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NCT Number: NCT06253663

Study of KTE-X19 in Adult Japanese Participants With Relapsed/Refractory Mantle Cell Lymphoma or Relapsed/Refractory B-precursor Acute Lymphoblastic Leukemia

The goal of this clinical study is to learn more about KTE-X19, and how safe and effective it is in adult Japanese participants with relapsed/refractory (r/r) Mantle Cell Lymphoma (MCL) or r/r B-precursor Acute Lymphoblastic Leukemia (B-ALL).

The primary objectives of this study are to evaluate the efficacy of KTE-X19, as measured by:

* Objective response rate (ORR) per investigator assessment, in adult Japanese participants with r/r MCL * Overall complete remission (OCR) defined as complete remission (CR) and complete remission with incomplete hematologic recovery (CRi) per investigator assessment, in adult Japanese participants with r/r ALL

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This study is active but is not currently recruiting participants.

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Key information

About this study

After completing at least 24 months in the study, all participants who received an infusion of KTE-X19 will be transitioned to a separate long-term follow-up (LTFU) study (KT-US-982-5968) to complete the remainder of the 15-year follow-up assessments.

Who can participate

Healthy volunteers accepted: No

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

Key Inclusion Criteria:

MCL Cohort:

  • Pathologically confirmed MCL, with documentation of either overexpression of cyclin D1 or presence of t(11;14)
  • Up to 5 prior regimens for MCL. Prior therapy must have included:
  • Anthracycline-, bendamustine-, or high-dose cytarabine- containing chemotherapy, and
  • Anti-CD20 monoclonal antibody therapy, and
  • Bruton's tyrosine kinase inhibitor (BTKi)
  • Relapsed or refractory disease, defined by the following:
  • Disease progression after last regimen, or
  • Refractory disease is defined failure to achieve partial response (PR) or complete remission (CR) to the last regimen
  • At least 1 measurable lesion. Lesions that have been previously irradiated will be considered measurable only if progression has been documented following completion of radiation therapy
  • If the only measurable disease is lymph node disease, at least 1 lymph node should be ≥ 2 cm

ALL Cohort:

  • Relapsed or refractory B-ALL defined as one of the following:
  • Relapsed or refractory disease after one line of systemic therapy;
  • Primary refractory, or
  • First relapse if first remission ≤ 12 months
  • Relapsed or refractory disease after two or more lines of systemic therapy
  • Relapsed or refractory disease after allogeneic transplant provided individuals is at least 100 days from SCT at the time of enrollment and off of immunosuppressive medications for at least 4 weeks prior to enrollment
  • Morphological disease in the bone marrow (> 5% blasts)
  • Individuals with Philadelphia-positive (Ph+) disease are eligible if they are intolerant to tyrosine kinase inhibitor (TKI) therapy, or if they have relapsed/refractory disease despite treatment with at least 2 different TKIs

Key Exclusion Criteria:

MCL Cohort:

  • History of malignancy other than nonmelanomatous skin cancer or carcinoma in situ (eg, cervix, bladder, breast) unless disease-free for at least 3 years
  • Autologous SCT (autoSCT) within 6 weeks of planned KTE-X19 infusion
  • History of alloSCT with the exception of individuals with no donor cells detected on chimerism > 100 days after alloSCT
  • Prior CD19 targeted therapy
  • Prior CAR therapy or other genetically modified T-cell therapy
  • History of hypersensitivity to any of the ingredients of KTE-X19 or to any of the animal-derived ingredients (bovine and rodent) used in the manufacturing process of KTE-X19

ALL Cohort:

  • Diagnosis of Burkitt's leukemia/lymphoma according to World Health Organization (WHO) classification or chronic myelogenous leukemia lymphoid blast crisis
  • History of malignancy other than non-melanoma skin cancer or carcinoma in situ (eg, cervix, bladder, breast) unless disease free for at least 3 years
  • History of hypersensitivity to any of the ingredients of KTE-X19 or to any of the animal-derived ingredients (bovine and rodent) used in the manufacturing process of KTE-X19

Note: Other protocols defined Inclusion/Exclusion criteria may apply.

Treatment and study plan

KTE-X19

Drug

A single infusion of chimeric antigen receptor (CAR) T cells

Other names: Tecartus

Cyclophosphamide

Drug

Administered intravenously

Fludarabine

Drug

Administered intravenously

Primary outcomes

  1. MCL Cohort: Objective Response Rate (ORR) Per Investigator Assessment

    Time frame: Up to 24 months

    ORR is defined as the incidence of a complete remission (CR) or a partial remission (PR) per the Lugano Classification.

  2. ALL Cohort: Overall Complete Remission (OCR) Rate

    Time frame: Up to 24 months

    OCR rate is defined as the percentage of participants achieving CR/complete remission with incomplete hematologic recovery (CRi) per investigator assessment.

Secondary outcomes

  1. MCL Cohort: Duration of Response (DOR)

    Time frame: Up to 24 months

    DOR is defined as time from first objective response to disease progression per indication specific response criteria or death from any cause.

  2. MCL Cohort: Best Objective Response (BOR)

    Time frame: Up to 24 months

    BOR is defined as the incidence of CR, PR, Stable disease (SD) or progressive disease (PD) or unevaluable as best response to treatment.

  3. MCL Cohort: Progression-Free Survival (PFS)

    Time frame: Up to 24 months

    PFS is defined as time from enrollment or KTE-X19 infusion to disease progression per indication specific response criteria or death from any cause.

  4. MCL Cohort: Levels of Cytokines in Serum

    Time frame: Up to Day 28

  5. ALL Cohort: Minimal Residual Disease (MRD) Negativity Rate

    Time frame: Up to 24 months

    The incidence of a minimal residual disease response (MRD-). MRD- is defined as MRD < 10^-6 per the standard assessment.

  6. ALL Cohort: Allogeneic Stem Cell Transplant (alloSCT) rate

    Time frame: Up to 24 months

    The percentage of participants receiving alloSCT as the 1st next therapy after KTE-X19 infusion.

  7. ALL Cohort: Relapse-Free Survival (RFS)

    Time frame: Up to 24 months

    RFS is defined as the time from enrollment or KTE-X19 infusion date to the date of disease relapse or death from any cause.

  8. ALL Cohorts: DOR

    Time frame: Up to 24 months

    DOR is defined as the time between their first complete remission (CR or CRi) to relapse or any death in the absence of documented relapse.

  9. MCL and ALL Cohort: Levels of Anti-Cluster of Differentiation 19 (Anti-CD19) CAR T Cells in Blood

    Time frame: Up to 24 months

  10. MCL and ALL Cohorts: Percentages of Participants Experiencing Treatment-emergent Adverse Event (TEAEs), Serious Adverse Event (SAEs) and Deaths

    Time frame: First infusion date up to 24 months

  11. MCL and ALL Cohorts: Overall Survival (OS)

    Time frame: Up to 24 months

    OS is defined as the time from enrollment or KTE-X19 infusion to death from any cause.

  12. MCL and ALL Cohorts: Percentage of Participants Experiencing Clinically Significant Changes in Safety Laboratory Values

    Time frame: First infusion date up to 24 months

Sponsors and collaborators

Lead sponsor

Kite, A Gilead Company

Industry

Registry information

Official study title

A Phase 2 Multicenter Study Evaluating the Safety and the Efficacy of KTE-X19 in Adult Japanese Subjects With Relapsed/Refractory Mantle Cell Lymphoma or Relapsed/Refractory B-precursor Acute Lymphoblastic Leukemia

Acronym: JKART-1

Important dates

Study start
2024
Primary completion
2027
Study completion
2027
First posted
Feb 12, 2024
Registry last updated
Jun 25, 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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