrexed, paclitaxel, or nab-paclitaxel, whichever occurs later. Exclusion Criteria * Patients with melanoma of uveal/ocular origin. * Patients who have a history of allogeneic organ transplant or any form of cell therapy involving prior conditioning chemotherapy within the past 20 years. Patients being retreated with TIL, as part of this study are not excluded. * Patients who have symptomatic, untreated brain metastases or history of leptomeningeal metastases. * Patients who are on systemic steroid therapy \> 10 mg/day of prednisone or other steroid equivalent. Patients receiving steroids as replacement therapy for adrenocortical insufficiency at ≤ 10 mg/day of prednisone or other steroid equivalent may be eligible. * Patients who are pregnant or breastfeeding. * Patients who have an active medical illness(es), which in the opinion of the Investigator, would pose increased risks for study participation * Cohort 1A, 1D, 2A, 3A, 3C, 3D and 3E patients may not have a medical history of autoimmune disorders (including pneumonitis) requiring treatment or active management. * Patients who have received a live or attenuated vaccination within 28 days prior to the start of treatment * Patients who have any form of primary immunodeficiency * Patients with a history of hypersensitivity to any component of the study drugs to be administered in the pertinent cohort(s). * Patients who have a left ventricular ejection fraction (LVEF) \< 45% or who are New York Heart Association Class II or higher. A cardiac stress test demonstrating any irreversible wall movement abnormality in any patients ≥60 years of age or in patients who have a history of ischemic heart disease, cardiac chest pain, or clinically significant atrial and/or ventricular arrhythmias. * Patients with respiratory dysfunction or history of smoking are excluded if not meeting either of forced expiratory volume in 1 second (FEV1)/forced vital capacity (FVC) \> 0.7 or FEV1 \> 50%. * Patients who have had another primary malignancy within the previous 3 years * Participation in another interventional clinical study within 21 days prior to the initiation of treatment. * Patients in Cohorts 1D, 3D, or 3E who previously received adjuvant or neoadjuvant ICI(s) for non-metastatic disease and had an immune-related AE(s) requiring systemic steroid treatment or discontinuation of immune checkpoint inhibitor therapy.
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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.
Contacts and locations
Locations
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Attikon University General Hospital
Athens, Attica, 12461, Greece
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Centre Hospitalier Universitaire Vaudois
Lausanne, 1011, Switzerland
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Fred Hutchinson Cancer Research Center
Seattle, Washington, 98109, United States
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Georgetown University Medical Center
Washington D.C., District of Columbia, 20007, United States
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Guy's Hospital
London, England, SE19RT, United Kingdom
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Henry Ford Health System
Detroit, Michigan, 48202, United States
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Hospital Regional Universitario de Malaga - Hospital General
Málaga, Málaga, 29016, Spain
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Hospital Universitario 12 de Octubre
Madrid, 28041, Spain
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Hospital Universitario Fundacion Jimenez Diaz
Madrid, 28040, Spain
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Hospital Universitario HM Sanchinarro
Madrid, 28050, Spain
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Hospital Universitario Marques de Valdecilla
Santander, Cantabria, 39008, Spain
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ICO l'Hospitalet - Hospital Duran i Reynals
Barcelona, 08908, Spain
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Karmanos Cancer Institute
Detroit, Michigan, 48201, United States
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Laiko General Hospital of Athens
Athens, Attica, 11527, Greece
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MD Anderson at Cooper
Camden, New Jersey, 08103, United States
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Massachusetts General Hospital
Boston, Massachusetts, 02114, United States
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Medical College of Wisconsin
Milwaukee, Wisconsin, 53226, United States
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Memorial Sloan Kettering Cancer Center
New York, New York, 10065, United States
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Moffitt Cancer Center
Tampa, Florida, 33612, United States
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Morristown Medical Center
Morristown, New Jersey, 07960, United States
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Ohio State University
Columbus, Ohio, 43201, United States
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Orlando Health Cancer Institute
Orlando, Florida, 32610, United States
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Princess Margaret Cancer Centre
Toronto, Ontario, M5G 2C1, Canada
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The Royal Marsden NHS Foundation Trust
London, England, SW3 6JJ, United Kingdom
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Universitaetsspital Bern
Bern, 3010, Switzerland
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University of California, Los Angeles
Los Angeles, California, 90095, United States
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University of California, San Diego
La Jolla, California, 92093, United States
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University of Cincinnati
Cincinnati, Ohio, 45219, United States
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University of Colorado
Denver, Colorado, 80045, United States
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University of Louisville
Louisville, Kentucky, 40292, United States
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University of Maryland
Baltimore, Maryland, 21201, United States
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University of Southern California
Los Angeles, California, 90007, United States
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Universitätsklinikum Schleswig-Holstein - Campus Lübeck
Lübeck, Schleswig-Holstein, 23538, Germany
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Yale University
New Haven, Connecticut, 06520, United States
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