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Study Evaluating the Safety and Pharmacokinetics of JCAR017 in B-cell Non-Hodgkin Lymphoma (TRANSCEND-NHL-001)

Status
Closed
Cancer Type
Hematopoietic Malignancies
Lymphoma
Non-Hodgkin Lymphoma
Unknown Primary
Trial Phase
Phase I
Eligibility
18 Years and older, Male and Female
Study Type
Treatment
NCT ID
NCT02631044
Protocol IDs
017001 (primary)
NCI-2016-00057
Study Sponsor
Juno Therapeutics, a Subsidiary of Celgene

Summary

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.

Objectives

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.

Eligibility

  1. Age =18 years
  2. Relapsed or refractory B-cell NHL, including
  3. DLBCL cohort (no longer enrolling): DLBCL, not otherwise specified (NOS; includes transformed DLBCL from indolent histology [tDLBCL]), high-grade B-cell lymphoma with MYC and BCL2 and/or BCL6 rearrangements with DLBCL histology (Swerdlow 2016), primary mediastinal B-cell lymphoma (PMBCL), and follicular lymphoma Grade 3B. Subjects must have been treated with an anthracycline and rituximab (or other CD20-targeted agent) and have relapsed or refractory disease after at least 2 lines of systemic therapy or after auto-HSCT.
  4. MCL cohort: MCL (diagnosis must be confirmed with cyclin D1 expression or evidence of t(11;14) by cytogenetics, fluorescent in situ hybridization [FISH], or PCR) with relapsed or refractory disease after at least 2 prior lines of systemic MCL therapy. Subjects must have been treated with an alkylating agent, Bruton's tyrosine kinase inhibitor (BTKi), and rituximab (or other CD20-targeted agent).
  5. PET-positive disease by Lugano classification
  6. Archived tumor biopsy tissue available from the last relapse and corresponding pathology report available or, if at least one tumor-involved site is deemed accessible at time of screening, willing to undergo pre-treatment biopsy (excisional when possible) for disease confirmation. If a subject has never had a complete response, a sample from the most recent biopsy is acceptable.
  7. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  8. Adequate bone marrow, renal, hepatic, pulmonary, and cardiac function
  9. Adequate vascular access for leukapheresis procedure
  10. Participants who have received previous CD19-targeted therapy must have CD19-positive lymphoma confirmed on a biopsy since completing the prior CD19-targeted therapy.
  11. Participants must agree to use appropriate contraception.

Treatment Sites in Georgia

Northside Hospital Cancer Institute


1000 Johnson Ferry Road NE
Atlanta, GA 30342
404-303-3355
www.northside.com

Study Coordinator:
Stacey Brown
404-780-7965

Doctors:

Asad Bashey MD, PhD
H. Kent Holland MD
Lawrence E. Morris, Jr. MD
Scott R. Solomon MD
Melhem Solh MD
**Clinical trials are research studies that involve people. These studies test new ways to prevent, detect, diagnose, or treat diseases. People who take part in cancer clinical trials have an opportunity to contribute to scientists’ knowledge about cancer and to help in the development of improved cancer treatments. They also receive state-of-the-art care from cancer experts... Click here to learn more about clinical trials.
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