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This study will have two Phases: Phase 1a and Phase 1b. The goal of Phase 1a of this clinical study is to learn more about the safety, tolerability and dosing of study drug KITE-197, in participants with relapsed or refractory large B-cell lymphoma (r/rLBCL). The goal of Phase 1b of this clinical study is learn about the effectiveness of the recommended dose of KITE-197 in participants with r/r LBCL.
The primary objectives of this study are:
Phase 1a: To evaluate the safety of KITE-197 in participants with r/r LBCL and determine the target dose level for Phase 1b.
Phase 1b: To evaluate the efficacy of KITE-197 in participants with r/r LBCL as measured by the complete remission (CR) rate.
Participants will be followed for approximately 6 months after the infusion of KITE-197 before transitioning to a separate Kite long-term follow-up study KT-US-982-5968, in which they will be followed for the remainder of the 15-year follow-up period.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| KITE-197 | Experimental | Phase 1a (Dose Escalation): Participants with r/r large B-cell lymphoma will receive lymphodepleting chemotherapy with cyclophosphamide and fludarabine followed by a single target starting dose of KITE-197 chimeric antigen receptor (CAR) transduced autologous T cells. Based on dose limiting toxicities (DLTs) observed in the first cohort, additional participants will be enrolled and administered escalating dose of KITE-197. Phase 1b (Dose Expansion): After completion of dose escalation, additional participants with r/r B-cell lymphoma across different disease indications will receive lymphodepleting chemotherapy with cyclophosphamide and fludarabine followed by a single dose of KITE-197 CAR-transduced autologous T cells at 1 or more dose-level deemed to be tolerable. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| KITE-197 | Drug | A single infusion of CAR-transduced autologous T cells administered intravenously |
|
| Measure | Description | Time Frame |
|---|---|---|
| Phase 1a: Percentage of Participants Experiencing any Dose-limiting Toxicities (DLTs) | First infusion date of KITE-197 up to 28 days | |
| Phase 1b: Complete Remission (CR) Rate | Complete remission rate is defined as the proportion of participants with complete remission, per international working group (IWG) Lugano classification, as assessed by the investigator. | Up to 24 months |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants Experiencing Adverse Events (AEs) | Enrollment up to 24 months plus 30 days | |
| Percentage of Participants Experiencing Serious Adverse Events (SAEs) | Enrollment up to 24 months plus 30 days |
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Key Inclusion Criteria:
Key Exclusion Criteria:
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
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| Name | Affiliation | Role |
|---|---|---|
| Kite Study Director | Kite, A Gilead Company | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sylvester Comprehensive Cancer Center | Miami | Florida | 33136 | United States | ||
| University of Chicago Medical Center |
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| Label | URL |
|---|---|
| Gilead Clinical Trials Website | View source |
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| Cyclophosphamide | Drug | Lymphodepleting chemotherapy administered intravenously |
|
| Fludarabine | Drug | Lymphodepleting chemotherapy administered intravenously |
|
| Overall Response Rate (ORR) | ORR is defined as the proportion of participants with best objective response of either a CR or a partial response (PR) during the trial prior to any new anti-lymphoma therapy, per the Lugano Classification, as determined by the investigator. | Up to 24 months |
| Duration of Response (DOR) | DOR is defined as the time from first objective response to disease progression or death from any cause among participants who have achieved CR or PR per the Lugano Classification, as determined by the investigator. | Up to 24 months |
| Progression-Free Survival (PFS) | PFS is defined as the time from KITE-197 infusion to disease progression per the Lugano Classification, as determined by investigator review or death from any cause. | Up to 24 months |
| Event Free Survival (EFS) | EFS is defined as the time from KITE-197 infusion to the earliest occurrence of death due to any cause, disease progression/relapse per investigator, or initiation of new anti-lymphoma therapy. | Up to 24 months |
| Time to Next Treatment (TTNT) | TTNT is defined as time from KITE-197 infusion to the start of subsequent new lymphoma therapy or death from any cause. | Up to 24 months |
| Overall Survival (OS) | OS is defined as the time from KITE-197 infusion to death from any cause. | Up to 24 months |
| Number of KITE-197 CAR T Cells in Blood Over Time Post Infusion | Up to 24 months |
| Proportion of Immune Cell Subsets in KITE-197 | Up to 24 months |
| Chicago |
| Illinois |
| 60637 |
| United States |
| Henry-Joyce Cancer Clinic | Nashville | Tennessee | 37232 | United States |
| St. David's South Austin Medical Center | Austin | Texas | 78704 | United States |
| Swedish Cancer Institute | Seattle | Washington | 98104 | United States |
| Royal Prince Alfred Hospital | Camperdown | New South Wales | 2050 | Australia |
| Royal Brisbane and Women's Hospital | South Brisbane | Queensland | 4101 | Australia |
| The Alfred Hospital | Melbourne | Victoria | 3004 | Australia |
| Cross Cancer Institute | Edmonton | T6G 1Z2 | Canada |
| QEII Health Sciences Centre | Halifax | B3H 2Y9 | Canada |
| Jewish General Hospital | Montreal | H3T 1E2 | Canada |
| ID | Term |
|---|---|
| D012008 | Recurrence |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D003520 | Cyclophosphamide |
| C024352 | fludarabine |
| ID | Term |
|---|---|
| D010752 | Phosphoramide Mustards |
| D009588 | Nitrogen Mustard Compounds |
| D009150 | Mustard Compounds |
| D006846 | Hydrocarbons, Halogenated |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
| D063088 | Phosphoramides |
| D009943 | Organophosphorus Compounds |
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