Study on the Effectiveness and Safety of JCAR017 for Adults with Relapsed or Hard-to-Treat Indolent B-cell Non-Hodgkin Lymphoma

Sponsor: Celgene

Sponsor score: 60
Inactive

ClinicalTrials ID:NCT04245839

This clinical trial is testing a new treatment called JCAR017 to see if it is safe and effective for adults with certain types of Non-Hodgkin Lymphoma that have returned or are not responding to treatment.

Patient Parameters

Program Overview

This study is being conducted worldwide to test the safety and effectiveness of a new treatment, JCAR017, for adults with certain types of Non-Hodgkin Lymphoma (NHL) that have come back or are not responding to treatment. The study follows international guidelines for clinical research and is divided into three parts: Pretreatment, Treatment, and Posttreatment. During the Pretreatment phase, participants will undergo screening and a procedure to collect white blood cells. The Treatment phase involves chemotherapy followed by the administration of JCAR017, with close monitoring for about a month. The Posttreatment phase includes regular check-ups to monitor the disease and ensure safety for up to five years.

Eligibility Criteria

Inclusion Criteria

  • Have a confirmed diagnosis of relapsed or hard-to-treat follicular lymphoma (FL) or marginal zone lymphoma (MZL) within the last 6 months.
  • Have received at least one previous treatment that included anti-CD20 and an alkylating agent.
  • For follicular lymphoma patients: Must have had at least one previous systemic treatment. If only one treatment was received, the patient must have high-risk features. If two or more treatments were received, one must have included anti-CD20 and an alkylating agent.
  • For marginal zone lymphoma patients: Must have had two or more previous systemic treatments, including anti-CD20 and an alkylating agent, or have relapsed after a stem cell transplant.
  • Be in good overall health with an ECOG performance status of 0 or 1, meaning fully active or restricted in physically strenuous activity but ambulatory.
  • Have adequate organ function.
  • Have suitable veins for the leukapheresis procedure.

Exclusion Criteria

  • Have a history or evidence of a more aggressive type of lymphoma or transformed follicular lymphoma.
  • Have a specific type of follicular lymphoma affecting the duodenum.
  • Have cancer that only affects the central nervous system (CNS), although those with secondary CNS involvement can participate.
  • Have had another primary cancer that has not been in remission for at least two years, except for non-invasive cancers.
  • Have previously received CAR T-cell or other genetically-modified cell therapy.
  • Have a history of or active HIV.
  • Have active hepatitis B or C.
  • Have an uncontrolled infection despite treatment.
  • Have an active autoimmune disease requiring immunosuppressive therapy.
  • Have graft-versus-host disease.
  • Have a history of significant heart disease.
  • Have a history or presence of significant CNS issues.
  • Have had a stem cell transplant from a donor within 90 days of the leukapheresis procedure.

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