Processes for production of tumor infiltrating lymphocytes and uses of same in immunotherapy
The present invention provides improved and/or shortened methods for expanding TILs and producing therapeutic populations of TILs, including novel methods for expanding TIL populations in a closed system that lead to improved efficacy, improved phenotype, and increased metabolic health of the TILs in a shorter time period, while allowing for reduced microbial contamination as well as decreased costs. Such TILs find use in therapeutic treatment regimens.
1. A method for treating a subject with cancer, the method comprising administering to the subject a tumor infiltrating lymphocyte (TIL) pharmaceutical composition comprising:
i) an expanded population of tumor infiltrating lymphocytes (TILs), and
ii) a pharmaceutically acceptable carrier;
wherein the expanded population of TILs exhibit IFN-γ secretion of at least 1000 pg/ml in vitro as compared to a non-expanded population of TILs.
2. The method of claim 1 , wherein the composition further comprises a cryopreservant.
3. The method of claim 2 , wherein the cryopreservant comprises DMSO.
4. The method of claim 2 , wherein the cryopreservant comprises 7% to 10% DMSO.
5. The method of claim 2 , wherein the cryopreservant is a cryopreservation medium.
6. The method of claim 5 , wherein the cryopreservation medium is CS10.
7. The method of claim 1 , wherein the composition is free of human serum.
8. The method of claim 1 , wherein the composition further comprises 1% human serum albumin (HSA).
9. The method of claim 2 , wherein the composition further comprises 1% human serum albumin (HSA) and the cryopreservant is dimethylsulfoxide.
10. The method of claim 1 , wherein the IFN-γ secretion is measured in vitro by enzyme-linked immunosorbent assay.
11. The method of claim 1 , wherein the expanded population of TILs is capable of increasing IP-10 and/or MCP-1 at least one-fold to at least five-fold in vivo in the treated subject as compared to an untreated subject.
12. The method of claim 11 , wherein the increase in IP-10 is measured as an increase in the blood of the treated subject.
13. The method of claim 11 , wherein the increase in MCP-1 is measured as an increase in the blood of the treated subject.
14. The method of claim 1 , wherein about 1×10 9 to about 9×10 10 TILs are administered to the subject.
15. The method according to claim 1 , wherein prior to administering the TIL pharmaceutical composition, a non-myeloablative lymphodepletion regimen has been administered to the subject.
16. The method according to claim 15 , where the non-myeloablative lymphodepletion regimen comprises the steps of administration of cyclophosphamide at a dose of 60 mg/m 2 /day for two days followed by administration of fludarabine at a dose of 25 mg/m 2 /day for five days.
17. The method according to claim 1 , further comprising the step of treating the subject with a high-dose IL-2 regimen starting on the day after administration of the TIL pharmaceutical composition to the subject.
18. The method according to claim 17 , wherein the high-dose IL-2 regimen comprises 600,000 or 720,000 IU/kg administered as a 15-minute bolus intravenous infusion every eight hours until tolerance.
19. The method according to claim 1 , wherein the cancer is selected from the group consisting of melanoma, cervical cancer, lung cancer, and head and neck cancer (including head and neck squamous cell carcinoma (HNSCC)).
20. The method according to claim 19 , wherein the cancer is melanoma.
21. The method according to claim 19 , wherein the cancer is cervical cancer.
22. The method according to claim 19 , wherein the cancer is lung cancer.
23. The method according to claim 19 , wherein the cancer is head and neck cancer (including head and neck squamous cell carcinoma (HNSCC)).
24. The method according to claim 1 , wherein the method comprises administering the TIL pharmaceutical composition to the subject by movement of such composition from a container into the subject's body.
25. The method according to claim 24 , wherein the container is a bag.
26. The method according to claim 24 , wherein the container is an infusion bag.