Actively Recruiting

Phase 1
Phase 2
Age: 2Years - 21Years
All Genders
NCT05642455

SPEARHEAD-3 Pediatric Study

Led by USWM CT, LLC · Updated on 2026-02-09

20

Participants Needed

10

Research Sites

778 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This is a pediatric basket study to investigate the safety and efficacy of afamitresgene autoleucel in HLA-A\*02 eligible and MAGE-A4 positive subjects aged 2-17 years of age with advanced cancers.

CONDITIONS

Official Title

SPEARHEAD-3 Pediatric Study

Who Can Participate

Age: 2Years - 21Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Histologically confirmed diagnosis of synovial sarcoma, malignant peripheral nerve sheath tumor, neuroblastoma, or osteosarcoma
  • Age 2 to 17 years for synovial sarcoma; 2 to 21 years for other cancers
  • Body weight of at least 10 kg
  • Previous treatment with systemic chemotherapy
  • Measurable disease before lymphodepletion per RECIST v1.1 or INCR criteria for neuroblastoma
  • Positive for HLA-A*02
  • Tumor shows MAGE-A4 expression confirmed by central lab
  • Performance status: ECOG 0 or 1 for subjects 16 years or older; Lansky score 80 or higher for subjects 2 to 16 years
  • Anticipated life expectancy greater than 3 months as judged by investigator
Not Eligible

You will not qualify if you...

  • Positive for HLA-A*02:05 allele or any allele with the same protein sequence
  • History of allergic reactions to compounds similar to fludarabine or cyclophosphamide
  • History of autoimmune or immune-mediated disease
  • Known central nervous system metastases
  • Previous malignancy not in complete remission
  • Significant cardiovascular disease
  • Active infection with HIV, hepatitis B or C, or human T cell leukemia virus
  • Pregnant or breastfeeding
  • Rapid disease progression increasing treatment risk as judged by investigator

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 10 locations

1

Stanford University

Palo Alto, California, United States, 94305

Actively Recruiting

2

National Institutes of Health

Bethesda, Maryland, United States, 20892

Actively Recruiting

3

Dana Farber Cancer Institute

Boston, Massachusetts, United States, 10065

Not Yet Recruiting

4

Washington University

St Louis, Missouri, United States, 63110

Actively Recruiting

5

Memorial Sloan Kettering Kids

New York, New York, United States, 10065

Not Yet Recruiting

6

Duke University School of Medicine

Durham, North Carolina, United States, 27710

Not Yet Recruiting

7

Cincinnati Children's Hospital Medical Center

Cincinnati, Ohio, United States, 45229

Actively Recruiting

8

Children's Hospital of Philedephia

Philadelphia, Pennsylvania, United States, 19104

Actively Recruiting

9

Seattle Children's Hospital

Seattle, Washington, United States, 98105

Not Yet Recruiting

10

University of Wisconsin Cancer Center

Madison, Wisconsin, United States, 53715

Actively Recruiting

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How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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SPEARHEAD-3 Pediatric Study | DecenTrialz