A Multi-center Single Arm Phase II Study to Evaluate the Safety and Efficacy of Genetically Engineered Autologous Cells Expressing Anti-CD20 and Anti-CD19 Specific Chimeric Antigen Receptor in Subjects With Relapsed and/or Refractory Diffuse Large B Cell Lymphoma
Summary
DALY II USA is a phase II, multi-center, single arm study to evaluate the efficacy, safety, and pharmacokinetics of zamtocabtagene autoleucel (MB-CART2019.1) in patients with relapsed and/or refractory diffuse large B cell lymphoma (DLBCL) after receiving at least two lines of therapy. Additional cohorts include subjects with B-cell primary or secondary central nervous system (CNS) lymphoma (PCNSL) and (SCNSL), mantle cell lymphoma (MCL) and Richter's transformation (RT) after receiving at least one line of therapy.
Detailed description
A prospective, single arm, open label, multi-center, phase II study of autologous T cells engineered against both CD19 and CD20 antigens for subjects with relapsed or refractory DLBCL after receiving at least two lines of therapy. The investigational agent is the MB-CART2019.1 cells. Additional cohorts include subjects with B-cell primary or secondary central nervous system (CNS) lymphoma (PCNSL) and (SCNSL), mantle cell lymphoma (MCL) and Richter's transformation (RT) after receiving at least one line of therapy. After successful screening, subjects will undergo leukapheresis to collect product for manufacturing. In preparation for the fresh product infusion, subjects will undergo a lymphodepleting regimen with cyclophosphamide and fludarabine, or bendamustine. Cell infusion will be administered intravenously at a dose of 2.5 x 106 CAR+ cells/kg body weight. The study will start with enrollment of 3 subjects in the lead-in safety phase, and after safety is evaluated, the study will continue with enrollment of the remaining subjects. Subjects will be followed for up to 2 years, for efficacy and safety outcomes as well as health-related quality of life (HRQol). Additional long-term follow-up will be conducted for participants under a separate long-term follow-up protocol.
Arms & interventions
- Biologicalzamtocabtagene autoleucel (MB-CART2019.1)
Chimeric antigen receptor (CAR) T cell therapy
- DrugCyclophosphamide
Lymphodepleting chemotherapy
- DrugFludarabine
Lymphodepleting chemotherapy
- DrugBendamustine
Lymphodepleting chemotherapy
Outcome measures
Primary
Overall Response Rate
ORR
Time frame: through study completion, up to 2 years
Secondary
Complete Response Rate
Time frame: 1 and 6 months
Duration of Response
Time frame: Up to 2 years
Overall Response Rate
Time frame: 1 and 6 months
Best Overall Response
Time frame: 2 years
Progression Free Survival
Time frame: Up to 2 years
Overall Survival
Time frame: Up to 2 years
Type, frequency, and severity of adverse events
Time frame: Up to 2 years
Incidence of anti-MD-CART2019.1 antibodies
Time frame: Up to 2 years
Phenotype of MB-CART2019.1
Time frame: Up to 2 years
Persistence of MB-CART2019.1
Time frame: Up to 2 years
Quality of Life (QoL) assessments [EQ-5D-5L]
Time frame: Up to 2 years
Patient-Reported Outcome (PRO) assessment [FACT-Lym]
Time frame: Up to 2 years
Pharmacodynamics [Levels of cytokines in blood]
Time frame: Up to 2 years
Correlation of tumor CD19 and CD20 antigen expression with disease progression and relapse
Time frame: Up to 2 years
Eligibility criteria
Study locations (23)
Banner MD Anderson Cancer Center
Gilbert, Arizona, 85234
Mayo Clinic
Phoenix, Arizona, 85054
UC San Diego Health
La Jolla, California, 92037
Stanford University
Stanford, California, 94305
Yale University
New Haven, Connecticut, 06520
Baptist Health Miami Cancer Institute
Miami, Florida, 33176
Winship Cancer Institute of Emory University
Atlanta, Georgia, 30322
Georgia Cancer Center at Augusta University
Augusta, Georgia, 30912
Robert H Lurie Cancer Center
Chicago, Illinois, 60611
University of Kansas Cancer Center
Westwood, Kansas, 66205
University of Maryland Marlene and Stewart Greenebaum Comprehensive Cancer Center
Baltimore, Maryland, 21201
Dana Farber Cancer Institute
Boston, Massachusetts, 02215
University of Michigan
Ann Arbor, Michigan, 48109
Mayo Clinic
Rochester, Minnesota, 55905
University of Nebraska Medical Center
Omaha, Nebraska, 68198
Memorial Sloan Kettering Cancer Center
New York, New York, 10065
Duke University Medical Center - Division of Hematologic Malignancies
Durham, North Carolina, 27705
The Ohio State University Wexner Medical Center James Cancer
Columbus, Ohio, 43210
Oregon Health and Science University Knight Cancer Institute
Portland, Oregon, 97239
Allegheny Health Network Cancer Institute
Pittsburgh, Pennsylvania, 15212
University of Pittsburgh - Hillman Cancer Center
Pittsburgh, Pennsylvania, 15260
UT Southwestern Medical Center
Dallas, Texas, 75390
Froedtert Hospital and the Medical College of Wisconsin
Milwaukee, Wisconsin, 53226