Study for Subjects With Relapsed/Refractory Non- Hodgkin Lymphoma

Last updated: October 10, 2025
Sponsor: ImmunityBio, Inc.
Overall Status: Active - Recruiting

Phase

1

Condition

Lymphoma

Treatment

Cyclophosphamide

Fludarabine

Rituximab

Clinical Study ID

NCT05618925
QUILT-3.092
  • Ages > 18
  • All Genders

Study Summary

Open-label, Phase 1 Study of CD19 t-haNK as a Single Agent and in Combination With an IL-15 Superagonist (N-803) and Rituximab in Subjects With Relapsed/Refractory Non-Hodgkin Lymphoma. Up to 20 subjects will be enrolled and randomized 1:1 to 1 of 2 cohorts, as outlined below. The initial 3 subjects will be sequentially enrolled in a staggered fashion, with a 7 day interval between each subject to enable the capture and monitoring of any acute and subacute toxicities.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Age ≥ 18 years old.

  2. Able to understand and provide a signed informed consent that fulfills the relevantInstitutional Review Board (IRB) or Independent Ethics Committee (IEC) guidelines.

  3. Histologically documented CD19- and CD20-positive B-cell NHL with the followingspecific criteria:

  4. Have active disease after ≥ 2 lines of cytotoxic chemotherapy.

  5. Have received rituximab or another anti-CD20 antibody.

  6. Have either failed autologous transplant or are ineligible to receiveautologous transplant.

  7. Have measurable disease by Lugano classification documented within 8 weeks ofthe time of consent, defined as nodal lesions > 15 mm in the long axis orextranodal lesions > 10 mm in long and short axis, or bone marrow involvementthat is biopsy proven.

  8. Have CD19- and CD20-positive disease on most recent biopsy performed (a repeatbiopsy is not mandatory for this study except as noted below). A minimum of 5%CD19 and CD20 positivity by immunohistochemistry or flow cytometry on prior orrepeat biopsy is required.

  9. History of central nervous system (CNS) involvement with cerebral spinal fluid (CSF)analysis following magnetic resonance imaging (MRI) brain and lumbar punctureshowing no evidence of CNS involvement by cytology and flow cytometry.

  10. Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 1.

  11. Expected survival > 12 weeks.

  12. Willing and able to have central line placed for study drug infusions.

  13. Stated willingness to comply with study procedures.

  14. Able to attend required study visits and return for adequate follow-up, as requiredby this protocol.

  15. Agreement to practice effective contraception for female subjects of child-bearingpotential and nonsterile males. Female subjects of child-bearing potential mustagree to use effective contraception while on study and for at least 5 months afterthe last dose of study drug. Nonsterile male subjects must agree to use a condomwhile on study and for up to 5 months after the last dose of study drug. Effectivecontraception includes surgical sterilization (eg, vasectomy, tubal ligation), twoforms of barrier methods (eg, condom, diaphragm) used with spermicide, intrauterinedevices (IUDs), and abstinence.

Exclusion

Exclusion Criteria:

  1. Known hypersensitivity to any component of the study medication(s), includinganaphylactic reaction to sulfur-containing medications.

  2. Known allergy to albumin (human) or dimethyl sulfoxide (DMSO).

  3. Serious uncontrolled concomitant disease that would contraindicate the use of theinvestigational drug used in this study or that would put the subject at high riskfor treatment-related complications.

  4. History of significant autoimmune disease OR active, uncontrolled autoimmunephenomenon: such as systemic lupus erythematous, Wegner's glomerulonephritis,autoimmune hemolytic anemia, idiopathic thrombocytopenic purpura requiring steroidtherapy defined as > 20 mg of prednisone or equivalent daily.

  5. History of allogeneic hematopoietic stem-cell transplantation (HSCT) or allogeneicchimeric antigen receptor (CAR) T therapy within 6 months of day 1 or requireongoing systemic graft versus host disease (GvHD) therapy.

  6. Anti-CD19 or anti-CD20 antibody treatment within 4 weeks of cell infusion.

  7. Live vaccine < 6 weeks prior to starting lymphodepleting chemotherapy.

  8. History of receiving allograft organ transplant requiring immunosuppression.

  9. Subjects post solid organ transplant who develop high grade lymphomas or leukemias.

  10. Known lymphomatous involvement of the CNS, including the parenchyma orleptomeninges.

  11. Nonmalignant CNS disease (eg, stroke, epilepsy, vasculitis, or neurodegenerativedisease).

  12. History of or active inflammatory bowel disease (eg, Crohn's disease, ulcerativecolitis).

  13. Inadequate organ function, evidenced by the following laboratory results:

  14. ANC < 1000 cells/mm3.

  15. Platelet count < 100,000 cells/mm3.

  16. Total bilirubin ≥ 1.5 × the upper limit of normal (ULN; unless the subject hasdocumented Gilbert's syndrome or indirect hyperbilirubinemia).

  17. Aspartate aminotransferase (AST [SGOT])/ALT (SGPT) ≥ 2.5 × ULN.

  18. Alkaline phosphatase (ALP) levels ≥ 2.5 × ULN (or ≥ 5 × ULN in subjects withbone metastases).

  19. Serum creatinine > 1.6 mg/dL. Each study site should use its institutional ULNto determine eligibility.

  20. Uncontrolled hypertension (systolic > 160 mm Hg and/or diastolic > 110 mm Hg) orclinically significant (ie, active) cardiovascular disease, cerebrovascularaccident/stroke, or myocardial infarction within 6 months prior to first studymedication; unstable angina; congestive heart failure of New York Heart Associationgrade 2 or higher; or serious cardiac arrhythmia requiring medication.

  21. Current chronic daily treatment (continuous for > 3 months) with systemiccorticosteroids (dose equivalent to or greater than 10 mg/day methylprednisolone),excluding inhaled steroids. Short-term steroid use to prevent IV contrast allergicreaction or anaphylaxis in subjects who have known contrast allergies is allowed.

  22. Currently taking any medication(s) (herbal or prescribed) known to have an adversedrug reaction with any of the study medications.

  23. History of human immunodeficiency virus (HIV) with current CD4+ T-cell count < 500cells/μL..

  24. Chronic carriers of hepatitis B virus (HBV) infection that is currently hepatitis Bsurface antigen (HBsAg) positive. NOTE: Subjects who have a history of HIV/HBV orwho are seropositive will require testing for Infectious Disease Markers (IDM).

  25. Concurrent active malignancy other than basal or squamous cell carcinomas of theskin.

  26. Assessed by the Investigator to be unable or unwilling to comply with therequirements of the protocol.

  27. Women who are pregnant or breastfeeding. A negative urine or serum pregnancy test inwomen of child bearing potential is required at screening and again within 48 hoursprior to lymphodepleting chemotherapy

Study Design

Total Participants: 20
Treatment Group(s): 5
Primary Treatment: Cyclophosphamide
Phase: 1
Study Start date:
August 22, 2025
Estimated Completion Date:
March 15, 2027

Study Description

This is a phase 1, first-in-human (FIH), open-label study to evaluate the safety of CD19 t-haNK as a single agent and the safety and preliminary efficacy of CD19 t haNK in combination with rituximab only and in combination with rituximab and N 803 in subjects with R/R NHL.

Up to 20 subjects will be enrolled and randomized 1:1 to 1 of 2 cohorts, as outlined below. The initial 3 subjects will be sequentially enrolled in a staggered fashion, with a 7 day interval between each subject to enable the capture and monitoring of any acute and subacute toxicities.

Subjects in both cohorts will initially receive lymphodepleting chemotherapy followed by a single 4 week cycle of the CD19 t haNK single-agent regimen. Following a 1-week rest period, subjects will then receive lymphodepleting chemotherapy followed by a single 4-week cycle of CD19 t-haNK in combination with rituximab (cohort A) or in combination with rituximab and N-803 (cohort B). Following a second 1-week rest period, subjects will receive up to 4 repeated 4 week cycles of CD19 t haNK in combination with rituximab (cohort A) or in combination with rituximab and N 803 (cohort B) without lymphodepleting chemotherapy.

Connect with a study center

  • CSSIFM

    El Segundo, California 90245
    United States

    Site Not Available

  • Hoag Memorial Hospital

    Newport Beach, California 92663
    United States

    Site Not Available

  • Hoag Memorial Hospital

    Newport Beach 5376890, California 5332921 92663
    United States

    Active - Recruiting

  • Texas Oncology

    Tyler 4738214, Texas 4736286 75702
    United States

    Active - Recruiting

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