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A multi-center, open-label, phase Ib study to evaluate the safety and tolerability of the administration of tisagenlecleucel in combination with ibrutinib in patients with r/r DLBCL who have received two or more lines of systemic therapy, including an anti-CD20 and anthracycline based chemotherapy, and who have progressed after or are not candidates for ASCT.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Ibrutinib (before leukapheresis) + Tisagenlecleucel | Experimental | Patients will start ibrutinib treatment before leukapheresis |
|
| Ibrutinib (after leukapheresis) + Tisagenlecleucel | Experimental | Patients will start ibrutinib treatment after leukapheresis. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Tisagenlecleucel | Biological | Infusion |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of adverse events (AEs) and serious adverse events (SAEs) | Month 24 is planned study end | 24 months |
| Severity of adverse events (AEs) and serious adverse events (SAEs) | Month 24 is planned study end | 24 months |
| Ibrutinib dose modification following tisagenlecleucel infusion | Month 24 is planned study end | 24 months |
| Measure | Description | Time Frame |
|---|---|---|
| Response Rate | 3-months post tisagenlecleucel infusion, assessed by local investigator according to Lugano criteria | Month 3 |
| Response Rate | 6-month post tisagenlecleucel infusion, assessed by local investigator according to Lugano criteria |
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Inclusion Criteria:
Exclusion Criteria:
Other eligibility criteria may apply.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| H Lee Moffitt Cancer Center and Research Institute | Tampa | Florida | 33612 | United States | ||
| University of Pennsylvania, Abramson Cancer Center |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41536778 | Derived | Chavez JC, Napier E, Bondanza A, Lewandowski A, Mataraza J, Quinn D, Kwon P, Locke FL, Engels B, Awasthi R, Georgala P, Leyk M, Hynds D, Moschetta M, Schuster SJ. Tisagenlecleucel in combination with ibrutinib in adults with relapsed and/or refractory large B-cell lymphomas. Blood Neoplasia. 2025 Oct 24;3(1):100176. doi: 10.1016/j.bneo.2025.100176. eCollection 2026 Feb. |
| Label | URL |
|---|---|
| Study results | View source |
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| ID | Term |
|---|---|
| D016403 | Lymphoma, Large B-Cell, Diffuse |
| D008223 | Lymphoma |
| D012008 | Recurrence |
| ID | Term |
|---|---|
| D016393 | Lymphoma, B-Cell |
| D008228 | Lymphoma, Non-Hodgkin |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
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| ID | Term |
|---|---|
| C000626284 | tisagenlecleucel |
| C551803 | ibrutinib |
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"The study will enroll patients into two arms in parallel: Arm 1: Patients will start ibrutinib treatment before leukapheresis. Arm 2: Patients will start ibrutinib treatment after leukapheresis. Approximately 3-6 patients will be enrolled into each of the two arms in parallel. An early safety review will be performed after these patients have received sufficient ibrutinib treatment and tisagenlecleucel infusion, and have completed at least 21 days of follow up. Additional patients (up to 20 total) will be enrolled into both arms to further characterize the safety, tolerability and preliminary efficacy of ibrutinib in combination with tisagenlecleucel."
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| Ibrutinib | Drug | Oral (tablets or capsules) |
|
| Month 6 |
| Overall Response Rate | 24 months |
| Duration of Response | 24 months |
| Progression Free Survival (PFS) | 24 months |
| Overall Survival (OS) | 24 months |
| Tisagenlecleucel transgene concentrations | qPCR will be used to measure tisagenlecleucel transgene concentrations in available tissue, such as peripheral blood, bone marrow, tumor/lymph node tissue, and/or CSF. | 24 months |
| Cellular kinetics of Tisagenlecleucel (Cmax) | Cmax cellular kinetics parameter (via qPCR) for tisagenlecleucel in the presence of ibrutinib | 24 months |
| Cellular kinetics of Tisagenlecleucel (Tmax) | Tmax cellular kinetics parameter (via qPCR) for tisagenlecleucel in the presence of ibrutinib | 24 months |
| Cellular kinetics of Tisagenlecleucel (AUC) | AUC cellular kinetics parameter (via qPCR) for tisagenlecleucel in the presence of ibrutinib | 24 months |
| Cellular kinetics of Tisagenlecleucel (Clast) | Clast cellular kinetics parameter (via qPCR) for tisagenlecleucel in the presence of ibrutinib | 24 month |
| Cellular kinetics of Tisagenlecleucel (Tlast) | Tlast cellular kinetics parameter (via qPCR) for tisagenlecleucel in the presence of ibrutinib | 24 month |
| Anti-drug antibody (ADA) response to Tisagenlecleucel (humoral immunogenicity) | Pre-existing and treatment related immunogenicity (humoral) of tisagenlecleucel will be characterized by flow cytometry | 24 months |
| Anti- tisagenlecleucel t-cell response (cellular immunogenicity) | Pre-existing and treatment related immunogenicity (cellular) of tisagenlecleucel will be characterized IFN-g staining and flow cytometry | 24 months |
| Characterize cellular kinetic parameters in the presence of ADA and/or anti-tisagenlecleucel t-cell response | 24 months |
| Characterize efficacy of tisagenlecleucel in the presence of ADA and/or anti-tisagenlecleucel t-cell response | 24 month |
| Philadelphia |
| Pennsylvania |
| 19104 |
| United States |
| A Plain Language Trial Summary is available on novctrd.com | View source |
| D008232 |
| Lymphoproliferative Disorders |
| D008206 | Lymphatic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |