T Cells Expressing a Fully-human AntiCD19 Chimeric Antigen Receptor for Treating B-cell Malignancies
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ClinicalTrials.gov Identifier: NCT02659943 |
Recruitment Status :
Completed
First Posted : January 21, 2016
Results First Posted : May 4, 2021
Last Update Posted : April 19, 2023
|
Sponsor:
National Cancer Institute (NCI)
Information provided by (Responsible Party):
James Kochenderfer, M.D., National Cancer Institute (NCI)
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Study Type | Interventional |
---|---|
Study Design | Allocation: Non-Randomized; Intervention Model: Sequential Assignment; Masking: None (Open Label); Primary Purpose: Treatment |
Conditions |
Lymphoma, B-Cell Lymphoma, Non-hodgkins |
Interventions |
Biological: Anti-cluster of differentiation 19 (CD19)-Chimeric Antigen Receptor (CAR) T cells Drug: Cyclophosphamide Drug: Fludarabine |
Enrollment | 27 |
Participant Flow
Recruitment Details | |
Pre-assignment Details |
Arm/Group Title | LEVEL 1 - Participants Who Received 0.66x10^6 CAR T Cells Only | LEVEL 1 Foll/by LEVEL 2-Participants Who Received - 0.66x10^6 CAR T Cells Foll/by 2x10^6 CAR T Cells | LEVEL 1 Foll/by LEVEL 3 - Participants Who Received 0.66x10^6 CAR T Cells Foll/by 6x10^6 CAR T Cells | LEVEL 2 - Participants Who Received 2x10^6 CAR T Cells Only | LEVEL 2 Followed by LEVEL 3-Participants Who Received 2x10^6 CAR T Cells Foll/by 6x10^6 CAR T Cells | LEVEL 3 - Participants Who Received 6x10^6 CAR T Cells Only | Participants Enrolled But Not Treated |
---|---|---|---|---|---|---|---|
Arm/Group Description | LEVEL 1 - participants who received - 0.66x10^6 Chimeric Antigen Receptor (CAR) T cells only | LEVEL 1 followed by LEVEL 2 - participants who received - 0.66x10^6 Chimeric Antigen Receptor (CAR) T cells followed by 2x10^6 CAR T cells | LEVEL 1 followed by LEVEL 3 - participant who received - 0.66x10^6 Chimeric Antigen Receptor (CAR) T cells followed by 6x10^6 CAR T cells | LEVEL 2 - participants who received - 2x10^6 Chimeric Antigen Receptor (CAR) T cells only | LEVEL 2 followed by LEVEL 3 - participants who received - 2x10^6 Chimeric Antigen Receptor (CAR) T cells followed by 6x10^6 CAR T cells | LEVEL 3 - participants who received - 6x10^6 Chimeric Antigen Receptor (CAR) T cells only | Participants who were enrolled but not treated. |
Period Title: Overall Study | |||||||
Started | 3 | 2 | 1 | 4 | 2 | 9 | 6 |
Completed | 2 | 0 | 0 | 1 | 0 | 4 | 0 |
Not Completed | 1 | 2 | 1 | 3 | 2 | 5 | 6 |
Reason Not Completed | |||||||
Switched to alternative treatment | 1 | 1 | 0 | 2 | 1 | 0 | 1 |
Disease progression on study | 0 | 1 | 1 | 1 | 1 | 4 | 0 |
Patient's condition per principal investigator | 0 | 0 | 0 | 0 | 0 | 1 | 0 |
Ineligible | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
No longer meets eligibility | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
No treatment, per protocol | 0 | 0 | 0 | 0 | 0 | 0 | 3 |
Baseline Characteristics
Arm/Group Title | LEVEL 1 - Participants Who Received 0.66x10^6 CAR T Cells Only | LEVEL 1 Foll/by LEVEL 2-Participants Who Received - 0.66x10^6 CAR T Cells Foll/by 2x10^6 CAR T Cells | LEVEL 1 Foll/by LEVEL 3 - Participants Who Received 0.66x10^6 CAR T Cells Foll/by 6x10^6 CAR T Cells | LEVEL 2 - Participants Who Received 2x10^6 CAR T Cells Only | LEVEL 2 Followed by LEVEL 3-Participants Who Received 2x10^6 CAR T Cells Foll/by 6x10^6 CAR T Cells | LEVEL 3 - Participants Who Received 6x10^6 CAR T Cells Only | Participants Enrolled But Not Treated | Total | |
---|---|---|---|---|---|---|---|---|---|
Arm/Group Description | LEVEL 1 - participants who received - 0.66x10^6 Chimeric Antigen Receptor (CAR) T cells only | LEVEL 1 followed by LEVEL 2 - participants who received - 0.66x10^6 Chimeric Antigen Receptor (CAR) T cells followed by 2x10^6 CAR T cells | LEVEL 1 followed by LEVEL 3 - participant who received - 0.66x10^6 Chimeric Antigen Receptor (CAR) T cells followed by 6x10^6 CAR T cells | LEVEL 2 - participants who received - 2x10^6 Chimeric Antigen Receptor (CAR) T cells only | LEVEL 2 followed by LEVEL 3 - participants who received - 2x10^6 Chimeric Antigen Receptor (CAR) T cells followed by 6x10^6 CAR T cells | LEVEL 3 - participants who received - 6x10^6 Chimeric Antigen Receptor (CAR) T cells only | Participants who were enrolled but not treated. | Total of all reporting groups | |
Overall Number of Baseline Participants | 3 | 2 | 1 | 4 | 2 | 9 | 6 | 27 | |
Baseline Analysis Population Description |
Baseline data was collected and reported here for the participants enrolled but not treated.
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Age, Categorical
Measure Type: Count of Participants Unit of measure: Participants |
|||||||||
Number Analyzed | 3 participants | 2 participants | 1 participants | 4 participants | 2 participants | 9 participants | 6 participants | 27 participants | |
<=18 years |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
|
Between 18 and 65 years |
2 66.7%
|
2 100.0%
|
0 0.0%
|
3 75.0%
|
1 50.0%
|
6 66.7%
|
4 66.7%
|
18 66.7%
|
|
>=65 years |
1 33.3%
|
0 0.0%
|
1 100.0%
|
1 25.0%
|
1 50.0%
|
3 33.3%
|
2 33.3%
|
9 33.3%
|
|
Age, Continuous
Mean (Standard Deviation) Unit of measure: Years |
|||||||||
Number Analyzed | 3 participants | 2 participants | 1 participants | 4 participants | 2 participants | 9 participants | 6 participants | 27 participants | |
55.6 (10.14) | 50.35 (3.04) | 68.6 (0) | 57.2 (8.61) | 65 (5.09) | 57.11 (10.8) | 52.98 (16.32) | 56.55 (11.05) | ||
Sex: Female, Male
Measure Type: Count of Participants Unit of measure: Participants |
|||||||||
Number Analyzed | 3 participants | 2 participants | 1 participants | 4 participants | 2 participants | 9 participants | 6 participants | 27 participants | |
Female |
2 66.7%
|
1 50.0%
|
1 100.0%
|
0 0.0%
|
0 0.0%
|
5 55.6%
|
2 33.3%
|
11 40.7%
|
|
Male |
1 33.3%
|
1 50.0%
|
0 0.0%
|
4 100.0%
|
2 100.0%
|
4 44.4%
|
4 66.7%
|
16 59.3%
|
|
Ethnicity (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
|||||||||
Number Analyzed | 3 participants | 2 participants | 1 participants | 4 participants | 2 participants | 9 participants | 6 participants | 27 participants | |
Hispanic or Latino |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 11.1%
|
0 0.0%
|
1 3.7%
|
|
Not Hispanic or Latino |
3 100.0%
|
2 100.0%
|
1 100.0%
|
4 100.0%
|
2 100.0%
|
7 77.8%
|
6 100.0%
|
25 92.6%
|
|
Unknown or Not Reported |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 11.1%
|
0 0.0%
|
1 3.7%
|
|
Race (NIH/OMB)
Measure Type: Count of Participants Unit of measure: Participants |
|||||||||
Number Analyzed | 3 participants | 2 participants | 1 participants | 4 participants | 2 participants | 9 participants | 6 participants | 27 participants | |
American Indian or Alaska Native |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
|
Asian |
0 0.0%
|
1 50.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 3.7%
|
|
Native Hawaiian or Other Pacific Islander |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
|
Black or African American |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
|
White |
3 100.0%
|
1 50.0%
|
1 100.0%
|
4 100.0%
|
2 100.0%
|
8 88.9%
|
6 100.0%
|
25 92.6%
|
|
More than one race |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 11.1%
|
0 0.0%
|
1 3.7%
|
|
Unknown or Not Reported |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
|
Region of Enrollment
Measure Type: Number Unit of measure: Participants |
|||||||||
United States | Number Analyzed | 3 participants | 2 participants | 1 participants | 4 participants | 2 participants | 9 participants | 6 participants | 27 participants |
3 | 2 | 1 | 4 | 2 | 9 | 6 | 27 | ||
Prior Lines of Therapy
Measure Type: Count of Participants Unit of measure: Participants |
Number Analyzed | 3 participants | 2 participants | 1 participants | 4 participants | 2 participants | 9 participants | 6 participants | 27 participants |
1 Line of therapy |
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 25.0%
|
0 0.0%
|
0 0.0%
|
1 16.7%
|
2 7.4%
|
|
2 Lines of therapy |
0 0.0%
|
1 50.0%
|
0 0.0%
|
1 25.0%
|
1 50.0%
|
2 22.2%
|
1 16.7%
|
6 22.2%
|
|
3 Lines of therapy |
1 33.3%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 50.0%
|
1 11.1%
|
1 16.7%
|
4 14.8%
|
|
4 Lines of therapy |
1 33.3%
|
0 0.0%
|
1 100.0%
|
1 25.0%
|
0 0.0%
|
4 44.4%
|
0 0.0%
|
7 25.9%
|
|
5 Lines of therapy |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 11.1%
|
2 33.3%
|
3 11.1%
|
|
6 Lines of therapy |
0 0.0%
|
1 50.0%
|
0 0.0%
|
1 25.0%
|
0 0.0%
|
1 11.1%
|
0 0.0%
|
3 11.1%
|
|
9 Lines of therapy |
1 33.3%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 16.7%
|
2 7.4%
|
|
Lymphoma Type
Measure Type: Count of Participants Unit of measure: Participants |
Number Analyzed | 3 participants | 2 participants | 1 participants | 4 participants | 2 participants | 9 participants | 6 participants | 27 participants |
DLBCL |
1 33.3%
|
0 0.0%
|
0 0.0%
|
1 25.0%
|
1 50.0%
|
4 44.4%
|
3 50.0%
|
10 37.0%
|
|
DLBCL transformed from follicular lymphoma |
0 0.0%
|
1 50.0%
|
0 0.0%
|
0 0.0%
|
1 50.0%
|
0 0.0%
|
0 0.0%
|
2 7.4%
|
|
DLBCL, double-hit |
1 33.3%
|
1 50.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 11.1%
|
0 0.0%
|
3 11.1%
|
|
DLBCL, triple-hit |
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 25.0%
|
0 0.0%
|
1 11.1%
|
0 0.0%
|
2 7.4%
|
|
Mantle-cell lymphoma |
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 25.0%
|
0 0.0%
|
1 11.1%
|
1 16.7%
|
3 11.1%
|
|
Follicular lymphoma |
1 33.3%
|
0 0.0%
|
1 100.0%
|
0 0.0%
|
0 0.0%
|
1 11.1%
|
0 0.0%
|
3 11.1%
|
|
Burkitt lymphoma |
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 25.0%
|
0 0.0%
|
0 0.0%
|
1 16.7%
|
2 7.4%
|
|
CLL/DLBCL |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 11.1%
|
0 0.0%
|
1 3.7%
|
|
ALL |
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
0 0.0%
|
1 16.7%
|
1 3.7%
|
Outcome Measures
Adverse Events
Limitations and Caveats
[Not Specified]
More Information
Results Point of Contact
Name/Title: | Dr. James N. Kochenderfer |
Organization: | National Cancer Institute |
Phone: | 240-760-6062 |
EMail: | kochendj@nih.gov |
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: | James Kochenderfer, M.D., National Cancer Institute (NCI) |
ClinicalTrials.gov Identifier: | NCT02659943 |
Other Study ID Numbers: |
160054 16-C-0054 |
First Submitted: | January 20, 2016 |
First Posted: | January 21, 2016 |
Results First Submitted: | February 22, 2021 |
Results First Posted: | May 4, 2021 |
Last Update Posted: | April 19, 2023 |