Clinical Trials /

Study to Evaluate the Efficacy of Brexucabtagene Autoleucel (KTE-X19) in Participants With Relapsed/Refractory Mantle Cell Lymphoma (Cohort 3)

NCT04880434

Description:

The primary objective is to evaluate the efficacy of brexucabtagene autoleucel (KTE-X19) in participants with relapsed/refractory (r/r) mantle cell lymphoma (MCL) in Cohort 3 of this study.

Related Conditions:
  • Mantle Cell Lymphoma
Recruiting Status:

Recruiting

Phase:

Phase 2

Trial Eligibility

Document

Title

  • Brief Title: Study to Evaluate the Efficacy of Brexucabtagene Autoleucel (KTE-X19) in Participants With Relapsed/Refractory Mantle Cell Lymphoma (Cohort 3)
  • Official Title: A Phase 2 Multicenter Study Evaluating the Efficacy of KTE-X19 in Subjects With Relapsed/Refractory Mantle Cell Lymphoma

Clinical Trial IDs

  • ORG STUDY ID: KTE-C19-102 (Cohort 3)
  • SECONDARY ID: 2015-005008-27
  • NCT ID: NCT04880434

Conditions

  • Relapsed/Refractory Mantle Cell Lymphoma

Interventions

DrugSynonymsArms
FludarabineBrexucabtagene autoleucel (KTE-X19)
CyclophosphamideBrexucabtagene autoleucel (KTE-X19)
Brexucabtagene autoleucelKTE-X19, TECARTUSBrexucabtagene autoleucel (KTE-X19)

Purpose

The primary objective is to evaluate the efficacy of brexucabtagene autoleucel (KTE-X19) in participants with relapsed/refractory (r/r) mantle cell lymphoma (MCL) in Cohort 3 of this study.

Detailed Description

      Study KTE-C19-102 (NCT02601313) enrolled participants with r/r MCL who have been treated with
      up to 5 prior regimens including a Bruton's tyrosine kinase inhibitor (BTKi) in Cohort 1 and
      Cohort 2. However, to fulfill FDA Postmarketing Requirement Cohort 3 is added to the study.
      It will include participants with r/r MCL who have been treated with up to 5 prior regimens
      but have not received prior therapy with a BTKi.

      The primary analysis in Cohort 1 and Cohort 2 is already completed. Data for Cohort 3 will be
      analyzed separately. Therefore, this separate registration is only for Cohort 3.
    

Trial Arms

NameTypeDescriptionInterventions
Brexucabtagene autoleucel (KTE-X19)ExperimentalParticipants with relapsed/refractory mantle cell lymphoma will receive conditioning chemotherapy consisting of fludarabine 30 mg/m^2/day and cyclophosphamide 500 mg/m^2/day intravenous (IV) infusion for 3 days followed by a single infusion of brexucabtagene autoleucel (KTE-X19) at a targeted dose of 2 x 10^6 anti-CD19 chimeric antigen receptor (CAR) T cells/kg, with a maximum flat dose of 2 x 10^8 anti-CD19 CAR T cells for participants ≥ 100 kg on Day 0 in Cohort 3.
  • Fludarabine
  • Cyclophosphamide
  • Brexucabtagene autoleucel

Eligibility Criteria

        Key Inclusion Criteria:

          -  Up to 5 prior regimens for MCL. Prior therapy must have included anthracycline- or
             bendamustine-containing chemotherapy and anti-CD20 monoclonal antibody therapy.
             Individuals must not have received prior therapy with a BTKi.

          -  At least 1 measurable lesion

          -  Platelet count ≥ 75,000/uL

          -  Creatinine clearance (as estimated by Cockcroft Gault) ≥ to 60 cc/min

          -  Cardiac ejection fraction ≥ 50%, no evidence of pericardial effusion as determined by
             an echocardiogram (ECHO), and no clinically significant electrocardiogram (ECG)
             findings

          -  Baseline oxygen saturation > 92% on room air

        Key Exclusion Criteria:

          -  Known history of infection with human immunodeficiency virus (HIV) or hepatitis B
             (HBsAG positive) or hepatitis C virus (anti-HCV positive). Individuals with a history
             of hepatitis infection must have cleared their infection as determined by standard
             serological and genetic testing

          -  History of a seizure disorder, cerebrovascular ischemia/hemorrhage, dementia,
             cerebellar disease, cerebral edema, posterior reversible encephalopathy syndrome, or
             any autoimmune disease with central nervous system (CNS) involvement

          -  Presence of fungal, bacterial, viral, or other infection that is uncontrolled or
             requiring IV antimicrobials for management

        Note: Other protocol defined Inclusion/Exclusion criteria may apply.
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Objective Response Rate (ORR) Per Lugano Classification as Determined by the Independent Radiology Review Committee (IRRC)
Time Frame:Up to 2 years
Safety Issue:
Description:ORR is defined as the incidence of either a complete response (CR) or partial response (PR) per the Lugano Classification as determined by IRRC.

Secondary Outcome Measures

Measure:Duration of Response (DOR)
Time Frame:Up to 7 years
Safety Issue:
Description:DOR is defined as the time from their first objective response to disease progression or death.
Measure:Percentage of Participants With Best Objective Response (BOR)
Time Frame:Up to 7 years
Safety Issue:
Description:Best objective response is defined as the incidence of complete response (CR), partial response (PR), stable disease (SD), progressive disease (PD), or unevaluable as best response to treatment.
Measure:Objective Response Rate (ORR) per Lugano Classification as Determined by Investigators
Time Frame:Up to 7 years
Safety Issue:
Description:ORR, as determined by investigators, is defined as the incidence of either a complete response (CR) or partial response (PR) per the Lugano Classification.
Measure:Progression Free Survival (PFS)
Time Frame:Up to 7 years
Safety Issue:
Description:
Measure:Overall Survival
Time Frame:Up to 7 years
Safety Issue:
Description:
Measure:Percentage of Participants Experiencing Treatment-Emergent Adverse Events
Time Frame:Up to 7 years
Safety Issue:
Description:
Measure:Percentage of Participants With Clinically Significant Changes in Laboratory Values
Time Frame:Up to 7 years
Safety Issue:
Description:
Measure:Percentage of Participants Who Develop Anti-CD19 CAR Antibodies
Time Frame:Up to 7 years
Safety Issue:
Description:
Measure:Levels of Anti-CD19 CAR T Cells in Blood
Time Frame:Up to 7 years
Safety Issue:
Description:
Measure:Levels of Cytokines in Serum
Time Frame:Up to 7 years
Safety Issue:
Description:
Measure:Change Over Time in European Quality of Life-5 Dimensions(EQ-5D) Scale Score
Time Frame:Baseline and up to 24 months
Safety Issue:
Description:The European Quality of Life-5 Dimensions Health Questionnaire (EQ-5D) is a participant-answered questionnaire scoring 5 dimensions of health: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. For each dimension the participant is asked for a three-level assessment of their health on the current day: "no problems" (1), "some problems" (2), "extreme problems" (3). EQ-5D health states, defined by the EQ-5D descriptive system, are converted into a single summary index by applying a formula that attaches values (also called QOL weights or QOL utilities) to each of the levels in each dimension. EQ-5D Summary Index values range from -0.11 (worst health state) to 1.00 (perfect health state). Positive numbers indicate improvement from baseline.
Measure:Change Over Time in European Quality of Life-5 Dimensions(EQ-5D) Visual Analogue Scale (VAS) Score
Time Frame:Baseline and up to 24 months
Safety Issue:
Description:EQ-5D is a standardized participant completed questionnaire that measures health-related quality of life and translates that score into an index value or utility score. EQ-5D-consists of two components: a health state profile and an optional visual analogue scale (VAS). The EQ5D-VAS records the participant's self-rated health on a vertical visual analogue scale, where the endpoints are labelled 'The best health you can imagine' and 'The worst health you can imagine'. EQ-5D-VAS: range 0 to 100. A higher score indicates better self-reported health status.
Measure:Changes in the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-C30) Score from Baseline Over Time
Time Frame:Baseline and up to 6 months
Safety Issue:
Description:EORTC QLQ-C30 includes functional scales (physical, role, cognitive, emotional, and social), global health status, symptom scales (fatigue, pain, nausea/vomiting), and single items (dyspnoea, appetite loss, insomnia, constipation/diarrhea and financial difficulties). Most questions use 4 point scale (1 'Not at all' to 4 'Very much'; 2 questions used 7-point scale (1 'very poor' to 7 'Excellent'). Scores are averaged, transformed to 0-100 scale; higher score indicate high QoL. A positive change from baseline indicates better quality of life.

Details

Phase:Phase 2
Primary Purpose:Interventional
Overall Status:Recruiting
Lead Sponsor:Kite, A Gilead Company

Last Updated

August 10, 2021