RECRUITING

Study Evaluating Safety and Efficacy of JCAR017 in Subjects With Relapsed or Refractory Chronic Lymphocytic Leukemia (CLL) or Small Lymphocytic Lymphoma (SLL)

Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

This is a Phase 1/2, open-label, multicenter study to determine the efficacy and safety of JCAR017 in adult subjects with relapsed or refractory CLL or SLL. The study will include a Phase 1 part to determine the recommended dose of JCAR017 monotherapy in subjects with relapsed or refractory CLL or SLL, followed by a Phase 2 part to further assess the efficacy and safety of JCAR017 monotherapy treatment at the recommended dose. A separate Phase 1 cohort will assess the combination of JCAR017 and concurrent ibrutinib. Another separate Phase 1 cohort will assess the combination of JCAR017 and concurrent venetoclax. In all subjects, the safety, efficacy, and pharmacokinetics (PK) of JCAR017 will be evaluated.

Official Title

An Open-Label, Phase 1/2 Study of JCAR017 in Subjects With Relapsed or Refractory Chronic Lymphocytic Leukemia or Small Lymphocytic Lymphoma (017004)

Quick Facts

Study Start:2017-11-27
Study Completion:2027-11-26
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:RECRUITING

Study ID

NCT03331198

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:18 Years
Sexes Eligible for Study:ALL
Accepts Healthy Volunteers:No
Standard Ages:ADULT, OLDER_ADULT
Inclusion CriteriaExclusion Criteria
  1. * Diagnosis of:
  2. 1. CLL with an indication for treatment based on the Investigator's opinion and measurable disease, or
  3. 2. SLL (lymphadenopathy and/or splenomegaly and \< 5×10\^9 CD19+ CD5+ clonal B lymphocytes/L \[\< 5000/µL\] in the peripheral blood at diagnosis with measurable disease that is biopsy-proven SLL)
  4. * Subjects (other than those in the ibrutinib + JCAR017 combination therapy and DEME cohort) must have received and failed Bruton tyrosine kinase inhibitor (BTKi) treatment or have been deemed ineligible for BTKi therapy.
  5. * Subjects in the JCAR017 monotherapy cohorts must have received previous treatment as follows:
  6. 1. Monotherapy cohorts EXCEPT DEME cohort: Subjects with CLL or SLL and high-risk features must have failed at least 2 lines of prior therapy.
  7. 2. Monotherapy cohorts EXCEPT DEME cohort: Subjects with CLL or SLL and standard-risk features must have failed at least 3 lines of prior therapy.
  8. 3. DEME cohort ONLY: Subjects with relapsed or refractory CLL or SLL, irrespective of cytogenetic risk features, must have received at least 2 lines of prior therapy including a BTKi and a BCL2i.
  9. * Subjects in the ibrutinib + JCAR017 combination therapy cohort must either:
  10. 1. be receiving ibrutinib and progressing at the time of study enrollment
  11. 2. be receiving ibrutinib for at least 6 months with a response less than complete response/remission (CR) and have high-risk features as defined in inclusion criterion 5a
  12. 3. have BTK or PLCgamma2 mutations per local laboratory assessment, with or without progression on ibrutinib
  13. 4. have previously received ibrutinib and have no contraindications to restarting ibrutinib
  14. * Eastern Cooperative Oncology Group performance status of ≤ 1
  15. * Assessed by the Investigator to have adequate bone marrow function to receive lymphodepleting chemotherapy
  16. * Adequate organ function, defined as:
  17. 1. Serum creatinine ≤ 1.5 × age-adjusted upper limit of normal (ULN) OR calculated creatinine clearance \> 30 mL/min
  18. 2. Alanine aminotransferase ≤ 5 × ULN and total bilirubin \< 2.0 mg/dL (or \< 3.0 mg/dL for subjects with Gilbert's syndrome or leukemic infiltration of the liver)
  19. 3. Adequate pulmonary function, defined as ≤ Common Terminology Criteria for Adverse Events (CTCAE) Grade 1 dyspnea and saturated oxygen (SaO2) ≥ 92% on room air
  20. 4. Adequate cardiac function, defined as left ventricular ejection fraction ≥ 40% as assessed by echocardiogram or multiple uptake gated acquisition scan performed within 30 days prior to determination of eligibility
  21. * Subject either currently has central vascular access or is a candidate to receive central vascular access or peripheral vascular access for leukapheresis procedure.
  22. * If prior CD19-targeted therapy has been administered, subject must have CD19-positive disease confirmed by immunohistochemistry or flow cytometry since completing the prior CD19-targeted therapy.
  23. * Subjects in ibrutinib + JCAR017 combination cohort must have progressed on a BTKi and have received prior therapy with venetoclax
  24. * Subjects in venetoclax + JCAR017 combination cohort must:
  25. 1. have failed at least 1 prior line of therapy, including failed BTKi therapy or have been deemed ineligible to receive BTKi
  26. 2. be venetoclax naive (required for dose expansion) or
  27. 3. if prior venetoclax (only for dose escalation)
  28. 4. have no contraindictions to re-initiation of venetoclax based on prior intolerance and have had at least 6 months elapsed since the last dose of venetoclax, if either, best response was stable disease, or subject experienced disease progression on venetoclax, or within 6 months of venetoclax discontinuation
  29. * subjects in the venetoclax + JCAR017 combination must have hemoglobin \>=9 g/dL, absolute neutrophil count \>=500mm3 and platelets\>= 75,000/mm3, unless cytopenias are judged by investigator to be due to CLL infiltration of the bone marrow
  30. * must have diagnosis of CLL or SLL with an indication for treatment based on the investigator's opinion and measurable disease (any of the following measurable lymph nodes ≥1.5 cm in the greatest transverse diameter and/or hepatomegaly or splenomegaly) and demonstration of CLL cells in the peripheral blood by flow cytometry
  1. * Subjects with known active central nervous system (CNS) involvement by malignancy. Those with prior CNS disease that has been effectively treated will be eligible if treatment was completed at least 3 months prior to enrollment with no evidence of symptomatic disease and stable abnormalities on repeat imaging.
  2. * History of another primary malignancy that has not been in remission for at least 2 years. (The following are exempt from the 2-year limit: nonmelanoma skin cancer, completely resected stage 1 solid tumor with low risk for recurrence, curatively treated localized prostate cancer, cervical carcinoma in situ on biopsy or a squamous intraepithelial lesion on Pap smear, and in situ breast cancer that has been completely resected.)
  3. * Subjects with Richter's transformation
  4. * Prior treatment with any gene therapy product
  5. * Active hepatitis B, active hepatitis C, or active human immunodeficiency virus (HIV) infection
  6. * Systemic fungal, bacterial, viral, or other infection that is not controlled
  7. * Presence of acute or extensive chronic graft versus host disease (GVHD)
  8. * History of any one of the following cardiovascular conditions within the past 6 months: Class III or IV heart failure as defined by the New York Heart Association (NYHA), cardiac angioplasty or stenting, myocardial infarction, unstable angina, or other clinically significant cardiac disease
  9. * History or presence of clinically relevant CNS pathology such as epilepsy, generalized seizure disorder, aphasia, stroke with current neurologic sequelae, severe brain injuries, dementia, Parkinson's disease, cerebellar disease,cerebral edema, or psychosis
  10. * Pregnant or nursing (lactating) women
  11. * Use of any of the following medications or treatments within the noted time prior to leukapheresis:
  12. 1. Alemtuzumab within 6 months prior to leukapheresis
  13. 2. Allogeneic hematopoietic stem cell transplant within 100 days prior to leukapheresis
  14. 3. Cladribine within 3 months prior to leukapheresis
  15. 4. Donor lymphocyte infusions (DLI) within 2 months prior to leukapheresis
  16. 5. Radiation including large bone marrow fields such as sternum or pelvis within 6 weeks prior to leukapheresis
  17. 6. Fludarabine within 4 weeks prior to leukapheresis
  18. 7. GVHD therapies such as calcineurin inhibitors, methotrexate or other chemotherapeutics, mycophenolate mofetil, rapamycin, or immunosuppressive antibodies (such as anti-tumor necrosis factor-α \[TNFα\], anti-interleukin-6 \[IL-6\], or anti-interleukin-6 receptor \[IL 6R\]) within 4 weeks prior to leukapheresis
  19. 8. Cyclophosphamide, ifosfamide, bendamustine, chlorambucil, or melphalan within 2 weeks prior to leukapheresis
  20. 9. Therapeutic doses of corticosteroids (defined as \> 20 mg/day prednisone or equivalent) within 7 days prior to leukapheresis
  21. 10. Anti-CD20 monoclonal antibodies within 7 days prior to leukapheresis
  22. 11. Venetoclax within 4 days prior to leukapheresis
  23. 12. Idelalisib or duvelisib within 2 days prior to leukapheresis
  24. 13. Lenalidomide or covalent and non-covalent BTKi within 1 day prior to leukapheresis
  25. 14. Experimental agents, including off-label use of approved drugs (with the exception of acalabrutinib which may be continued up to the day before leukapheresis), within 4 weeks prior to leukapheresis unless progression is documented on the experimental therapy and at least 3 half-lives have elapsed prior to leukapheresis
  26. * Uncontrolled medical, psychological, familial, sociological, or geographical conditions that do not permit compliance with the protocol, as judged by the Investigator; or subject unwillingness or inability to follow the procedures required in the protocol
  27. * Progressive vascular tumor invasion, thrombosis, or embolism
  28. * Deep vein thrombosis or embolism not managed on a stable regimen of anticoagulation
  29. * Use of any of the following medications or treatments within the noted time prior to leukapheresis lenalidomide or acalabrutinib within 1 day prior to leukapheresis experimental agents, including off-label use of approved drugs, within 4 weeks prior to leukapheresis.
  30. * Venous thrombosis or embolism requiring treatment but not managed on a stable regimen of anticoagulation
  31. * For subjects in the venetoclax + JCAR017 combination cohorts only, concomitant treatment with CYP3A moderate/strong inducers or moderate/strong inhibitors which cannot be discontinued

Contacts and Locations

Study Contact

BMS Study Connect Contact Center www.BMSStudyConnect.com
CONTACT
855-907-3286
Clinical.Trials@bms.com
First line of the email MUST contain the NCT# and Site #.
CONTACT

Principal Investigator

Bristol-Myers Squibb
STUDY_DIRECTOR
Bristol-Myers Squibb

Study Locations (Sites)

Local Institution - 0006
Birmingham, Alabama, 35294
United States
University of Alabama at Birmingham
Birmingham, Alabama, 35294
United States
Banner MD Anderson Cancer Center
Gilbert, Arizona, 85234
United States
Banner MD Anderson Cancer Center
Gilbert, Arizona, 85234
United States
City Of Hope
Duarte, California, 91010-301
United States
City of Hope
Duarte, California, 91010
United States
UC San Diego Moores Cancer Center
La Jolla, California, 92093
United States
University Of California San Diego Moores Cancer Center
La Jolla, California, 92093
United States
Local Institution - 0059
Los Angeles, California, 90095
United States
University of California, Los Angeles
Los Angeles, California, 90095
United States
Local Institution - 0010
San Francisco, California, 94143
United States
University of California, San Francisco
San Francisco, California, 94143
United States
Local Institution - 0111
Denver, Colorado, 80218
United States
Local Institution - 0110
Newark, Delaware, 19713
United States
Georgetown University Medical Center
Washington, District of Columbia, 20007
United States
Local Institution - 0085
Washington, District of Columbia, 20007
United States
Local Institution - 0080
Jacksonville, Florida, 32224
United States
Mayo Clinic
Jacksonville, Florida, 32224
United States
Local Institution - 0104
Atlanta, Georgia, 30322
United States
Local Institution - 0019
Atlanta, Georgia, 30342
United States
The Blood and Marrow Transplant Group of Georgia (BMTGA)
Atlanta, Georgia, 30342
United States
Northwestern Memorial Hospital
Chicago, Illinois, 60611
United States
Northwestern University
Chicago, Illinois, 60611
United States
University of Chicago Medical Center
Chicago, Illinois, 60637
United States
University Of Chicago Medical Center
Chicago, Illinois, 60637
United States
Local Institution - 0105
Indianapolis, Indiana, 46237
United States
Local Institution - 0107
Wichita, Kansas, 67124
United States
Norton Healthcare - Norton Cancer Institute
Louisville, Kentucky, 40202
United States
Local Institution - 0005
Boston, Massachusetts, 02114
United States
Massachusetts General Hospital
Boston, Massachusetts, 02114
United States
Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02215
United States
Local Institution - 0015
Boston, Massachusetts, 02215
United States
University of Michigan Comprehensive Cancer Center
Ann Arbor, Michigan, 48109-5362
United States
University Of Michigan Comprehensive Cancer Center
Ann Arbor, Michigan, 48109
United States
Barbara Ann Karmanos Cancer Institute
Detroit, Michigan, 48201
United States
Local Institution - 0062
Detroit, Michigan, 48201
United States
Local Institution - 0109
Detroit, Michigan, 48202
United States
Mayo Clinic
Rochester, Minnesota, 55905
United States
Mayo Clinic
Rochester, Minnesota, 55905
United States
University of Nebraska Medical Center
Omaha, Nebraska, 68198
United States
University Of Nebraska Medical Center
Omaha, Nebraska, 68198
United States
Local Institution - 0001
Basking Ridge, New Jersey, 07920
United States
John Theurer Cancer Center
Hackensack, New Jersey, 07601-2191
United States
Hackensack University Medical Center
Hackensack, New Jersey, 07601
United States
Local Institution - 0106
Morristown, New Jersey, 07960
United States
Local Institution - 0077
New Brunswick, New Jersey, 08903
United States
Rutgers Cancer Institute of New Jersey
New Brunswick, New Jersey, 08903
United States
Local Institution - 0035
New York, New York, 10021
United States
Columbia University Medical Center
New York, New York, 10032
United States
Local Institution - 0026
New York, New York, 10032
United States
Weill Cornell Medical College
New York, New York, 10065
United States
Local Institution - 0089
Stony Brook, New York, 11794-8160
United States
Duke University Medical Center
Durham, North Carolina, 27705
United States
Duke University Medical Center
Durham, North Carolina, 27710
United States
University Hospitals Seidman Cancer Center (Case Western)
Cleveland, Ohio, 44106-5061
United States
University Hospitals Cleveland Medical Center
Cleveland, Ohio, 44106
United States
Local Institution - 0031
Columbus, Ohio, 43210
United States
University of Oklahoma Health Sciences Center (Stephenson Cancer Center)
Oklahoma City, Oklahoma, 73104
United States
University of Oklahoma Peggy and Charles Stephenson Cancer Center
Oklahoma City, Oklahoma, 73104
United States
Local Institution - 0098
Eugene, Oregon, 97401
United States
University of Pennsylvania - Perelman Center for Advanced Medicine
Philadelphia, Pennsylvania, 19104
United States
University of Pennsylvania Perelman Center for Advanced Medicine
Philadelphia, Pennsylvania, 19104
United States
Thomas Jefferson University - Clinical Research Institute
Philadelphia, Pennsylvania, 19107
United States
Thomas Jefferson University
Philadelphia, Pennsylvania, 19107
United States
Local Institution - 0029
Pittsburgh, Pennsylvania, 15232
United States
UPMC Hillman Cancer Center
Pittsburgh, Pennsylvania, 15232
United States
Baylor University Medical Center
Dallas, Texas, 75246
United States
Local Institution - 0083
Dallas, Texas, 75390
United States
University of Texas Southwestern Medical Center
Dallas, Texas, 75390
United States
Local Institution - 0079
Dallas, Texas, 75426
United States
The University of Texas - MD Anderson Cancer Center
Houston, Texas, 77030
United States
The University of Texas MD Anderson Cancer Center
Houston, Texas, 77030
United States
Huntsman Cancer Institute
Salt Lake City, Utah, 84112
United States
Local Institution - 0028
Salt Lake City, Utah, 84112
United States
Local Institution - 0113
Charlottesville, Virginia, 22903
United States
Local Institution - 0087
Richmond, Virginia, 23298
United States
Virginia Commonwealth University
Richmond, Virginia, 23298
United States
Fred Hutchinson Cancer Research Center
Seattle, Washington, 98109
United States
Local Institution - 0018
Seattle, Washington, 98109
United States
Froedtert Hospital BMT Medical College of Wisconsin
Milwaukee, Wisconsin, 53226
United States
Medical College of Wisconsin
Milwaukee, Wisconsin, 53226
United States

Collaborators and Investigators

Sponsor: Juno Therapeutics, a Subsidiary of Celgene

  • Bristol-Myers Squibb, STUDY_DIRECTOR, Bristol-Myers Squibb

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2017-11-27
Study Completion Date2027-11-26

Study Record Updates

Study Start Date2017-11-27
Study Completion Date2027-11-26

Terms related to this study

Keywords Provided by Researchers

  • TRANSCEND_CLL_004

Additional Relevant MeSH Terms

  • Leukemia, Lymphocytic, Chronic, B-Cell
  • Lymphoma, Small Lymphocytic