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STATUS Recruitment Complete

Study of Axicabtagene Ciloleucel Versus Standard of Care Therapy in Participants With Relapsed/Refractory Follicular Lymphoma (ZUMA-22)

LAST UPDATED

May 09 2025

Clinicaltrials.gov ID

NCT05371093

OVERVIEW

A Phase 3 Randomized, Open-Label, Multicenter Study Evaluating the Efficacy of Axicabtagene Ciloleucel Versus Standard of Care Therapy in Subjects With Relapsed/Refractory Follicular Lymphoma (ZUMA-22)

PROTOCOL SUMMARY

The goal of this clinical study is test how well the study drug, axicabtagene ciloleucel, works in participants with relapsed/refractory follicular lymphoma

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Participation Requirements

Calendar

Age

18 Years +

Condition

Sex

ALL

Healthy Icon

Healthy Volunteers

No

Study Details

Medical Condition

Relapsed/Refractory Follicular Lymphoma

Gender

N/A

Date

September 2022 - October 2030

Study Type

INTERVENTIONAL

Study Phase

PHASE3

Product

Axicabtagene Ciloleucel, Cyclophosphamide, Fludarabine, Lenalidomide, Rituximab, Doxorubicin, Vincristine, Prednisone, Bendamustine

Eligibility Information

Inclusion

Inclusion Criteria

  • Histologically-confirmed follicular lymphoma (FL) (Grade 1, 2, or 3a)
  • Relapsed/refractory (R/r) disease after first-line chemoimmunotherapy and high-risk disease with relapse or progression within 24 months of the initial course of chemoimmunotherapy (ie, POD24), Or r/r disease after ≥ 2 prior systemic lines of therapy
  • Clinical indication for treatment.
  • At least 1 measurable lesion per the Lugano Classification {Cheson 2014}
  • Adequate renal, hepatic, pulmonary, and cardiac function
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Exclusion

Exclusion Criteria

  • Presence of large B cell lymphoma or transformed FL
  • Small lymphocytic lymphoma
  • Lymphoplasmacytic lymphoma
  • Full-thickness involvement of the gastric wall by lymphoma
  • FL Grade 3b
  • Prior CD19-targeted therapy
  • Prior CAR therapy or other genetically modified T-cell therapy
  • Uncontrolled fungal, bacterial, viral, or other infection
  • Active Infection with human immunodeficiency virus, hepatitis B virus or hepatitis C virus
  • History or presence of a clincially significant central nervous system (CNS) disorder.
  • History of autoimmune disease
  • Known history or CNS lymphoma involvement
  • Cardiac lymphoma involvement
  • History of clinically significant cardiac disease 6 months before randomization
  • Neuropathy greater than grade 2
  • Females who are pregnant or breastfeeding
  • Individuals of both genders who are not willing to practice birth control
  • Presence of any indwelling line or drain (eg, percutaneous nephrostomy tube, indwelling Foley catheter, biliary drain, G/J-tube, pleural/peritoneal/pericardial catheter, or Ommaya reservoirs). Dedicated central venous access catheters such as Port-a-Cath or Hickman catheter are permitted.
  • Note: Other protocol defined Inclusion/Exclusion criteria may apply.
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Locations

Locations (52)
Other

City of Hope (City of Hope National Medical Center, City of Hope Medical Center)

Duarte, California, United States, 91010

Other

Stanford Health Care

Stanford, California, United States, 94305

Other

Moffitt Cancer Center

Tampa, Florida, United States, 33612

Other

The University of Kansas Hospital

Westwood, Kansas, United States, 66205

Other

University of Maryland Greenebaum Comprehensive Cancer Center

Baltimore, Maryland, United States, 21201

Other

Dana-Farber Cancer Institute

Boston, Massachusetts, United States, 02215

Other

Novant Health Cancer Institute Hematology - Charlotte

Charlotte, North Carolina, United States, 28204

Other

Penn State Milton S. Hershey Medical Center

Hershey, Pennsylvania, United States, 17033

Other

TriStar Centennial Medical Center - Cell Processing

Nashville, Tennessee, United States, 37203

Other

Henry-Joyce Cancer Clinic

Nashville, Tennessee, United States, 37232

Other

The University of Texas MD Anderson Cancer Center

Houston, Texas, United States, 77030

Other

Virginia Commonwealth University

Richmond, Virginia, United States, 23298

Other

Hopital Henri Mondor

Créteil, France, 94010

Other

CHU de Dijon

Dijon, France, 21079

Other

Hôpital Claude Huriez-CHU de Lille

Lille cedex, France, 59037

Other

Institut Paoli-Calmettes

Marseille, France, 13273

Other

Hopital Saint Eloi

Montpellier, France, 34295

Other

Hopital Pitie-Salpetriere

Paris, France, 75013

Other

CHU Bordeaux - Hospital Haut-Leveque - Centre Francois Magendie

Pessac, France, 33604

Other

Centre Hospitalier Lyon Sud

Pierre Benite, France, 69495

Other

CHU de Poitiers

Poitiers, France, 86021

Other

Hopital Pontchaillou - CHU Rennes

Rennes, France, 35033

Other

Centre Henri Becquerel

Rouen, France, 76038

Other

Universitatsmedizin Gottingen

Göttingen, Germany, 37075

Other

Universitatsklinikum Koln Klinik I fur Innere Medizin

Wuerzburg, Germany, 97080

Other

ASST Papa Giovanni XXIII

Bergamo, Italy, 24128

Other

Azienda Ospedallero-Universitaria di Bologna Policlinico Sant'Orsola-Malpighi

Bologna, Italy, 40138

Other

Fondazione IRCCS - Istituto Nazionale Tumori

Milano, Italy, 20100

Other

Ospedale San Raffaele

Milano, Italy, 20132

Other

Arcispedale Santa Maria Nuova

Reggio Emilia, Italy, 42123

Other

Istituto Clinico Humanitas-IRCCS

Rozzano, Italy, 20089

Other

Hyogo Medical University Hospital

Hyogo, Japan, 663-8501

Other

University Hospital Kyoto Prefectural University of Medicine

Kyoto, Japan, 602-8566,

Other

Tohoku University Hospital

Miyagi, Japan, 980-8574

Other

Okayama University Hospital

Okayama, Japan, 700-8558

Other

Osaka University Hospital

Osaka, Japan, 565-0871

Other

Hospital Universitari Vall d'Hebrón

Barcelona, Spain, 08035

Other

Hospital Clinic de Barcelona

Barcelona, Spain, 08036

Other

Instituto Catalan de Oncologia - Hospital Duran i Reynolds (ICO L'Hospitalet)

Barcelona, Spain, 08908

Other

Hospital General Universitario Gregorio Maranon

Madrid, Spain, 28009

Other

Hospital 12 de Octubre

Madrid, Spain, 28041

Other

Hospital Universitario de Salamanca

Salamanca, Spain, 37007

Other

Hospital Universitario Virgen del Rocio

Sevilla, Spain, 41013

Other

Hospital Clínico Universitario de Valencia

Valencia, Spain, 46010

Other

University Hospital Birmingham NHS Foundation Trust

Birmingham, United Kingdom, B15 2GW

Other

Cambridge University Hospitals NHS Foundation Trust

Cambridge, United Kingdom, CB2 2QQ

Other

University College London Hospitals NHS Foundation Trust

London, United Kingdom, NW2 2QG

Other

King's College Hospital NHS Foundation Trust

London, United Kingdom, SE5 9RS

Other

The Christie NHS Foundation Trust

Manchester, United Kingdom, M20 4BX

Other

Oxford University Hospitals NHS Foundation Trust

Oxford, United Kingdom, OX3 7LE

Other

The University Hospital Southampton NHS Foundation Trust

Southampton, United Kingdom, SO16 6YD

Other

The Royal Marsden NHS Foundation Trust

Sutton, United Kingdom, SM2 5PT