- ICH GCP
- US Clinical Trials Registry
- Klinisk utprøving NCT03568461
Effekt og sikkerhet av Tisagenlecleucel hos voksne pasienter med refraktært eller residiverende follikulært lymfom (ELARA)
En fase II, enkeltarm, multisenter åpen etikettforsøk for å bestemme effektiviteten og sikkerheten til Tisagenlecleucel (CTL019) hos voksne pasienter med refraktært eller residiverende follikulært lymfom
Studieoversikt
Detaljert beskrivelse
Studietype
Registrering (Faktiske)
Fase
- Fase 2
Kontakter og plasseringer
Studiesteder
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Herston, Australia, QLD 4006
- Novartis Investigative Site
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New South Wales
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Camperdown, New South Wales, Australia, 2050
- Novartis Investigative Site
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Victoria
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Melbourne, Victoria, Australia, 3000
- Novartis Investigative Site
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Ghent, Belgia, 9000
- Novartis Investigative Site
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California
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Duarte, California, Forente stater, 91010 3000
- City of Hope National Medical Center
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San Francisco, California, Forente stater, 94143
- UCSF Medical Center
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Florida
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Tampa, Florida, Forente stater, 33612
- H Lee Moffitt Cancer Center and Research Institute
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Illinois
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Chicago, Illinois, Forente stater, 60637
- Uni of Chi Medi Ctr Hema and Onco
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Kansas
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Kansas City, Kansas, Forente stater, 66160
- Univ of Kansas Hosp and Med Ctr
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Michigan
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Ann Arbor, Michigan, Forente stater, 48109 5271
- Michigan Med University of Michigan
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Oregon
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Portland, Oregon, Forente stater, 97239
- Oregon Health Sciences University
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Pennsylvania
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Philadelphia, Pennsylvania, Forente stater, 19104
- University of Pennsylvania Clinical
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Texas
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Houston, Texas, Forente stater, 77030
- MD Anderson Cancer Center
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Paris, Frankrike, 75475
- Novartis Investigative Site
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Pierre-Bénite, Frankrike, 69495
- Novartis Investigative Site
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BO
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Bologna, BO, Italia, 40138
- Novartis Investigative Site
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MI
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Milan, MI, Italia, 20132
- Novartis Investigative Site
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Fukuoka, Japan, 8128582
- Novartis Investigative Site
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Hokkaido
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Sapporo, Hokkaido, Japan, 060-8648
- Novartis Investigative Site
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Miyagi
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Sendai, Miyagi, Japan, 9808574
- Novartis Investigative Site
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North Holland
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Amsterdam, North Holland, Nederland, 1081 HV
- Novartis Investigative Site
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Norway
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Oslo, Norway, Norge, 0310
- Novartis Investigative Site
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Madrid, Spania, 28041
- Novartis Investigative Site
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Seville, Spania, 41013
- Novartis Investigative Site
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London, Storbritannia, SE5 9RS
- Novartis Investigative Site
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West Midlands
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Birmingham, West Midlands, Storbritannia, B15 2TH
- Novartis Investigative Site
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Ulm, Tyskland, 89081
- Novartis Investigative Site
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Bavaria
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Munich, Bavaria, Tyskland, 81377
- Novartis Investigative Site
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North Rhine-Westphalia
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Cologne, North Rhine-Westphalia, Tyskland, 50937
- Novartis Investigative Site
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Linz, Østerrike, 4020
- Novartis Investigative Site
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Deltakelseskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
Tar imot friske frivillige
Beskrivelse
Inklusjonskriterier:
- Refraktært eller residiverende follikulært lymfom (grad 1, 2, 3A)
- Radiografisk målbar sykdom ved screening
Ekskluderingskriterier:
- Bevis på histologisk transformasjon
- Follikulært lymfom grad 3B
- Tidligere anti-CD19-terapi
- Tidligere genterapi
- Tidligere adoptiv T-celleterapi
- Tidligere allogen hematopoietisk stamcelletransplantasjon
- Aktiv CNS-involvering ved malignitet
Andre protokolldefinerte inkluderings-/ekskluderingskriterier kan gjelde.
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: N/A
- Intervensjonsmodell: Enkeltgruppeoppdrag
- Masking: Ingen (Open Label)
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
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Eksperimentell: CTL019
Alle pasienter som fikk tisagenlecleucel infusjon.
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Tisagenlecleucel er enkeltinfusjon.
Andre navn:
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Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
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Fullstendig responsrate (CRR) Per Independent Review Committee (IRC) vurdering
Tidsramme: 1 år
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Fullstendig responsrate ble definert som prosentandelen av deltakerne med en beste totalrespons (BOR) av fullstendig respons (CR) registrert fra tisagenlecleucel-infusjon til progressiv sykdom eller start av ny kreftbehandling, avhengig av hva som kom først.
CRR ble bestemt av en uavhengig vurderingskomité (IRC) og var basert på Lugano 2014 klassifiseringsresponskriterier.
Den radiologiske responsen oppnås først fra CT- og PET-studier i henhold til Lugano 2014-kriteriene.
CT-respons er basert på anatomiske målinger av indeks/ikke-indeks/nye lesjoner og miltlengde.
De mulige responsutfallene er fullstendig respons (CR), partiell respons (PR), stabil sykdom (SD) eller progressiv sykdom (PD).
PET-respons basert på en 5-punkts skala (5PS) eller Deauville-score.
De mulige utfallene for PET-respons er fullstendig metabolsk respons (CMR), delvis metabolsk respons (PMR), ingen metabolsk respons (NMR) eller progressiv metabolsk sykdom (PMD).
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1 år
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Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
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Overall Response Rate (ORR) per IRC-vurdering
Tidsramme: 1 år
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Samlet responsrate er definert som prosentandelen av deltakerne med en best samlet sykdomsrespons av fullstendig respons (CR) eller delvis respons (PR).
Responsen ble evaluert i henhold til Lugano 2014-klassifiseringsresponskriteriene.
Den radiologiske responsen oppnås først fra CT- og PET-studier i henhold til Lugano 2014-kriteriene.
CT-respons er basert på anatomiske målinger av indeks/ikke-indeks/nye lesjoner og miltlengde.
De mulige responsutfallene er fullstendig respons (CR), partiell respons (PR), stabil sykdom (SD) eller progressiv sykdom (PD).
PET-respons basert på en 5-punkts skala (5PS) eller Deauville-score.
De mulige utfallene for PET-respons er fullstendig metabolsk respons (CMR), delvis metabolsk respons (PMR), ingen metabolsk respons (NMR) eller progressiv metabolsk sykdom (PMD).
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1 år
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Duration of Response (DOR) Per IRC Assessment
Tidsramme: approx. 60 months
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Duration of response (DOR) applied only to participants whose best overall disease response was CR or PR.
It is defined as the time from the date of first documented disease response (CR or PR) to the date of first documented progression or death due to follicular lymphoma (FL).
DOR was estimated using the Kaplan-Meier method.
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approx. 60 months
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Duration of Response (DOR) for Complete Response (CR) Only Per IRC Assessment
Tidsramme: approx. 60 months
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Duration of response (DOR) applied only to participants whose best overall disease response was complete response (CR) only.
It is defined as the time from the date of first documented disease response (CR only) to the date of first documented progression or death due to follicular lymphoma (FL).
DOR was estimated using the Kaplan-Meier method.
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approx. 60 months
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Progression Free Survival (PFS) Per IRC Assessment
Tidsramme: up to 61.7 months
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Progression free survival is the time from tisagenlecleucel infusion to first documented disease progression or death due to any cause.
PFS was estimated using the Kaplan-Meier method.
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up to 61.7 months
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Overall Survival (OS)
Tidsramme: up to 65.8 months
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Overall Survival is the time from tisagenlecleucel infusion to death due to any cause.
OS was estimated using the Kaplan-Meier method.
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up to 65.8 months
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Tisagenlecleucel Transgene Concentration Levels as Measured by Quantitative Polymerase Chain Reaction (qPCR) Method, by Clinical Response Per IRC Assessment
Tidsramme: Month 60 (peripheral blood), Month 6 (bone marrow)
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This is the summary of cellular kinetic concentrations for tisagenlecleucel (CTL019) transgene levels in peripheral blood and bone marrow following infusion.
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Month 60 (peripheral blood), Month 6 (bone marrow)
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Cmax; Cellular Kinetic Parameter of Tisagenlecleucel Transgene Levels by qPCR, Based on Clinical Response IRC Assessment
Tidsramme: up to 60 months after infusion
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Cmax is the maximum (peak) observed in peripheral blood after single dose administration.
Actual sampling times were taken into consideration for the calculation of cellular kinetic parameters parameters.
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up to 60 months after infusion
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Tmax; Cellular Kinetic Parameter of Tisagenlecleucel Transgene Levels by qPCR, Based on Clinical Response by IRC Assessment
Tidsramme: up to 60 months after infusion
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Tmax is the time to reach maximum (peak) peripheral blood after single dose administration (days).
Actual sampling times were taken into consideration for the calculation of cellular kinetic parameters.
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up to 60 months after infusion
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AUC0-28d and AUC0-84d; Cellular Kinetic Parameter of Tisagenlecleucel Transgene Levels by qPCR, Based on Clinical Response by IRC Assessment
Tidsramme: 0 to 28 days after infusion, 0 to 84 days after infusion
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AUC0-28 is the area under curve (AUC) from time zero to day 28 in peripheral blood.
AUC0-84d is the AUC from time zero to day 84 in peripheral blood.
Actual sampling times were taken into consideration for the calculation of cellular kinetic parameters.
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0 to 28 days after infusion, 0 to 84 days after infusion
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AUC0-28d and AUC0-84d; Cellular Kinetic Parameter for Tisagenlecleucel by Flow Cytometry, Based on Clinical Response by IRC Assessment
Tidsramme: AUC0-28d: from time of infusion to 28 days post-dose; AUC0-84d: from time of infusion to 84 days post-infusion
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Exposure is summarized as area under the curve (AUC) from time 0 to 28 days (AUC0-28d) and from time to 84 days (AUC0-84d).
The cellular kinetic parameters were estimated from the percentages of CD3+/CTL019+ cells obtained from flow cytometry.
Flow cytometry measures the surface expression of chimeric antigen receptors (CARs) on T cells.
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AUC0-28d: from time of infusion to 28 days post-dose; AUC0-84d: from time of infusion to 84 days post-infusion
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Cmax; Cellular Kinetic Parameter for Tisagenlecleucel by Flow Cytometry, Based on Clinical Response by IRC Assessment
Tidsramme: From pre-dose until 60 months after infusion
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Cmax is the maximum (peak) observed in peripheral blood after single dose administration.
Actual sampling times were taken into consideration for the calculation of cellular kinetic parameters parameters.
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From pre-dose until 60 months after infusion
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Summary of Exposure of CD3+ Tisagenlecleucel Cells in Peripheral Blood for Tmax
Tidsramme: From pre-dose until 60 months after infusion
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In vivo cellular kinetics of CD3+/CTL019+ levels tisagenlecleucel cells detected by flow cytometry base on best overall response (BOR).
The cellular kinetic parameters were estimated from the percentages of CD3+/CTL019+ cells obtained from flow cytometry.
Flow cytometry measures the surface expression of chimeric antigen receptors (CARs) on T cells.
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From pre-dose until 60 months after infusion
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Humoral Immunogenicity: Number of Participants With Anti-mCAR19 Antibodies, Per IRC Assessment
Tidsramme: at any time post-baseline, up to 24 months post-infusion
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Antibody titers specific to the tisagenlecleucel molecule prior to and following infusion.
Percentage of participants who tested positive for anti-mCAR19 antibodies at any time post-baseline.
A participant was only defined as positive for tisagenlecleucel treatment-induced or -boosted anti-mCAR19 antibodies when the anti-mCAR19 antibody median fluorescence intensity (MFI) at any time post-infusion was at least 2.28-fold higher than pre-infusion levels for patients whose baseline status was positive (boosted) or if the baseline status was negative, but any post-baseline interpretation was positive (induced).
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at any time post-baseline, up to 24 months post-infusion
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Cellular Immunogenicity: Percentage of Interferon Gamma (IFNg+) Cells by Flow Cytometry Per IRC Assessment
Tidsramme: pre-infusion (pre-Lymph depletion evaluation), 24 months post-infusion
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Activation of T-cells in peripheral blood mononuclear cells collected from participants in response to mCAR19-derived peptides was used to assess the cellular immunogenicity against tisagenlecleucel. T-cell activation was measured by the percentage of interferon gamma (IFNg+) cells by flow cytometry. Cellular responses to mCART peptides were measured pre-infusion (enrollment) and post-tisagenlecleucel infusion. Pool 1 and Pool 2 are a pool of 60 peptides (peptides 1-60) and 59 peptides (peptides 61-119) , respectively, corresponding to the CTL019 transgene product. Together, they comprised 119 peptides spanning the CTL019 transgene product and were used to stimulate PBMCs to detect antigen-specific T cell responses via intracellular cytokine staining. |
pre-infusion (pre-Lymph depletion evaluation), 24 months post-infusion
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Summary Scores of Patient-reported Outcome (PRO) Measured by SF-36v2 Quality of Life Questionnaire by Visit
Tidsramme: Baseline (BL) Month (M) 3, M3, M6, M9, M12, M18, M24
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Effect of tisagenlecleucel therapy on patient reported outcomes were reported using the Short Form Health Survey (SF-36) v2 form.
The SF-36 v2 is a widely used and extensively studied instrument to measure health-related quality of life among healthy patients and patients with acute and chronic conditions.
It consists of eight subscales that can be scored individually: Physical Functioning, Role-Physical, Bodily Pain, General Health, Vitality, Social Functioning, Role-Emotional, and Mental Health.
Two overall summary scores, the Physical Component Summary (PCS) and the Mental Component Summary (MCS) were computed by summing the item responses on the questions for each domain in accordance with the respective scoring method provided by the developers.
Each item is scored on a 0 to 100 range so that the lowest and highest possible scores are 0 and 100, respectively.
A high score defines a more favorable health state.
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Baseline (BL) Month (M) 3, M3, M6, M9, M12, M18, M24
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Summary Scores of PRO Measured by SF-36v2 Quality of Life Questionnaire Reported by Change From Baseline
Tidsramme: Change from baseline (CFB) M3, CFB M6, CFB M9, CFB M12, CFB M18, CFB M24
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Effect of tisagenlecleucel therapy on patient reported outcomes were reported using the Short Form Health Survey (SF-36) v2 form.
The SF-36 v2 is a widely used and extensively studied instrument to measure health-related quality of life among healthy patients and patients with acute and chronic conditions.
It consists of eight subscales that can be scored individually: Physical Functioning, Role-Physical, Bodily Pain, General Health, Vitality, Social Functioning, Role-Emotional, and Mental Health.
Two overall summary scores, the Physical Component Summary (PCS) and the Mental Component Summary (MCS) were computed by summing the item responses on the questions for each domain in accordance with the respective scoring method provided by the developers.
Each item is scored on a 0 to 100 range so that the lowest and highest possible scores are 0 and 100, respectively.
A high score defines a more favorable health state.
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Change from baseline (CFB) M3, CFB M6, CFB M9, CFB M12, CFB M18, CFB M24
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Health Status Measured by EQ-5D-3L Questionnaire
Tidsramme: Baseline (BL), Month 3, Month 6, Month 9, Month 12, Month 18, Month 24, Month 36
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Effect of tisagenlecleucel therapy on patient-reported outcomes was assessed using the EuroQol 5-Dimension, 3-Level instrument (EQ-5D-3L).
The EQ-5D-3L is a widely used, self-administered questionnaire designed to evaluate health status in adults.
It consists of two sections.
The first includes one item for each of the five dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression).
Patients rate each dimension as "no problems" (level 1), "some problems" (level 2), or "extreme problems" (level 3).
This record summarizes, for each of the five dimensions, the number of patients falling into each response level.
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Baseline (BL), Month 3, Month 6, Month 9, Month 12, Month 18, Month 24, Month 36
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Summary Scores of PRO Measured by EQ-VAS Quality of Life Questionnaire by Visit
Tidsramme: Baseline (BL) Month (M) 3, M6, M9, M12, M18, M24, M36
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Effect of tisagenlecleucel therapy on patient reported outcomes were reported using the EQ-VAS (EuroQol Visual Analogue Scale).
The EQ-VAS is a 20 cm vertical, 0-100 numerical scale used alongside the EQ-5D questionnaire to measure a patient's self-rated health.
It anchors "best imaginable health" (100) at the top and "worst imaginable health" (0) at the bottom, providing a quick, subjective, quantitative, and global assessment of health status on the day of survey.
The second section of the questionnaire measures self-rated (global) health status utilizing a vertically oriented visual analogue scale where 100 represents the "best possible health state" and 0 represents the "worst possible health state."
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Baseline (BL) Month (M) 3, M6, M9, M12, M18, M24, M36
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Summary Scores of PRO Measured by EQ-VAS Quality of Life Questionnaire Reported by Change From Baseline
Tidsramme: Baseline (BL), M3 change from baseline (CFB), M6 CFB, M9 CFB, M12 CFB, M18 CFB, M24 CFB, M36 CFB
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Effect of tisagenlecleucel therapy on patient reported outcomes were reported using the EQ-VAS (EuroQol Visual Analogue Scale).
The EQ-VAS is a 20 cm vertical, 0-100 numerical scale used alongside the EQ-5D questionnaire to measure a patient's self-rated health.
It anchors "best imaginable health" (100) at the top and "worst imaginable health" (0) at the bottom, providing a quick, subjective, quantitative, and global assessment of health status on the day of survey
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Baseline (BL), M3 change from baseline (CFB), M6 CFB, M9 CFB, M12 CFB, M18 CFB, M24 CFB, M36 CFB
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Summary Scores of PRO Measured by FACT-Lym Quality of Life Questionnaire
Tidsramme: Baseline (BL) Month (M) 3, M6, M9, M12, M18, M24, M36
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The effect of tisagenlecleucel therapy on patient-reported outcomes was assessed using the Functional Assessment of Cancer Therapy-Lymphoma (FACT-Lym) questionnaire, which measures quality of life in participants with lymphoma.
FACT-Lym is composed of the FACT-G (27 items across Physical, Social/Family, Emotional, and Functional Well-Being, plus Additional Concerns) and a 15-item lymphoma-specific subscale.
All items use a five-point self-administered response scale (0-4), with higher scores indicating better quality of life.
The possible score ranges are as follows: - Physical Well-Being (PWB): 0-28 - Social/Family Well-Being (SWB): 0-28 - Emotional Well-Being (EWB): 0-24 - Functional Well-Being (FWB): 0-28 - Lym Subscale (15 items): 0-60 - Lymphoma Trial Outcome Index (TOI: PWB + FWB + Lym): 0-116 - FACT-G Total (PWB + SWB + EWB + FWB): 0-108 - FACT-Lym Total (FACT-G + Lym): 0-168 In all cases, higher scores indicate better outcomes within the corresponding domain.
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Baseline (BL) Month (M) 3, M6, M9, M12, M18, M24, M36
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Summary Scores of PRO Measured by FACT-Lym Quality of Life Questionnaire Reported by Change From Baseline
Tidsramme: Baseline (BL), M3 change from baseline (CFB), M6 CFB, M9 CFB, M12 CFB, M18 CFB, M24 CFB, M36 CFB
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The effect of tisagenlecleucel therapy on patient-reported outcomes was assessed using the Functional Assessment of Cancer Therapy-Lymphoma (FACT-Lym) questionnaire, which measures quality of life in participants with lymphoma.
FACT-Lym is composed of the FACT-G (27 items across Physical, Social/Family, Emotional, and Functional Well-Being, plus Additional Concerns) and a 15-item lymphoma-specific subscale.
All items use a five-point self-administered response scale (0-4), with higher scores indicating better quality of life.
The possible score ranges are as follows: - Physical Well-Being (PWB): 0-28 - Social/Family Well-Being (SWB): 0-28 - Emotional Well-Being (EWB): 0-24 - Functional Well-Being (FWB): 0-28 - Lym Subscale (15 items): 0-60 - Lymphoma Trial Outcome Index (TOI: PWB + FWB + Lym): 0-116 - FACT-G Total (PWB + SWB + EWB + FWB): 0-108 - FACT-Lym Total (FACT-G + Lym): 0-168 In all cases, higher scores indicate better outcomes within the corresponding domain.
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Baseline (BL), M3 change from baseline (CFB), M6 CFB, M9 CFB, M12 CFB, M18 CFB, M24 CFB, M36 CFB
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Samarbeidspartnere og etterforskere
Sponsor
Etterforskere
- Studieleder: Novartis Pharmaceuticals, Novartis Pharmaceuticals
Publikasjoner og nyttige lenker
Generelle publikasjoner
- Salles G, Schuster SJ, Dreyling M, Fischer L, Kuruvilla J, Patten PEM, von Tresckow B, Smith SM, Jimenez-Ubieto A, Davis KL, Anjos C, Chu J, Zhang J, Lobetti Bodoni C, Thieblemont C, Fowler NH, Dickinson M, Martinez-Lopez J, Wang Y, Link BK. Efficacy comparison of tisagenlecleucel vs usual care in patients with relapsed or refractory follicular lymphoma. Blood Adv. 2022 Nov 22;6(22):5835-5843. doi: 10.1182/bloodadvances.2022008150.
- Fowler NH, Dickinson M, Dreyling M, Martinez-Lopez J, Kolstad A, Butler J, Ghosh M, Popplewell L, Chavez JC, Bachy E, Kato K, Harigae H, Kersten MJ, Andreadis C, Riedell PA, Ho PJ, Perez-Simon JA, Chen AI, Nastoupil LJ, von Tresckow B, Ferreri AJM, Teshima T, Patten PEM, McGuirk JP, Petzer AL, Offner F, Viardot A, Zinzani PL, Malladi R, Zia A, Awasthi R, Masood A, Anak O, Schuster SJ, Thieblemont C. Tisagenlecleucel in adult relapsed or refractory follicular lymphoma: the phase 2 ELARA trial. Nat Med. 2022 Feb;28(2):325-332. doi: 10.1038/s41591-021-01622-0. Epub 2021 Dec 17.
- Dreyling M, Fowler NH, Dickinson M, Martinez-Lopez J, Kolstad A, Butler J, Ghosh M, Popplewell L, Chavez JC, Bachy E, Kato K, Harigae H, Kersten MJ, Andreadis C, Riedell PA, Ho PJ, Perez-Simon JA, Chen AI, Nastoupil LJ, von Tresckow B, Maria Ferreri AJ, Teshima T, Patten PEM, McGuirk JP, Petzer AL, Offner F, Viardot A, Zinzani PL, Malladi R, Paule I, Zia A, Awasthi R, Han X, Germano D, O'Donovan D, Ramos R, Maier HJ, Masood A, Thieblemont C, Schuster SJ. Durable response after tisagenlecleucel in adults with relapsed/refractory follicular lymphoma: ELARA trial update. Blood. 2024 Apr 25;143(17):1713-1725. doi: 10.1182/blood.2023021567.
Hjelpsomme linker
Studierekorddatoer
Studer hoveddatoer
Studiestart (Faktiske)
Primær fullføring (Faktiske)
Studiet fullført (Faktiske)
Datoer for studieregistrering
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Faktiske)
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
Ytterligere relevante MeSH-vilkår
- Patologiske prosesser
- Neoplasmer
- Sykdomsattributter
- Sykdommer i immunsystemet
- Neoplasmer etter histologisk type
- Lymfesykdommer
- Lymfoproliferative lidelser
- Immunproliferative lidelser
- Lymfom, Non-Hodgkin
- Lymfom
- Patologiske tilstander, tegn og symptomer
- Hemic og lymfatiske sykdommer
- Tilbakefall
- Lymfom, follikulær
- Antineoplastiske midler, immunologiske
- Antineoplastiske midler
- Tisagenlecleucel
Andre studie-ID-numre
- CCTL019E2202
- 2017-004385-94 (EudraCT-nummer)
- 2023-508127-13-00 (Registeridentifikator: EU CTIS)
Plan for individuelle deltakerdata (IPD)
Planlegger du å dele individuelle deltakerdata (IPD)?
IPD-planbeskrivelse
Novartis er forpliktet til å dele med kvalifiserte eksterne forskere, tilgang til data på pasientnivå og støttende kliniske dokumenter fra kvalifiserte studier. Disse forespørslene blir gjennomgått og godkjent av et uavhengig ekspertpanel på grunnlag av vitenskapelig fortjeneste. Alle data som oppgis er anonymisert for å respektere personvernet til pasienter som har deltatt i forsøket i tråd med gjeldende lover og forskrifter.
Disse prøvedataene er for øyeblikket tilgjengelige i henhold til prosessen beskrevet på www.clinicalstudydatarequest.com.
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