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Undersøgelse til evaluering af effektiviteten af ​​Brexucabtagene Autoleucel (KTE-X19) hos deltagere med recidiverende/refraktær mantelcellelymfom (kohorte 3) (ZUMA-2)

24. juli 2026 opdateret af: Kite, A Gilead Company

En fase 2 multicenterundersøgelse, der evaluerer effektiviteten af ​​KTE-X19 hos forsøgspersoner med recidiverende/refraktær mantelcellelymfom

Det primære formål er at evaluere effektiviteten af ​​brexucabtagene autoleucel (KTE-X19) hos deltagere med recidiverende/refraktær (r/r) mantelcellelymfom (MCL) i kohorte 3 af denne undersøgelse.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

Undersøgelse KTE-C19-102 (NCT02601313) indskrev deltagere med r/r MCL, som er blevet behandlet med op til 5 tidligere regimer, herunder en Brutons tyrosinkinasehæmmer (BTKi) i kohorte 1 og kohorte 2. Dog for at opfylde FDA Postmarketing Requirement Cohort 3 tilføjes undersøgelsen. Det vil omfatte deltagere med r/r MCL, som er blevet behandlet med op til 5 tidligere regimer, men som ikke har modtaget tidligere terapi med en BTKi.

Den primære analyse i kohorte 1 og kohorte 2 er allerede afsluttet. Data for kohorte 3 vil blive analyseret separat. Derfor er denne separate registrering kun for kohorte 3.

Efter afslutningen af ​​KTE-C19-102 vil forsøgspersoner, der modtog en infusion af anti-CD19 CAR T-celler, gennemføre resten af ​​de 15-årige opfølgningsvurderinger i et separat langtidsopfølgningsstudie, KT-US- 982-5968

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

95

Fase

  • Fase 2

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

      • Glasgow, Det Forenede Kongerige, G51 4TF
        • Queen Elizabeth University Hospital
      • London, Det Forenede Kongerige, SE5 9RS
        • Kings College Hospital
      • Manchester, Det Forenede Kongerige, M13 9WL
        • Manchester Royal Infirmary
    • Arizona
      • Gilbert, Arizona, Forenede Stater, 85234
        • Banner MD Anderson Cancer Center
    • California
      • Palo Alto, California, Forenede Stater, 94305
        • Stanford University
      • Santa Monica, California, Forenede Stater, 90404
        • University California Los Angeles (UCLA)
    • Colorado
      • Denver, Colorado, Forenede Stater, 80218
        • Sarah Cannon- Denver
    • Florida
      • Miami, Florida, Forenede Stater, 33136
        • University of Miami
      • Tampa, Florida, Forenede Stater, 33612
        • Moffitt Cancer Center
    • Georgia
      • Atlanta, Georgia, Forenede Stater, 30322
        • Emory University
    • Illinois
      • Chicago, Illinois, Forenede Stater, 60637
        • University of Chicago
      • Maywood, Illinois, Forenede Stater, 60153
        • Loyola University Medical Center
      • Park Ridge, Illinois, Forenede Stater, 60068
        • Advocate Aurora Health - Advocate Lutheran General Hospital
    • Massachusetts
      • Boston, Massachusetts, Forenede Stater, 02215
        • Dana Farber Cancer Institute
    • Michigan
      • Detroit, Michigan, Forenede Stater, 48201
        • Karmanos Cancer Institute
    • New Jersey
      • Hackensack, New Jersey, Forenede Stater, 07601
        • Hackensack University Medical Center
    • New York
      • Rochester, New York, Forenede Stater, 14642
        • University of Rochester
    • North Carolina
      • Durham, North Carolina, Forenede Stater, 27710
        • Duke University
    • Ohio
      • Cleveland, Ohio, Forenede Stater, 44195
        • Cleveland Clinic - Taussig Cancer Institute
      • Columbus, Ohio, Forenede Stater, 43220
        • Ohio State University
    • Pennsylvania
      • Philadelphia, Pennsylvania, Forenede Stater, 19111
        • Fox Chase Cancer Center
    • Tennessee
      • Nashville, Tennessee, Forenede Stater, 37232
        • Vanderbilt University
      • Nashville, Tennessee, Forenede Stater, 37203
        • Sarah Cannon - Tenessee
    • Texas
      • Dallas, Texas, Forenede Stater, 75246
        • Baylor Cancer Hospital
      • Houston, Texas, Forenede Stater, 77030
        • MD Anderson Cancer Center
    • Washington
      • Seattle, Washington, Forenede Stater, 98104
        • Swedish Cancer Institute
      • Montpellier, Frankrig, 34295
        • CHU de Montpellier
      • Paris, Frankrig, 75010
        • Hospital Saint Louis
      • Pessac, Frankrig, 44035
        • Hôpital Haut-Lévêque
      • Pierre-Bénite, Frankrig, 69495
        • Centre Hospitalier LYON SUD
      • Rennes, Frankrig, 35033
        • CHU de Rennes
      • Amsterdam, Holland, 1100
        • Academisch Medisch Centrum
      • Groningen, Holland, 9700 RB
        • University Medical Center Groningen
      • Rotterdam, Holland, 3015 CE
        • Erasmus MC
      • Barcelona, Spanien, 08035
        • Hospital Universitari Vall d'Hebron
      • Barcelona, Spanien
        • Hospital Clinic Barcelona
      • Salamanca, Spanien, 37007
        • Hospital Universitario De Salamanca
      • Mainz, Tyskland, 55101
        • Johannes Gutenberg University Hospital-University Mainz
      • München, Tyskland, 81377
        • Munich University of Technology-Medical Faculty- Ethics Committee
      • Würzburg, Tyskland, 97080
        • Universitaetsklinikum Wuerzburg

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Beskrivelse

Nøgleinklusionskriterier:

  • Op til 5 tidligere regimer for MCL. Tidligere behandling skal have omfattet antracyklin- eller bendamustin-holdig kemoterapi og anti-CD20 monoklonalt antistofbehandling. Enkeltpersoner må ikke have modtaget forudgående behandling med en BTKi.
  • Mindst 1 målbar læsion
  • Blodpladeantal ≥ 75.000/uL
  • Kreatininclearance (som anslået af Cockcroft Gault) ≥ til 60 cc/min.
  • Hjerteudstødningsfraktion ≥ 50 %, ingen tegn på perikardiel effusion som bestemt ved et ekkokardiogram (ECHO) eller multigated acquisition (MUGA), og ingen klinisk signifikante elektrokardiogram (EKG) fund
  • Baseline iltmætning > 92 % på rumluft

Nøgleekskluderingskriterier:

  • Kendt historie med infektion med humant immundefektvirus (HIV) eller hepatitis B (HBsAG-positiv) eller hepatitis C-virus (anti-HCV-positiv). Personer med en historie med hepatitisinfektion skal have fjernet deres infektion som bestemt ved standard serologisk og genetisk test
  • Anamnese med krampeanfald, cerebrovaskulær iskæmi/blødning, demens, cerebellar sygdom, cerebralt ødem, posterior reversibel encefalopati syndrom eller enhver autoimmun sygdom med involvering af centralnervesystemet (CNS)
  • Tilstedeværelse af svampe, bakteriel, viral eller anden infektion, der er ukontrolleret eller kræver IV antimikrobielle midler til behandling

Bemærk: Andre protokoldefinerede inklusions-/eksklusionskriterier kan være gældende.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: N/A
  • Interventionel model: Enkelt gruppeopgave
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Brexucabtagene autoleucel (KTE-X19)

Participants with relapsed or refractory (r/r) mantle cell lymphoma (MCL) who have been treated with up to 5 prior regimens but have not received prior therapy with a Bruton's tyrosine kinase inhibitor (BTKi) will receive the following treatment during the study:

  • A conditioning chemotherapy regimen of fludarabine 30 mg/m^2/day and cyclophosphamide 500 mg/m^2/day for 3 days (Day -5 to Day -3).
  • A single infusion of brexucabtagene autoleucel at a target dose of 2×10^6 anti-cluster of differentiation 19 (CD19) chimeric antigen receptor (CAR) transduced autologous T cells/kg, with a maximum flat dose of 2 x 10^8 anti-CD19 CAR T cells for participants > 100 kg on Day 0.
Administered as intravenous infusion
Administered as intravenous infusion
Administered as intravenous infusion
Andre navne:
  • Tecartus™
  • KTE-X19

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Percentage of Participants With Objective Response (OR) Per the Lugano Classification According to Independent Radiology Review Committee (IRRC) in Cohort 3
Tidsramme: Up to 4 years
OR: complete metabolic response (CMR),complete radiological response (CRR), partial MR response (PMR),partial RR(PRR).CMR:score 1(no uptake above background)/2(uptake ≤mediastinum)/3(uptake >mediastinum but ≤liver) with/without a residual mass on positron emission tomography 5-point scale;no new lesions.CRR:target nodes/nodal masses regressed to ≤1.5cm in longest transverse diameter of lesion (LDi);no extralymphatic sites of disease;absent non-measured lesion(NMLs);organ enlargement regress to normal;no new sites;bone marrow normal by morphology. PMR:score 4(uptake moderately >liver)/5(uptake markedly >liver, new lesions) with reduced uptake compared with baseline and residual mass;no new lesions;responding disease at interim/residual disease at end of treatment (EOT). PRR: ≥50% decrease in sum of the product of the diameters(SPD) of up to 6 target measurable nodes and extra-nodal sites;absent/normal, regressed, but no increase of NMLs;spleen regressed by >50% in length beyond normal.
Up to 4 years

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Procentdel af deltagere med anti-CD19 CAR-antistoffer
Tidsramme: Baseline op til måned 3
Baseline op til måned 3
Maksimal serumniveauer af C-reaktivt protein (CRP) i blod
Tidsramme: Baseline op til uge 4
Peak blev defineret som det maksimale post-baseline niveau af cytokinet.
Baseline op til uge 4
Duration of Response (DOR) Per the Lugano Classification According to IRRC in Cohort 3
Tidsramme: Up to 4 years
DOR: time from the first OR to progressive disease (PD)/death. It was determined using Kaplan-Meier (KM) estimates. PD: score 4 (uptake moderately > liver)/ 5 (uptake markedly >liver and/or new lesions) with an increase in intensity of uptake from baseline; new fluorodeoxyglucose (FDG)-avid foci consistent with lymphoma at interim/EOT assessment; new FDG-avid foci consistent with lymphoma rather than another etiology; new/recurrent FDG-avid foci in bone marrow; an individual node/lesion must be abnormal with: LDi > 1.5 cm, increase by ≥ 50% from cross-product of LDi and perpendicular diameter (PPD) nadir, increase in LDi or shortest axis perpendicular to the LDi from nadir, the splenic length must increase by > 50% of the extent of its prior increase beyond baseline. If no prior splenomegaly, the increase must be ≥ 2 cm from baseline; new/recurrent splenomegaly; new or clear progression of pre-existing NMLs; new lesion; new/recurrent bone marrow involvement.
Up to 4 years
Percentage of Participants With Best Objective Response (BOR) as Per Investigator Assessment Determined by Lugano Classification in Cohort 3
Tidsramme: Up to 4 years
BOR consisted of complete response (CR), partial response (PR), stable disease (SD), PD, not done and not evaluable (NE). CR=CMR/CRR and PR=PMR/PRR were defined in Outcome Measure (OM) 1. SD/no metabolic response (NMR): a score 4 (uptake moderately greater than (>) liver) or 5 (uptake markedly >liver and/ or new lesions) with no significant change in FDG uptake compared to baseline (screening), at an interim time point or end of treatment; no new sites of disease should be observed. PD was defined in OM 2. Not done: no assessment at the time of analysis. Clopper-Pearson method was used for OM analysis. Percentages were rounded off.
Up to 4 years
Percentage of Participants With Objective Response (OR) as Per Investigator Assessment Determined by Lugano Classification in Cohort 3
Tidsramme: Up to 4 years
OR was defined in OM #1. Percentages were rounded-off.
Up to 4 years
Progression Free Survival (PFS) Per the Lugano Classification According to IRRC in Cohort 3
Tidsramme: Up to 4 years
PFS was defined as the time from brexucabtagene autoleucel infusion date to the date of PD or death from any cause. PD was defined in OM #2. Kaplan-Meier (KM) estimates were used for analysis.
Up to 4 years
Overall Survival (OS)
Tidsramme: Up to 4 years
OS was defined as the time from brexucabtagene autoleucel infusion to the date of death from any cause. KM estimates were used for analysis.
Up to 4 years
Percentage of Participants Experiencing Treatment-Emergent Adverse Events (TEAEs)
Tidsramme: Up to 3 years
An adverse event (AE) was defined as any untoward medical occurrence in a clinical trial participants. The event did not necessarily have a relationship with study treatment. AE included worsening of a pre-existing medical condition. Worsening indicated that the pre-existing medical condition had increased in severity, frequency, and/or duration or had an association with a worse outcome. A pre-existing condition that had not worsened during the study or involved an intervention such as elective cosmetic surgery or a medical procedure while on study, was not considered an AE. TEAE was defined as any AE with onset on or after the start of treatment.
Up to 3 years
Percentage of Participants With Increase in Post-brexucabtagene Autoleucel Infusion Hematology Toxicity Values by Worst Toxicity Grade
Tidsramme: Up to 3 years
Laboratory results were graded according to National Cancer Institute Common Terminology Criteria for Adverse Event (CTCAE) version 4.03. Grade 1 mild, Grade 2 moderate, Grade 3 severe, and Grade 4 life-threatening. Percentages were rounded-off.
Up to 3 years
Percentage of Participants With Increase in Post-brexucabtagene Autoleucel Infusion Chemistry Toxicity Values by Worst Toxicity Grade
Tidsramme: Up to 3 years
Laboratory results were graded according to National Cancer Institute CTCAE version 4.03. Grade 1 mild, Grade 2 moderate, Grade 3 severe, and Grade 4 life-threatening. Percentages were rounded-off.
Up to 3 years
Percentage of Participants With Decrease in Post-brexucabtagene Autoleucel Infusion Hematology Toxicity Values by Worst Toxicity Grade
Tidsramme: Up to 3 years
Laboratory results were graded according to National Cancer Institute CTCAE version 4.03. Grade 1 mild, Grade 2 moderate, Grade 3 severe, and Grade 4 life-threatening. Percentages were rounded-off.
Up to 3 years
Percentage of Participants With Decrease in Post-brexucabtagene Autoleucel Infusion Chemistry Toxicity Values by Worst Toxicity Grade
Tidsramme: Up to 3 years
Laboratory results were graded according to National Cancer Institute CTCAE version 4.03. Grade 1 mild, Grade 2 moderate, Grade 3 severe, and Grade 4 life-threatening. Percentages were rounded-off.
Up to 3 years
Maximum Number of CAR T Cells Measured Post-infusion
Tidsramme: Up to Month 36
Up to Month 36
Peak Serum Levels of C-X-C Motif Chemokine 10 (CXCL10), Granzyme B, Interferon-gamma (IFN-γ), Interleukin (IL)-1 Receptor Antagonist (RA), IL-2, IL-6, IL-7, IL-8, IL-10, IL-15 and Tumor Necrosis Factor (TNF)-α in Blood
Tidsramme: Baseline up to Week 4
Peak was defined as the maximum post-baseline level of the cytokine.
Baseline up to Week 4
Peak Serum Levels of Ferritin, Intercellular Adhesion Molecule (ICAM)-1, IL-2 Receptor Alpha (Rα), Perforin and Vascular Cell Adhesion Molecule (VCAM)-1 in Blood
Tidsramme: Baseline up to Week 4
Peak was defined as the maximum post-baseline level of the cytokine.
Baseline up to Week 4
Percentage of Participants With European Quality of Life-5 Dimensions (EQ-5D) Scale Score at Different Timepoints
Tidsramme: Day 0, Month 18 and Month 24
The European Quality of Life-5 Dimensions Health Questionnaire (EQ-5D) was a participant-answered questionnaire scoring 5 dimensions of health: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. For each dimension the participant was asked for a three-level assessment of their health on the current day: "no problems" (1), "some problems" (2), "extreme problems" (3). EQ-5D health states, defined by the EQ-5D descriptive system, were converted into a single summary index by applying a formula that attaches values (also called QOL weights or QOL utilities) to each of the levels in each dimension. Percentage of participants with each scale score for all 5 dimensions are reported. Percentages were rounded-off.
Day 0, Month 18 and Month 24
EQ-5D Visual Analogue Scale (VAS) Score at Different Timepoints
Tidsramme: Day 0, Month 18 and Month 24
EQ-5D was a standardized participant completed questionnaire that measures health-related quality of life and translated the score into an index value or utility score. EQ-5D-consisted of two components: a health state profile and an optional visual analogue scale (VAS). The EQ-5D-VAS recorded the participant's self-rated health on a vertical visual analogue scale, where the endpoints were labelled 'The best health you can imagine' and 'The worst health you can imagine'. EQ-5D-VAS: range 0 to 100. A higher score indicated better self-reported health status.
Day 0, Month 18 and Month 24
Percentage of Participants With Deterioration Scores From Screening in the European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire (QLQ) C30
Tidsramme: Screening Day -28 to Leukapheresis (Day -5), Day 0, Month 18 and Month 24
EORTC QLQ-C30 included functional scales (physical, role, cognitive, emotional, and social), global health status/quality of life (QoL) scale, symptom scales (fatigue, pain, nausea/vomiting), and single items scales (dyspnoea, appetite loss, insomnia, constipation/diarrhea and financial difficulties). Most questions use 4 point scale (1 'Not at all' to 4 'Very much'; 2 questions used 7-point scale (1 'very poor' to 7 'Excellent'). Scores are averaged, transformed to 0-100 scale. Higher scores for functional scales and for the global health status/QoL scale indicate a higher level of functioning and a better health-related QoL, whereas higher scores in symptom scales represent a higher level of symptoms. Deterioration of score was defined as worsened by at least 1 level from screening. Participants with answer "Yes" to the EORTC functional scale questionnaire were reported.
Screening Day -28 to Leukapheresis (Day -5), Day 0, Month 18 and Month 24

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Efterforskere

  • Studieleder: Kite Study Director, Kite, A Gilead Company

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Generelle publikationer

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

23. april 2021

Primær færdiggørelse (Faktiske)

17. juni 2025

Studieafslutning (Faktiske)

17. juni 2025

Datoer for studieregistrering

Først indsendt

30. april 2021

Først indsendt, der opfyldte QC-kriterier

5. maj 2021

Først opslået (Faktiske)

10. maj 2021

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

18. august 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

24. juli 2026

Sidst verificeret

1. juli 2026

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • KTE-C19-102 (Cohort 3)
  • 2015-005008-27 (EudraCT nummer)
  • 2023-506641-35 (Anden identifikator: European Medicines Agency)

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

JA

IPD-planbeskrivelse

Qualified external researchers may request IPD for this study. For more information, please visit our website at https://www.gileadclinicaltrials.com/transparency-policy#Commitment

IPD-delingstidsramme

18 months after study completion and at least 6 months after the FDA and EMA approval

IPD-delingsadgangskriterier

A secured external environment with username, password, and RSA code.

IPD-deling Understøttende informationstype

  • STUDY_PROTOCOL
  • SAP

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

Studerer et amerikansk FDA-reguleret lægemiddelprodukt

Ja

Studerer et amerikansk FDA-reguleret enhedsprodukt

Ingen

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .