Lisocabtagene Maraleucel
Biologicallisocabtagene maraleucel will be administered as single dose intravenous (IV) injection
Other names: JCAR017, liso-cel
NCT Number: NCT03744676
This is an open-label, multicenter, Phase 2 study to determine the safety, PK, and efficacy of lisocabtagene maraleucel (JCAR017) in subjects who have relapsed from, or are refractory to, two lines of immunochemotherapy for aggressive B-cell non-Hodgkin lymphoma (NHL) in the outpatient setting. Subjects will receive treatment with JCAR017 and will be followed for up to 2 years.
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All sexes
Interventional
Phase 2
Local Institution - 0057, Los Angeles, California, United States
This is an open-label, multicenter, Phase 2 study to assess the safety and antitumor activity in adult patients with relapsed or refractory B-cell non-Hodgkin Lymphoma when administered with lisocabtagene maraleucel (JCAR017) in the outpatient setting.
Upon the successful product generation of lisocabtagene maraleucel, subjects will enter the treatment phase of the study. Treatment will include lymphodepleting chemotherapy followed by lisocabtagene maraleucel administration. Subjects will then enter the post-treatment follow-up phase of the study and will be followed for approximately 24 months for safety, disease status, health-related quality of life (HRQoL), and survival. Long-term follow-up will continue under a separate long-term follow-up protocol, per health regulatory authority guidelines, currently up to 15 years after the last lisocabtagene maraleucel administration.
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Exclusion criteria
lisocabtagene maraleucel will be administered as single dose intravenous (IV) injection
Other names: JCAR017, liso-cel
Time frame: From first dose to 90 days following first dose (up to approximately 90 days)
Cytokine release syndrome is characterized by high fever, fatigue, nausea, headache, dyspnea, tachycardia, rigors, hypotension, hypoxia, myalgia/arthralgia, and anorexia.
Incidence of Grade ≥ 3 CRS, based on the TEAE with MedDRA PT "Cytokine release syndrome," graded according to the grading scale adapted from Lee (Lee 2014).
Time frame: From first dose to 90 days following first dose (up to approximately 90 days)
NT events have also been reported and may include neurologic symptoms such as altered mental status, aphasia, altered level of consciousness, and seizures or seizure-like activity.
Incidence of Grade ≥ 3 NT, defined as an Investigator-identified TEAE considered neurotoxicity related to JCAR017.
Time frame: From first dose to 90 days following first dose (up to approximately 90 days)
Incidence of treatment-emergent Grade ≥ 3 infections, defined using MedDRA SOC.
Time frame: At Day 29 after first treatment
Prolonged cytopenia is defined as the occurrence of Grade ≥ 3 cytopenia not resolved by the Day 29 visit, based on laboratory results of low hemoglobin, absolute neutrophil count decreased, and platelet count decreased. The frequency of subjects experiencing each individual laboratory abnormality and the total number with at least 1 abnormality will be summarized, as will recovery from prolonged cytopenia after Day 29.
Time frame: From first dose to 90 days following first dose (up to approximately 90 days)
Time frame: From first dose to up to 41 months
Time frame: From first dose to up to 41 months
Time frame: From first dose to 90 days following first dose (up to approximately 90 days)
Time frame: From first dose to up to approximately 41 months
Time frame: From first dose to up to approximately 41 months
Time frame: From first dose to up to approximately 41 months
Time frame: From first dose to up to study completion (Approximately 57 Months and 24 days)
Time frame: From first dose to up to approximately 41 months
The Percentage of participants with a best overall response (BOR) of either CR or PR based on the Lugano 2014 criteria.
Disease response will be determined according to the "Recommendations for Initial Evaluation, Staging, and Response Assessment of Hodgkin and Non-Hodgkin Lymphoma: The Lugano Classification"
Complete response is defined as:
Partial Response is defined as:
Time frame: From first dose to up to approximately 41 months
The Percentage of participants with a best overall response (BOR) with CR based on the Lugano 2014 criteria.
Disease response will be determined according to the "Recommendations for Initial Evaluation, Staging, and Response Assessment of Hodgkin and Non-Hodgkin Lymphoma: The Lugano Classification"
Complete response is defined as:
Time frame: From first dose to up to approximately 41 months
Duration of response (DOR) is defined as the time from the first documentation of response (CR or PR) after JCAR017 infusion to disease progression or death from any cause, whichever occurs first.
Duration of response (DOR) if BOR is CR is defined for subjects with a BOR of CR as the time from the first documentation of response (CR or PR) after JCAR017 infusion to earlier of disease progression or death from any cause.
Time frame: From first dose to up to study completion (Approximately 57 Months and 24 days)
Progression-free survival is defined as the time from infusion of JCAR017 to progressive disease or death, whichever is earlier. If a subject does not have an event for the PFS analysis, the subject will be censored.
Progressive Disease is defined as:
Time frame: From first dose to up to study completion (Approximately 57 Months and 24 days)
Overall survival is defined as the time from infusion of JCAR017 to the date of death. For assessment of OS, data from surviving participants will be censored at the last time that the participant is known to be alive. The OS analysis will include all available survival information from the long-term follow-up study if applicable.
Time frame: 28days after first dose
Time frame: 28days after first dose
Time frame: 28days after first dose
Time frame: From Enrollment to end of follow up, approximately 26 months
The EORTC QLQ-C30 is a 30-item scale composed of both multi-item scales and single-item measures. All of the scales and single-item measures range in score from 0 to 100. A higher scale score represents a higher level of well-being and better ability of daily functioning. Thus, a high score for a functional scale represents a high/healthy level of functioning; a high score for the global health status/HRQoL represents a high HRQoL, but a high score for a symptom scale/item represents a high level of symptomatic problem.
Time frame: Post Dose Month 24
The European Quality of Life 5D-5L Scale (EQ-5D-5L) assesses general health-related quality of life. Health is defined in 5 dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems, and extreme problems. Responses are coded so that a '1' indicates no problem, and '5' indicates the most serious problem. The responses for the 5 dimensions are combined in a 5-digit number. The EQ-5D-5L health utility index (HUI) is assessed using the Crosswalk algorithm for France based on the individual responses to the 5 EQ-5D-5L domains ranging from -0.530 to 1.000. The smallest change considered clinically meaningful, is defined as a score difference of 0.08 points.
Time frame: From first hospitalization to the last. Approximately 31 days
Length of initial ICU and non-ICU stay from liso-cel administration
Time frame: From first dose to end of treatment period approximately 24 months
Number of participants who received transfusions
Time frame: From first dose to end of treatment period approximately 24 months
Growth factor support was defined as concomitant administration of FILGRASTIM, TBO FILGRASTIM, PEGFILGRASTIM, FILGRASTIM SNDZ, or FILGRASTIM AAFI.
Time frame: From first dose to end of treatment period approximately 24 months
Number of participants requiring intravenous immunoglobulin (IVIG) support
Juno Therapeutics, a Subsidiary of Celgene
Industry
A Safety Trial of Lisocabtagene Maraleucel (JCAR017) for Relapsed and Refractory (R/R) B-cell Non-Hodgkin Lymphoma (NHL) in the Outpatient Setting
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View the official ClinicalTrials.gov record (opens in a new tab)This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.
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