Phase 2
Completed N=37
Study of Safety and Efficacy of KTE-C19 in Combination With Atezolizumab in Adults With Refractory Diffuse Large B-Cell Lymphoma (DLBCL)
Source: ClinicalTrials.gov NCT02926833 ↗Enrolled (actual)
37
Serious AEs
67.7%
Results posted
Jun 2020
Primary outcomePrimary: Phase 1: Number of Participants Experiencing Dose-Limiting Toxicities (DLTs) — 0; 0; 1 Participants
Summary
The primary objective of phase 1 is to evaluate the safety of KTE-C19 and atezolizumab combination regimens.
The primary objective of phase 2 is to evaluate the efficacy of KTE-C19 and atezolizumab, as measured by complete response rate in participants with refractory diffuse large B-cell lymphoma (DLBCL).
Participants who received an infusion of KTE-C19 will complete the remainder of the 15 year follow-up assessments in a separate long-term follow-up study, KT-US-982-5968 (NCT05041309).
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Phase 1: Number of Participants Experiencing Dose-Limiting Toxicities (DLTs) |
0; 0; 1 | — |
| PRIMARY Phase 1 and 2: Complete Response Rate (CRR) |
54 | — |
| SECONDARY Phase 1 and 2: Objective Response Rate (ORR) |
75 | — |
| SECONDARY Phase 1 and 2: Duration of Response (DOR) |
41.4 | — |
| SECONDARY Phase 1 and 2: Progression-Free Survival (PFS) |
9 | — |
| SECONDARY Phase 1 and 2: Overall Survival (OS) |
32.2 | — |
| SECONDARY Phase 1 and 2: Percentage of Participants Experiencing Treatment-Emergent Adverse Events (TEAEs) |
100; 100; 100; 100 | — |
| SECONDARY Phase 1 and 2: Percentage of Participants With Serum Chemistry Toxicity Grade Shifts to Grade 3 or Higher Resulting From Increased Parameter Values |
0; 0; 0; 5; 0; 0 | — |
| SECONDARY Phase 1 and 2: Percentage of Participants With Serum Chemistry Toxicity Grade Shifts to Grade 3 or Higher Resulting From Decreased Parameter Values |
33; 0; 0; 9; 33; 0 | — |
| SECONDARY Phase 1 and 2: Percentage of Participants With Hematology Toxicity Grade Shifts to Grade 3 or Higher Resulting From Increased Parameter Values |
0; 0; 0; 0 | — |
| SECONDARY Phase 1 and 2: Percentage of Participants With Hematology Toxicity Grade Shifts to Grade 3 or Higher Resulting From Decreased Parameter Values |
100; 67; 83; 59; 0; 0 | — |
| SECONDARY Phase 1 and 2: Peak Anti-CD19 CAR T-Cell (KTE-C19) Level (Maximum Observed Plasma Concentration) in Blood |
86.87; 167.88; 60.71; 60.22 | — |
| SECONDARY Phase 1 and 2: Percentage of Participants With Anti-KTE-C19 Antibodies |
0; 0; 0; 0 | — |
| SECONDARY Phase 1 and 2: Atezolizumab Levels in Blood |
373000; 328000; 435000; 403000; 73900; 110000 | — |
| SECONDARY Phase 1 and 2: Percentage of Participants With Anti-Atezolizumab Antibodies |
0; 0; 0; 0 | — |
| SECONDARY Phase 1 and 2: Peak Serum Levels of C-Reactive Protein (CRP) in Blood |
174.03 | — |
| SECONDARY Phase 1 and 2: Peak Serum Levels of C-X-C Motif Chemokine 10 (CXCL10), Interferon-Gamma (IFN-γ), Interleukin-1 Receptor Antagonist (IL-1RA), Interleukin (IL)-2, IL-6, IL-8, IL-15, and Tumor Necrosis Factor-Alpha (TNF-α) in Blood |
2000.00; 587.80; 2469.60; 17.55; 121.55; 180.65 | — |
| SECONDARY Phase 1 and 2: Peak Serum Levels of Ferritin in Blood |
1427.39 | — |
| SECONDARY Phase 1 and 2: Peak Serum Levels of Interleukin-2 Receptor Alpha (IL-2Rα) in Blood |
17.75 | — |
Eligibility Criteria
Key Inclusion Criteria
- Histologically confirmed DLBCL
- Chemotherapy-refractory disease, defined as one or more of the following:
- Stable disease (duration of stable disease must be less than or equal to 6 months) or progressive disease as best response to most recent chemotherapy containing regimen
- Disease progression or recurrence less than or equal to 12 months of prior autologous stem cell transplantation (SCT)
- Individuals must have received adequate prior therapy including at a minimum:
- Anti-cluster of differentiate 20 (anti-CD20) monoclonal antibody unless investigator determines that tumor is CD20-negative; and
- an anthracycline containing chemotherapy regimen
- At least one measurable lesion per revised International Working Group (IWG) Response Criteria
- Age 18 years or older
- Eastern cooperative oncology group (ECOG) performance status of 0 or 1
- Adequate organ and bone marrow function
- All individuals or legally appointed representatives/caregivers, must personally sign and date the institutional review board (IRB)/independent ethics committee (IEC) approved consent form before initiating any study specific procedures or activities.
Key Exclusion Criteria
- History of malignancy other than nonmelanoma skin cancer or carcinoma in situ (e.g., cervix, bladder, breast) or follicular lymphoma unless disease free for at least 3 years
- History of allogeneic stem cell transplantation
- Prior CAR therapy or other genetically modified T cell therapy
- Clinically significant active infection
- Known history of infection with human immunodeficiency virus (HIV) or hepatitis B (HBsAg positive) or hepatitis C virus (anti-HCV positive)
- Individuals with detectable cerebrospinal fluid malignant cells or brain metastases or with a history of cerebrospinal fluid malignant cells or brain metastases
- History of a seizure disorder, cerebrovascular ischemia/hemorrhage, dementia, cerebellar disease, or any autoimmune disease with central nervous system (CNS) involvement
- History of autoimmune disease. Participants with a history of autoimmune-related hypothyroidism on a stable dose of thyroid replacement hormone and participants with controlled type 1 diabetes mellitus on a stable insulin regimen may be eligible for this study.
- History of idiopathic pulmonary fibrosis, organizing pneumonia (e.g., bronchiolitis obliterans), drug-induced pneumonitis, idiopathic pneumonitis, or evidence of active pneumonitis per chest computed tomography (CT) scan at screening. History of radiation pneumonitis in the radiation field (fibrosis) is allowed.
- Prior treatment with Programmed Cell Death Ligand 1 (PD-L1) inhibitor, PD-1 inhibitor, anti-CTLA4, anti-CD137, anti-OX40 or other immune checkpoint blockade or activator therapy with the exception of Individuals who received atezolizumab in this study and are eligible for re-treatment
- Prior CD19 targeted therapy
Note: Other protocol defined Inclusion/Exclusion criteria may apply
Data sourced from ClinicalTrials.gov (NCT02926833). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.