An Open-Label, Phase 1/2 Study of JCAR017 in Subjects With Relapsed or Refractory Chronic Lymphocytic Leukemia or Small Lymphocytic Lymphoma (017004)

Who is this study for? Adult patients with Chronic Lymphocytic Leukemia or Small Lymphocytic Lymphoma
What treatments are being studied? Lisocabtagene Maraleucel
Status: Recruiting
Location: See all (85) locations...
Intervention Type: Biological
Study Type: Interventional
Study Phase: Phase 1/Phase 2
SUMMARY

This is a Phase 1/2, open-label, multicenter study to determine the efficacy and safety of JCAR017 in adult subjects with relapsed or refractory CLL or SLL. The study will include a Phase 1 part to determine the recommended dose of JCAR017 monotherapy in subjects with relapsed or refractory CLL or SLL, followed by a Phase 2 part to further assess the efficacy and safety of JCAR017 monotherapy treatment at the recommended dose. A separate Phase 1 cohort will assess the combination of JCAR017 and concurrent ibrutinib. Another separate Phase 1 cohort will assess the combination of JCAR017 and concurrent venetoclax. In all subjects, the safety, efficacy, and pharmacokinetics (PK) of JCAR017 will be evaluated.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• Diagnosis of:

‣ CLL with an indication for treatment based on the Investigator's opinion and measurable disease, or

⁃ SLL (lymphadenopathy and/or splenomegaly and \< 5×10\^9 CD19+ CD5+ clonal B lymphocytes/L \[\< 5000/µL\] in the peripheral blood at diagnosis with measurable disease that is biopsy-proven SLL)

• Subjects (other than those in the ibrutinib + JCAR017 combination therapy and DEME cohort) must have received and failed Bruton tyrosine kinase inhibitor (BTKi) treatment or have been deemed ineligible for BTKi therapy.

• Subjects in the JCAR017 monotherapy cohorts must have received previous treatment as follows:

‣ Monotherapy cohorts EXCEPT DEME cohort: Subjects with CLL or SLL and high-risk features must have failed at least 2 lines of prior therapy.

⁃ Monotherapy cohorts EXCEPT DEME cohort: Subjects with CLL or SLL and standard-risk features must have failed at least 3 lines of prior therapy.

⁃ DEME cohort ONLY: Subjects with relapsed or refractory CLL or SLL, irrespective of cytogenetic risk features, must have received at least 2 lines of prior therapy including a BTKi and a BCL2i.

• Subjects in the ibrutinib + JCAR017 combination therapy cohort must either:

‣ be receiving ibrutinib and progressing at the time of study enrollment

⁃ be receiving ibrutinib for at least 6 months with a response less than complete response/remission (CR) and have high-risk features as defined in inclusion criterion 5a

⁃ have BTK or PLCgamma2 mutations per local laboratory assessment, with or without progression on ibrutinib

⁃ have previously received ibrutinib and have no contraindications to restarting ibrutinib

• Eastern Cooperative Oncology Group performance status of ≤ 1

• Assessed by the Investigator to have adequate bone marrow function to receive lymphodepleting chemotherapy

• Adequate organ function, defined as:

‣ Serum creatinine ≤ 1.5 × age-adjusted upper limit of normal (ULN) OR calculated creatinine clearance \> 30 mL/min

⁃ Alanine aminotransferase ≤ 5 × ULN and total bilirubin \< 2.0 mg/dL (or \< 3.0 mg/dL for subjects with Gilbert's syndrome or leukemic infiltration of the liver)

⁃ Adequate pulmonary function, defined as ≤ Common Terminology Criteria for Adverse Events (CTCAE) Grade 1 dyspnea and saturated oxygen (SaO2) ≥ 92% on room air

⁃ Adequate cardiac function, defined as left ventricular ejection fraction ≥ 40% as assessed by echocardiogram or multiple uptake gated acquisition scan performed within 30 days prior to determination of eligibility

• Subject either currently has central vascular access or is a candidate to receive central vascular access or peripheral vascular access for leukapheresis procedure.

• If prior CD19-targeted therapy has been administered, subject must have CD19-positive disease confirmed by immunohistochemistry or flow cytometry since completing the prior CD19-targeted therapy.

• Subjects in ibrutinib + JCAR017 combination cohort must have progressed on a BTKi and have received prior therapy with venetoclax

• Subjects in venetoclax + JCAR017 combination cohort must:

‣ have failed at least 1 prior line of therapy, including failed BTKi therapy or have been deemed ineligible to receive BTKi

⁃ be venetoclax naive (required for dose expansion) or

⁃ if prior venetoclax (only for dose escalation)

⁃ have no contraindictions to re-initiation of venetoclax based on prior intolerance and have had at least 6 months elapsed since the last dose of venetoclax, if either, best response was stable disease, or subject experienced disease progression on venetoclax, or within 6 months of venetoclax discontinuation

• subjects in the venetoclax + JCAR017 combination must have hemoglobin \>=9 g/dL, absolute neutrophil count \>=500mm3 and platelets\>= 75,000/mm3, unless cytopenias are judged by investigator to be due to CLL infiltration of the bone marrow

• must have diagnosis of CLL or SLL with an indication for treatment based on the investigator's opinion and measurable disease (any of the following measurable lymph nodes ≥1.5 cm in the greatest transverse diameter and/or hepatomegaly or splenomegaly) and demonstration of CLL cells in the peripheral blood by flow cytometry

Locations
United States
Alabama
University of Alabama at Birmingham
RECRUITING
Birmingham
University of Alabama Birmingham
RECRUITING
Birmingham
Arizona
Banner MD Anderson Cancer Center
RECRUITING
Gilbert
Banner MD Anderson Cancer Center
RECRUITING
Gilbert
California
City of Hope
RECRUITING
Duarte
City Of Hope
RECRUITING
Duarte
UC San Diego Moores Cancer Center
RECRUITING
La Jolla
University Of California San Diego Moores Cancer Center
RECRUITING
La Jolla
Local Institution - 0059
ACTIVE_NOT_RECRUITING
Los Angeles
University of California, Los Angeles
RECRUITING
Los Angeles
Local Institution - 0010
ACTIVE_NOT_RECRUITING
San Francisco
University of California, San Francisco
RECRUITING
San Francisco
Colorado
Colorado Blood Cancer Institute
RECRUITING
Denver
Washington, D.c.
Georgetown University Medical Center
RECRUITING
Washington D.c.
Local Institution - 0085
COMPLETED
Washington D.c.
Delaware
Local Institution - 0110
WITHDRAWN
Newark
Florida
Mayo Clinic
RECRUITING
Jacksonville
Mayo Clinic - Jacksonville
RECRUITING
Jacksonville
Georgia
Local Institution - 0019
ACTIVE_NOT_RECRUITING
Atlanta
Local Institution - 0104
NOT_YET_RECRUITING
Atlanta
The Blood and Marrow Transplant Group of Georgia (BMTGA)
RECRUITING
Atlanta
Illinois
Northwestern Memorial Hospital
RECRUITING
Chicago
Northwestern University
RECRUITING
Chicago
University of Chicago Medical Center
RECRUITING
Chicago
University Of Chicago Medical Center
RECRUITING
Chicago
Indiana
Franciscan St. Francis Health - Indiana Blood and Marrow Transplantation (IBMT)
RECRUITING
Indianapolis
Kansas
Local Institution - 0107
NOT_YET_RECRUITING
Wichita
Kentucky
Norton Healthcare - Norton Cancer Institute
RECRUITING
Louisville
Louisiana
Local Institution - 0027
COMPLETED
New Orleans
Massachusetts
Beth Israel Deaconess Medical Center
RECRUITING
Boston
Local Institution - 0005
ACTIVE_NOT_RECRUITING
Boston
Local Institution - 0015
ACTIVE_NOT_RECRUITING
Boston
Massachusetts General Hospital
RECRUITING
Boston
Michigan
University of Michigan Comprehensive Cancer Center
RECRUITING
Ann Arbor
University Of Michigan Comprehensive Cancer Center
RECRUITING
Ann Arbor
Barbara Ann Karmanos Cancer Institute
RECRUITING
Detroit
Local Institution - 0062
ACTIVE_NOT_RECRUITING
Detroit
Local Institution - 0109
NOT_YET_RECRUITING
Detroit
Minnesota
Mayo Clinic
RECRUITING
Rochester
Mayo Clinic
RECRUITING
Rochester
North Carolina
Duke University Medical Center
RECRUITING
Durham
Duke University Medical Center
RECRUITING
Durham
Nebraska
University of Nebraska Medical Center
RECRUITING
Omaha
University Of Nebraska Medical Center
RECRUITING
Omaha
New Jersey
Local Institution - 0001
NOT_YET_RECRUITING
Basking Ridge
Astera Cancer Care
RECRUITING
Edison
Hackensack University Medical Center
RECRUITING
Hackensack
John Theurer Cancer Center
RECRUITING
Hackensack
Atlantic Health System / Morristown Medical Center
RECRUITING
Morristown
Local Institution - 0077
COMPLETED
New Brunswick
Rutgers Cancer Institute of New Jersey
RECRUITING
New Brunswick
New York
Columbia University Medical Center
WITHDRAWN
New York
Local Institution - 0026
COMPLETED
New York
Local Institution - 0035
ACTIVE_NOT_RECRUITING
New York
Weill Cornell Medical College
RECRUITING
New York
Stony Brook University
RECRUITING
Stony Brook
Ohio
University Hospitals Cleveland Medical Center
RECRUITING
Cleveland
University Hospitals Seidman Cancer Center (Case Western)
RECRUITING
Cleveland
The Ohio State University Comprehensive Cancer Center
RECRUITING
Columbus
Oklahoma
University of Oklahoma Health Sciences Center (Stephenson Cancer Center)
RECRUITING
Oklahoma City
University of Oklahoma Peggy and Charles Stephenson Cancer Center
RECRUITING
Oklahoma City
Oregon
Local Institution - 0098
COMPLETED
Eugene
Pennsylvania
Thomas Jefferson University
RECRUITING
Philadelphia
Thomas Jefferson University - Clinical Research Institute
RECRUITING
Philadelphia
University of Pennsylvania - Perelman Center for Advanced Medicine
RECRUITING
Philadelphia
University of Pennsylvania Perelman Center for Advanced Medicine
RECRUITING
Philadelphia
Local Institution - 0029
ACTIVE_NOT_RECRUITING
Pittsburgh
UPMC Hillman Cancer Center
RECRUITING
Pittsburgh
Texas
Baylor University Medical Center
RECRUITING
Dallas
Local Institution - 0079
COMPLETED
Dallas
Local Institution - 0083
COMPLETED
Dallas
University of Texas Southwestern Medical Center
RECRUITING
Dallas
The University of Texas - MD Anderson Cancer Center
RECRUITING
Houston
The University of Texas MD Anderson Cancer Center
RECRUITING
Houston
Utah
Huntsman Cancer Institute
RECRUITING
Salt Lake City
Local Institution - 0028
ACTIVE_NOT_RECRUITING
Salt Lake City
Virginia
Local Institution - 0113
WITHDRAWN
Charlottesville
Local Institution - 0087
COMPLETED
Richmond
Virginia Commonwealth University
WITHDRAWN
Richmond
Washington
Fred Hutchinson Cancer Research Center
RECRUITING
Seattle
Local Institution - 0018
ACTIVE_NOT_RECRUITING
Seattle
Wisconsin
Froedtert Hospital BMT Medical College of Wisconsin
RECRUITING
Milwaukee
Medical College of Wisconsin
RECRUITING
Milwaukee
Other Locations
Canada
Local Institution - 0112
WITHDRAWN
Toronto
Princess Margaret Cancer Centre
RECRUITING
Toronto
Contact Information
Primary
BMS Study Connect Contact Center www.BMSStudyConnect.com
Clinical.Trials@bms.com
855-907-3286
Backup
First line of the email MUST contain the NCT# and Site #.
Time Frame
Start Date: 2017-11-27
Estimated Completion Date: 2027-11-26
Participants
Target number of participants: 320
Treatments
Experimental: Phase 1 JCAR017 monotherapy
Subjects will be assigned to receive JCAR017 (lisocabtagene maraleucel)
Experimental: Phase 1 JCAR017 + ibrutinib
Subjects receiving ibrutinib at baseline will be assigned to receive JCAR017 (lisocabtagene maraleucel) at the recommended dose from the Phase 1 monotherapy arm + ibrutinib
Experimental: Phase 2 JCAR017 monotherapy
Subjects will receive JCAR017 (lisocabtagene maraleucel) at the recommended dose from the Phase 1 monotherapy arm
Experimental: Phase 1 JCAR017 + venetoclax
Subjects will receive venetoclax as bridging anticancer therapy until lymphodepletion chemotherapy/ JCAR017 (lisocabtagene maraleucel) at the recommended dose from the Phase 1 monotherapy arm. After JCAR017 infusion subjects will receive venetoclax until Day 90.
Experimental: Phase 2 JCAR017 Double-Exposed Monotherapy Expansion (DEME)
Subjects will receive JCAR017 monotherapy
Authors
Javier J Munoz, John McCarty, Nicole Lamanna
Sponsors
Leads: Juno Therapeutics, a Subsidiary of Celgene

This content was sourced from clinicaltrials.gov

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