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CAR T-cell Therapy

Study to Evaluate the Efficacy and Safety of Axicabtagene Ciloleucel as First-Line Therapy in Participants With High-Risk Large B-Cell Lymphoma (ZUMA-12 Trial)

Phase 2
Waitlist Available
Research Sponsored by Kite, A Gilead Company
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 4 years
Awards & highlights
No Placebo-Only Group

Summary

This trial is testing axicabtagene ciloleucel, a treatment that modifies a patient's immune cells to fight cancer, in patients with high-risk large B-cell lymphoma. The goal is to see how well this treatment works.

Eligible Conditions
  • Lymphoma

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 4 years
This trial's timeline: 3 weeks for screening, Varies for treatment, and up to 4 years for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.
Primary study objectives
Complete Response (CR) Rate Per the Lugano Classification as Determined by Study Investigators
Secondary study objectives
Duration of Response (DOR) Per the Lugano Classification
Event-Free Survival (EFS)
Objective Response Rate (ORR) Per the Lugano Classification as Determined by Study Investigators
+11 more

Side effects data

From 2023 Phase 2 trial • 27 Patients • NCT04002401
88%
Pyrexia
65%
Neutrophil count decreased
62%
Nausea
58%
Hypotension
50%
Anaemia
46%
Headache
38%
Fatigue
38%
Decreased appetite
35%
Confusional state
31%
Tachycardia
31%
Diarrhoea
31%
Hypokalaemia
27%
Constipation
27%
Hypophosphataemia
27%
Back pain
23%
B-cell lymphoma
23%
Dizziness
23%
Tremor
23%
Platelet count decreased
23%
White blood cell count decreased
19%
Cough
19%
Agitation
19%
Hyponatraemia
19%
Neutropenia
19%
Tachypnoea
19%
Hypogammaglobulinaemia
19%
Oedema peripheral
15%
Hypomagnesaemia
15%
Thrombocytopenia
15%
Alanine aminotransferase increased
15%
Sinus tachycardia
15%
Chills
15%
Dyspnoea
15%
Dysphagia
12%
Aspartate aminotransferase increased
12%
Pain
12%
Myalgia
12%
Hypertension
12%
Hyperglycaemia
12%
Hypoxia
12%
Vomiting
12%
Abdominal pain
12%
Peripheral sensory neuropathy
12%
Arthralgia
12%
Covid-19
12%
Malaise
8%
Dysuria
8%
Muscular weakness
8%
Oral candidiasis
8%
Blood creatinine increased
8%
Hyperhidrosis
8%
Acute myeloid leukaemia
8%
Sepsis
8%
Pancytopenia
8%
Eye pain
8%
Lymphocyte count decreased
8%
Asthenia
8%
Urinary tract infection
8%
Somnolence
8%
Encephalopathy
8%
Insomnia
8%
Pneumonia
8%
Gait disturbance
8%
Aphasia
4%
Pleural effusion
4%
Depression
4%
Embolism
4%
Syncope
4%
Respiratory failure
4%
Febrile neutropenia
4%
Covid-19 pneumonia
100%
80%
60%
40%
20%
0%
Study treatment Arm
Axicabtagene Ciloleucel and Rituximab Combination

Awards & Highlights

No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.

Trial Design

1Treatment groups
Experimental Treatment
Group I: Axicabtagene CiloleucelExperimental Treatment3 Interventions
Participants will receive cyclophosphamide 500 mg/m\^2/day intravenously (IV) and fludarabine 30 mg/m\^2/day IV conditioning chemotherapy for 3 days followed by axicabtagene ciloleucel administered as a single IV infusion at a target dose of 2 x 10\^6 anti-cluster of differentiation (CD)19 chimeric antigen receptor (CAR) transduced autologous T cells/kg on Day 0. For participants weighing ≥ 100 kg, a maximum flat dose of axicabtagene ciloleucel at 2 x 10\^8 anti-CD19 CAR T cells will be administered. Participants who achieve partial response or complete response and subsequently experience disease progression will have an option to receive second course of conditioning chemotherapy therapy and axicabtagene ciloleucel. Participants will receive the same axicabtagene ciloleucel regimen as the original target dose anytime during the study.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Axicabtagene Ciloleucel
2020
Completed Phase 2
~510
Cyclophosphamide
2010
Completed Phase 4
~2310
Fludarabine
2012
Completed Phase 4
~1860

Find a Location

Who is running the clinical trial?

Kite, A Gilead CompanyLead Sponsor
44 Previous Clinical Trials
3,917 Total Patients Enrolled
28 Trials studying Lymphoma
2,305 Patients Enrolled for Lymphoma
Kite Study DirectorStudy DirectorKite, A Gilead Company
29 Previous Clinical Trials
3,300 Total Patients Enrolled
19 Trials studying Lymphoma
1,950 Patients Enrolled for Lymphoma

Media Library

Axicabtagene Ciloleucel (CAR T-cell Therapy) Clinical Trial Eligibility Overview. Trial Name: NCT03761056 — Phase 2
Lymphoma Research Study Groups: Axicabtagene Ciloleucel
Lymphoma Clinical Trial 2023: Axicabtagene Ciloleucel Highlights & Side Effects. Trial Name: NCT03761056 — Phase 2
Axicabtagene Ciloleucel (CAR T-cell Therapy) 2023 Treatment Timeline for Medical Study. Trial Name: NCT03761056 — Phase 2
~6 spots leftby Dec 2025