This open-label Phase 1 study will evaluate the safety, PK, and antitumor activity of modified T cells (JCAR017) administered to adult patients with relapsed or refractory B-cell NHL. The dose and schedule of JCAR017 will be evaluated and modified, as needed, for safety and antitumor activity. We will also determine how long the modified T cells stay in the patient's body and how well JCAR017 works in treating patients with non-Hodgkin's lymphoma whose disease has come back or has not responded to treatment.
This is an open-label, multicenter Phase 1 study to determine the safety, pharmacokinetics (PK), and antitumor activity of JCAR017 in adult patients with relapsed or refractory diffuse large B cell lymphoma (DLBCL), primary mediastinal B-cell lymphoma (PMBCL), follicular lymphoma Grade 3B, and mantle cell lymphoma (MCL). This study will evaluate and refine the dose and schedule of JCAR017 to optimize safety and antitumor activity. A dose-confirmation group or groups will further evaluate the safety and efficacy of JCAR017 at the recommended regimen(s). Upon successful generation of JCAR017 product, participants will receive treatment with one or more cycles of JCAR017 therapy. Each cycle will include lymphodepleting chemotherapy followed by one or two doses of JCAR017 administered by intravenous (IV) injection. The follow-up period for each participant is approximately 24 months after the final JCAR017 infusion. Long-term follow-up for survival, toxicity, and viral vector safety will continue under a separate long-term follow-up protocol per health regulatory authority guidelines, currently up to 15 years after the last JCAR017 infusion.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
387
Participants will undergo leukapheresis to isolate peripheral blood mononuclear cells (PBMCs) for the production of JCAR017. During JCAR017 production, participants may receive low-dose chemotherapy for disease control. Upon successful generation of JCAR017 product, participants will receive treatment with JCAR017 therapy. Treatment will include lymphodepleting chemotherapy followed by one dose of JCAR017 administered by intravenous (IV) injection.
Participants will undergo leukapheresis to isolate peripheral blood mononuclear cells (PBMCs) for the production of JCAR017. During JCAR017 production, participants may receive low-dose chemotherapy for disease control. Upon product availability, participants will receive study treatment consisting of lymphodepleting chemotherapy followed by two IV doses of JCAR017.
Local Institution - 0006
Birmingham, Alabama, United States
Local Institution - 0007
Duarte, California, United States
Local Institution - 0010
San Francisco, California, United States
Local Institution - 0020
Aurora, Colorado, United States
Local Institution - 0019
Atlanta, Georgia, United States
Local Institution - 0003
Chicago, Illinois, United States
Local Institution - 0005
Boston, Massachusetts, United States
Local Institution - 0015
Boston, Massachusetts, United States
Local Institution - 0008
Omaha, Nebraska, United States
Local Institution - 0001
New York, New York, United States
...and 4 more locations
Treatment-related adverse events (AEs) as assessed by CTCAE v4.03
Physiological parameter
Time frame: Up to 730 days after the final JCAR017 infusion
Dose-limiting toxicities of JCAR017
Physiological parameter
Time frame: 28 days after first (single-dose schedule) or second (2-dose schedule) JCAR017 infusion
Objective response rate (ORR)
Lugano criteria
Time frame: 24 months
Complete response (CR) rate
Lugano criteria
Time frame: 24 months
Duration of response
Lugano criteria
Time frame: 24 months
Progression-free survival (PFS)
Lugano criteria
Time frame: 24 months
Overall survival
Physiological parameter
Time frame: Up to 15 years
Health-related quality of life
Questionnaire
Time frame: 24 months
Maximum concentration of JCAR017 (Cmax) in the peripheral blood
qPCR
Time frame: Up to 365 days after the final JCAR017 infusion
Time to maximum concentration of JCAR017 (Tmax) in the peripheral blood
qPCR
Time frame: Up to 365 days after the final JCAR017 infusion
Area-under-the-concentration-vs-time-curve (AUC) in the peripheral blood
qPCR
Time frame: Up to 365 days after the final JCAR017 infusion
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