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NCT Number: NCT06313957

A Study of LUCAR-20SP in Subjects With Relapsed/Refractory B-cell Non-Hodgkin Lymphoma

This is a prospective, single-arm, open-label, exploratory clinical study of LUCAR-20SP in adult subjects with relapsed/refractory B-cell non-Hodgkin lymphoma.

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Beijing GoBroad Boren Hospital, Beijing, Beijing Municipality, China

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About this study

This is a prospective, single-arm, open-label exploratory clinical study to evaluate the safety, tolerability, pharmacokinetics and anti-tumor efficacy profiles of LUCAR-20SP, an allogenic CAR-T cell therapy in subjects with relapsed/refractory B-cell non-Hodgkin lymphoma. Patients who meet the eligibility criteria will receive LUCAR-20SP infusion. The study will include the following sequential stages: screening, pre-treatment (lymphodepleting chemotherapy), treatment and follow-up.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Subjects voluntarily participate in clinical research;
  • Age ≥18 years old;
  • Eastern Cooperative Oncology Group (ECOG) score 0-1;
  • Histologically confirmed large B-cell lymphoma, follicular lymphoma, mantle cell lymphoma, histologically indolent lymphoma to diffuse large B-cell lymphoma; CD20 positive;
  • At least one measurable tumor lesion according to the Lugano 2014.
  • Expected survival ≥3 months;
  • Clinical laboratory values in the screening period meet criteria.
  • Effective contraception.

Exclusion criteria

  • Prior antitumor therapy with insufficient washout period.
  • Previous treatment with allogeneic cell and gene therapy (such as CAR-T); Except subjects with evidence that previous allogeneic cell and gene therapy products (such as CAR-positive T cells and CAR transgenes) in the subject have been below the lower limit of detection;
  • Previously received allogeneic hematopoietic stem cell transplantation;
  • Previously received gene therapy;
  • Donor specific antibody (DSA) positive subjects will be excluded;
  • Severe underlying diseases;
  • Hepatitis B virus deoxyribonucleic acid (HBV DNA), hepatitis C virus ribonucleic acid (HCV RNA) or human immunodeficiency virus antibody (HIV-Ab) positive;
  • Presence of other serious pre-existing medical conditions that may limit patient participation in the study. Any condition that, in the investigator's judgment, will make the subject unsuitable for participation in this study.

Treatment and study plan

LUCAR-20SP cells

Biological

Prior to infusion of the LUCAR-20SP, subjects will receive a conditioning premedication regimen consisting of cyclophosphamide and fludarabine.

Primary outcomes

  1. Dose-limiting toxicity (DLT) rate

    Time frame: Minimum 2 years after LUCAR-20SP infusion (Day 1)

    DLT refers to a drug-related toxicity during treatment with the drug, the severity of which is clinically unacceptable, limiting the further escalation of drug dose.

  2. Incidence, severity, and type of treatment-emergent adverse events (TEAEs)

    Time frame: Minimum 2 years after LUCAR-20SP infusion (Day 1)

    An adverse event refers to any untoward medical occurrence in a clinical investigation subject administered a pharmaceutical product (investigational or non-investigational), which does not necessarily have a causal relationship with the treatment.

  3. Recommended Phase 2 Dose (RP2D) regimen finding

    Time frame: Minimum 2 years after LUCAR-20SP infusion (Day 1)

    RP2D established through accelerated titration design (ATD) and Bayesian Optimal Interval (BOIN) design.

  4. Pharmacokinetics in peripheral blood

    Time frame: Minimum 2 years after LUCAR-20SP infusion (Day 1)

    CAR transgene levels in peripheral blood after LUCAR-20SP infusion. CAR positive T cells levels in bone marrow after LUCAR-20SP infusion.

  5. Pharmacokinetics in bone marrow

    Time frame: Minimum 2 years after LUCAR-20SP infusion (Day 1)

    CAR positive T cells levels in bone marrow after LUCAR-20SP infusion. CAR transgene levels in bone marrow after LUCAR-20SP infusion.

Secondary outcomes

  1. Objective Response Rate (ORR) after administration

    Time frame: Minimum 2 years after LUCAR-20SP infusion (Day 1)

    ORR is defined as the proportion of subjects who achieve complete response (CR) or partial response (PR) after treatment via LUCAR-20SP cell infusion, and the objective tumor response rate will be calculated for patients with measurable disease per the Lugano Classification for Initial Evaluation, Staging, and Response Assessment of Hodgkin and Non-Hodgkin Lymphoma (Lugano 2014)

  2. Time to Response (TTR) after administration

    Time frame: Minimum 2 years after LUCAR-20SP infusion (Day 1)

    TTR is defined as the time from the date of first infusion of LUCAR-20SP to the date of the first response evaluation of the subject who has met all criteria for PR or better.

  3. Duration of Remission (DoR) after administration

    Time frame: Minimum 2 years after LUCAR-20SP infusion (Day 1)

    DoR is defined as the time from the first documentation of remission (PR or better) to the first documented disease progression evidence (according to Lugano 2014) of the responders (who achieve PR or better response).

  4. Progression-free Survival (PFS) after administration

    Time frame: Minimum 2 years after LUCAR-20SP infusion (Day 1)]

    PFS is defined as the time from the date of first infusion of the LUCAR-20SP to the first documented disease progression (according to Lugano 2014) or death (due to any cause), whichever occurs first.

  5. Overall Survival (OS) after administration

    Time frame: Minimum 2 years after LUCAR-20SP infusion (Day 1)]

    OS is defined as the time from the date of first infusion of LUCAR-20SP to death of the subject.

  6. Incidence of anti-LUCAR-20SP antibody

    Time frame: Minimum 2 years after LUCAR-20SP infusion (Day 1)

    The incidence of anti-LUCAR-20SP antibody in patients who received LUCAR-20SP infusion.

Study contacts

Contact information is provided by the study sponsor or research team.

Yan Xie

CONTACT

[email protected]

13671376201

Yuqin Song

CONTACT

[email protected]

13683398726

Sponsors and collaborators

Lead sponsor

Peking University Cancer Hospital & Institute

Other

Collaborators

  • Beijing Boren Hospital
  • Henan Cancer Hospital
  • Nanjing Legend Biotech Co.

Registry information

Official study title

A Phase I Clinical Study to Evaluate the Safety, Tolerability, and Efficacy of LUCAR-20SP, an Allogenic Chimeric Antigen Receptor(CAR)-T Cell Therapy Targeting CD20 in Subjects With Relapsed/Refractory B-cell Non-Hodgkin Lymphoma

Important dates

Study start
2024
Primary completion
2026
Study completion
2028
First posted
Mar 15, 2024
Registry last updated
Mar 25, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

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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