A Study of C-CAR039 (Prizloncabtagene Autoleucel) in Patients With Relapsed/Refractory Large B-Cell Lymphoma (ELEVATION)
A Phase 1b/2 Study of a Anti-CD19/CD20 Bispecific CAR-T Therapy (C-CAR039/Prizloncabtagene Autoleucel) in Patients With Relapsed/Refractory Large B-Cell Lymphoma
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Weili Zhao, M.D., PhD
- Phone Number: 86-021-64370045
- Email: zwl_trial@163.com
Study Contact Backup
- Name: Lugui Qiu, M.D., PhD
- Phone Number: 86-13821266636
- Email: Qiulg@ihcams.ac.cn
Study Locations
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-
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Beijing, China
- Recruiting
- Peking University Third Hospital
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Contact:
- Hongmei Jing, M.D.,PhD
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Beijing, China
- Completed
- Beijing Cancer Hospital
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Beijing, China
- Recruiting
- Beijing GoBroad Hospital
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Contact:
- Kai Hu, M.D.,PhD
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Chongqing, China
- Recruiting
- Chongqing University Cancer Hospital
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Contact:
- Yao Liu, M.D.,PhD
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Guangzhou, China
- Recruiting
- ZhuJiang Hospital of Southern Medical University
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Contact:
- Yuhua Li, M.D.,PhD
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Guangzhou, China
- Recruiting
- Guangdong Provincial People's Hospital
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Contact:
- Wenyu Li, M.D.,PhD
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Hangzhou, China
- Recruiting
- The First Affiliated Hospital Zhejiang University School of Medicine
-
Contact:
- Jie Jin, M.D.,PhD
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Jinan, China
- Recruiting
- Cancer Hospital of Shandong First Medical University
-
Contact:
- Zengjun Li, M.D.,PhD
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Nanchang, China
- Recruiting
- Jiangxi Cancer Hospital
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Contact:
- Wuping Li, M.D.,PhD
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Nanjing, China
- Recruiting
- Jiangsu Province Hospital
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Contact:
- Lei Fan, M.D.,PhD
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Shanghai, China
- Recruiting
- Ruijin Hospital, Shanghai Jiaotong University School of Medicine
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Contact:
- Weili Zhao, M.D., PhD
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Tianjin, China
- Recruiting
- Chinese Academy of Medical Sciences Hematology Hospital
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Contact:
- Lugui Qiu, M.D., PhD
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Contact:
- Dehui Zou, M.D., PhD
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Tianjin, China
- Recruiting
- Tianjin Medical University Cancer Institute& Hospital
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Contact:
- Lanfang Li, M.D.,PhD
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Zhengzhou, China
- Recruiting
- Henan Cancer Hospital
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Contact:
- Keshu Zhou, M.D.,PhD
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Zhengzhou, China
- Recruiting
- The First Affiliated Hospital of Zhengzhou University
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Contact:
- Mingzhi Zhang, M.D.,PhD
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- ≥ 18 years of age
Histologically confirmed CD19 or CD20 positive B-cell non-Hodgkin lymphoma, including the following neoplasms as defined by the 2016 WHO classification of lymphoid neoplasms:
- Diffuse large B-cell lymphoma, not otherwise specified (DLBCL, NOS)
- Primary mediastinal large B-cell lymphoma (PMBCL)
- Transformed follicular lymphoma (tFL)
- High-grade B-cell lymphoma, with MYC and BCL2 and/or BCL6 rearrangements (HGBL-DH/TH)
- High-grade B-cell lymphoma, NOS (HGBL, NOS)
- Follicular lymphoma grade 3B (FL3B)
- Relapsed or refractory disease after ≥ 2 lines of standard therapy or relapsed after autologous stem cell transplantation (ASCT)
- At least one measurable lesion per the Lugano 2014 Classification
- Adequate organ and marrow function
Exclusion Criteria:
- Prior allogeneic hematopoietic stem cell transplantation (HSCT) at anytime, or ASCT within 12 weeks prior to apheresis
- Suspected or confirmed central nervous system involvement
- Stroke or convulsion history within 6 months of signing informed consent form (ICF)
- Autoimmune disease, immunodeficiency or diseases requiring immunosuppressants treatment
- Uncontrolled active infection
- Positive hepatitis B surface antigen (HBsAg) or hepatitis B core antibody (HBcAb) with detectable hepatitis B virus (HBV) DNA in peripheral blood; positive hepatitis C virus (HCV) antibody with positive HCV RNA in peripheral blood; positive human immunodeficiency virus (HIV) antibody; positive syphilis test
- Severe heart, liver, renal or metabolism disease
- Inadequate wash-out time for previous anti-tumor treatments prior to apheresis
- Prior CAR-T therapy
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Prizloncabtagene Autoleucel
Prizlon-cel will be intravenously administered as a single infusion after lymphodepletion.
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Prizlon-cel is a novel 2nd generation 4-1BB bispecific chimeric antigen receptor T-cell (CAR-T) targeting both CD19 and CD20 antigens
Other Names:
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Phase 2: Overall Response Rate (ORR) at 3 months
Time Frame: Up to 3 months after C-CAR039 infusion
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Best response rate at 3 months after C-CAR039 infusion, including partial response (PR) and complete response (CR)
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Up to 3 months after C-CAR039 infusion
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Phase 1b: Incidence and Severity of Treatment-emergent Adverse Events (TEAEs)
Time Frame: Up to 90 days after C-CAR039 infusion
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Incidence and severity of TEAEs , including dose limiting toxicities (DLTs)
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Up to 90 days after C-CAR039 infusion
|
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Phase 1b: Recommended Phase 2 Dose (R2PD)
Time Frame: Up to 3 months after C-CAR039 infusion
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Based on DLTs rates and overall safety profile
|
Up to 3 months after C-CAR039 infusion
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Phase 1b: ORR at 3 months
Time Frame: Up to 3 months after C-CAR039 infusion
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Best response rate at 3 months after C-CAR039 infusion, including PR and CR
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Up to 3 months after C-CAR039 infusion
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Phase 2: Incidence and Severity of Adverse Events (AEs)
Time Frame: Up to 2 years after C-CAR039 infusion
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Incidence and severity of any AEs
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Up to 2 years after C-CAR039 infusion
|
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ORR
Time Frame: Up to 2 years after C-CAR039 infusion
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Best response, including PR and CR
|
Up to 2 years after C-CAR039 infusion
|
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ORR at 6 months
Time Frame: Up to 6 months after C-CAR039 infusion
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Best response rate at 6 months after C-CAR039 infusion, including PR and CR
|
Up to 6 months after C-CAR039 infusion
|
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Duration of response (DOR)
Time Frame: Up to 2 years after C-CAR039 infusion
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The time from the first documented PR or CR to disease progression or death, whichever occurs first
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Up to 2 years after C-CAR039 infusion
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Time to response (TTR)
Time Frame: Up to 2 years after C-CAR039 infusion
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The time from the date of C-CAR039 infusion to the first documented PR or CR
|
Up to 2 years after C-CAR039 infusion
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Progression-free survival (PFS)
Time Frame: Up to 2 years after C-CAR039 infusion
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The time from the date of C-CAR039 infusion to the date of first documented disease progression or death
|
Up to 2 years after C-CAR039 infusion
|
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Overall survival (OS)
Time Frame: Up to 2 years after C-CAR039 infusion
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The time from the date of C-CAR039 infusion to the date of death
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Up to 2 years after C-CAR039 infusion
|
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Maximal plasma concentration (Cmax)
Time Frame: Up to 2 years after C-CAR039 infusion
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Maximal plasma concentration of C-CAR039 in peripheral blood
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Up to 2 years after C-CAR039 infusion
|
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Time to reach the maximal plasma concentration (Tmax)
Time Frame: Up to 2 years after C-CAR039 infusion
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Time to reach the maximal plasma concentration of C-CAR039 in peripheral blood
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Up to 2 years after C-CAR039 infusion
|
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Area under the curve within 28 days (AUC0-28d)
Time Frame: Up to 28 days after C-CAR039 infusion
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Area under the curve of C-CAR039 in peripheral blood within 28 days post infusion
|
Up to 28 days after C-CAR039 infusion
|
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Time of last measurable observed concentration (Tlast)
Time Frame: Up to 2 years after C-CAR039 infusion
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Time of last measurable observed concentration of C-CAR039 in peripheral blood
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Up to 2 years after C-CAR039 infusion
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The B cell percentage changes and CD19/CD20 expression changes in blood
Time Frame: Up to 2 years after C-CAR039 infusion
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The B cell percentage changes and CD19/CD20 expression changes in blood by flow cytometry assay before and after C-CAR039 infusion
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Up to 2 years after C-CAR039 infusion
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Anti-drug (C-CAR039) antibody
Time Frame: Up to 2 years after C-CAR039 infusion
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Presence of serum anti-drug (C-CAR039) antibody
|
Up to 2 years after C-CAR039 infusion
|
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Phase 1b: Incidence and Severity of Adverse Events (AEs)
Time Frame: Up to 2 years after C-CAR039 infusion
|
Incidence and severity of AEs
|
Up to 2 years after C-CAR039 infusion
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Weili Zhao, M.D., PhD, Ruijin Hospital
- Principal Investigator: Lugui Qiu, Chinese Academy of Medical Sciences Hematology Hospital
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 0702-032
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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