The purpose of this study is to determine the clinical benefit and characterize the safety profile of tabelecleucel for the treatment of Epstein-Barr virus-associated post-transplant lymphoproliferative disease (EBV+ PTLD) in the setting of (1) solid organ transplant (SOT) after failure of rituximab (SOT-R) and rituximab plus chemotherapy (SOT-R+C) or (2) allogeneic hematopoietic cell transplant (HCT) after failure of rituximab.
This is a multicenter, open-label, phase 3 study to assess the efficacy and safety of tabelecleucel for the treatment of EBV+ PTLD in the setting of SOT-R and SOT-R+C (Cohort \[C\]-SOT) or HCT after failure of rituximab (C-HCT). SOT-R further included participants: 1. who did not receive chemotherapy and did not have a documented medical reason not to receive chemotherapy (SOT-Ro) or 2. who were considered chemotherapy ineligible/inappropriate (SOT-R-Ci) Combined population (SOT-R-Ci, SOT-R+C, and HCT) and (SOT-R-Ci and SOT-R+C) who received commercial product, or a product manufactured using a comparable process version (PV) were also used for analysis of outcomes. Enrollment will be preceded by confirmation of availability of partially human leukocyte antigen (HLA) matched and restricted tabelecleucel for the participant. Study procedures and product administration will be the same for each cohort. Tabelecleucel will be administered in cycles lasting 5 weeks (35 days). During each cycle, participants will receive intravenous tabelecleucel at a dose of 2 × 10\^6 cells/kg on Days 1, 8, and 15, followed by observation through Day 35. Treatment will continue until maximal response, unacceptable toxicity, initiation of non protocol therapy, or failure of tabelecleucel with up to 2 different HLA restrictions (C-SOT) or up to 4 different HLA restrictions (C-HCT). The study includes a total of 5 years of follow-up for disease and survival status for participants enrolled before or after 09 October 2023 to reach the initial sample size of 33 participants in both cohorts. For all other participants enrolled after 09 October 2023 and after the initial sample of 33 participants in both cohorts has been reached in both cohorts, the follow-up will be every 3 months, up to 12 months, as assessed on anniversary of Cycle 1 Day 1. For responders, the follow-up will be 12 months from the date of initial response.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
115
Tabelecleucel is being investigated as an off-the-shelf, allogeneic T-cell immunotherapy for the treatment of EBV+ malignancies and diseases.
City of Hope (Adults and Pediatrics)
Duarte, California, United States
COMPLETEDUniversity of California San Diego Moores Cancer Center (Adults only)
La Jolla, California, United States
COMPLETEDLoma Linda University Medical Center (Adults only)
Loma Linda, California, United States
RECRUITINGChildren's Hospital Los Angeles, Div. of Research Immunology/BMT (Adults and Pediatrics)
Los Angeles, California, United States
Objective Response Rate (ORR) in the Analysis Cohorts C-SOT, C-HCT, and Combined Population (C-SOT-R+C, C-SOT-R-Ci, and C-HCT) Who Received Commercial Product, or a Product Manufactured Using a Comparable PV
Time frame: 2 years
Duration of Response (DOR) in the Analysis Cohorts C-SOT and C-HCT Separately
Time frame: 2 years
ORR in the Analysis Cohorts C-SOT and C-HCT Combined
Time frame: 2 years
ORR and DOR in Participants who Received Commercial Product or a Product Manufactured Using a Comparable PV in the Analysis Cohorts C-SOT-R-Ci and C-SOT-R+C Separately and Combined, and in the Analysis Cohort C-HCT
Time frame: 2 years
DOR in a Combined Population (SOT-R-Ci, SOT-R+C, and HCT) who Received Commercial Product or a Product Manufactured Using a Comparable PV
Time frame: 2 years
Rates of Complete Response (CR) and Partial Response (PR)
Time frame: 2 years
Time to Response
Time frame: 2 years
Time to Best Response
Time frame: 2 years
Overall Survival (OS)
Time frame: 2 years
Rates of Allograft Loss or Rejection Episodes (Analysis Cohort C-SOT)
Time frame: 2 years
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UCLA Medical Center (Adults and Pediatrics)
Los Angeles, California, United States
COMPLETEDUniversity of California Davis Comprehensive Cancer Center (Adults only)
Sacramento, California, United States
COMPLETEDYale University (Adults and Pediatrics)
New Haven, Connecticut, United States
COMPLETEDMedStar Georgetown University Hospital (Adults and Pediatrics)
Washington D.C., District of Columbia, United States
RECRUITINGUniversity of Florida (Adults and Pediatrics)
Gainesville, Florida, United States
COMPLETEDUniversity of Miami/Jackson Memorial Hospital (Adults only)
Miami, Florida, United States
RECRUITING...and 61 more locations