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Phase 2 Completed N=37 Treatment

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

OutcomeResultp-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

View full record on ClinicalTrials.gov →

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.

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