Study of Rondecabtagene Autoleucel in Aggressive Large B-Cell Lymphoma
This is a Phase 1/2, multi-center, open-label study evaluating the safety and efficacy of rondecabtagene autoleucel (ronde-cel) also known as LYL314, a dual-targeting chimeric antigen receptor (CAR) targeting cluster of differentiation (CD)19 and CD20 in participants with aggressive large B-cell lymphoma.
Inclusion Criteria
- Age 18 years or older
- Willing and able to provide written informed consent
- Histologically confirmed LBCL, including the following types defined by the World Health Organization (WHO 2022) or International Consensus Classification (2022)
- Received at least two prior lines of therapy for Cohorts 1, 2, and 4 and one prior line of therapy for Cohort 3
- Relapsed or refractory disease.
- At least 1 measurable lesion (per Lugano classification)
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 or ECOG 0 to 2 (Cohort 5)
- Absolute neutrophil count (ANC) ≥ 1000/µL
- Platelet count ≥ 50,000/µL
- Absolute lymphocyte count (ALC) ≥ 200/µL Other protocol-defined criteria apply.
Exclusion Criteria
- History of malignancy other than non-melanoma skin cancer or carcinoma in situ unless disease-free for at least 3 years
- Active central nervous system involvement
- History of cardiac lymphoma involvement or Epstein-Barr virus (EBV)+ lymphoma
- Ongoing or impending oncologic emergency
- Recent systemic anti-cancer therapy or radiation
- Ongoing non-hematologic toxicities due to prior therapy
- History of allogeneic stem cell or solid organ transplantation
- Autologous stem cell transplantation within 6 weeks
- History of prior genetically modified cell therapy (Cohorts 1, 3, 4, 5) or no other than a product targeting CD19 with an FMC63-based CAR (e.g., axicabtagene ciloleucel (axi-cel), tisagenlecleucel (tisa-cel), or lisocabtagene maraleucel (liso-cel) (Cohort 2).
- Primary immunodeficiency
- History of autoimmune disease resulting in end organ injury or requiring recent therapy Other protocol-defined criteria apply.
Study sponsor and potential other locations can be found on ClinicalTrials.gov for NCT05826535.
Locations matching your search criteria
United States
California
Los Angeles
Orange
Iowa
Iowa City
Nebraska
Omaha
New Mexico
Albuquerque
New York
Bronx
Buffalo
North Carolina
Winston-Salem
Ohio
Cleveland
Pennsylvania
Philadelphia
Utah
Salt Lake City
Virginia
Richmond
This is a Phase 1/2, multi-center, open-label study evaluating the safety and efficacy of
ronde-cel, a dual-targeting chimeric antigen receptor (CAR) targeting cluster of
differentiation (CD)19 and CD20 in participants with aggressive large B-cell lymphoma.
Five cohorts of participants will be enrolled:
Cohort 1: (3rd or later line, 3L+) Participants who have received least two prior lines
of treatment
Cohort 2: (CAR T-cell experienced, 3L+): Participants who have received at least two
prior lines of treatment including one prior CAR T.
Cohort 3: (second line, 2L) Participants with refractory disease or relapse within one
year of first-line therapy (second-line).
Cohort 4: (TCE-experienced, 3L+) Participants have received prior T-cell engager therapy
and have received at least two prior lines of treatment including one TCE therapy and
have not received prior CAR T.
Cohort 5: (high-risk 1st line) Participants receiving first-line treatment who remain
with disease on positron emission tomography scanning (PET-positive) after 2 to 3 cycles
of standard-of-care chemoimmunotherapy and have not received prior CAR T.
Up to approximately 150 participants (across all cohorts) will be enrolled in the dose
finding Phase 1 part of the study.
The Phase 2 pivotal study (PiNACLE) will expand enrollment of Cohort 1 to approximately
120 participants to further evaluate the safety and efficacy of ronde-cel.
Ronde-cel treatment consists of a single administration of CAR transduced autologous
T-cells administered intravenously after a conditioning chemotherapy regimen consisting
of fludarabine and cyclophosphamide, administered over 3 days.
Individual participants will remain in the active post-treatment follow-up (PTFU) period
for approximately 2 years. Participants will continue in long-term follow-up (LTFU) for
15 years from ronde-cel treatment.
Trial PhasePhase I/II
Trial Typetreatment
Lead OrganizationLyell Immunopharma, Inc.
- Primary IDLYL314-101
- Secondary IDsNCI-2023-03746, MPCT-012L
- ClinicalTrials.gov IDNCT05826535