Efficacy and Safety of TC011 in Relapsed or Refractory Follicular Lymphoma (TC011_FL_201)
A Multi-center, Single-arm, Open-label Phase II Study to Evaluate the Efficacy and Safety of TC011 in Patients With Relapsed or Refractory Follicular Lymphoma
This Phase II, multi-center, single-arm, open-label study evaluates the efficacy and safety of TC011, a CD19-targeted CAR-T cell therapy, in adult patients with relapsed or refractory follicular lymphoma (Grade 1, 2, or 3a).
The primary endpoint is objective response rate (ORR) assessed by independent review using the Lugano 2014 classification.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
This is a multi-center, single-arm, open-label Phase II clinical trial designed to evaluate the efficacy and safety of TC011, a CD19-targeted chimeric antigen receptor T-cell (CAR-T) therapy, in adult patients with relapsed or refractory follicular lymphoma.
Eligible patients who meet all inclusion and exclusion criteria will undergo leukapheresis for the manufacture of TC011, followed by lymphodepleting chemotherapy and a single intravenous infusion of TC011. Patients will be followed according to the study schedule to assess efficacy and safety outcomes.
The primary efficacy endpoint is objective response rate assessed by independent review using standardized response criteria. Secondary endpoints include additional efficacy measures and safety evaluations. Exploratory assessments may include characterization of TC011-related cellular kinetics and biomarker analyses.
An independent Data Safety Monitoring Board will periodically review accumulated safety and efficacy data to ensure patient safety throughout the study.
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 2
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Ability to provide written informed consent.
- Age ≥19 years at the time of screening.
- Histologically confirmed follicular lymphoma Grade 1, 2, or 3a according to WHO 2017 classification.
- Relapsed or refractory disease after at least two prior systemic therapies including rituximab.
- ECOG performance status ≤2.
- Life expectancy ≥12 weeks.
- At least one measurable lesion (long diameter ≥1.5 cm).
- Adequate hepatic, renal, hematologic, pulmonary, and cardiac function.
- Eligible for leukapheresis and successful manufacture of TC011.
- Agreement to use effective contraception for at least 6 months after TC011 infusion.
Exclusion Criteria:
- Histologic transformation to diffuse large B-cell lymphoma or follicular lymphoma Grade 3b.
- Unresolved ≥Grade 2 toxicity from prior anticancer therapy (excluding hematologic abnormalities).
- Active or prior malignancy within 2 years, except adequately treated non-melanoma skin cancer or carcinoma in situ.
- Clinically significant cardiovascular disease within 6 months prior to screening.
- Active central nervous system involvement by lymphoma.
- Active uncontrolled infection, including HBV, HCV, HIV, or syphilis (protocol-defined exceptions apply).
- Active autoimmune or inflammatory neurologic disease.
- Rapidly progressive disease requiring urgent therapy.
- Prior treatment with anti-CD19 therapy, adoptive T-cell therapy, gene therapy, or allogeneic stem cell transplantation.
- Major surgery within 4 weeks prior to screening.
- Use of investigational agents within 4 weeks prior to screening.
- Known hypersensitivity to components of TC011.
- Pregnant or breastfeeding women.
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: TC011 single-arm
Single-arm, open-label study receiving TC011 infusion.
|
CD19-targeted chimeric antigen receptor T-cell therapy
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Objective Response Rate (ORR)
Time Frame: Up to 96 weeks
|
Proportion of patients achieving CR or PR per 2014 Lugano classification by independent review
|
Up to 96 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Complete Response Rate (CRR)
Time Frame: Up to 96 weeks
|
Proportion of subjects achieving complete response per 2014 Lugano classification by independent review
|
Up to 96 weeks
|
|
Disease Control Rate (DCR)
Time Frame: Up to 96 weeks
|
Proportion of subjects with complete response, partial response, or stable disease
|
Up to 96 weeks
|
|
Stable Disease Rate (SDR)
Time Frame: Up to 96 weeks
|
Proportion of subjects with stable disease per 2014 Lugano classification
|
Up to 96 weeks
|
|
Duration of Response (DOR)
Time Frame: Up to 96 weeks
|
Time from first documentation of response (CR or PR) to disease progression or death from any cause
|
Up to 96 weeks
|
|
Time to Response (TTR)
Time Frame: Up to 96 weeks
|
Time from TC011 infusion to first documented response (CR or PR)
|
Up to 96 weeks
|
|
Progression-Free Survival (PFS)
Time Frame: Up to 96 weeks
|
Time from TC011 infusion to disease progression or death from any cause
|
Up to 96 weeks
|
|
Overall Survival (OS)
Time Frame: Up to 96 weeks
|
Time from TC011 infusion to death from any cause
|
Up to 96 weeks
|
|
Incidence and severity of adverse events
Time Frame: Up to 96 weeks
|
Incidence, severity, and type of adverse events graded per CTCAE v5.0
|
Up to 96 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Won Seok Kim, MD, PhD, Samsung Medical Center, Department of Hematology-Oncology
Study record dates
Study Major Dates
Study Start (Estimated)
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
- TC011_FL_201
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
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