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Safety and Efficacy of Axicabtagene Ciloleucel in Combination With Rituximab in Participants With Refractory Large B-Cell Lymphoma (ZUMA-14)

OVERVIEW

A Phase 2 Open-Label, Multicenter Study Evaluating the Safety and Efficacy of Axicabtagene Ciloleucel in Combination With Rituximab in Participants With Refractory Large B-Cell Lymphoma (ZUMA-14) (ZUMA-14)

PROTOCOL SUMMARY

The primary objective of this study is to estimate the efficacy of axicabtagene ciloleucel in combination with rituximab, as measured by assessment of response rates in adult participants with relapsed/refractory large B-cell lymphoma.

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Participation Requirements

Calendar

Age

18 Years +

Condition

Sex

All

Healthy Icon

Healthy Volunteers

No

Study Details

Medical Condition

Refractory Large B-cell Lymphoma

Gender

N/A

Date

November 2019 - January 2023

Study Type

Interventional

Study Phase

Phase 2

Product

Axicabtagene Ciloleucel, Rituximab, Fludarabine, Cyclophosphamide

Eligibility Information

Inclusion

Inclusion Criteria

  • Histologically confirmed large B-cell lymphoma
  • Chemotherapy-refractory disease, defined as one or more of the following:
  • No response to first-line therapy (primary refractory disease)
  • No response to second or greater lines of therapy OR
  • Refractory after autologous stem cell transplant (ASCT)
  • At least 1 measureable lesion according to the Lugano Classification (Cheson 2014).
  • Individuals must have received adequate prior therapy, including at a minimum:
  • Anti-CD20 monoclonal antibody
  • An anthracycline-containing chemotherapy regimen
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  • Adequate renal, hepatic, pulmonary, and cardiac function
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Exclusion

Exclusion Criteria

  • Known CD19 negative or CD20 negative tumor
  • History of Richter's transformation of Chronic Lymphocytic Leukemia (CLL)
  • Prior CAR therapy or other genetically modified T-cell therapy
  • Prior organ transplantation including prior allogeneic stem cell transplant (SCT)
  • Prior CD19 targeted therapy
  • Clinically significant infection or cardiopulmonary disease
  • Presence of any in-dwelling lines or drains (dedicated central venous access catheters allowed)
  • History or presence of central nervous system (CNS) lymphoma or nonmalignant CNS disorder or cerebrospinal fluid (CSF) malignant cells or brain metastases
  • History of autoimmune disease
  • History of deep vein thrombosis (DVT) or pulmonary embolism (PE) within the last 6 months
  • Note: Other protocol defined Inclusion/Exclusion criteria may apply.
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Locations

Locations (14)
Other

Banner MD Anderson Cancer Center

Gilbert, Arizona, United States, 85234

Other

City of Hope National Medical Center

Duarte, California, United States, 91010-3012

Other

Stanford Cancer Institute

Palo Alto, California, United States, 94305

Other

UCLA Hematology/Oncology

Santa Monica, California, United States, 90404

Other

Mayo Clinic Florida

Jacksonville, Florida, United States, 32224

Other

University of Chicago Medical Center

Chicago, Illinois, United States, 60637

Other

Loyola University Medical Center

Maywood, Illinois, United States, 60153

Other

Mayo Clinic

Rochester, Minnesota, United States, 55905

Other

John Theurer Cancer Center at Hackensack University Medical Center

Hackensack, New Jersey, United States, 07601

Other

Columbia University Medical Center, New York Presbyterian Hospital

New York, New York, United States, 10032

Other

Vanderbilt University Medical Center

Nashville, Tennessee, United States, 37232

Other

St. David's South Austin Medical Center

Austin, Texas, United States, 78704

Other

The University of Texas MD Anderson Cancer Center

Houston, Texas, United States, 77030

Other

Swedish Cancer Institute

Seattle, Washington, United States, 98104