A Study of Automated Axicabtagene Ciloleucel for R/R Large B-cell Lymphoma.
A Single-arm, Multicenter Clinical Study Evaluating the Efficacy and Safety of Axicabtagene Ciloleucel Injection Manufactured by an Automated Process 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
- Early Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Zhizhong Geng
- Phone Number: 8616601956551
- Email: eric.geng@fosunkairos.com
Study Locations
-
-
Beijing Municipality
-
Beijing, Beijing Municipality, China, 100142
- Not yet recruiting
- Beijing Cancer Hospital
-
Contact:
- Beijing Cancer Hospital
- Phone Number: +8601088196023
-
Principal Investigator:
- Yuqin Song, Professor
-
-
Guangdong
-
Guangzhou, Guangdong, China, 510700
- Not yet recruiting
- Sun Yat-sen University Cancer Center
-
Contact:
- Sun Yat-sen University Cancer Center
- Phone Number: +8613926015016
-
Principal Investigator:
- Huiqiang Huang, Professor
-
-
Jiangsu
-
Suzhou, Jiangsu, China, 215006
- Not yet recruiting
- The Frist Affiliated Hospital of Soochow University
-
Contact:
- The Frist Affiliated Hospital of Soochow University
- Phone Number: +86051267972858
-
Principal Investigator:
- Yang Xu, Professor
-
-
Shanghai Municipality
-
Shanghai, Shanghai Municipality, China, 200025
- Recruiting
- Shanghai Jiaotong University School of Medicine Ruijin Hospital
-
Principal Investigator:
- Weili Zhao, Professor
-
Contact:
- Shanghai Jiaotong University School of Medicine Ruijin Hospita
- Phone Number: +8602164150275
-
-
Sichuan
-
Chengdu, Sichuan, China, 610041
- Recruiting
- West China Hospotal Sichuan University
-
Contact:
- West China Hospotal Sichuan University
- Phone Number: +8618980601950
-
Principal Investigator:
- Ting Niu, Professor
-
-
Tianjin Municipality
-
Tianjin, Tianjin Municipality, China, 300000
- Recruiting
- Tianjin Medical University Cancer Institute & Hospital
-
Contact:
- Tianjin Medical University Cancer Institute & Hospital
- Phone Number: +8613667005599
-
Principal Investigator:
- Huilai Zhang, Professor
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Age 18 years or older at the time of informed consent
- Has signed the informed consent form (ICF)
- Histologically proven large B-cell lymphoma
- Relapsed or refractory disease after first-line chemoimmunotherapy
- The subject has at least one measurable lesion on imaging
- No clinical or historical evidence suggestive of lymphoma involvement of the central nervous system (CNS)
- A washout period of at least 2 weeks or 5 half-lives (whichever is shorter) from the last prior systemic therapy to the signing of the informed consent form.
- Toxicities due to prior therapy must be stable or recovered to ≤ Grade 1
- ECOG performance status of 0 or 1
- Adequate bone marrow, renal, hepatic, pulmonary and cardiac function
- Female subjects of childbearing potential must have a negative serum pregnancy test . Male and female subjects of childbearing potential must agree to use highly effective contraception during the study and for 6 months post-infusion.
Exclusion Criteria:
- Prior history of other malignancies, with the exception of non-melanoma skin tumors, carcinoma in situ , or follicular lymphoma that have been free of recurrence for more than 3 years.
- History of Richter's transformation of CLL or PMBCL
- History of autologous or allogeneic stem cell transplant
- Received more than one line of therapy for DLBCL
- Treatment with systemic immunostimulatory agents within 6 weeks or 5 half-lives of the drug, whichever is shorter, prior to the first dose of axicabtagene ciloleucel
- Prior chimeric antigen receptor therapy or other genetically modified T-cell therapy
- History of severe, immediate hypersensitivity reaction attributed to aminoglycosides or Tocilizumab
- Presence of fungal, bacterial, viral, or other infection that is uncontrolled or requiring intravenous (IV) antimicrobials for management
- Known history of infection with human immunodeficiency virus (HIV) or Positive test result for anti-Treponema pallidum antibody (TP-Ab) or hepatitis B(HBsAg positive) or hepatitis C virus (anti-HCV positive)
- Active tuberculosis
- Presence of any indwelling line or drain
- Subjects with detectable malignant cells in the cerebrospinal fluid (CSF) or known brain metastases or with a history of cerebrospinal fluid malignant cells or brain metastases
- History or presence of non-malignant CNS disorder
- Subjects with cardiac atrial or cardiac ventricular lymphoma involvement
- History of clinically significant cardiac disease within 12 months of enrollment
- Requirement for urgent therapy within 6 weeks due to tumor mass effects, such as bowel obstruction or blood vessel compression or airway obstruction
- Patients with idiopathic pulmonary fibrosis, organizing pneumonia (e.g., bronchiolitis obliterans), drug-induced pneumonitis, idiopathic pneumonitis, or evidence of active pneumonitis on chest CT are excluded.
- History of symptomatic deep vein thrombosis or pulmonary embolism within 6 months of enrollment
- Women of childbearing potential who are pregnant or breastfeeding
- In the investigator's judgment, the subject is unlikely to complete all protocol-required study visits or procedures, including follow-up visits, or comply with the study requirements for participation
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: FKC876 injection
|
CD19 CAR-T
|
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 24 months
|
Proportion of subjects with a best overall response of complete remission (CR) or partial remission (PR), as assessed by the Lugano 2014 classification (Cheson 2014)
|
Up to 24 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Complete response rate (CRR)
Time Frame: Within 6 months,12 months, and 24 months after FKC876 infusion
|
Proportion of subjects achieving hematologic complete response (CR) according to the NCCN 2023
|
Within 6 months,12 months, and 24 months after FKC876 infusion
|
|
Duriation of response (DOR)
Time Frame: Up to 24 months
|
The time from the first objective response to disease progression (per Cheson 2014) or death due to any cause, whichever occurs first, in subjects who achieve an objective response.
|
Up to 24 months
|
|
Progression-frees survival (PFS)
Time Frame: Up to 24 months
|
The time from the date of axicabtagene ciloleucel infusion to disease progression or death due to any cause, whichever occurs first
|
Up to 24 months
|
|
Overall survival(OS)
Time Frame: Up to 24 months
|
The time from the date of axicabtagene ciloleucel infusion to death due to any cause.
|
Up to 24 months
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Chair: Wen Shi, FosunKarios
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
- FKC876-1
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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