Non Hodgkin Lymphoma Clinical Trial
Study Evaluating the Safety and Efficacy of KTE-C19 in Adult Participants With Refractory Aggressive Non-Hodgkin Lymphoma
Summary
This study will be separated into 3 distinct phases designated as the Phase 1 study, Phase 2 pivotal study (Cohort 1 and Cohort 2), and Phase 2 safety management study (Cohort 3 and Cohort 4, Cohort 5 and Cohort 6).
The primary objectives of this study are:
Phase 1 Study: Evaluate the safety of axicabtagene ciloleucel regimens
Phase 2 Pivotal Study; Evaluate the efficacy of axicabtagene ciloleucel
Phase 2 Safety Management Study: Assess the impact of prophylactic regimens or earlier interventions on the rate and severity of cytokine release syndrome (CRS) and neurologic toxicities
Subjects who received an infusion of KTE-C19 will complete the remainder of the 15 year follow-up assessments in a separate long-term follow-up study, KT-US-982-5968.
Eligibility Criteria
Key Inclusion Criteria
Histologically confirmed:
Diffuse Large B Cell Lymphoma (DLBCL)
Primary Mediastinal Large B Cell Lymphoma (PMBCL)
Transformation Follicular Lymphoma (TFL)
High grade B-cell lymphoma (HGBCL)
Chemotherapy-refractory disease, defined as one of more of the following:
No response to last line of therapy i. Progressive disease (PD) as best response to most recent therapy regimen ii. Stable disease (SD) as best response to most recent therapy with duration no longer than 6 month from last dose of therapy OR
Refractory post-autologous stem cell transplant (ASCT) i. Disease progression or relapsed less than or equal to 12 months of ASCT (must have biopsy proven recurrence in relapsed individuals) ii. If salvage therapy is given post-ASCT, the individual must have had no response to or relapsed after the last line of therapy
Individuals must have received adequate prior therapy including at a minimum:
Anti-cluster of differentiate 20 (CD20) monoclonal antibody unless investigator determines that tumor is CD20-negative and
an anthracycline containing chemotherapy regimen
for individual with transformed FL must have chemorefractory disease after transformation to DLBCL.
At least one measurable lesion per revised international working group (IWG Response Criteria
Eastern cooperative oncology group (ECOG) performance status of 0 or 1
Absolute neutrophil count (ANC) ≥ 1000/microliters (uL)
Absolute lymphocyte count ≥ 100/uL
Platelet count ≥ 75,000/uL
Adequate renal, hepatic, pulmonary and cardiac function defined as:
Creatinine clearance (as estimated by Cockcroft Gault) > 60 mL/min
Serum alanine aminotransferase (ALT)/aspartate aminotransferase (AST) < 2.5 upper limit of normal (ULN)
Total bilirubin < 1.5 mg/dL, except in individuals with Gilbert's syndrome
Cardiac ejection fraction >50%, no evidence of pericardial effusion as determined by an echocardiogram (ECHO), and no clinically significant pleural effusion
Baseline oxygen saturation >92% on room air
All individuals or legally appointed representatives/caregivers, must personally sign and date the Institutional Review Board (IRB)/Independent Ethics Committee (IEC) approved consent form before initiating any study specific procedures or activities.
Relapsed or refractory large B-cell lymphoma including DLBCL, PMBCL, TFL, and HGBCL after two systemic lines of therapy
Key Exclusion Criteria
History of malignancy other than nonmelanoma skin cancer or carcinoma in situ (e.g. cervix, bladder, breast) or follicular lymphoma unless disease free for at least 3 years
History of allogeneic stem cell transplantation
Prior chimeric antigen receptor (CAR) therapy or other genetically modified T cell therapy
Presence of fungal, bacterial, viral, or other infection that is uncontrolled or requiring intravenous (IV) antimicrobials for management. Simple urinary tract infection (UTI) and uncomplicated bacterial pharyngitis are permitted if responding to active treatment
History of human immunodeficiency virus (HIV) infection or acute or chronic active hepatitis B or C infection. Individuals with history of hepatitis infection must have cleared their infection as determined by standard serological and genetic testing per current Infectious Diseases Society of America (IDSA) guidelines
Individuals with detectable cerebrospinal fluid malignant cells, or brain metastases, or with a history of central nervous system (CNS) lymphoma or primary CNS lymphoma, cerebrospinal fluid malignant cells or brain metastases
History or presence of CNS disorder such as seizure disorder, cerebrovascular ischemia/hemorrhage, dementia, cerebellar disease, or any autoimmune disease with CNS involvement
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
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There are 35 Locations for this study
Gilbert Arizona, 85234, United States
Duarte California, 91010, United States
La Jolla California, 92093, United States
Palo Alto California, 94305, United States
Santa Monica California, 90404, United States
Denver Colorado, 80218, United States
Miami Florida, 33136, United States
Tampa Florida, 33612, United States
Maywood Illinois, 60153, United States
Iowa City Iowa, 52242, United States
Boston Massachusetts, 02215, United States
Detroit Michigan, 48201, United States
Rochester Minnesota, 55905, United States
Saint Louis Missouri, 63110, United States
Omaha Nebraska, 68198, United States
Hackensack New Jersey, 07601, United States
Bronx New York, 10467, United States
Rochester New York, 14642, United States
Cleveland Ohio, 44195, United States
Nashville Tennessee, 37203, United States
Nashville Tennessee, 37232, United States
Houston Texas, 77030, United States
San Antonio Texas, 78229, United States
Vancouver British Columbia, V5Z 1, Canada
Toronto Ontario, M5G 2, Canada
Paris , 75475, France
Pessac , 44035, France
Rennes , 35033, France
Dresden , 01307, Germany
Essen , 45147, Germany
Würzburg , 97080, Germany
Tel Aviv , 64239, Israel
Amsterdam , , Netherlands
Groningen , 9700 , Netherlands
Rotterdam , 3015 , Netherlands
Utrecht , 3584 , Netherlands
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