A Safety Trial of Lisocabtagene Maraleucel (JCAR017) for Relapsed and Refractory (R/R) B-cell Non-Hodgkin Lymphoma (NHL) in the Outpatient Setting (TRANSCEND-OUTREACH-007)
Completed · Phase 2
Conditions studied: Lymphoma, Non-Hodgkin, Lymphoma, Lymphoma, B-Cell, Lymphoma, Large B-Cell, Diffuse, Neoplasms, Neoplasms by Histologic Type, Lymphoproliferative Disorders, Lymphatic Diseases, Immunoproliferative Disorders, Immune System Disorder
In brief
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.
Key facts
- Study ID
- NCT03744676
- Run by
- Juno Therapeutics, a Subsidiary of Celgene
- People needed
- 104
- Starts
- 2018-11-29
- Expected to finish
- 2023-09-22
- Last updated by the study team
- 2025-02-27
Who can join
Age: 18 and older. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Age ≥ 18 years at the time of consent
- Relapsed or refractory B-cell NHL of the following histologies: diffuse large B cell lymphoma (DLBCL) not otherwise specified; includes biopsy-confirmed transformed DLBCL from indolent histologies, high-grade B-cell lymphoma with MYC and BCL2 and/or BCL6 rearrangements with DLBCL histology, primary mediastinal B-cell lymphoma(PMBCL), and follicular lymphoma Grade 3B. Subjects must have been treated with an anthracycline and rituximab (or other CD20-targeted agent) and have relapsed or refractory disease after at least 2 systemic lines of therapy for DLBCL or after auto-HSCT.
- Positron-emission tomography-positive disease by Lugano Classification
- Eastern Cooperative Oncology Group performance status of 0 to 1
- Adequate bone marrow, renal, hepatic, pulmonary, cardiac organ function
- Adequate vascular access for leukapheresis procedure
- Subjects who have received previous CD19-targeted therapy must have CD19-positive lymphoma confirmed on a biopsy since completing the prior CD19-targeted therapy
- Subjects must agree to use appropriate contraception.
You may not qualify if…
- Subjects with central nervous system (CNS)-only involvement by malignancy (note: subjects with secondary CNS involvement are allowed on study)
- History of prior allogeneic hematopoietic stem cell transplant
- Treatment with alemtuzumab within 6 months of leukapheresis, or treatment with fludarabine or cladribine within 3 months of leukapheresis
- History of another primary malignancy that has not been in remission for at least 2 years.The following are examples of exceptions from the 2-year limit: nonmelanoma skin cancer, definitively-treated stage 1 solid tumor with a low risk of recurrence, curatively treated localized prostate cancer, and cervical carcinoma in situ on biopsy or a squamous intraepithelial lesion on a Papanicolau smear.
- Active hepatitis B or hepatitis C infection at the time of screening
- History of or active human immunodeficiency virus infection at the time of screening
- Uncontrolled systemic fungal, bacterial, viral or other infection despite appropriate anti-infection treatment at the time of leukapheresis or lisocabtagene maraleucel administration
- Presence of acute or chronic graft-versus-host disease
- History of clinically significant cardiac conditions within the past 6 months
- History or presence of clinically relevant CNS pathology such as epilepsy/seizure, paresis, aphasia, stroke, cerebral edema, severe brain injuries, dementia, Parkinson's disease, cerebellar disease, organic brain syndrome, or psychosis
- Pregnant or nursing women
- Subject does not meet protocol-specified washout periods for certain prior treatments
- Prior CAR T-cell or other genetically modified T-cell therapy
- Progressive vascular tumor invasion, thrombosis, or embolism
- Venous thrombosis or embolism not managed on stable regimen of anticoagulation
- Uncontrolled medical, psychological, familial, sociological, or geographical conditions that do not permit compliance with the protocol; or unwillingness or inability to follow the procedures required in the protocol
Where it is running
- Local Institution - 0057 — Los Angeles, California, United States
- Local Institution - 0060 — Denver, Colorado, United States
- Local Institution - 0089 — Miami, Florida, United States
- Local Institution - 0081 — Orlando, Florida, United States
- Local Institution - 0065 — Indianapolis, Indiana, United States
- Local Institution - 0069 — Wichita, Kansas, United States
- Local Institution - 0064 — Louisville, Kentucky, United States
- Local Institution - 0101 — Southfield, Michigan, United States
- Local Institution - 0052 — East Brunswick, New Jersey, United States
- Local Institution - 0066 — Morristown, New Jersey, United States
- Local Institution - 0041 — Albany, New York, United States
- Local Institution - 0039 — Cincinnati, Ohio, United States
- Local Institution - 0098 — Eugene, Oregon, United States
- Local Institution - 0051 — Portland, Oregon, United States
- Lancaster General Hospital — Lancaster, Pennsylvania, United States
- Local Institution - 0037 — Greenville, South Carolina, United States
- Local Institution - 0063 — Nashville, Tennessee, United States
- Local Institution - 0097 — Dallas, Texas, United States
- Local Institution - 0061 — San Antonio, Texas, United States
- Baylor Scott and White Health — Temple, Texas, United States
- Local Institution - 0096 — Tyler, Texas, United States
- Local Institution - 0074 — Salt Lake City, Utah, United States
- Local Institution - 0036 — Norfolk, Virginia, United States
Full record on ClinicalTrials.gov
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