NK Cells + N-803 for Kidney and Bladder Cancer
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial tests a new approach to treating advanced kidney and bladder cancer. It combines special immune cells called CIML NK cells (Cytokine Induced Memory-like Natural Killer Cells) with a low dose of IL-2, a protein that boosts the immune system. Researchers aim to determine if this combination is safe and effective for individuals whose cancer has progressed despite previous treatments. This trial suits those with clear cell renal cell carcinoma or urothelial carcinoma who have experienced treatment failures with prior standard therapies. As an Early Phase 1 trial, the research focuses on understanding how the treatment works in people, offering participants the opportunity to be among the first to receive this innovative therapy.
Will I have to stop taking my current medications?
The trial protocol does not specify if you must stop taking your current medications. However, you cannot have had anti-tumor chemotherapy or investigational agents within 2 weeks prior to enrollment, or immunotherapy within 4 weeks prior. Also, you cannot be on systemic corticosteroid therapy at a dose of 10 mg or more of prednisone (or equivalent) for at least 2 weeks before enrolling.
Is there any evidence suggesting that this trial's treatments are likely to be safe?
Research has shown that a new type of immune cell, called cytokine-induced memory-like (CIML) natural killer (NK) cells, is safe in early trials. These cells are designed to attack cancer cells and have been well-tolerated in initial studies, with few serious side effects reported.
Trials have demonstrated that N-803, a drug that boosts the immune system, is generally safe with mild side effects. Specifically, studies with bladder cancer patients found N-803 to have low toxicity and did not cause strong immune reactions.
Both treatments remain in the early testing stages, focusing primarily on ensuring safety for humans. While early results are promising, ongoing trials will continue to closely monitor safety.12345Why are researchers excited about this trial's treatments?
Researchers are excited about using Cytokine Induced Memory-like Natural Killer (CIML NK) Cells combined with N-803 for treating kidney and bladder cancer because this approach leverages the body's own immune cells to fight cancer more effectively. Unlike standard treatments like surgery, chemotherapy, or radiation, which can be broadly toxic, CIML NK cells are designed to specifically target and destroy cancer cells while minimizing harm to healthy cells. Additionally, N-803 acts as an immune booster, enhancing the effectiveness of these NK cells. This innovative combination not only aims to improve patient outcomes by precisely targeting cancer cells but also holds potential for fewer side effects compared to traditional therapies.
What evidence suggests that this trial's treatments could be effective for kidney and bladder cancer?
Research has shown that a special type of immune cell, called CIML NK cells, may help treat various cancers. These cells enhance the body's ability to fight cancer. Early results from similar treatments have demonstrated promising effects against tumors, suggesting potential benefits for patients with advanced cancers. In this trial, participants will receive CIML NK cells combined with low-dose IL-2 to determine the maximum tolerated dose.
For the treatment N-803, studies have shown impressive results, particularly for bladder cancer. In one study, 71% of patients with a specific type of bladder cancer experienced a complete response, meaning their cancer was no longer detectable. This suggests that using N-803 with CIML NK cells, as studied in this trial, could be an effective option for treating kidney and bladder cancers.13467Who Is on the Research Team?
Wenxin Xu, MD
Principal Investigator
Dana-Farber Cancer Institute
Are You a Good Fit for This Trial?
This trial is for adults with advanced renal cell carcinoma or urothelial carcinoma. Participants must have measurable disease and be able to provide a sample of their tumor tissue. They should not have had any other cancer treatments like chemotherapy, radiation, or surgery within the last 4 weeks.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Leukapheresis and Chemotherapy
Collection of NK cells through leukapheresis and administration of lymphodepleting chemotherapy
Treatment
Administration of CIML NK Cell Therapy and low dose IL-2
Follow-up
Participants are monitored for safety and effectiveness after treatment
What Are the Treatments Tested in This Trial?
Interventions
- Cytokine Induced Memory-like Natural Killer (CIML NK) Cells
- N-803
Find a Clinic Near You
Who Is Running the Clinical Trial?
Dana-Farber Cancer Institute
Lead Sponsor
Kidney Cancer Association
Collaborator
ImmunityBio, Inc.
Industry Sponsor
Richard Adcock
ImmunityBio, Inc.
Chief Executive Officer since 2024
Information not available
Dr. Patrick Soon-Shiong
ImmunityBio, Inc.
Chief Medical Officer since 2021
MD