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TerminatedNCT03645928Updated May 15, 2026

Study of Autologous Tumor Infiltrating Lymphocytes in Patients With Solid Tumors

A Phase 2 interventional study of Lifileucel and LN-145 in Metastatic Melanoma, Squamous Cell Carcinoma of the Head and Neck and Non-small Cell Lung Cancer, sponsored by Iovance Biotherapeutics, Inc.. Terminated at 34 sites in 7 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-05-15.

Sponsored by Iovance Biotherapeutics, Inc. · Phase 2, Interventional, and Treatment

Why this study was terminated
After reviewing the available safety and efficacy data to date, Iovance concluded that the study reached the required number of events for evaluation of study endpoints.
Phase
Phase 2
Study type
Interventional
Enrollment
225
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

A prospective, open-label, multi-cohort, non-randomized, multicenter Phase 2 study evaluating adoptive cell therapy (ACT) with TIL [LN-144/LN-145 (lifileucel)] in combination with immune checkpoint inhibitors or TIL [LN-144/LN-145 (lifileucel) and LN-145-S1] as a single agent therapy.

Read the detailed description

TIL [LN-144/LN-145 (lifileucel) and LN-145-S1] is an adoptive cell transfer therapy that utilizes an autologous TIL for the treatment of patients with unresectable or metastatic melanoma; advanced, recurrent, or metastatic squamous cell carcinoma of the head and neck; and locally advanced or metastatic non-small-cell lung cancer. The adoptive cell transfer therapy used in this study involves patients receiving a nonmyeloablative lymphodepletion (NMA-LD) regimen, followed by autologous TIL infusion , then aldesleukin administration. Patients in Cohorts 1A, 1D, 2A, 3A, 3C, 3D, and 3E will receive TIL plus immune checkpoint inhibitors. Patients in Cohorts 1B, 1C, and 3B will receive autologous TIL as a single therapy.

02

Conditions studied

  • Metastatic Melanoma
  • Squamous Cell Carcinoma of the Head and Neck
  • Non-small Cell Lung Cancer

Keywords

  • LN-144
  • LN-145
  • Cell Therapy
  • Autologous Adoptive Cell Transfer
  • Autologous Adoptive Cell Therapy
  • Cellular Immuno-therapy
  • Tumor Infiltrating Lymphocytes
  • TIL
  • IL-2
  • Multiple Tumor Type
  • Lifileucel
  • Pembrolizumab
  • LN-145-S1
  • Ipilimumab
  • Nivolumab
  • ICI
  • Immune Checkpoint Inhibitor
  • Aldesleukin
  • Non-small cell lung cancer
  • Melanoma
  • NSCLC
  • Nivolumab-relatlimab
  • Head-and-neck squamous cell carcinoma
  • HNSCC
  • Platinum doublet chemotherapy agents
  • Cisplatin
  • Carboplatin
  • Paclitaxel
  • Nab-Paclitaxel
03

In context

Melanoma

3,006 studies on the registry are indexed under Melanoma; 519 are open to participants now.

This study's enrollment of 225 is above the median of 38 across 2,350 interventional studies indexed under Melanoma.

Browse Melanoma studies →

Lead sponsor

Iovance Biotherapeutics, Inc. is the lead sponsor of 16 studies on the registry; 8 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 3 (60%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

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

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.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
225 participants (actual)

Study arms

  • Experimental
    Cohort 1A

    Lifileucel (LN-144) regimen in combination with pembrolizumab in patients with Stage IIIC to IV unresectable or metastatic melanoma with ≤ 3 prior lines of systemic therapy, excluding immune checkpoint inhibitors (ICI).

    Biological: Lifileucel · Drug: Pembrolizumab

  • Experimental
    Cohort 1B

    LN-145-S1 regimen in patients with Stage IIIC or Stage IV unresectable or metastatic melanoma, who have previously received systemic therapy with a PD-1 blocking antibody. If the tumor is proto-oncogene B-Raf (BRAF) V600 mutation positive, patients must have received a BRAF inhibitor with or without a mitogen-activated extracellular signal-related kinase (MEK) inhibitor.

    Biological: LN-145-S1

  • Experimental
    Cohort 1C

    Lifileucel (LN-144 Generation 3 \[Gen 3\]) regimen in patients with Stage IIIC or Stage IV unresectable or metastatic melanoma, who have previously received systemic therapy with a PD-1 blocking antibody. If the tumor is BRAF V600 mutation positive, patients must have received BRAF inhibitor with or without a MEK inhibitor.

    Biological: Lifileucel

  • Experimental
    Cohort 2A

    Lifileucel (LN-145) regimen in combination with pembrolizumab in patients with advanced, recurrent, or metastatic HNSCC, with ≤ 3 prior lines of systemic therapy, excluding ICIs.

    Biological: Lifileucel · Biological: LN-145 · Drug: Pembrolizumab

  • Experimental
    Cohort 3A

    Lifileucel (LN-145) regimen in combination with pembrolizumab in patients with locally advanced or metastatic (Stage III or Stage IV) non-small-cell lung cancer (NSCLC) with ≤ 3 prior lines of systemic therapy, excluding ICIs, or ≤ 4 lines if 2 or more of the lines are tyrosine kinase inhibitor (TKI) therapy for those with tumors that harbored actionable mutations (eg, EGFR, ALK, ROS).

    Biological: Lifileucel · Biological: LN-145 · Drug: Pembrolizumab

  • Experimental
    Cohort 3B

    Lifileucel (LN-145) regimen ent in patients with Stage III or Stage IV NSCLC, who have previously received 1-3 lines of prior systemic therapy. Patients with known oncogene drivers (eg, EGFR, ALK, ROS) who have mutations that are sensitive to targeted therapies are not required to have received prior systemic therapy with ICIs.

    Biological: Lifileucel · Biological: LN-145

  • Experimental
    Cohort 3C

    Lifileucel (LN-145) regimen in combination with ipilimumab and nivolumab in patients with Stage III or Stage IV NSCLC who 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 neo-adjuvant settings are allowed.

    Biological: Lifileucel · Biological: LN-145 · Drug: Ipilimumab · Drug: Nivolumab

  • Experimental
    Cohort 3D

    Lifileucel regimen in combination with pembrolizumab with or without pemetrexed, given after tumor resection then 4 cycles of frontline platinum doublet chemotherapy plus pembrolizumab, in patients with Stage IV NSCLC without EGFR, ALK, or ROS1 driver mutations, who have had no prior therapy for advanced disease.

    Biological: Lifileucel · Biological: LN-145 · Drug: Pembrolizumab · Drug: Cisplatin · Drug: Carboplatin · Drug: Paclitaxel · Drug: Nab paclitaxel · Drug: Pemetrexed

  • Experimental
    Cohort 3E

    Lifileucel regimen in combination with pembrolizumab with or without pemetrexed, given after 4 cycles of frontline platinum doublet chemotherapy plus pembrolizumab with tumor resection between any 2 cycles, in patients with Stage IV NSCLC without EGFR, ALK, or ROS1 driver mutations.

    Biological: Lifileucel · Biological: LN-145 · Drug: Pembrolizumab · Drug: Cisplatin · Drug: Carboplatin · Drug: Paclitaxel · Drug: Nab paclitaxel · Drug: Pemetrexed

  • Experimental
    Cohort 1D

    Lifileucel (LN-144) regimen in combination with nivolumab-relatlimab in patients with Stage IIIC to IV unresectable or metastatic (advanced) melanoma who have had no prior therapy for advanced disease.

    Biological: Lifileucel · Drug: Nivolumab-relatlimab

Interventions

  • BiologicalLifileucel

    A tumor sample is resected from each patient and cultured ex vivo to expand the population of tumor-infiltrating lymphocytes (TIL). After NMA-LD, patients receive lifileucel, followed by aldesleukin administration. Lifileucel will be administered to patients once (on Day 0) during the study.

    Also known as: LN-144, TIL, autologous tumor-infiltrating lymphocytes

  • BiologicalLN-145

    A tumor sample is resected from each patient and cultured ex vivo to expand the population of tumor infiltrating lymphocytes. After NMA lymphodepletion, patients are infused with their autologous TIL (LN-145) followed by aldesleukin administration. TIL will be administered to patients once (on Day 0) during the study.

    Also known as: TIL, autologous tumor infiltrating lymphocytes

  • DrugPembrolizumab

    Humanized antibody. Pembrolizumab will be administered after tumor resection and will continue every 3 weeks or every 6 weeks for up to 2 years.

    Also known as: Keytruda

  • BiologicalLN-145-S1

    A tumor sample is resected from each patient and cultured ex vivo to expand the population of TIL, then TIL with high levels of PD-1 surface expression are selected. After NMA-LD, patients receive their autologous PD-1-selected TIL (LN-145-S1), followed by aldesleukin administration. TIL will be administered to patients once (on Day 0) during the study.

    Also known as: TIL, autologous tumor-infiltrating lymphocytes, PD-1-selected TIL

  • DrugIpilimumab

    Monoclonal antibody Ipilimumab will be administered as a single dose prior to tumor resection.

    Also known as: Yervoy

  • DrugNivolumab

    Monoclonal antibody. Nivolumab will be administered once prior to tumor resection. The second dose will be administered prior to starting NMA-LD and will continue every 4 weeks for up to 2 years.

    Also known as: Opdivo

  • DrugNivolumab-relatlimab

    Monoclonal antibody (nivolumab) and monoclonal antibody (relatlimab). Nivolumab-relatlimab will be administered after tumor resection and will continue every 4 weeks for up to 2 years.

    Also known as: Opdualag

  • DrugCisplatin

    Cisplatin administered intravenously at the protocol-defined dose every 3 weeks for up to 4 cycles.

  • DrugCarboplatin

    Carboplatin administered intravenously at the protocol-defined dose every 3 weeks for up to 4 cycles.

  • DrugPaclitaxel

    Paclitaxel administered intravenously at the protocol-defined dose every 3 weeks for up to 4 cycles.

  • DrugNab paclitaxel

    Nab-Paclitaxel administered intravenously at the protocol-defined dose every 3 weeks for up to 4 cycles.

  • DrugPemetrexed

    Pemetrexed administered intravenously at the protocol-defined dose every 3 weeks for up to 4 cycles. Optional continuation maintenance every 3 weeks, if applicable.

06

What researchers measure

Primary outcomes

  1. Objective Response Rate

    To evaluate the efficacy of autologous TIL in combination with ICIs in metastatic melanoma, HNSCC, and NSCLC patients and as a single therapy in metastatic melanoma and NSCLC patients as determined by objective response rate (ORR) using the Response Evaluation Criteria in Solid Tumors (RECIST 1.1) as assessed by Investigator

    Time frame: Up to 60 months

  2. Safety Profile Measured by Grade ≥3 TEAEs

    To characterize the safety profile of autologous TIL in combination with ICIs in metastatic melanoma, HNSCC, and NSCLC patients and as a single therapy in metastatic melanoma and NSCLC patients as measured by the incidence of Grade ≥ 3 treatment-emergent adverse events (TEAEs)

    Time frame: Up to 60 months

  3. Percentage of patients for whom lifileucel is successfully manufactured and meets release specification

    To evaluate the feasibility of producing lifileucel using tumor samples obtained before (Cohort 3D) or during (Cohort 3E) frontline platinum doublet chemotherapy and pembrolizumab in patients with Stage IV NSCLC

    Time frame: Up to 60 months

Secondary outcomes

  1. Complete Response Rate

    To evaluate efficacy using Complete Response (CR) rate per RECIST 1.1, as assessed by the Investigator

    Time frame: Up to 60 months

  2. Duration of Response

    To evaluate efficacy using Duration of Response (DOR) per RECIST 1.1, as assessed by the Investigator

    Time frame: Up to 60 months

  3. Disease Control Rate

    To evaluate efficacy using Disease Control Rate (DCR) per RECIST 1.1, as assessed by the Investigator

    Time frame: Up to 60 months

  4. Progression-Free Survival

    To evaluate efficacy using Progression-Free Survival (PFS) per RECIST 1.1, as assessed by the Investigator

    Time frame: Up to 60 months

  5. Overall Survival

    To evaluate efficacy using Overall Survival (OS)

    Time frame: Up to 60 months

07

Study locations

34 sites
  • University of California, San Diego
    La Jolla, California 92093, United States
  • University of Southern California
    Los Angeles, California 90007, United States
  • University of California, Los Angeles
    Los Angeles, California 90095, United States
  • University of Colorado
    Denver, Colorado 80045, United States
  • Yale University
    New Haven, Connecticut 06520, United States
  • Georgetown University Medical Center
    Washington D.C., District of Columbia 20007, United States
  • Orlando Health Cancer Institute
    Orlando, Florida 32610, United States
  • Moffitt Cancer Center
    Tampa, Florida 33612, United States
  • University of Louisville
    Louisville, Kentucky 40292, United States
  • University of Maryland
    Baltimore, Maryland 21201, United States
  • Massachusetts General Hospital
    Boston, Massachusetts 02114, United States
  • Karmanos Cancer Institute
    Detroit, Michigan 48201, United States
  • Henry Ford Health System
    Detroit, Michigan 48202, United States
  • MD Anderson at Cooper
    Camden, New Jersey 08103, United States
  • Morristown Medical Center
    Morristown, New Jersey 07960, United States
  • Memorial Sloan Kettering Cancer Center
    New York, New York 10065, United States
  • University of Cincinnati
    Cincinnati, Ohio 45219, United States
  • Ohio State University
    Columbus, Ohio 43201, United States
  • Fred Hutchinson Cancer Research Center
    Seattle, Washington 98109, United States
  • Medical College of Wisconsin
    Milwaukee, Wisconsin 53226, United States
  • Princess Margaret Cancer Centre
    Toronto, Ontario M5G 2C1, Canada
  • Universitätsklinikum Schleswig-Holstein - Campus Lübeck
    Lübeck, Schleswig-Holstein 23538, Germany
  • Laiko General Hospital of Athens
    Athens, Attica 11527, Greece
  • Attikon University General Hospital
    Athens, Attica 12461, Greece
  • Hospital Universitario Marques de Valdecilla
    Santander, Cantabria 39008, Spain
  • Hospital Regional Universitario de Malaga - Hospital General
    Málaga, Málaga 29016, Spain
  • ICO l'Hospitalet - Hospital Duran i Reynals
    Barcelona, 08908, Spain
  • Hospital Universitario Fundacion Jimenez Diaz
    Madrid, 28040, Spain
  • Hospital Universitario 12 de Octubre
    Madrid, 28041, Spain
  • Hospital Universitario HM Sanchinarro
    Madrid, 28050, Spain
  • Universitaetsspital Bern
    Bern, 3010, Switzerland
  • Centre Hospitalier Universitaire Vaudois
    Lausanne, 1011, Switzerland
  • Guy's Hospital
    London, England SE19RT, United Kingdom
  • The Royal Marsden NHS Foundation Trust
    London, England SW3 6JJ, United Kingdom
08

References and documents

Publications

  • Hensel J, Metts J, Gupta A, Ladle BH, Pilon-Thomas S, Mullinax J. Adoptive Cellular Therapy for Pediatric Solid Tumors: Beyond Chimeric Antigen Receptor-T Cell Therapy. Cancer J. 2022 Jul-Aug 01;28(4):322-327. doi: 10.1097/PPO.0000000000000603. PubMed 35880942 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 15, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03645928
Lead sponsor
Iovance Biotherapeutics, Inc.
Responsible party
Sponsor
First posted
Aug 24, 2018
Start date
May 7, 2019
Primary completion
Feb 20, 2026
Completion
Feb 20, 2026
Last update
May 15, 2026

Study contacts

Iovance Biotherapeutics Medical Monitor
study director · Iovance Biotherapeutics

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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