Phase
Condition
Anger
Hematologic Cancer
Lymphoma, B-cell
Treatment
IMPT-314
Cyclophosphamide
LYL314
Clinical Study ID
Ages > 18 All Genders
Study Summary
Eligibility Criteria
Inclusion
Inclusion Criteria:
Age 18 years or older at time of informed consent
Willing and able to provide written informed consent
Histologically confirmed aggressive NHL, including the following types defined bythe World Health Organization (WHO 2017):
DLBCL
DLBCL arising from follicular lymphoma (transformed FL, tFL)
Primary mediastinal (thymic) large B-cell lymphoma (PMBCL)
High-grade large B-cell lymphoma with or without MYC and BCL2 and/or BCL6rearrangement (HGBL)
Grade 3B follicular lymphoma/Large cell follicular lymphoma (FL3B)
- Received at least two prior lines of therapy for Cohorts 1, 2, and 4 and one priorline of therapy for Cohort 3. Prior therapy must have included:
Anti-CD20 monoclonal antibody, and
An anthracycline containing chemotherapy regimen
Participants with tFL must have received at least one of their prior lines oftherapy after transformation to DLBCL 4b. Cohort 5 (High-risk first-line) participants must have high-risk largeB-cell lymphoma
- Relapsed or refractory disease, defined by the following:
Disease progression after last regimen (including salvage therapy afterautologous stem cell transplantation [ASCT]). In participants who have onlyreceived front-line therapy, progression should be ≤ 12 months of first-linetherapy (applicable for Cohort 3)
In patients who received one line of therapy, refractory disease is defined asfailure to achieve at least a PR after at least 4 cycles of therapy (applicablefor Cohort 3)
In patients who received two or more lines of therapy (Cohorts 1, 2, and 4),refractory disease is defined as failure to achieve a CR to last line oftherapy (including CAR T and/or salvage therapy).
At least 1 measurable lesion (per Lugano classification). Lesions that have beenpreviously irradiated will be considered measurable only if progression has beendocumented following completion of radiation therapy
Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 or ECOG 0 to 2 (Cohort 5)
Absolute neutrophil count (ANC) ≥ 1000/uL
Platelet count ≥ 50,000/uL
Absolute lymphocyte count (ALC) ≥ 200/uL
Other protocol-defined criteria apply.
Exclusion
Exclusion Criteria:
History of malignancy other than non-melanoma skin cancer or carcinoma in situ (e.g., cervix, bladder, breast) unless disease-free for at least 3 years.Participants who have received therapy for a prior malignancy within the prior 3years, e.g., in the adjuvant setting, are not excluded
Active central nervous system (CNS) involvement by malignancy on magnetic resonanceimaging (MRI) or by lumbar puncture. Participants with prior evidence of brainmetastasis treated at least 8 weeks prior to enrollment will not be excluded forparticipation if CNS disease is deemed stable at the time of study enrollment
History of cardiac lymphoma involvement or Epstein-Barr virus (EBV)+ lymphoma
Ongoing or impending oncologic emergency (e.g., tumor mass effect, tumor lysissyndrome, known vascular invasion)
Received the following therapies in the specified time frame prior toenrollment/leukapheresis
Any systemic therapy within 2 weeks
Any systemic inhibitory/stimulatory immune checkpoint molecule therapy within 3half-lives prior to enrollment (e.g., ipilimumab, nivolumab, pembrolizumab,atezolizumab, OX40 agonists, 4-1BB agonists)
Fludarabine within 12 weeks
Alemtuzumab, bendamustine or antithymocyte globuline (ATG) within 6 months
Any T cell engager/bispecific antibody therapy such as CD20/CD3 or CD19/CD3bispecific antibodies within 4 weeks
Any experimental therapy within 4 weeks or 5 half-lives (whichever is shorter)
Received radiation therapy within 3 weeks prior to enrollment/leukapheresis
Experiencing non-hematologic toxicities due to prior therapy. Exceptions include:stable and recovered to grade ≤ 1 or non-clinically significant toxicities such as (1) alopecia, (2) toxicities where Grade 2 is solely defined by participantreceiving hormone replacement therapy for endocrinopathies resulting from previouscheckpoint inhibitor therapy, (3) Grade 2 lymphopenia, and (4) hearing loss or Grade 2 neuropathy associated with prior treatment with taxanes or platinating agents
History of allogeneic stem cell or solid organ transplantation
Receipt of autologous stem cell transplantation within 6 weeks prior toenrollment/leukapheresis
History of prior genetically modified cell therapy other than a product targetingCD19 with an FMC63-based CAR (e.g., axicabtagene ciloleucel (axi-cel),tisagenlecleucel (tisa-cel), or lisocabtagene maraleucel (liso-cel). For all otherCAR T cell therapy treatments, discussion with the Sponsor's Medical Monitor isrequired
Primary immunodeficiency
History of autoimmune disease (e.g., Crohn's disease, rheumatoid arthritis, systemiclupus) resulting in end organ injury or requiring systemicimmunosuppression/systemic disease modifying agents within the last 2 years.Participants who have other autoimmune condition(s) considered to be associated withunderlying malignancy may be enrolled in the study after discussion with andapproval of the Medical Monitor.
Other protocol-defined criteria apply.
Study Design
Study Description
Connect with a study center
University of California-Irvine Medical Center
Irvine, California 92697
United StatesActive - Recruiting
Cedars-Sinai Medical Center
Los Angeles, California 90048
United StatesActive - Recruiting
University of California, Los Angeles (UCLA) Medical Center
Los Angeles, California 90095
United StatesActive - Recruiting
University of California (UC) Davis Comprehensive Cancer Center
Sacramento, California 95817
United StatesSite Not Available
Scripps Clinic
San Diego, California 92037
United StatesActive - Recruiting
Augusta University Medical Center
Augusta, Georgia 30912
United StatesActive - Recruiting
St Luke's Cancer Institute
Boise, Idaho 83712
United StatesSite Not Available
Indiana Blood and Marrow Transplantation
Indianapolis, Indiana 46237
United StatesActive - Recruiting
University of Iowa
Iowa City, Iowa 52242
United StatesActive - Recruiting
University of Louisville Brown Cancer Center
Louisville, Kentucky 40202
United StatesActive - Recruiting
Corewell Health
Grand Rapids, Michigan 49503
United StatesSite Not Available
University of New Mexico Comprehensive Cancer Center
Albuquerque, New Mexico 87131
United StatesActive - Recruiting
Montefiore Medical Center
Bronx, New York 10461
United StatesActive - Recruiting
University of Cincinnati (UC) Physicians Company, LLC
Cincinnati, Ohio 45267
United StatesActive - Recruiting
Baylor College of Medicine
Dallas, Texas 75246
United StatesSite Not Available
Baylor University Medical Center
Dallas, Texas 75246
United StatesActive - Recruiting
Huntsman Cancer Institute
Salt Lake City, Utah 84112
United StatesActive - Recruiting
Intermountain Healthcare
Salt Lake City, Utah 84143
United StatesActive - Recruiting
University of Vermont Cancer Center
Burlington, Vermont 05405
United StatesSite Not Available
Virginia Commonwealth University-Massey Cancer Center
Richmond, Virginia 23298
United StatesActive - Recruiting
Medical College of Wisconsin
Milwaukee, Wisconsin 53226
United StatesSite Not Available
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