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A Study of Automated Axicabtagene Ciloleucel for R/R Large B-cell Lymphoma.

2. juni 2026 opdateret af: Shenzhen Fosun Kairos Biotechnology Co., Ltd.

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.

This study is a single-arm, multicenter, open-label clinical study evaluating the efficacy and safety of axicabtagene ciloleucel injection manufactured by an automated cell preparation process in adult subjects with relapsed or refractory large B-cell lymphoma (r/r LBCL) as second-line therapy.

Studieoversigt

Status

Rekruttering

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

This study is a single-arm, multicenter, open-label clinical study evaluating the efficacy and safety of axicabtagene ciloleucel injection manufactured by an automated cell preparation process in adult subjects with relapsed or refractory large B-cell lymphoma (r/r LBCL) as second-line therapy. A total of 12 adult subjects with r/r LBCL who are refractory to first-line immunochemotherapy or who relapse within 12 months after first-line immunochemotherapy will be enrolled. All subjects will undergo leukapheresis, bridging therapy, conditioning chemotherapy, and a single study drug infusion.

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

12

Fase

  • Tidlig fase 1

Kontakter og lokationer

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

Studiekontakt

Studiesteder

  • Kina
    • Beijing Municipality
      • Beijing, Beijing Municipality, Kina, 100142
        • Ikke rekrutterer endnu
        • Beijing Cancer Hospital
        • Kontakt:
          • Beijing Cancer Hospital
          • Telefonnummer: +8601088196023
        • Ledende efterforsker:
          • Yuqin Song, Professor
    • Guangdong
      • Guangzhou, Guangdong, Kina, 510700
        • Ikke rekrutterer endnu
        • Sun Yat-Sen University Cancer Center
        • Kontakt:
          • Sun Yat-sen University Cancer Center
          • Telefonnummer: +8613926015016
        • Ledende efterforsker:
          • Huiqiang Huang, Professor
    • Jiangsu
      • Suzhou, Jiangsu, Kina, 215006
        • Ikke rekrutterer endnu
        • The Frist Affiliated Hospital of Soochow University
        • Kontakt:
          • The Frist Affiliated Hospital of Soochow University
          • Telefonnummer: +86051267972858
        • Ledende efterforsker:
          • Yang Xu, Professor
    • Shanghai Municipality
      • Shanghai, Shanghai Municipality, Kina, 200025
        • Rekruttering
        • Shanghai Jiaotong University School of Medicine Ruijin Hospital
        • Ledende efterforsker:
          • Weili Zhao, Professor
        • Kontakt:
          • Shanghai Jiaotong University School of Medicine Ruijin Hospita
          • Telefonnummer: +8602164150275
    • Sichuan
      • Chengdu, Sichuan, Kina, 610041
        • Rekruttering
        • West China Hospotal Sichuan University
        • Kontakt:
          • West China Hospotal Sichuan University
          • Telefonnummer: +8618980601950
        • Ledende efterforsker:
          • Ting Niu, Professor
    • Tianjin Municipality
      • Tianjin, Tianjin Municipality, Kina, 300000
        • Rekruttering
        • Tianjin Medical University Cancer Institute & Hospital
        • Kontakt:
          • Tianjin Medical University Cancer Institute & Hospital
          • Telefonnummer: +8613667005599
        • Ledende efterforsker:
          • Huilai Zhang, Professor

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

  • Voksen
  • Ældre voksen

Tager imod sunde frivillige

Ingen

Beskrivelse

Inclusion Criteria:

  1. Age 18 years or older at the time of informed consent
  2. Has signed the informed consent form (ICF)
  3. Histologically proven large B-cell lymphoma
  4. Relapsed or refractory disease after first-line chemoimmunotherapy
  5. The subject has at least one measurable lesion on imaging
  6. No clinical or historical evidence suggestive of lymphoma involvement of the central nervous system (CNS)
  7. 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.
  8. Toxicities due to prior therapy must be stable or recovered to ≤ Grade 1
  9. ECOG performance status of 0 or 1
  10. Adequate bone marrow, renal, hepatic, pulmonary and cardiac function
  11. 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:

  1. 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.
  2. History of Richter's transformation of CLL or PMBCL
  3. History of autologous or allogeneic stem cell transplant
  4. Received more than one line of therapy for DLBCL
  5. 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
  6. Prior chimeric antigen receptor therapy or other genetically modified T-cell therapy
  7. History of severe, immediate hypersensitivity reaction attributed to aminoglycosides or Tocilizumab
  8. Presence of fungal, bacterial, viral, or other infection that is uncontrolled or requiring intravenous (IV) antimicrobials for management
  9. 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)
  10. Active tuberculosis
  11. Presence of any indwelling line or drain
  12. 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
  13. History or presence of non-malignant CNS disorder
  14. Subjects with cardiac atrial or cardiac ventricular lymphoma involvement
  15. History of clinically significant cardiac disease within 12 months of enrollment
  16. Requirement for urgent therapy within 6 weeks due to tumor mass effects, such as bowel obstruction or blood vessel compression or airway obstruction
  17. 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.
  18. History of symptomatic deep vein thrombosis or pulmonary embolism within 6 months of enrollment
  19. Women of childbearing potential who are pregnant or breastfeeding
  20. 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

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: FKC876 injection
Medicin: FKC876 injection
CD19 CAR-T

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Objective response rate (ORR)
Tidsramme: 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

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Complete response rate (CRR)
Tidsramme: 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)
Tidsramme: 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)
Tidsramme: 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)
Tidsramme: Up to 24 months
The time from the date of axicabtagene ciloleucel infusion to death due to any cause.
Up to 24 months

Samarbejdspartnere og efterforskere

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

Sponsor

Shenzhen Fosun Kairos Biotechnology Co., Ltd.

Efterforskere

  • Studiestol: Wen Shi, FosunKarios

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 (Anslået)

12. juni 2026

Primær færdiggørelse (Anslået)

30. november 2026

Studieafslutning (Anslået)

31. december 2026

Datoer for studieregistrering

Først indsendt

19. maj 2026

Først indsendt, der opfyldte QC-kriterier

19. maj 2026

Først opslået (Faktiske)

26. maj 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

5. juni 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

2. juni 2026

Sidst verificeret

1. juni 2026

Mere information

Begreber relateret til denne undersøgelse

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • FKC876-1

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

INGEN

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