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