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Trial Title: FT522 With Rituximab in Relapsed/Refractory B-Cell Lymphoma (FT522-101)

NCT ID: NCT05950334

Condition: Relapsed/Refractory B-Cell Lymphoma

Conditions: Official terms:
Lymphoma
Lymphoma, B-Cell
Cyclophosphamide
Bendamustine Hydrochloride
Rituximab
Fludarabine

Study type: Interventional

Study phase: Phase 1

Overall status: Recruiting

Study design:

Allocation: Non-Randomized

Intervention model: Sequential Assignment

Intervention model description: Participants will be enrolled first into a dose-escalation stage, followed by a dose optimization stage, and a dose-expansion stage.

Primary purpose: Treatment

Masking: None (Open Label)

Masking description: The initial dose escalation stage of the study is nonrandomized; the dose optimization stage is randomized; the dose expansion stage is nonrandomized.

Intervention:

Intervention type: Drug
Intervention name: FT522
Description: FT522 drug product is administered as an intravenous infusion on Days 1, 4 and 8 of a treatment cycle.
Arm group label: Regimen A
Arm group label: Regimen B

Intervention type: Drug
Intervention name: Rituximab
Description: Rituximab will be administered as an IV infusion on Day -4 of the treatment cycle.
Arm group label: Regimen A
Arm group label: Regimen B

Other name: RITUXAN

Other name: TRUXIMA

Other name: RUXIENCE

Other name: RIABNI

Intervention type: Drug
Intervention name: Cyclophosphamide
Description: Cyclophosphamide will be administered as an IV infusion at a dose of 500 mg/m^2 on Day -5, Day -4, and Day -3 of the treatment cycle.
Arm group label: Regimen A

Intervention type: Drug
Intervention name: Fludarabine
Description: Fludarabine will be administered as an IV infusion at a dose of 30 mg/m^2 on Day -5, Day -4, and Day -3 of the treatment cycle.
Arm group label: Regimen A

Intervention type: Drug
Intervention name: Bendamustine
Description: Bendamustine will be administered as an IV infusion at a dose of 90 mg/m^2 on Day -5 and Day -4 of the treatment cycle. Bendamustine may be administered as an alternative to cyclophosphamide/fludarabine.
Arm group label: Regimen A

Summary: This is a phase 1 study of FT522 administered with rituximab in participants with relapsed/refractory B-cell lymphoma (R/R BCL). The primary objectives of the study are to evaluate the safety and tolerability of FT522 in combination with rituximab, and to determine the recommended phase 2 dose (RP2D) of FT522 in combination with rituximab; each objective will be assessed with or without conditioning chemotherapy.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Diagnosis of B-cell lymphoma (BCL) as: (1) histologically documented lymphomas expected to express CD19 and CD20, including Grades 1 to 3B follicular lymphoma (FL), marginal zone lymphoma (MZL), Waldenstrom macroglobulinemia (WM), mantle cell lymphoma (MCL), transformed indolent non-Hodgkin lymphoma (tNHL), diffuse large B-cell lymphoma (DLBCL) [not otherwise specified], high-grade BCL, primary mediastinal BCL, and Richter transformation (RT; expansion part of study only); (2) R/R disease following at least 1 prior systemic regimen containing an anti-CD20 monoclonal antibody (mAb) for which the participant has no available curative treatment options; and (3) evaluable F-fluorodeoxyglucose (FDG)-avid disease, or measurable disease defined by at least one bi dimensionally measurable lesion - Male participants and female participants of childbearing potential who engage in heterosexual intercourse must agree to use protocol-specified method(s) of contraception Exclusion Criteria: - Females who are pregnant or breastfeeding - Eastern Cooperative Oncology Group (ECOG) Performance Status ≥2 - Body weight <50 kg - Evidence of insufficient organ function - Receipt of any biological therapy, chemotherapy (except for rituximab), or any investigational therapy within 2 weeks prior to Day 1 or five half-lives, whichever is shorter; or localized radiation therapy to a target lesion within 14 days prior to Day 1 - Currently receiving or likely to require systemic immunosuppressive therapy, e.g., prednisone >5 mg daily, for any reason from Day -5 to Day 29, with the exception of corticosteroids as a pre medication required for conditioning chemotherapy or rituximab - Prior allogeneic hematopoietic stem cell transplant (HSCT) or allogeneic chimeric antigen receptor (CAR) T-cell therapy within 6 months of Day 1, or ongoing requirement for systemic graft-versus-host disease (GvHD) therapy - Receipt of an allograft organ transplant - Non-malignant central nervous system (CNS) disease such as stroke, epilepsy, CNS vasculitis, or neurodegenerative disease or receipt of medications for these conditions in the 2-year period leading up to study enrollment - Clinically significant cardiovascular disease - Clinically significant infections - Receipt of a live vaccine <6 weeks prior to start of study intervention - Known allergy to human albumin or DMSO - Any medical condition or clinical laboratory abnormality that per investigator or medical monitor judgement, precludes safe participation in and completion of the study, or that could affect compliance with protocol conduct or interpretation of results

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Karmanos Cancer Center

Address:
City: Detroit
Zip: 48201
Country: United States

Status: Recruiting

Facility:
Name: University of Minnesota Masonic Cancer Center

Address:
City: Minneapolis
Zip: 55455
Country: United States

Status: Recruiting

Facility:
Name: University of Nebraska Medical Center

Address:
City: Omaha
Zip: 68198
Country: United States

Status: Recruiting

Facility:
Name: OU Health Stephenson Cancer Center

Address:
City: Oklahoma City
Zip: 73104
Country: United States

Status: Recruiting

Facility:
Name: Tennessee Oncology

Address:
City: Nashville
Zip: 37203
Country: United States

Status: Recruiting

Facility:
Name: Baylor Houston Methodist Hospital

Address:
City: Houston
Zip: 77030
Country: United States

Status: Recruiting

Start date: November 16, 2023

Completion date: June 30, 2044

Lead sponsor:
Agency: Fate Therapeutics
Agency class: Industry

Source: Fate Therapeutics

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05950334

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