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NCT Number: NCT07015242

A Study of the Efficacy and Safety of Lisocabtagene Maraleucel (Liso-cel) as First-Line Therapy in Adults With Transplant-Ineligible Primary Central Nervous System Lymphoma

The purpose of this study is to evaluate the safety and efficacy of lisocabtagene maraleucel (Breyanzi/liso-cel/BMS-986387) in adults as first-line treatment in transplant-ineligible Primary Central Nervous System Lymphoma (PCNSL).

Recruiting

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Local Institution - 0111, Nice, Alpes-Maritimes, France

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Participant must be 18 years or older at the time of signing the informed consent form (ICF).
  • Histologically confirmed primary central nervous system (CNS) lymphoma (PCNSL) prior to screening, as assessed by local pathology.
  • Transplant-ineligible based on physician's assessment and meeting at least one of the following criteria: age ≥65 years or HCT-CI (Hematopoietic Cell Transplantation-specific Comorbidity Index) score ≥3.
  • Participant must be suitable, per investigator, to receive a high dose methotrexate (HD-MTX) based treatment regimen.
  • Prior to signing ICF, anti-cancer therapy for the treatment of PCNSL must be limited to HD-MTX based standard of care regimens with a minimum of 4 and maximum of 6 doses of MTX. Corticosteroids used as part of standard-of-care management for PCNSL symptom control are permitted prior to ICF signature but must be discontinued at the time of ICF signature. For medical conditions other than PCNSL, non-therapeutic corticosteroids use may be permitted on study.
  • Prior to ICF enrollment, participant's disease must be sensitive to prior high-dose methotrexate-based (HD-MTX) regimens, as demonstrated by a complete response (CR, no remaining signs of PCNSL) or a partial response (PR, signs of PNCSL mostly gone) per Investigator's assessment, based on the International Primary CNS Lymphoma Collaborative Group (IPCG) criteria.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2.
  • Individuals of childbearing potential (IOCBP) must have a negative highly sensitive pregnancy test within 24 hours prior to the start of study intervention.

Exclusion criteria

  • Participant has a diagnosis of secondary CNS lymphoma due to systemic disease.
  • Primary intraocular lymphoma (PIOL)/ Primary vitreoretinal lymphoma (PVRL), isolated cerebrospinal fluid (CSF) disease, or a relapsed or refractory PCNSL.
  • Any significant medical condition including the presence of laboratory abnormalities, which places the participant at unacceptable risk if he/she was to participate in the study based on investigator's judgement.
  • History of another primary malignancy that has not been in remission for ≥2 years.
  • Prior treatment with CAR T-cell or any other gene therapy product that utilizes human genome-editing technology.
  • History of or active human immunodeficiency virus (HIV).
  • Active hepatitis B or active hepatitis C.
  • Active autoimmune disease requiring immunosuppressive therapy.
  • History of prior allogeneic transplant, or solid organ transplant requiring immunosuppressive therapy.
  • Other protocol-defined Inclusion/Exclusion criteria apply.

Treatment and study plan

Rituximab

Drug

Specified dose on specified days

methotrexate

Drug

Specified dose on specified days

Procarbazine

Drug

Specified dose on specified days

Temozolomide

Drug

Specified dose on specified days

Liso-cel

Biological

Specified dose on specified days

Other names: JCAR017, Breyanzi

Fludarabine

Drug

Specified dose on specified days

Cyclophosphamide

Drug

Specified dose on specified days

Calcium folinate

Drug

Specified dose on specified days

Other names: Leucovorin

Primary outcomes

  1. Progression-free Survival (PFS)

    Time frame: 12 months after liso-cel infusion

    Defined as the time from the date of liso-cel infusion to the date of first documented disease relapse or progression as assessed by the investigator, or death from any cause, whichever occurs first

Secondary outcomes

  1. PFS

    Time frame: 12 months after date of enrollment

    Defined as the time from the date of enrollment to the date of first documented disease relapse or progression as assessed by the investigator, or death from any cause, whichever occurs first

  2. Modified Progression-free Survival (mPFS)

    Time frame: 12 months after date of enrollment

    Defined as the time from the date of enrollment to the date of first documented disease relapse or progression as assessed by the investigator, or death from any cause, whichever occurs first. Disease relapse or progression prior to liso-cel infusion is considered as an event only if the patient does not achieve complete response (CR) after liso-cel infusion.

  3. Complete Response Rate (CRR)

    Time frame: Up to end of study (approximately 2 years)

    Defined as proportion of patients achieving CR at any time between liso-cel infusion and the date of first documented disease relapse or progression as assessed by the investigator, initiation of a new antineoplastic therapy to treat Primary Central Nervous System Lymphoma (PCNSL), or end of study, whichever occurs first

  4. Overall Response Rate (ORR)

    Time frame: Up to end of study (approximately 2 years)

    Defined as proportion of patients achieving CR or Partial Response (PR) at any time between liso-cel infusion and the date of first documented disease relapse or progression as assessed by the investigator, initiation of a new antineoplastic therapy to treat PCNSL, or end of study, whichever occurs first

  5. Duration of Response (DoR)

    Time frame: 12 months after liso-cel infusion

    Defined as the time from the date of first documented disease response (complete response [CR] or partial response [PR]) achieved after liso-cel infusion to the date of first subsequent documented disease relapse or progression as assessed by the investigator, or death from any cause

  6. Event-free Survival (EFS)

    Time frame: 12 months after date of enrollment

    Defined as the time from the date of enrollment to the date of first documented disease relapse or progression as assessed by the investigator, or initiation of new antineoplastic therapy to treat PCNSL, or death from any cause, whichever occurs first

  7. Overall Survival (OS)

    Time frame: 12 months after date of enrollment

    Defined as the time from the date of enrollment to the date of death from any cause

  8. Number of participants with adverse events (AEs)

    Time frame: Up to end of study (approximately 2 years)

  9. Number of participants with serious adverse events (SAEs)

    Time frame: Up to end of study (approximately 2 years)

  10. Number of participants with adverse events of special interest (AESIs)

    Time frame: Up to end of study (approximately 2 years)

  11. Number of participants with laboratory abnormalities

    Time frame: Up to end of study (approximately 2 years)

  12. Health-related quality of life (HRQoL)

    Time frame: Up to end of study (approximately 2 years)

    As assessed by the European Organisation for Research and Treatment of Cancer--Quality of Life C30 Questionnaire (EORTC-QLQ-30)

  13. Health-related quality of life (HRQoL)

    Time frame: Up to end of study (approximately 2 years)

    As assessed by the European Organisation for Research and Treatment of Cancer--Quality of Life BN20 Questionnaire (EORTC-QLQ-BN20)

  14. Neurocognitive performance (Trial Making Test - Parts A and B)

    Time frame: Up to end of study (approximately 2 years)

    Change from baseline over time in neurocognitive functions assessed using the Trail Making Test (TMT)

  15. Neurocognitive performance (Montreal Cognitive Assessment (MoCA))

    Time frame: Up to end of study (approximately 2 years)

    Change from baseline over time in neurocognitive functions assessed using the Montreal Cognitive Assessment (MoCA)

Study contacts

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

BMS Clinical Trials Contact Center www.BMSClinicalTrials.com

CONTACT

[email protected]

855-907-3286

First line of the email MUST contain NCT # and Site #.

CONTACT

Sponsors and collaborators

Lead sponsor

Juno Therapeutics, Inc., a Bristol-Myers Squibb Company

Industry

Registry information

Official study title

The CAROLYN Trial: Lisocabtagene Maraleucel as First-Line Therapy for Primary Central Nervous System Lymphoma (PCNSL) in Transplant-Ineligible Patients

Important dates

Study start
2025
Primary completion
2028
Study completion
2028
First posted
Jun 11, 2025
Registry last updated
Jul 2, 2026

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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