Skip to main content
OpenTrials
Recruiting

NCT Number: NCT06500273

Consolidation of First-Line MRD+ Remission With Cema-cel in Patients With LBCL

This is a randomized, open-label study in adult patients who have completed standard first line therapy for large B-cell lymphoma (LBCL) and achieved a complete response or partial response suitable for observation, but who have minimal residual disease (MRD) as detected by the Foresight CLARITY™ Investigational Use Only (IUO) MRD test, powered by PhasED-Seq™. The purpose of the trial is to assess the efficacy and safety of consolidation with cemacabtagene ansegedleucel (cema-cel), an allogeneic CD19 CAR T product, as compared to standard of care observation.

In this study, participants with MRD are randomized 1:1 to treatment with cema-cel or an observation arm. Treatment includes cema-cel following a lymphodepletion regimen of fludarabine and cyclophosphamide.

Prior to August 2025, participants may also have received an anti-CD52 monoclonal antibody, ALLO-647, as part of their lymphodepletion regimen.

Recruiting

Interested in participating?

Request Info

Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Icon Cancer Centre Wesley, Auchenflower, Queensland, Australia

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

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

Key Inclusion Criteria:

  • LBCL per WHO 2017 including diffuse large B-cell lymphoma, high-grade B-cell lymphoma, and primary mediastinal B-cell lymphoma histologically confirmed by pathology report.
  • Participant has completed a full course of standard first line therapy (e.g., R-CHOP, dose-adjusted EPOCH-R, Pola-R-CHP) as intended. Participants cannot have received additional lines of therapy.
  • Participant achieved CR, or PR suitable for observation, at the end of first line therapy based on PET/CT evaluation
  • Foresight CLARITY™ IUO MRD test, powered by PhasED-Seq™, is positive.
  • Adult participants ≥18 years of age.
  • Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0 or 1.
  • Adequate hematological, renal, hepatic, pulmonary, and cardiac function
  • Non-hematologic toxicities related to prior therapy must be recovered to baseline or grade ≤1.

Key Exclusion Criteria:

  • LBCL with history of central nervous system involvement, transformed from other malignancy (e.g., transformed follicular lymphoma or marginal zone lymphoma, Richter's transformation), or T-cell/histiocyte rich LBCL.
  • Prior treatment with anti-CD19 targeted therapies.
  • Anti-cancer treatment, including radiation, after end of treatment PET/CT and/or MRD testing is performed.
  • Active and clinically significant autoimmune disease.
  • Active systemic bacterial, fungal, or viral infections requiring systemic treatment.
  • History of another primary malignancy or bone marrow disorder (e.g., myelofibrosis, smoldering multiple myeloma) within 3 years prior to enrollment.

Treatment and study plan

cemacabtagene ansegedleucel

Genetic

An allogeneic CAR T cell therapy targeting CD19

Other names: cema-cel

Fludarabine

Drug

Chemotherapy for lymphodepletion

Other names: Fludara®

Cyclophosphamide

Drug

Chemotherapy for lymphodepletion

Other names: Cytoxan®

Foresight CLARITY™ IUO MRD test, powered by PhasED-Seq™

Device

A diagnostic test intended to identify patients with minimal residual disease at the end of first line treatment for LBCL.

Other names: Foresight Lymphoma MRD Therapy Selection Test

Primary outcomes

  1. Event-free survival per independent review committee assessment

    Time frame: Up to 60 months

Secondary outcomes

  1. Progression-free survival per independent review committee assessment

    Time frame: Up to 60 months

  2. Overall survival

    Time frame: Up to 60 months

  3. Incidence and severity of adverse events and their relationship to cemacabtagene ansegedleucel and ALLO-647

    Time frame: Up to 60 months

    Adverse events, treatment emergent adverse events, serious adverse events, and adverse events of special interest evaluated by the investigator based on the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 5.0. CRS and ICANS will be graded using ASTCT.

  4. Incidence and severity of laboratory toxicities related to cemacabtagene ansegedleucel and ALLO-647

    Time frame: Up to 60 months

    Change from baseline value and NCI toxicity grading of laboratory values outside of normal ranges using CTCAE version 5.0.

  5. Minimal residual disease clearance

    Time frame: Up to 60 months

Study contacts

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

Allogene Therapeutics, Inc

CONTACT

[email protected]

+1 415-604-5696

Sponsors and collaborators

Lead sponsor

Allogene Therapeutics

Industry

Collaborators

  • Foresight Diagnostics, Inc.
  • Natera, Inc.

Registry information

Official study title

A Randomized, Open-label Study Evaluating the Efficacy and Safety of Cemacabtagene Ansegedleucel in Participants With Minimal Residual Disease After Response to First Line Therapy for Large B-cell Lymphoma

Acronym: ALPHA3

Important dates

Study start
2024
Primary completion
2027
Study completion
2032
First posted
Jul 15, 2024
Registry last updated
Jul 30, 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.

Published trials that share one or more normalized conditions with this study.