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TerminatedNCT05576077STARLINGUpdated Mar 10, 2025

A Study of TBio-4101 (TIL) and Pembrolizumab in Patients With Advanced Solid Tumors

A Phase 1 interventional study of TBio-4101 and Pembrolizumab in Breast Cancer, Colorectal Cancer and Uveal Melanoma, sponsored by Turnstone Biologics, Corp.. Terminated at 13 sites in 2 countries. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2025-03-10.

Sponsored by Turnstone Biologics, Corp. · Phase 1, Interventional, and Treatment

Why this study was terminated
Sponsor decision

From the registry’s dates

  • Primary completion was Feb 2025, 1 year 8 months ago, and no results have been posted to the registry.
Phase
Phase 1
Study type
Interventional
Enrollment
31
Allocation
Non-randomized
Ages
18 Years to 70 Years
Sex
All
01

Study summary

A multicenter trial to investigate TBio-4101, an autologous, neoantigen-selected, tumor-reactive TIL product, in patients with advanced solid malignancies.

Read the detailed description

This is a Phase 1 study to investigate TBio-4101. TBio-4101 is an autologous tumor infiltrating lymphocyte (TIL) therapy that utilizes tumor specific antigens to select, sort, and expand patient-specific tumor-reactive T-cells to be reinfused into the patient. The adoptive cell therapy is further enhanced through the use of non-myeloablative chemotherapy prior to TIL infusion, followed by the TIL plus IL-2 infusion. Low-dose radiation therapy is administered prior to and after TIL plus IL-2 infusion. Pembrolizumab is provided after the resolution of IL-2 toxicities. The trial is open to solid tumors of varying tumor mutational burdens.

02

Conditions studied

  • Breast Cancer
  • Colorectal Cancer
  • Uveal Melanoma
  • Cutaneous Melanoma
  • Non-Small Cell Lung Cancer
  • Head and Neck Squamous Cell Carcinoma

Keywords

  • MSS-CRC
  • TIL
  • Tumor infiltrating lymphocyte
  • TNBC
  • HR+ Breast
  • ER+ Breast
  • MSI-CRC
  • personalized medicine
  • ocular melanoma
03

In context

Melanoma

3,006 studies on the registry are indexed under Melanoma; 520 are open to participants now.

This study's enrollment of 31 is below the median of 38 across 2,351 interventional studies indexed under Melanoma.

Browse Melanoma studies →

Lead sponsor

Turnstone Biologics, Corp. is the lead sponsor of 5 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key Inclusion Criteria:

  • Advanced or metastatic breast carcinoma, colorectal adenocarcinoma, uveal melanoma, cutaneous melanoma, non-small cell lung cancer, or head and neck squamous cell carcinoma that has failed or is refractory to standard of care therapy
  • Have at least one target lesion that can be used for response assessments and have at least 1 tumor amenable for tissue harvest for TIL manufacturing.
  • ECOG performance status of 0 or 1
  • Demonstrate adequate organ function
  • Additional inclusion criteria exist

Key Exclusion Criteria:

  • Known additional malignancy that is progressing or has required active treatment within the past 3 years
  • Diagnosis of immunodeficiency or receiving chronic systemic steroid therapy or any other form of immunosuppressive
  • Currently infected with HIV Type 1 and Type 2, hepatitis B virus (HBV), hepatitis C virus (HCV), treponema pallidum (e.g., syphilis), West Nile virus (WNV), Human T-lymphotropic virus types 1 or II (HTLV I/II), or cytomegalovirus (CMV)
  • Known active central nervous system (CNS) metastases and/or carcinomatous meningitis. Patients with previously treated brain metastases may participate provided they are radiologically stable
  • Serious cardiac condition, such as uncontrolled hypertension, concurrent congestive heart failure, prior history of Class III/IV cardiac disease (New York Heart Association [NYHA]), history of cardiac ischemia within the past 6 months, or prior history of cardiac arrhythmia requiring treatment. Patients who are > 60 years of age must undergo cardiology clearance exam and cardiac stress test.
  • Prior cell therapy or organ transplant
  • History of severe immediate hypersensitivity reaction to cyclophosphamide, fludarabine, IL-2, or pembrolizumab, or any of their constituents
  • LVEF ≤ 45%
  • FEV1 ≤ 60% of predicted value and DLCO (corrected) \< 60% of predicted value
  • Chronic anti-coagulant therapy that cannot either be discontinued or temporarily changed
  • Additional exclusion criteria exist
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
31 participants (actual)

Study arms

  • Experimental
    Breast Cancer

    Patients with locally advanced or metastatic breast cancer that has failed or is intolerant to standard of care therapies. Includes, HER2+, HER 2-, TNBC.

    Biological: TBio-4101 · Drug: Pembrolizumab

  • Experimental
    Colorectal carcinoma

    Patients with advanced, metastatic colorectal adenocarcinoma who have failed or are intolerant to at least one line of therapy that included either irinotecan or oxaliplatin.

    Biological: TBio-4101 · Drug: Pembrolizumab

  • Experimental
    Uveal Melanoma

    Patients with advanced, metastatic uveal melanoma.

    Biological: TBio-4101 · Drug: Pembrolizumab

  • Experimental
    Cutaneous Melanoma

    Patients with cutaneous melanoma who have experienced disease progression following a PD-1 or PD-L1 inhibitor.

    Biological: TBio-4101 · Drug: Pembrolizumab

  • Experimental
    Non-Small Cell Lung Cancer

    Patients with non-small cell lung cancer who have experienced disease progression following platinum containing chemotherapy and/or PD-1 or PD-L1 inhibitor.

    Biological: TBio-4101 · Drug: Pembrolizumab

  • Experimental
    Head and Neck Squamous Cell Carcinoma

    * Patients with head and neck squamous cell carcinoma who have received no prior therapy for metastatic disease * Patients with head and neck squamous cell carcinoma who are PD-1/PD-L1 inhibitor naïve at the time of TIL harvest and will be treated with TBio-4101 at the time of progression, inadequate response or intolerance to the PD-1/PD-L1 inhibitor-based standard of care regimen given on study.

    Biological: TBio-4101 · Drug: Pembrolizumab

Interventions

  • BiologicalTBio-4101

    TBio-4101 is an autologous selected and expanded tumor infiltrating lymphocyte (TIL) product generated following ex vivo expansion of tumor reactive TIL population found in tumor harvest. After preparation with non-myeloablative lymphodepletion chemotherapy (cyclophosphamide and fludarabine) followed by low dose radiation,TBio-4101, and IL-2.

    Also known as: TIL, autologous, tumor-reactive, T-cell product

  • DrugPembrolizumab

    Pembrolizumab will be administered after TIL infusion and continue every 3-6 weeks for up to 2 years.

    Also known as: Keytruda

06

What researchers measure

Primary outcomes

  1. Safety and tolerability

    The incidence of treatment-emergent adverse events will be tabulated using NCI CTCAE v5.0

    Time frame: 25 months

Secondary outcomes

  1. Proportion of patients with a response (ORR)

    Percentage of all patients and within each cancer indication with a CR or PR as assessed by the independent central radiologist using RECIST 1.1 and iRECIST

    Time frame: 25 months

  2. Estimated Disease Control Rate (DCR)

    Portion of patient whose best response is a CR, PR, or stable disease (SD) as assessed by the independent central radiologist using RECIST v1.1 and iRECIST

    Time frame: 25 months

  3. Estimated Duration of Response (DoR)

    Duration of response, as measured in weeks, that patients with a CR or PR have no progressed (PD), as assessed by the independent central radiologist using RECIST v1.1 and iRECIST,

    Time frame: 25 months

07

Study locations

13 sites
  • University of California Irvine
    Irvine, California 92868, United States
  • Memorial Healthcare System
    Hollywood, Florida 33021, United States
  • University of Miami
    Miami, Florida 33136, United States
  • Orlando Health
    Orlando, Florida 32806, United States
  • Moffitt Cancer Center
    Tampa, Florida 33612-9497, United States
  • University of Chicago
    Chicago, Illinois 60637, United States
  • Norton Cancer Institute
    Louisville, Kentucky 40202, United States
  • Providence Cancer Institute
    Portland, Oregon 97213, United States
  • Allegheny Research Institute
    Pittsburgh, Pennsylvania 15224, United States
  • MD Anderson Cancer Center
    Houston, Texas 77030, United States
  • Medical College of Wisconsin
    Milwaukee, Wisconsin 53226, United States
  • Princess Margaret Cancer Centre
    Toronto, Ontario M5G 2C1, Canada
  • Montreal University Hospital Center
    Montréal, Quebec H2X 0C1, Canada
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 10, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05576077
Lead sponsor
Turnstone Biologics, Corp.
Responsible party
Sponsor
First posted
Oct 12, 2022
Start date
Jan 17, 2023
Primary completion
Feb 4, 2025
Completion
Feb 24, 2025
Last update
Mar 10, 2025

Study contacts

Ines Verdon, MD
study director · Turnstone Biologics, Corp.

Oversight

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

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This study is terminated, as verified in Mar 2025. You cannot join it, but the record below documents what was studied.

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