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Recruiting Phase 3

A Study to Investigate Ronde-cel Versus Investigator's Choice CD19 CAR T-Cell Therapy

About this study

This Phase 3 study compares rondecabtagene autoleucel (ronde-cel), a dual-targeting CD19/CD20 CAR T-cell therapy, with investigator's choice of CD19 CAR T-cell therapy in patients with relapsed or refractory large B-cell lymphoma in the second-line setting.

Condition
Large B-cell Lymphoma, Lymphoma, B-Cell, Relapsed Non-Hodgkin Lymphoma, Refractory Non-Hodgkin Lymphoma, Non-Hodgkin Lymphoma, Non-Hodgkin Lymphoma Refractory/ Relapsed, Diffuse Large B Cell Lymphoma (DLBCL), Diffuse Large B Cell Lymphoma Refractory, Diffuse Large B Cell Lymphoma Relapsed
Tested
rondecabtagene autoleucel, axicabtagene ciloleucel, lisocabtagene maraleucel
Sponsor
Lyell Immunopharma, Inc.

Who can join

Age
18 years and older
Sex
All sexes
Healthy volunteers
Not accepted

Inclusion 14

  • Minimum age: 18 years
  • Study condition: Large B-cell Lymphoma, Lymphoma, B-Cell, Relapsed Non-Hodgkin Lymphoma, Refractory Non-Hodgkin Lymphoma, Non-Hodgkin Lymphoma, Non-Hodgkin Lymphoma Refractory/ Relapsed, Diffuse Large B Cell Lymphoma (DLBCL), Diffuse Large B Cell Lymphoma Refractory, Diffuse Large B Cell Lymphoma Relapsed
  • CAR T cell naïve and eligible to receive a CD19 CART-cell therapy
  • Histologically confirmed large B-cell lymphoma, including the following types defined by (WHO 2022) or International Consensus Classification (2022)
  • Diffuse large B-cell lymphoma (DLBCL)
  • Transformations of indolent B-cell lymphomas (excluding Richter's transformation)
  • DLBCL/High-grade B-cell lymphoma (HGBCL) with MYC and BCL2 rearrangements
  • High-grade B-cell lymphoma (HGBCL) not otherwise specified (HGBCL NOS)
  • Primary mediastinal large B-cell lymphoma (PMBCL)
  • Grade 3B follicular lymphoma/large cell follicular lymphoma (FL3B)
  • Relapsed or refractory disease after anti-CD20 antibody and anthracycline-containing first-line chemoimmunotherapy
  • Measurable disease by presence of \[18F\]-fluorodeoxyglucose PET/CT positive lesion during Screening per Lugano Criteria
  • Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
  • Adequate hematological, renal, hepatic, pulmonary, and cardiac function

Exclusion 7

  • Patients ineligible to receive CD19 CAR T-cell therapy
  • Primary CNS lymphoma
  • Patients with primary cutaneous LBCL, human herpes virus-8 positive lymphoma, Burkitt lymphoma, T cell histiocyte-rich lymphoma, or transformation from chronic lymphocytic leukemia/small lymphocytic lymphoma (Richter's transformation)
  • Patients with prior history of malignancy, other than aggressive relapsed or refractory LBCL, unless the patient has been free of the disease for ≥ 2 years
  • Patients with uncontrolled systemic fungal, bacterial, viral, or other infection (including tuberculosis) despite appropriate antibiotics or other treatment
  • Active autoimmune disease requiring ongoing systemic immunosuppressive therapy.
  • Note: Other protocol defined Inclusion/Exclusion criteria may apply

Where

36 sites, 36 recruiting

Northside Hospital

Atlanta, Georgia, United States

Recruiting

University of Colorado

Aurora, Colorado, United States

Recruiting

St. David's South Austin Medical Center

Austin, Texas, United States

Recruiting

Roswell Park Comprehensive Cancer Center

Buffalo, New York, United States

Recruiting

University of Chicago

Chicago, Illinois, United States

Recruiting

Oncology Hematology Care Clinical Trials

Cincinnati, Ohio, United States

Recruiting

and 30 more sites on ClinicalTrials.gov

Contact

Potential match only. Final eligibility is determined by the study team.