About this trial
In the current protocol version, there are two parts. Part I is a pivotal Phase II randomised, multi-centre, open-label study to evaluate the efficacy and safety of MB-CART2019.1 compared to standard of care therapy in participants with relapsed/refractory diffuse large B-cell lymphoma, who are not eligible for high-dose chemotherapy and autologous stem cell transplantation.
Part II is a Phase II single-arm, open-label, multi-centre study evaluating the efficacy and safety of MB-CART2019.1 in younger, fit participants with R-R DLBCL. Part II will start after completion of enrolment in Part I.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
DLBCL not otherwise specified (NOS).
High-grade B-cell lymphoma (HGBL) with MYC and BCL2 and/or BCL6 rearrangements with DLBCL/blastoid/intermediate histology or HGBL with MYC and BCL2 and/or BCL6 rearrangements (double hit lymphoma/triple hit lymphoma).
High-grade BCL, NOS.
Primary (thymic) large mediastinal BCL.
Disqualifiers
None
Trial design
Sequential
Treatments tested in this trial
MB-CART2019.1
GeneticMB-CART2019.1 is designed to effectively target malignant B cells in patients suffering from late stage haematological B-cell malignancies. MB-CART2019.1 consists of autologous cluster of differentiation CD20/CD19 chimeric antigen receptor (CAR) transduced CD4/CD8 enriched T cells, derived from a leukapheresis and processed by using the CliniMACS Prodigy® device.
Standard of Care
DrugStandard of Care
Treatment groups
Trial outcomes
Primary outcomes
Part I: Event-free survival
Event-free survival (EFS), defined as the time between the date of randomisation and the date of objective disease progression, failure to achieve partial response (PR) or complete response (CR) at or beyond Week 8 after randomisation leading to a new anti-lymphoma therapy or death of any cause, whichever occurs first, based on independent review committee (IRC) assessment.
Part II: Best objective response rate
Best objective response rate (BORR), defined as the proportion of participants with at least one CR or PR between the date of MB-CART2019.1 infusion and the date of objective disease progression, the start of new anti-lymphoma therapy or the date of death from any cause, whichever occurs first, based on IRC assessment.
Secondary outcomes
Part I: Progression-free survival (PFS)
defined as the time between the date of randomisation and the date of objective disease progression or death of any cause, whichever occurs first, based on IRC assessment.
Part I: Best complete response rate
To evaluate the safety and toxicity of MB-CART2019.1 compared to SoC therapy.
Part I: Duration of complete response
To evaluate the safety and toxicity of MB-CART2019.1 compared to SoC therapy.
Part I: Overall Survival
To evaluate the safety and toxicity of MB-CART2019.1 compared to SoC therapy.
Sponsors and contacts
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Miltenyi Biomedicine GmbH
Lead sponsor
ICON plc
Collaborator