Study on the Effectiveness and Safety of Lisocabtagene Maraleucel (Liso-cel) as Initial Treatment for Adults with Primary Central Nervous System Lymphoma Who Cannot Have a Transplant

Sponsor: Juno Therapeutics, Inc., a Bristol-Myers Squibb Company

Sponsor score: 0

ClinicalTrials ID:NCT07015242

This clinical trial is testing a new treatment called lisocabtagene maraleucel (also known as Breyanzi or liso-cel) to see if it is safe and effective as the first treatment option for adults with Primary Central Nervous System Lymphoma (PCNSL) who are not eligible for a transplant.

Patient Parameters

Program Overview

The goal of this study is to find out if lisocabtagene maraleucel, a new treatment, is safe and works well as the first treatment for adults with Primary Central Nervous System Lymphoma (PCNSL) who cannot undergo a transplant. This treatment is being tested to see if it can help manage the disease effectively in these patients.

Eligibility Criteria

Inclusion Criteria

  • Participant must be 18 years or older at the time of signing the informed consent form (ICF).
  • Histologically confirmed primary central nervous system (CNS) lymphoma (PCNSL) prior to screening, as assessed by local pathology.
  • Transplant-ineligible based on physician's assessment and meeting at least one of the following criteria: age ≥65 years or HCT-CI (Hematopoietic Cell Transplantation-specific Comorbidity Index) score ≥3.
  • Participant must be suitable, per investigator, to receive a high dose methotrexate (HD-MTX) based treatment regimen.
  • Prior to signing ICF, anti-cancer therapy for the treatment of PCNSL must only include standard of care regimens, with or without corticosteroids given for disease-related symptoms.
  • Prior to ICF signature, participant's disease must be sensitive to prior high-dose methotrexate-based regimens, as demonstrated by a complete response (CR, no remaining signs of PCNSL) or a partial response (PR, signs of PNCSL mostly gone) per Investigator's assessment, based on the International Primary CNS Lymphoma Collaborative Group (IPCG) criteria.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2.
  • Individuals of childbearing potential (IOCBP) must have a negative highly sensitive pregnancy test within 24 hours prior to the start of study intervention.

Exclusion Criteria

  • Participant has a diagnosis of secondary CNS lymphoma due to systemic disease.
  • Primary intraocular lymphoma (PIOL)/ Primary vitreoretinal lymphoma (PVRL) and isolated cerebrospinal fluid (CSF) disease.
  • Any significant medical condition including the presence of laboratory abnormalities, which places the participant at unacceptable risk if he/she was to participate in the study based on investigator's judgement.
  • History of another primary malignancy that has not been in remission for ≥2 years.
  • Prior treatment with CAR T-cell or any other gene therapy product that utilizes human genome-editing technology.
  • History of or active human immunodeficiency virus (HIV).
  • Active hepatitis B or active hepatitis C.
  • Active autoimmune disease requiring immunosuppressive therapy.
  • Other protocol-defined Inclusion/Exclusion criteria apply.

Locations

FACILITYZIPCITYSTATE
Local Institution - 30794305StanfordCalifornia
Local Institution - 030580045AuroraColorado
Local Institution - 30580045AuroraColorado
Local Institution - 30833612-9416TampaFlorida
Moffitt Cancer Center33612-9416TampaFlorida
Local Institution - 031160611ChicagoIllinois
Local Institution - 31160611ChicagoIllinois
Local Institution - 31402214BostonMassachusetts
Local Institution - 031302215BostonMassachusetts
Local Institution - 31302215BostonMassachusetts

Get This Program In Your Inbox

Receive detailed information about this treatment opportunity to review with your healthcare provider.