A Study to Investigate Ronde-cel Versus Investigator's Choice CD19 CAR T-Cell Therapy

Last updated: March 2, 2026
Sponsor: Lyell Immunopharma, Inc.
Overall Status: Active - Recruiting

Phase

3

Condition

Marginal Zone Lymphoma

Platelet Disorders

Lymphoma

Treatment

rondecabtagene autoleucel

axicabtagene ciloleucel

lisocabtagene maraleucel

Clinical Study ID

NCT07188558
LYL314-102
  • Ages > 18
  • All Genders

Study Summary

This Phase 3 study compares rondecabtagene autoleucel (ronde-cel), a dual-targeting CD19/CD20 CAR T-cell therapy, with investigator's choice of CD19 CAR T-cell therapy in patients with relapsed or refractory large B-cell lymphoma in the second-line setting.

Eligibility Criteria

Inclusion

Key Inclusion Criteria:

  1. CAR T cell naïve and eligible to receive a CD19 CART-cell therapy

  2. Histologically confirmed large B-cell lymphoma, including the following typesdefined by (WHO 2022) or International Consensus Classification (2022)

  • Diffuse large B-cell lymphoma (DLBCL)

  • Transformations of indolent B-cell lymphomas (excluding Richter'stransformation)

  • DLBCL/High-grade B-cell lymphoma (HGBCL) with MYC and BCL2 rearrangements

  • High-grade B-cell lymphoma (HGBCL) not otherwise specified (HGBCL NOS)

  • Primary mediastinal large B-cell lymphoma (PMBCL)

  • Grade 3B follicular lymphoma/large cell follicular lymphoma (FL3B)

  1. Relapsed or refractory disease after anti-CD20 antibody and anthracycline-containingfirst-line chemoimmunotherapy

  2. Measurable disease by presence of [18F]-fluorodeoxyglucose PET/CT positive lesionduring Screening per Lugano Criteria

  3. Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1

  4. Adequate hematological, renal, hepatic, pulmonary, and cardiac function

Exclusion

Key Exclusion Criteria:

  1. Patients ineligible to receive CD19 CAR T-cell therapy

  2. Primary CNS lymphoma

  3. Patients with primary cutaneous LBCL, human herpes virus-8 positive lymphoma,Burkitt lymphoma, T cell histiocyte-rich lymphoma, or transformation from chroniclymphocytic leukemia/small lymphocytic lymphoma (Richter's transformation)

  4. Patients with prior history of malignancy, other than aggressive relapsed orrefractory LBCL, unless the patient has been free of the disease for ≥ 2 years

  5. Patients with uncontrolled systemic fungal, bacterial, viral, or other infection (including tuberculosis) despite appropriate antibiotics or other treatment

  6. Active autoimmune disease requiring ongoing systemic immunosuppressive therapy.

Note: Other protocol defined Inclusion/Exclusion criteria may apply

Study Design

Total Participants: 400
Treatment Group(s): 3
Primary Treatment: rondecabtagene autoleucel
Phase: 3
Study Start date:
January 12, 2026
Estimated Completion Date:
January 31, 2032

Study Description

PiNACLE-H2H is a Phase 3 randomized controlled trial comparing the efficacy and safety of rondecabtagene autoleucel (ronde-cel, formerly known as LYL314) against the currently approved cluster of differentiation (CD)19 chimeric antigen receptor (CAR) T-cell therapies (axicabtagene ciloleucel [axi-cel] or lisocabtagene maraleucel [liso-cel]), in patients with aggressive LBCL that has relapsed or is refractory to first-line anti-CD20 antibody and anthracycline-containing chemotherapy.

Patients will be randomized (1:1) before leukapheresis to receive either:

  • Ronde-cel; or

  • Investigator's choice of axi-cel or liso-cel

Most patients who receive currently approved CD19-directed CAR T-cell therapies, including axi-cel and liso-cel, still experience progressive disease, often due to mechanisms such as CD19 antigen loss or T-cell exhaustion.

Ronde-cel is a novel, autologous, dual-targeting CD19/CD20 CAR T-cell product candidate enriched for CD62L-positive naïve and central memory T cells, which are associated with enhanced proliferation capacity and persistence. Ronde-cel is an "OR"-gated CAR construct that can fully activate upon recognition of either CD19 or CD20, aiming to improve durability of response despite antigen heterogeneity.

Approximately 400 participants will be enrolled. CAR T-cell therapy in both arms will be administered as a single intravenous infusion following fludarabine and cyclophosphamide lymphodepletion. Participants will be followed for 3 years for safety and efficacy, with long-term follow-up extending to 15 years.

Connect with a study center

  • Banner MD Anderson Cancer Center

    Gilbert, Arizona 85234
    United States

    Site Not Available

  • Honor Health

    Scottsdale, Arizona 85258
    United States

    Site Not Available

  • Mayo Clinic Arizona

    Scottsdale, Arizona 85259
    United States

    Site Not Available

  • Banner MD Anderson Cancer Center

    Gilbert 5295903, Arizona 5551752 85234
    United States

    Site Not Available

  • Honor Health

    Scottsdale 5313457, Arizona 5551752 85258
    United States

    Site Not Available

  • Mayo Clinic Arizona

    Scottsdale 5313457, Arizona 5551752 85259
    United States

    Site Not Available

  • University of Arkansas

    Little Rock, Arkansas 72205
    United States

    Site Not Available

  • University of Arkansas

    Little Rock 4119403, Arkansas 4099753 72205
    United States

    Site Not Available

  • Cedars-Sinai Medical Center

    Los Angeles, California 90048
    United States

    Site Not Available

  • University of California, Los Angeles (UCLA)

    Los Angeles, California 90095
    United States

    Site Not Available

  • University of California, Irvine

    Orange, California 92868
    United States

    Site Not Available

  • Cedars-Sinai Medical Center

    Los Angeles 5368361, California 5332921 90048
    United States

    Site Not Available

  • University of California, Los Angeles (UCLA)

    Los Angeles 5368361, California 5332921 90095
    United States

    Site Not Available

  • University of California, Irvine

    Orange 5379513, California 5332921 92868
    United States

    Site Not Available

  • University of Colorado

    Aurora, Colorado 80045
    United States

    Site Not Available

  • Colorado Blood Cancer Institute

    Denver, Colorado 80218
    United States

    Active - Recruiting

  • University of Colorado

    Aurora 5412347, Colorado 5417618 80045
    United States

    Site Not Available

  • Colorado Blood Cancer Institute

    Denver 5419384, Colorado 5417618 80218
    United States

    Site Not Available

  • MedStar Georgetown University Hospital

    Washington D.C., District of Columbia 20007
    United States

    Site Not Available

  • MedStar Georgetown University Hospital

    Washington D.C. 4140963, District of Columbia 4138106 20007
    United States

    Site Not Available

  • Mayo Clinic Florida

    Jacksonville, Florida 32224
    United States

    Site Not Available

  • AdventHealth

    Orlando, Florida 32804
    United States

    Site Not Available

  • Moffitt Cancer Center

    Tampa, Florida 33612
    United States

    Site Not Available

  • Mayo Clinic Florida

    Jacksonville 4160021, Florida 4155751 32224
    United States

    Site Not Available

  • University of Miami

    Miami 4164138, Florida 4155751 33136
    United States

    Site Not Available

  • AdventHealth

    Orlando 4167147, Florida 4155751 32804
    United States

    Site Not Available

  • Moffitt Cancer Center

    Tampa 4174757, Florida 4155751 33612
    United States

    Site Not Available

  • Northside Hospital

    Atlanta, Georgia 30342
    United States

    Site Not Available

  • Northside Hospital

    Atlanta 4180439, Georgia 4197000 30342
    United States

    Site Not Available

  • Northwestern

    Chicago, Illinois 60611
    United States

    Site Not Available

  • University of Chicago

    Chicago, Illinois 60637
    United States

    Site Not Available

  • Northwestern

    Chicago 4887398, Illinois 4896861 60611
    United States

    Site Not Available

  • University of Chicago

    Chicago 4887398, Illinois 4896861 60637
    United States

    Site Not Available

  • University of Iowa

    Iowa City, Iowa 52242
    United States

    Site Not Available

  • University of Iowa

    Iowa City 4862034, Iowa 4862182 52242
    United States

    Site Not Available

  • University of Kansas Cancer Center

    Westwood, Kansas 66205
    United States

    Site Not Available

  • University of Kansas Cancer Center

    Westwood 4281639, Kansas 4273857 66205
    United States

    Site Not Available

  • University of Kentucky

    Lexington, Kentucky 40536
    United States

    Site Not Available

  • University of Louisville Health

    Louisville, Kentucky 40202
    United States

    Site Not Available

  • University of Kentucky

    Lexington 4297983, Kentucky 6254925 40536
    United States

    Site Not Available

  • University of Louisville Health

    Louisville 4299276, Kentucky 6254925 40202
    United States

    Site Not Available

  • Corewell Health

    Grand Rapids, Michigan 49503
    United States

    Site Not Available

  • Corewell Health

    Grand Rapids 4994358, Michigan 5001836 49503
    United States

    Site Not Available

  • Mayo Clinic Rochester

    Rochester, Minnesota 55905
    United States

    Site Not Available

  • Mayo Clinic Rochester

    Rochester 5043473, Minnesota 5037779 55905
    United States

    Site Not Available

  • University of Nebraska Medical Center (UNMC)

    Omaha, Nebraska 68105
    United States

    Site Not Available

  • University of Nebraska Medical Center (UNMC)

    Omaha 5074472, Nebraska 5073708 68105
    United States

    Site Not Available

  • Hackensack

    Hackensack, New Jersey 07601
    United States

    Site Not Available

  • Hackensack

    Hackensack 5098706, New Jersey 5101760 07601
    United States

    Site Not Available

  • Roswell Park Comprehensive Cancer Center

    Buffalo, New York 14263
    United States

    Site Not Available

  • Roswell Park Comprehensive Cancer Center

    Buffalo 5110629, New York 5128638 14263
    United States

    Site Not Available

  • Duke Cancer Institute

    Durham, North Carolina 27705
    United States

    Site Not Available

  • Atrium Health Wake Forest Baptist Comprehensive Cancer Center

    Winston-Salem, North Carolina 27157
    United States

    Site Not Available

  • Duke Cancer Institute

    Durham 4464368, North Carolina 4482348 27705
    United States

    Site Not Available

  • Atrium Health Wake Forest Baptist Comprehensive Cancer Center

    Winston-Salem 4499612, North Carolina 4482348 27157
    United States

    Site Not Available

  • Oncology Hematology Care Clinical Trials

    Cincinnati, Ohio 45242
    United States

    Site Not Available

  • University of Cincinnati

    Cincinnati, Ohio 45267
    United States

    Site Not Available

  • Cleveland Clinical Taussig Cancer Center

    Cleveland, Ohio 44195
    United States

    Site Not Available

  • Oncology Hematology Care Clinical Trials

    Cincinnati 4508722, Ohio 5165418 45242
    United States

    Site Not Available

  • University of Cincinnati

    Cincinnati 4508722, Ohio 5165418 45267
    United States

    Site Not Available

  • Cleveland Clinical Taussig Cancer Center

    Cleveland 5150529, Ohio 5165418 44195
    United States

    Site Not Available

  • Allegheny Health Network

    Pittsburgh, Pennsylvania 15212
    United States

    Site Not Available

  • Allegheny Health Network

    Pittsburgh 5206379, Pennsylvania 6254927 15212
    United States

    Site Not Available

  • SCRI Oncology Partners

    Nashville, Tennessee 37203
    United States

    Active - Recruiting

  • SCRI Oncology Partners

    Nashville 4644585, Tennessee 4662168 37203
    United States

    Site Not Available

  • St. David's South Austin Medical Center

    Austin, Texas 78704
    United States

    Active - Recruiting

  • University of Texas Southwestern Medical Center

    Fort Worth, Texas 76104
    United States

    Site Not Available

  • MD Anderson Cancer Center

    Houston, Texas 77030
    United States

    Site Not Available

  • Texas Transplant Institute

    San Antonio, Texas 78229
    United States

    Active - Recruiting

  • St. David's South Austin Medical Center

    Austin 4671654, Texas 4736286 78704
    United States

    Site Not Available

  • University of Texas Southwestern Medical Center

    Fort Worth 4691930, Texas 4736286 76104
    United States

    Site Not Available

  • MD Anderson Cancer Center

    Houston 4699066, Texas 4736286 77030
    United States

    Site Not Available

  • Texas Transplant Institute

    San Antonio 4726206, Texas 4736286 78229
    United States

    Site Not Available

  • Intermountain Healthcare

    Salt Lake City, Utah 84143
    United States

    Active - Recruiting

  • Intermountain Healthcare

    Salt Lake City 5780993, Utah 5549030 84143
    United States

    Site Not Available

  • Virginia Oncology Associates

    Norfolk, Virginia 23502
    United States

    Active - Recruiting

  • Virginia Oncology Associates

    Norfolk 4776222, Virginia 6254928 23502
    United States

    Site Not Available

  • Swedish Cancer Institute

    Seattle, Washington 98104
    United States

    Site Not Available

  • Swedish Cancer Institute

    Seattle 5809844, Washington 5815135 98104
    United States

    Site Not Available

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