Lymphoma, Non-Hodgkin, Lymphoma, Nonhodgkin, Lymphoma, B-Cell, Lymphoma, Large B-Cell, Diffuse
Conditions
Keywords
JCAR017, lisocabtagene maraleucel, NHL, chimeric antigen receptor, CAR, CAR T cell, autologous T cell therapy, immunotherapy, cell therapy, liso-cel
Brief summary
This is a Phase 2, open-label, multicenter study to determine the efficacy and safety of lisocabtagene maraleucel (JCAR017) in adult subjects who have relapsed from, or are refractory to, a single line of immunochemotherapy for aggressive B-cell non-Hodgkin lymphoma (NHL) and are ineligible for hematopoietic stem cell transplant (based on age, performance status, and/or comorbidities). Subjects will receive treatment with lisocabtagene maraleucel and will be followed for 2 years for safety, pharmacokinetics and biomarkers, disease status, quality of life, and survival.
Interventions
lisocabtagene maraleucel will be administered as a single dose intravenous (IV) injection
Sponsors
Study design
Eligibility
Inclusion criteria
* Confirmation of relapsed or refractory aggressive B-cell non-Hodgkin lymphoma of the following histology at relapse: diffuse large B-cell lymphoma (DLBCL), not otherwise specified (NOS; de novo or transformed follicular lymphoma \[tFL\]), high-grade B-cell lymphoma with MYC and BCL2 and/or BCL6 rearrangements with DLBCL histology (double/triple hit lymphoma \[DHL/THL\]), and follicular lymphoma Grade 3B per WHO 2016 classification * Previous treatment must include treatment with a single line of chemoimmunotherapy containing an anthracycline and a CD20-targeted agent * Subjects must be deemed ineligible for both high-dose chemotherapy and hematopoietic stem cell transplant (based on age, performance status and/or comorbidities) while also having adequate organ function for CAR T cell treatment. * Positron emission tomography (PET)-positive disease * Histological confirmation of diagnosis at last relapse. Enough tumor material must be available for central confirmation of diagnosis, otherwise a new tumor biopsy is mandated. * ECOG performance status of 0, or 1, or 2 * Adequate vascular access for leukapheresis procedure (either peripheral line or surgically-placed line) * Subjects must agree to use appropriate contraception * Subjects must agree to not donate blood, organs, semen, and egg cells for usage in other individuals for at least 1 year following lymphodepleting chemotherapy
Exclusion criteria
* Subjects with central nervous system (CNS)-only involvement by malignancy (note: subjects with secondary CNS involvement are allowed on study) * History of another primary malignancy that has not been in remission for at least 2 years. * Previous treatment with CD19-targeted therapy, with the exception of prior lisocabtagene maraleucel treatment in this protocol for subjects receiving retreatment * Active hepatitis B or hepatitis C infection at the time of screening * History of or active human immunodeficiency virus (HIV) infection at the time of screening * Uncontrolled systemic fungal, bacterial, viral or other infection despite appropriate antibiotics or other treatment at the time of leukapheresis or lisocabtagene maraleucel administration * 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, cardiac angioplasty or stenting, myocardial infarction, unstable angina, or other clinically significant cardiac disease * History or presence of clinically relevant CNS pathology * Pregnant or nursing women * Subject does not meet protocol-specified washout periods for prior treatments * Prior hematopoietic stem cell transplant * Progressive vascular tumor invasion, thrombosis, or embolism * Venous thrombosis or embolism not managed on stable regimen of anticoagulation * Uncontrolled medical, psychological, familial, sociological, or geographical conditions
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Overall Response Rate (ORR) | From first dose to disease progression, end of study, the start of another anticancer therapy, or hematopoietic stem cell transplantation (up to approximately 24 months) | Overall response rate is the percent of participants with a best overall response (BOR) of either complete response (CR) or partial reasons (PR) based on the Independent Review Committee (IRC) assessment recorded from the time of JCAR017 treatment until disease progression, end of study, the start of another anticancer therapy or JCAR017 retreatment. CR = Score 1, 2, or 3 with or without a residual mass on the positron emission tomography 5-point scale (PET 5PS). A score of 3 in many patients indicates a good prognosis with standard treatment. PR = Score 4 or 5b with reduced uptake compared with baseline and residual mass(es) of any size. PET 5PS = 1- no uptake above background; 2- uptake ≤ mediastinum; 3- uptake \> mediastinum but ≤ liver; 4- uptake moderately \> liver; 5- uptake markedly higher than liver and/or new lesions; X- new areas of uptake unlikely to be related to lymphoma. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants With Any Treatment-Emergent Adverse Events (TEAEs) | From first dose to 90 days following first dose (up to approximately 90 days) | A TEAE was defined as an adverse event that started any time from initiation of product administration through and including 90 days following product administration. AEs that occurred after the initiation of subsequent anticancer therapy or product retreatment were not considered as product TEAE. AEs are graded according to National Cancer Institute Common Terminology Criteria for Adverse Events (Version 4.03) (NCI CTCAE) guidelines where Grade 3= Severe, Grade 4= Life-threatening, and 5 = Death. |
| Change From Baseline of Hematology Laboratory Results: Hemoglobin | Baseline and Day 29 | Change from baseline in Hematology laboratory analysis. Includes Hemoglobin. Baseline is the last observation collected prior to or on the date of product infusion. |
| Change From Baseline of Hematology Laboratory Results: Leukocytes, Lymphocytes, Neutrophils, Platelets | Baseline and Day 29 | Change from baseline in Hematology laboratory analysis. Includes Leukocytes, Lymphocytes, Neutrophils, and Platelets. Baseline is the last observation collected prior to or on the date of product infusion. |
| Change From Baseline of Chemistry Laboratory Results: Albumin | Baseline and Day 29 | Change from baseline in Chemistry laboratory analysis. Includes Albumin. Baseline is the last observation collected prior to or on the date of product infusion. |
| Change From Baseline of Chemistry Laboratory Results: Alanine Aminotransferase, Aspartate Aminotransferase, Lactate Dehydrogenase | Baseline and Day 29 | Change from baseline in Chemistry laboratory analysis. Includes Alanine Aminotransferase, Aspartate Aminotransferase, and Lactate Dehydrogenase. Baseline is the last observation collected prior to or on the date of product infusion. |
| Change From Baseline of Chemistry Laboratory Results: Bilirubin, Creatinine, Direct Bilirubin, Urate | Baseline and Day 29 | Change from baseline in Chemistry laboratory analysis. Includes Bilirubin, Creatinine, Direct Bilirubin, and Urate. Baseline is the last observation collected prior to or on the date of product infusion. |
| Change From Baseline of Chemistry Laboratory Results: Calcium Corrected, Magnesium, Phosphate, Potassium, Sodium | Baseline and Day 29 | Change from baseline in Chemistry laboratory analysis. Includes Calcium Corrected, Magnesium, Phosphate, Potassium, and Sodium. Baseline is the last observation collected prior to or on the date of product infusion. |
| Complete Response (CR) Rate | From first dose to disease progression, end of study, the start of another anticancer therapy, or hematopoietic stem cell transplant (up to approximately 24 months) | Complete response rate (CRR) was defined as the percent of participants with a best overall response (BOR) of complete response (CR) based on the Independent Review Committee (IRC) assessment recorded from the time of JCAR017 treatment until disease progression, end of study, the start of another anticancer therapy or JCAR017 retreatment. CR = Score 1, 2, or 3 with or without a residual mass on the positron emission tomography 5-point scale (PET 5PS). A score of 3 in many patients indicates a good prognosis with standard treatment. PET 5PS = 1- no uptake above background; 2- uptake ≤ mediastinum; 3- uptake \> mediastinum but ≤ liver; 4- uptake moderately \> liver; 5- uptake markedly higher than liver and/or new lesions; X- new areas of uptake unlikely to be related to lymphoma. |
| Duration of Response (DOR) | From first dose to up to approximately 24 months | Duration of response (DOR) is defined as the time from first complete response(CR) or partial response (PR) to progressive disease (PD) or death, whichever occurred first. CR = Score 1, 2, or 3 on the positron emission tomography 5-point scale (PET 5PS). A score of 3 indicates a good prognosis with standard treatment. PR = Score 4 or 5b with reduced uptake compared with baseline and residual mass(es) of any size. PD = Score 4 or 5b on PET 5PS with an increase in intensity of uptake from baseline and/or new fluorodeoxyglucose-avid foci consistent with lymphoma at interim or end-of-treatment assessment. PET 5PS = 1-no uptake above background; 2-uptake ≤ mediastinum; 3-uptake \> mediastinum but ≤ liver; 4-uptake moderately \> liver; 5-uptake markedly higher than liver and/or new lesions; X- new areas of uptake unlikely to be related to lymphoma. |
| Duration of Response (DOR) in Participants With Complete Response (CR) | From first dose to up to approximately 24 months | DOR for participants with a best overall response of CR was defined as the time from documentation of first response (or CR) to progressive disease (PD) or death, whichever occurred first. The first documentation of CR/PR is the latest of all dates of required measurements to establish the response. The progression date is the earliest date of all assessments that led to a response assessment of PD. CR = Score 1, 2, or 3 on the positron emission tomography 5-point scale (PET 5PS). A score of 3 indicates a good prognosis with standard treatment. PD = Score 4 or 5b on PET 5PS with an increase in intensity of uptake from baseline and/or new fluorodeoxyglucose-avid foci consistent with lymphoma at interim or end-of-treatment assessment. PET 5PS = 1-no uptake above background; 2-uptake ≤ mediastinum; 3-uptake \> mediastinum but ≤ liver; 4-uptake moderately \> liver; 5-uptake markedly higher than liver and/or new lesions; X- new areas of uptake unlikely to be related to lymphoma. |
| Progression-Free Survival (PFS) | From first dose to progressive disease (PD) or death (up to approximately 24 months) | PFS is defined as the time from JCAR017 infusion to progressive disease (PD) or death. Kaplan-Meier (KM) methodology will be used to analyze PFS. PD = Score 4 or 5b on the positron emission tomography 5-point scale (PET 5PS) with an increase in intensity of uptake from baseline and/or new fluorodeoxyglucose-avid foci consistent with lymphoma at interim or end-of-treatment assessment. PET 5PS = 1- no uptake above background; 2- uptake ≤ mediastinum; 3- uptake \> mediastinum but ≤ liver; 4- uptake moderately \> liver; 5- uptake markedly higher than liver and/or new lesions; X- new areas of uptake unlikely to be related to lymphoma. |
| Event-Free Survival (EFS) | From first dose to death from any cause, progressive disease (PD), or starting a new anticancer therapy (up to approximately 24 months) | EFS is defined as the time from JCAR017 infusion to the earliest of the following events: death from any cause, progressive disease (PD), or starting a new anticancer therapy. Kaplan-Meier (KM) methodology will be used to analyze EFS. PD = Score 4 or 5b on PET 5PS with an increase in intensity of uptake from baseline and/or new fluorodeoxyglucose-avid foci consistent with lymphoma at interim or end-of-treatment assessment. PET 5PS = 1-no uptake above background; 2-uptake ≤ mediastinum; 3-uptake \> mediastinum but ≤ liver; 4-uptake moderately \> liver; 5-uptake markedly higher than liver and/or new lesions; X- new areas of uptake unlikely to be related to lymphoma. |
| Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Insomnia Subscale | Baseline and Day 29 | * Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. * The EORTC QLQ-C30 is a 30-item scale composed of both multi-item scales and single-item measures. * All of the scales and single-item measures range in score from 0 to 100. A 10-point change in the scoring is considered to be a meaningful change in HRQoL. * Symptom scale/item higher score represents a high level of symptomatic problem. |
| Overall Survival (OS) | From first dose to date of death (up to approximately 24 months) | OS is defined as the time from JCAR017 infusion to the date of death. Kaplan-Meier (KM) methodology will be used to analyze OS. |
| PK Parameters of JCAR017 in Blood as Assessed by qPCR: Cmax | From first dose to up to 24 months | Pharmacokinetic (PK) analyses were based on quantitative polymerase chain reaction (qPCR). Cmax = Maximum observed blood concentration. |
| PK Parameters of JCAR017 in Blood as Assessed by qPCR: Tmax | From first dose to up to 24 months | Pharmacokinetic (PK) analyses were based on quantitative polymerase chain reaction (qPCR). Tmax = Time of maximum observed blood concentration. |
| PK Parameters of JCAR017 in Blood as Assessed by qPCR: AUC (0-28) | From first dose to up to 24 months | Pharmacokinetic (PK) analyses were based on quantitative polymerase chain reaction (qPCR). AUC (0-28) = Area under the curve for concentration. |
| Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Global Health/QoL Subscale | Baseline and Day 29 | * Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. * The EORTC QLQ-C30 is a 30-item scale composed of both multi-item scales and single-item measures. * All of the scales and single-item measures range in score from 0 to 100. A 10-point change in the scoring is considered to be a meaningful change in HRQoL. * Functional scale and global health status/HRQoL higher scale score represents a higher level of well-being and better ability of daily functioning. |
| Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Physical Functioning Subscale | Baseline and Day 29 | * Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. * The EORTC QLQ-C30 is a 30-item scale composed of both multi-item scales and single-item measures. * All of the scales and single-item measures range in score from 0 to 100. A 10-point change in the scoring is considered to be a meaningful change in HRQoL. * Functional scale and global health status/HRQoL higher scale score represents a higher level of well-being and better ability of daily functioning. |
| Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Cognitive Functioning Subscale | Baseline and Day 29 | * Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. * The EORTC QLQ-C30 is a 30-item scale composed of both multi-item scales and single-item measures. * All of the scales and single-item measures range in score from 0 to 100. A 10-point change in the scoring is considered to be a meaningful change in HRQoL. * Functional scale and global health status/HRQoL higher scale score represents a higher level of well-being and better ability of daily functioning. |
| Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Role Functioning Subscale | Baseline and Day 29 | * Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. * The EORTC QLQ-C30 is a 30-item scale composed of both multi-item scales and single-item measures. * All of the scales and single-item measures range in score from 0 to 100. A 10-point change in the scoring is considered to be a meaningful change in HRQoL. * Functional scale and global health status/HRQoL higher scale score represents a higher level of well-being and better ability of daily functioning. |
| Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Emotional Functioning Subscale | Baseline and Day 29 | * Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. * The EORTC QLQ-C30 is a 30-item scale composed of both multi-item scales and single-item measures. * All of the scales and single-item measures range in score from 0 to 100. A 10-point change in the scoring is considered to be a meaningful change in HRQoL. * Functional scale and global health status/HRQoL higher scale score represents a higher level of well-being and better ability of daily functioning. |
| Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Social Functioning Subscale | Baseline and Day 29 | * Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. * The EORTC QLQ-C30 is a 30-item scale composed of both multi-item scales and single-item measures. * All of the scales and single-item measures range in score from 0 to 100. A 10-point change in the scoring is considered to be a meaningful change in HRQoL. * Functional scale and global health status/HRQoL higher scale score represents a higher level of well-being and better ability of daily functioning. |
| Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Pain Subscale | Baseline and Day 29 | * Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. * The EORTC QLQ-C30 is a 30-item scale composed of both multi-item scales and single-item measures. * All of the scales and single-item measures range in score from 0 to 100. A 10-point change in the scoring is considered to be a meaningful change in HRQoL. * Symptom scale/item higher score represents a high level of symptomatic problem. |
| Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Nausea/Vomiting Subscale | Baseline and Day 29 | * Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. * The EORTC QLQ-C30 is a 30-item scale composed of both multi-item scales and single-item measures. * All of the scales and single-item measures range in score from 0 to 100. A 10-point change in the scoring is considered to be a meaningful change in HRQoL. * Symptom scale/item higher score represents a high level of symptomatic problem. |
| Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Constipation Subscale | Baseline and Day 29 | * Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. * The EORTC QLQ-C30 is a 30-item scale composed of both multi-item scales and single-item measures. * All of the scales and single-item measures range in score from 0 to 100. A 10-point change in the scoring is considered to be a meaningful change in HRQoL. * Symptom scale/item higher score represents a high level of symptomatic problem. |
| Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Diarrhea Subscale | Baseline and Day 29 | * Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. * The EORTC QLQ-C30 is a 30-item scale composed of both multi-item scales and single-item measures. * All of the scales and single-item measures range in score from 0 to 100. A 10-point change in the scoring is considered to be a meaningful change in HRQoL. * Symptom scale/item higher score represents a high level of symptomatic problem. |
| Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Dyspnea Subscale | Baseline and Day 29 | * Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. * The EORTC QLQ-C30 is a 30-item scale composed of both multi-item scales and single-item measures. * All of the scales and single-item measures range in score from 0 to 100. A 10-point change in the scoring is considered to be a meaningful change in HRQoL. * Symptom scale/item higher score represents a high level of symptomatic problem. |
| Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Appetite Loss Subscale | Baseline and Day 29 | * Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. * The EORTC QLQ-C30 is a 30-item scale composed of both multi-item scales and single-item measures. * All of the scales and single-item measures range in score from 0 to 100. A 10-point change in the scoring is considered to be a meaningful change in HRQoL. * Symptom scale/item higher score represents a high level of symptomatic problem. |
| Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Financial Difficulties Subscale | Baseline and Day 29 | * Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. * The EORTC QLQ-C30 is a 30-item scale composed of both multi-item scales and single-item measures. * All of the scales and single-item measures range in score from 0 to 100. A 10-point change in the scoring is considered to be a meaningful change in HRQoL. * Functional scale and global health status/HRQoL higher scale score represents a higher level of well-being and better ability of daily functioning. |
| Health-Related Quality of Life (HRQoL) Assessed by the FACT-Lym Subscale | Baseline and Day 29 | The Functional Assessment of Cancer Treatment-Lymphoma (FACT-Lym) consists of the FACT-General scale and a 15-item lymphoma-specific additional concerns subscale (LYM). This scale addresses symptoms and functional limitations that are important to lymphoma patients. The LYM items are scored on a 0 (Not at all) to 4 (Very much) response scale. Items are aggregated to a single score on a 0-60 scale. |
| Health-Related Quality of Life (HRQoL) Assessed by the EuroQol Instrument EQ-5D-5L | Baseline and Day 29 | The European Quality of Life 5D-5L Scale (EQ-5D-5L) assesses general health-related quality of life. Health is defined in 5 dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems, and extreme problems. Responses are coded so that a '1' indicates no problem, and '5' indicates the most serious problem. The responses for the 5 dimensions are combined in a 5-digit number. These health states are converted to a single index value using the crosswalk method to the EQ-5D-3L value set from the United Kingdom (UK). The EQ-5D-5L health states ranged from -.594 for the worst (55555) to 1 for the best (11111) for UK value set with an optimal health state is assigned a score of 1.00, death is assigned a score of 0.00 and negative values representing values as worse than dead. A change of .08 is considered to be a clinically meaningful change in health utility. |
| Numbers of Intensive Care Unit (ICU) Inpatient Days | From first dose after JCAR017 infusion to up to approximately 24 months | The numbers of ICU inpatient days. |
| Numbers of Non-intensive Care Unit (ICU) Inpatient Days | From first dose after JCAR017 infusion to up to approximately 24 months | Number of non-ICU inpatient days. |
| The Number of Participants That Were Hospitalized For Adverse Events, Prophylaxis, Other | From first dose after JCAR017 infusion to up to approximately 24 months | Length of hospitalization stay was reported for up to 24 months post liso-cel infusion. Reasons for hospitalization include adverse events, prophylaxis, and other. Adverse events were reported for up to 90 days post liso-cel infusion. |
| Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Fatigue Subscale | Baseline and Day 29 | * Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. * The EORTC QLQ-C30 is a 30-item scale composed of both multi-item scales and single-item measures. * All of the scales and single-item measures range in score from 0 to 100. A 10-point change in the scoring is considered to be a meaningful change in HRQoL. * Symptom scale/item higher score represents a high level of symptomatic problem. |
Countries
United States
Participant flow
Pre-assignment details
All efficacy and safety analyses were conducted on the JCAR017-treated Analysis Set.
Participants by arm
| Arm | Count |
|---|---|
| Lisocabtagene Maraleucel (JCAR017) Participants underwent leukapheresis and may receive salvage low- dose chemotherapy or one cycle of non-curative standard of care antitumor therapy if required. Eligible participants then received lymphodepleting chemotherapy with fludarabine and cyclophosphamide (flu/cy) followed by a single dose of JCAR017 (100×10\^6 CAR+ T cells) administered intravenously (IV) 2 to 7 days after completion of lymphodepleting chemotherapy. | 74 |
| Total | 74 |
Withdrawals & dropouts
| Period | Reason | FG000 |
|---|---|---|
| Pre-Treatment Phase | Death | 5 |
| Pre-Treatment Phase | Disease-related complications | 1 |
| Pre-Treatment Phase | No longer meets eligibility criteria | 4 |
| Pre-Treatment Phase | Other reasons | 1 |
| Treatment Phase | Death | 23 |
| Treatment Phase | Did not receive either JAR017 or nonconforming product | 1 |
| Treatment Phase | Other reasons | 1 |
| Treatment Phase | Received nonconforming product | 1 |
| Treatment Phase | Withdrawal by Subject | 7 |
Baseline characteristics
| Characteristic | Lisocabtagene Maraleucel (JCAR017) |
|---|---|
| Age, Continuous | 72.8 Years STANDARD_DEVIATION 6.57 |
| Age, Customized >= 65 to < 70 years | 7 Participants |
| Age, Customized < 65 years | 8 Participants |
| Age, Customized >= 70 to < 75 years | 27 Participants |
| Age, Customized >= 75 years | 32 Participants |
| Ethnicity (NIH/OMB) Hispanic or Latino | 1 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 64 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 9 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants |
| Race (NIH/OMB) Asian | 2 Participants |
| Race (NIH/OMB) Black or African American | 2 Participants |
| Race (NIH/OMB) More than one race | 0 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 6 Participants |
| Race (NIH/OMB) White | 64 Participants |
| Sex: Female, Male Female | 29 Participants |
| Sex: Female, Male Male | 45 Participants |
Adverse events
| Event type | EG000 affected / at risk |
|---|---|
| deaths Total, all-cause mortality | 30 / 74 |
| other Total, other adverse events | 59 / 61 |
| serious Total, serious adverse events | 20 / 61 |
Outcome results
Overall Response Rate (ORR)
Overall response rate is the percent of participants with a best overall response (BOR) of either complete response (CR) or partial reasons (PR) based on the Independent Review Committee (IRC) assessment recorded from the time of JCAR017 treatment until disease progression, end of study, the start of another anticancer therapy or JCAR017 retreatment. CR = Score 1, 2, or 3 with or without a residual mass on the positron emission tomography 5-point scale (PET 5PS). A score of 3 in many patients indicates a good prognosis with standard treatment. PR = Score 4 or 5b with reduced uptake compared with baseline and residual mass(es) of any size. PET 5PS = 1- no uptake above background; 2- uptake ≤ mediastinum; 3- uptake \> mediastinum but ≤ liver; 4- uptake moderately \> liver; 5- uptake markedly higher than liver and/or new lesions; X- new areas of uptake unlikely to be related to lymphoma.
Time frame: From first dose to disease progression, end of study, the start of another anticancer therapy, or hematopoietic stem cell transplantation (up to approximately 24 months)
Population: All participants with PET positive disease who received at least one infusion of JCAR017
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Lisocabtagene Maraleucel (JCAR017) | Overall Response Rate (ORR) | 80.3 Percent of Participants |
Change From Baseline of Chemistry Laboratory Results: Alanine Aminotransferase, Aspartate Aminotransferase, Lactate Dehydrogenase
Change from baseline in Chemistry laboratory analysis. Includes Alanine Aminotransferase, Aspartate Aminotransferase, and Lactate Dehydrogenase. Baseline is the last observation collected prior to or on the date of product infusion.
Time frame: Baseline and Day 29
Population: All participants who received at least one JCAR017 infusion evaluable for chemistry laboratory tests
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Lisocabtagene Maraleucel (JCAR017) | Change From Baseline of Chemistry Laboratory Results: Alanine Aminotransferase, Aspartate Aminotransferase, Lactate Dehydrogenase | Alanine Aminotransferase | 4.6 U/L | Standard Deviation 16.42 |
| Lisocabtagene Maraleucel (JCAR017) | Change From Baseline of Chemistry Laboratory Results: Alanine Aminotransferase, Aspartate Aminotransferase, Lactate Dehydrogenase | Aspartate Aminotransferase | -3.9 U/L | Standard Deviation 21.22 |
| Lisocabtagene Maraleucel (JCAR017) | Change From Baseline of Chemistry Laboratory Results: Alanine Aminotransferase, Aspartate Aminotransferase, Lactate Dehydrogenase | Lactate Dehydrogenase | -138.2 U/L | Standard Deviation 339.82 |
Change From Baseline of Chemistry Laboratory Results: Albumin
Change from baseline in Chemistry laboratory analysis. Includes Albumin. Baseline is the last observation collected prior to or on the date of product infusion.
Time frame: Baseline and Day 29
Population: All participants who received at least one JCAR017 infusion evaluable for chemistry laboratory tests
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Lisocabtagene Maraleucel (JCAR017) | Change From Baseline of Chemistry Laboratory Results: Albumin | 3.05 g/L | Standard Deviation 3.866 |
Change From Baseline of Chemistry Laboratory Results: Bilirubin, Creatinine, Direct Bilirubin, Urate
Change from baseline in Chemistry laboratory analysis. Includes Bilirubin, Creatinine, Direct Bilirubin, and Urate. Baseline is the last observation collected prior to or on the date of product infusion.
Time frame: Baseline and Day 29
Population: All participants who received at least one JCAR017 infusion evaluable for chemistry laboratory tests
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Lisocabtagene Maraleucel (JCAR017) | Change From Baseline of Chemistry Laboratory Results: Bilirubin, Creatinine, Direct Bilirubin, Urate | Bilirubin | -0.1741 umol/L | Standard Deviation 6.36075 |
| Lisocabtagene Maraleucel (JCAR017) | Change From Baseline of Chemistry Laboratory Results: Bilirubin, Creatinine, Direct Bilirubin, Urate | Creatinine | 5.8734 umol/L | Standard Deviation 21.32985 |
| Lisocabtagene Maraleucel (JCAR017) | Change From Baseline of Chemistry Laboratory Results: Bilirubin, Creatinine, Direct Bilirubin, Urate | Direct Bilirubin | 0.0306 umol/L | Standard Deviation 2.3565 |
| Lisocabtagene Maraleucel (JCAR017) | Change From Baseline of Chemistry Laboratory Results: Bilirubin, Creatinine, Direct Bilirubin, Urate | Urate | 5.7897 umol/L | Standard Deviation 93.90174 |
Change From Baseline of Chemistry Laboratory Results: Calcium Corrected, Magnesium, Phosphate, Potassium, Sodium
Change from baseline in Chemistry laboratory analysis. Includes Calcium Corrected, Magnesium, Phosphate, Potassium, and Sodium. Baseline is the last observation collected prior to or on the date of product infusion.
Time frame: Baseline and Day 29
Population: All participants who received at least one JCAR017 infusion evaluable for chemistry laboratory tests
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Lisocabtagene Maraleucel (JCAR017) | Change From Baseline of Chemistry Laboratory Results: Calcium Corrected, Magnesium, Phosphate, Potassium, Sodium | Calcium Corrected | -0.0261 mmol/L | Standard Deviation 0.12183 |
| Lisocabtagene Maraleucel (JCAR017) | Change From Baseline of Chemistry Laboratory Results: Calcium Corrected, Magnesium, Phosphate, Potassium, Sodium | Magnesium | -0.0209 mmol/L | Standard Deviation 0.09292 |
| Lisocabtagene Maraleucel (JCAR017) | Change From Baseline of Chemistry Laboratory Results: Calcium Corrected, Magnesium, Phosphate, Potassium, Sodium | Phosphate | 0.0479 mmol/L | Standard Deviation 0.22624 |
| Lisocabtagene Maraleucel (JCAR017) | Change From Baseline of Chemistry Laboratory Results: Calcium Corrected, Magnesium, Phosphate, Potassium, Sodium | Potassium | -0.05 mmol/L | Standard Deviation 0.426 |
| Lisocabtagene Maraleucel (JCAR017) | Change From Baseline of Chemistry Laboratory Results: Calcium Corrected, Magnesium, Phosphate, Potassium, Sodium | Sodium | 1.0 mmol/L | Standard Deviation 3.37 |
Change From Baseline of Hematology Laboratory Results: Hemoglobin
Change from baseline in Hematology laboratory analysis. Includes Hemoglobin. Baseline is the last observation collected prior to or on the date of product infusion.
Time frame: Baseline and Day 29
Population: All participants who received at least one JCAR017 infusion evaluable for hematology laboratory tests
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Lisocabtagene Maraleucel (JCAR017) | Change From Baseline of Hematology Laboratory Results: Hemoglobin | 1.9 g/L | Standard Deviation 10.05 |
Change From Baseline of Hematology Laboratory Results: Leukocytes, Lymphocytes, Neutrophils, Platelets
Change from baseline in Hematology laboratory analysis. Includes Leukocytes, Lymphocytes, Neutrophils, and Platelets. Baseline is the last observation collected prior to or on the date of product infusion.
Time frame: Baseline and Day 29
Population: All participants who received at least one JCAR017 infusion evaluable for hematology laboratory tests
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Lisocabtagene Maraleucel (JCAR017) | Change From Baseline of Hematology Laboratory Results: Leukocytes, Lymphocytes, Neutrophils, Platelets | Leukocytes | 0.921 10^9 cells/L | Standard Deviation 3.8562 |
| Lisocabtagene Maraleucel (JCAR017) | Change From Baseline of Hematology Laboratory Results: Leukocytes, Lymphocytes, Neutrophils, Platelets | Lymphocytes | 0.537 10^9 cells/L | Standard Deviation 0.5953 |
| Lisocabtagene Maraleucel (JCAR017) | Change From Baseline of Hematology Laboratory Results: Leukocytes, Lymphocytes, Neutrophils, Platelets | Neutrophils | -0.216 10^9 cells/L | Standard Deviation 3.401 |
| Lisocabtagene Maraleucel (JCAR017) | Change From Baseline of Hematology Laboratory Results: Leukocytes, Lymphocytes, Neutrophils, Platelets | Platelets | -61.6 10^9 cells/L | Standard Deviation 96.55 |
Complete Response (CR) Rate
Complete response rate (CRR) was defined as the percent of participants with a best overall response (BOR) of complete response (CR) based on the Independent Review Committee (IRC) assessment recorded from the time of JCAR017 treatment until disease progression, end of study, the start of another anticancer therapy or JCAR017 retreatment. CR = Score 1, 2, or 3 with or without a residual mass on the positron emission tomography 5-point scale (PET 5PS). A score of 3 in many patients indicates a good prognosis with standard treatment. PET 5PS = 1- no uptake above background; 2- uptake ≤ mediastinum; 3- uptake \> mediastinum but ≤ liver; 4- uptake moderately \> liver; 5- uptake markedly higher than liver and/or new lesions; X- new areas of uptake unlikely to be related to lymphoma.
Time frame: From first dose to disease progression, end of study, the start of another anticancer therapy, or hematopoietic stem cell transplant (up to approximately 24 months)
Population: All participants with PET positive disease who received at least one infusion of JCAR017
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Lisocabtagene Maraleucel (JCAR017) | Complete Response (CR) Rate | 54.1 Percent of Participants |
Duration of Response (DOR)
Duration of response (DOR) is defined as the time from first complete response(CR) or partial response (PR) to progressive disease (PD) or death, whichever occurred first. CR = Score 1, 2, or 3 on the positron emission tomography 5-point scale (PET 5PS). A score of 3 indicates a good prognosis with standard treatment. PR = Score 4 or 5b with reduced uptake compared with baseline and residual mass(es) of any size. PD = Score 4 or 5b on PET 5PS with an increase in intensity of uptake from baseline and/or new fluorodeoxyglucose-avid foci consistent with lymphoma at interim or end-of-treatment assessment. PET 5PS = 1-no uptake above background; 2-uptake ≤ mediastinum; 3-uptake \> mediastinum but ≤ liver; 4-uptake moderately \> liver; 5-uptake markedly higher than liver and/or new lesions; X- new areas of uptake unlikely to be related to lymphoma.
Time frame: From first dose to up to approximately 24 months
Population: All participants with PET positive disease who received at least one infusion of JCAR017 and achieved a response (CR or PR)
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Lisocabtagene Maraleucel (JCAR017) | Duration of Response (DOR) | 23.26 Months |
Duration of Response (DOR) in Participants With Complete Response (CR)
DOR for participants with a best overall response of CR was defined as the time from documentation of first response (or CR) to progressive disease (PD) or death, whichever occurred first. The first documentation of CR/PR is the latest of all dates of required measurements to establish the response. The progression date is the earliest date of all assessments that led to a response assessment of PD. CR = Score 1, 2, or 3 on the positron emission tomography 5-point scale (PET 5PS). A score of 3 indicates a good prognosis with standard treatment. PD = Score 4 or 5b on PET 5PS with an increase in intensity of uptake from baseline and/or new fluorodeoxyglucose-avid foci consistent with lymphoma at interim or end-of-treatment assessment. PET 5PS = 1-no uptake above background; 2-uptake ≤ mediastinum; 3-uptake \> mediastinum but ≤ liver; 4-uptake moderately \> liver; 5-uptake markedly higher than liver and/or new lesions; X- new areas of uptake unlikely to be related to lymphoma.
Time frame: From first dose to up to approximately 24 months
Population: All participants with PET positive disease who received at least one infusion of JCAR017 and achieved complete response (CR)
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Lisocabtagene Maraleucel (JCAR017) | Duration of Response (DOR) in Participants With Complete Response (CR) | NA Months |
Event-Free Survival (EFS)
EFS is defined as the time from JCAR017 infusion to the earliest of the following events: death from any cause, progressive disease (PD), or starting a new anticancer therapy. Kaplan-Meier (KM) methodology will be used to analyze EFS. PD = Score 4 or 5b on PET 5PS with an increase in intensity of uptake from baseline and/or new fluorodeoxyglucose-avid foci consistent with lymphoma at interim or end-of-treatment assessment. PET 5PS = 1-no uptake above background; 2-uptake ≤ mediastinum; 3-uptake \> mediastinum but ≤ liver; 4-uptake moderately \> liver; 5-uptake markedly higher than liver and/or new lesions; X- new areas of uptake unlikely to be related to lymphoma.
Time frame: From first dose to death from any cause, progressive disease (PD), or starting a new anticancer therapy (up to approximately 24 months)
Population: All participants with PET positive disease who received at least one infusion of JCAR017
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Lisocabtagene Maraleucel (JCAR017) | Event-Free Survival (EFS) | 7.23 Months |
Health-Related Quality of Life (HRQoL) Assessed by the EuroQol Instrument EQ-5D-5L
The European Quality of Life 5D-5L Scale (EQ-5D-5L) assesses general health-related quality of life. Health is defined in 5 dimensions: mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems, and extreme problems. Responses are coded so that a '1' indicates no problem, and '5' indicates the most serious problem. The responses for the 5 dimensions are combined in a 5-digit number. These health states are converted to a single index value using the crosswalk method to the EQ-5D-3L value set from the United Kingdom (UK). The EQ-5D-5L health states ranged from -.594 for the worst (55555) to 1 for the best (11111) for UK value set with an optimal health state is assigned a score of 1.00, death is assigned a score of 0.00 and negative values representing values as worse than dead. A change of .08 is considered to be a clinically meaningful change in health utility.
Time frame: Baseline and Day 29
Population: All participants who received at least one JCAR017 infusion who completed 5-dimension measures at baseline and at least one post-baseline
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Lisocabtagene Maraleucel (JCAR017) | Health-Related Quality of Life (HRQoL) Assessed by the EuroQol Instrument EQ-5D-5L | Baseline | 0.7378 Scores on a scale | Standard Deviation 0.2319 |
| Lisocabtagene Maraleucel (JCAR017) | Health-Related Quality of Life (HRQoL) Assessed by the EuroQol Instrument EQ-5D-5L | Day 29 | 0.7719 Scores on a scale | Standard Deviation 0.20651 |
Health-Related Quality of Life (HRQoL) Assessed by the FACT-Lym Subscale
The Functional Assessment of Cancer Treatment-Lymphoma (FACT-Lym) consists of the FACT-General scale and a 15-item lymphoma-specific additional concerns subscale (LYM). This scale addresses symptoms and functional limitations that are important to lymphoma patients. The LYM items are scored on a 0 (Not at all) to 4 (Very much) response scale. Items are aggregated to a single score on a 0-60 scale.
Time frame: Baseline and Day 29
Population: All participants who received at least one JCAR017 infusion who has an analyzable baseline scale and at least one post-baseline analyzable scale
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Lisocabtagene Maraleucel (JCAR017) | Health-Related Quality of Life (HRQoL) Assessed by the FACT-Lym Subscale | Baseline | 44.22 Scores on a scale | Standard Deviation 8.804 |
| Lisocabtagene Maraleucel (JCAR017) | Health-Related Quality of Life (HRQoL) Assessed by the FACT-Lym Subscale | Day 29 | 48.71 Scores on a scale | Standard Deviation 6.447 |
Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Appetite Loss Subscale
* Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. * The EORTC QLQ-C30 is a 30-item scale composed of both multi-item scales and single-item measures. * All of the scales and single-item measures range in score from 0 to 100. A 10-point change in the scoring is considered to be a meaningful change in HRQoL. * Symptom scale/item higher score represents a high level of symptomatic problem.
Time frame: Baseline and Day 29
Population: All participants who received at least one JCAR017 infusion who has an analyzable baseline scale and at least one post-baseline analyzable scale
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Lisocabtagene Maraleucel (JCAR017) | Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Appetite Loss Subscale | Baseline | 18.788 Scores on a scale | Standard Deviation 29.927 |
| Lisocabtagene Maraleucel (JCAR017) | Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Appetite Loss Subscale | Day 29 | 22.222 Scores on a scale | Standard Deviation 28.6277 |
Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Cognitive Functioning Subscale
* Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. * The EORTC QLQ-C30 is a 30-item scale composed of both multi-item scales and single-item measures. * All of the scales and single-item measures range in score from 0 to 100. A 10-point change in the scoring is considered to be a meaningful change in HRQoL. * Functional scale and global health status/HRQoL higher scale score represents a higher level of well-being and better ability of daily functioning.
Time frame: Baseline and Day 29
Population: All participants who received at least one JCAR017 infusion who has an analyzable baseline scale and at least one post-baseline analyzable scale
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Lisocabtagene Maraleucel (JCAR017) | Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Cognitive Functioning Subscale | Day 29 | 88.194 Scores on a scale | Standard Deviation 14.9698 |
| Lisocabtagene Maraleucel (JCAR017) | Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Cognitive Functioning Subscale | Baseline | 83.333 Scores on a scale | Standard Deviation 17.4078 |
Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Constipation Subscale
* Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. * The EORTC QLQ-C30 is a 30-item scale composed of both multi-item scales and single-item measures. * All of the scales and single-item measures range in score from 0 to 100. A 10-point change in the scoring is considered to be a meaningful change in HRQoL. * Symptom scale/item higher score represents a high level of symptomatic problem.
Time frame: Baseline and Day 29
Population: All participants who received at least one JCAR017 infusion who has an analyzable baseline scale and at least one post-baseline analyzable scale
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Lisocabtagene Maraleucel (JCAR017) | Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Constipation Subscale | Baseline | 11.905 Scores on a scale | Standard Deviation 23.2931 |
| Lisocabtagene Maraleucel (JCAR017) | Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Constipation Subscale | Day 29 | 6.944 Scores on a scale | Standard Deviation 13.6805 |
Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Diarrhea Subscale
* Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. * The EORTC QLQ-C30 is a 30-item scale composed of both multi-item scales and single-item measures. * All of the scales and single-item measures range in score from 0 to 100. A 10-point change in the scoring is considered to be a meaningful change in HRQoL. * Symptom scale/item higher score represents a high level of symptomatic problem.
Time frame: Baseline and Day 29
Population: All participants who received at least one JCAR017 infusion who has an analyzable baseline scale and at least one post-baseline analyzable scale
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Lisocabtagene Maraleucel (JCAR017) | Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Diarrhea Subscale | Baseline | 13.690 Scores on a scale | Standard Deviation 21.8135 |
| Lisocabtagene Maraleucel (JCAR017) | Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Diarrhea Subscale | Day 29 | 11.806 Scores on a scale | Standard Deviation 21.1821 |
Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Dyspnea Subscale
* Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. * The EORTC QLQ-C30 is a 30-item scale composed of both multi-item scales and single-item measures. * All of the scales and single-item measures range in score from 0 to 100. A 10-point change in the scoring is considered to be a meaningful change in HRQoL. * Symptom scale/item higher score represents a high level of symptomatic problem.
Time frame: Baseline and Day 29
Population: All participants who received at least one JCAR017 infusion who has an analyzable baseline scale and at least one post-baseline analyzable scale
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Lisocabtagene Maraleucel (JCAR017) | Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Dyspnea Subscale | Baseline | 10.714 Scores on a scale | Standard Deviation 21.1843 |
| Lisocabtagene Maraleucel (JCAR017) | Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Dyspnea Subscale | Day 29 | 13.194 Scores on a scale | Standard Deviation 17.851 |
Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Emotional Functioning Subscale
* Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. * The EORTC QLQ-C30 is a 30-item scale composed of both multi-item scales and single-item measures. * All of the scales and single-item measures range in score from 0 to 100. A 10-point change in the scoring is considered to be a meaningful change in HRQoL. * Functional scale and global health status/HRQoL higher scale score represents a higher level of well-being and better ability of daily functioning.
Time frame: Baseline and Day 29
Population: All participants who received at least one JCAR017 infusion who has an analyzable baseline scale and at least one post-baseline analyzable scale
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Lisocabtagene Maraleucel (JCAR017) | Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Emotional Functioning Subscale | Baseline | 81.061 Scores on a scale | Standard Deviation 17.1575 |
| Lisocabtagene Maraleucel (JCAR017) | Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Emotional Functioning Subscale | Day 29 | 86.806 Scores on a scale | Standard Deviation 13.4077 |
Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Fatigue Subscale
* Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. * The EORTC QLQ-C30 is a 30-item scale composed of both multi-item scales and single-item measures. * All of the scales and single-item measures range in score from 0 to 100. A 10-point change in the scoring is considered to be a meaningful change in HRQoL. * Symptom scale/item higher score represents a high level of symptomatic problem.
Time frame: Baseline and Day 29
Population: All participants who received at least one JCAR017 infusion who has an analyzable baseline scale and at least one post-baseline analyzable scale
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Lisocabtagene Maraleucel (JCAR017) | Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Fatigue Subscale | Baseline | 36.706 Scores on a scale | Standard Deviation 27.6193 |
| Lisocabtagene Maraleucel (JCAR017) | Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Fatigue Subscale | Day 29 | 37.731 Scores on a scale | Standard Deviation 19.9473 |
Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Financial Difficulties Subscale
* Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. * The EORTC QLQ-C30 is a 30-item scale composed of both multi-item scales and single-item measures. * All of the scales and single-item measures range in score from 0 to 100. A 10-point change in the scoring is considered to be a meaningful change in HRQoL. * Functional scale and global health status/HRQoL higher scale score represents a higher level of well-being and better ability of daily functioning.
Time frame: Baseline and Day 29
Population: All participants who received at least one JCAR017 infusion who has an analyzable baseline scale and at least one post-baseline analyzable scale
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Lisocabtagene Maraleucel (JCAR017) | Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Financial Difficulties Subscale | Baseline | 13.690 Scores on a scale | Standard Deviation 22.7208 |
| Lisocabtagene Maraleucel (JCAR017) | Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Financial Difficulties Subscale | Day 29 | 14.583 Scores on a scale | Standard Deviation 21.6421 |
Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Global Health/QoL Subscale
* Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. * The EORTC QLQ-C30 is a 30-item scale composed of both multi-item scales and single-item measures. * All of the scales and single-item measures range in score from 0 to 100. A 10-point change in the scoring is considered to be a meaningful change in HRQoL. * Functional scale and global health status/HRQoL higher scale score represents a higher level of well-being and better ability of daily functioning.
Time frame: Baseline and Day 29
Population: All participants who received at least one JCAR017 infusion who has an analyzable baseline scale and at least one post-baseline analyzable scale
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Lisocabtagene Maraleucel (JCAR017) | Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Global Health/QoL Subscale | Baseline | 66.815 Scores on a scale | Standard Deviation 25.5491 |
| Lisocabtagene Maraleucel (JCAR017) | Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Global Health/QoL Subscale | Day 29 | 72.049 Scores on a scale | Standard Deviation 18.791 |
Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Insomnia Subscale
* Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. * The EORTC QLQ-C30 is a 30-item scale composed of both multi-item scales and single-item measures. * All of the scales and single-item measures range in score from 0 to 100. A 10-point change in the scoring is considered to be a meaningful change in HRQoL. * Symptom scale/item higher score represents a high level of symptomatic problem.
Time frame: Baseline and Day 29
Population: All participants who received at least one JCAR017 infusion who has an analyzable baseline scale and at least one post-baseline analyzable scale
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Lisocabtagene Maraleucel (JCAR017) | Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Insomnia Subscale | Baseline | 25.595 Scores on a scale | Standard Deviation 27.7005 |
| Lisocabtagene Maraleucel (JCAR017) | Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Insomnia Subscale | Day 29 | 20.139 Scores on a scale | Standard Deviation 27.2798 |
Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Nausea/Vomiting Subscale
* Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. * The EORTC QLQ-C30 is a 30-item scale composed of both multi-item scales and single-item measures. * All of the scales and single-item measures range in score from 0 to 100. A 10-point change in the scoring is considered to be a meaningful change in HRQoL. * Symptom scale/item higher score represents a high level of symptomatic problem.
Time frame: Baseline and Day 29
Population: All participants who received at least one JCAR017 infusion who has an analyzable baseline scale and at least one post-baseline analyzable scale
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Lisocabtagene Maraleucel (JCAR017) | Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Nausea/Vomiting Subscale | Baseline | 5.655 Scores on a scale | Standard Deviation 10.6727 |
| Lisocabtagene Maraleucel (JCAR017) | Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Nausea/Vomiting Subscale | Day 29 | 6.250 Scores on a scale | Standard Deviation 14.4338 |
Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Pain Subscale
* Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. * The EORTC QLQ-C30 is a 30-item scale composed of both multi-item scales and single-item measures. * All of the scales and single-item measures range in score from 0 to 100. A 10-point change in the scoring is considered to be a meaningful change in HRQoL. * Symptom scale/item higher score represents a high level of symptomatic problem.
Time frame: Baseline and Day 29
Population: All participants who received at least one JCAR017 infusion who has an analyzable baseline scale and at least one post-baseline analyzable scale
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Lisocabtagene Maraleucel (JCAR017) | Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Pain Subscale | Baseline | 26.488 Scores on a scale | Standard Deviation 29.2631 |
| Lisocabtagene Maraleucel (JCAR017) | Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Pain Subscale | Day 29 | 13.542 Scores on a scale | Standard Deviation 22.4546 |
Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Physical Functioning Subscale
* Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. * The EORTC QLQ-C30 is a 30-item scale composed of both multi-item scales and single-item measures. * All of the scales and single-item measures range in score from 0 to 100. A 10-point change in the scoring is considered to be a meaningful change in HRQoL. * Functional scale and global health status/HRQoL higher scale score represents a higher level of well-being and better ability of daily functioning.
Time frame: Baseline and Day 29
Population: All participants who received at least one JCAR017 infusion who has an analyzable baseline scale and at least one post-baseline analyzable scale
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Lisocabtagene Maraleucel (JCAR017) | Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Physical Functioning Subscale | Baseline | 77.827 Scores on a scale | Standard Deviation 24.2897 |
| Lisocabtagene Maraleucel (JCAR017) | Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Physical Functioning Subscale | Day 29 | 71.667 Scores on a scale | Standard Deviation 23.8395 |
Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Role Functioning Subscale
* Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. * The EORTC QLQ-C30 is a 30-item scale composed of both multi-item scales and single-item measures. * All of the scales and single-item measures range in score from 0 to 100. A 10-point change in the scoring is considered to be a meaningful change in HRQoL. * Functional scale and global health status/HRQoL higher scale score represents a higher level of well-being and better ability of daily functioning.
Time frame: Baseline and Day 29
Population: All participants who received at least one JCAR017 infusion who has an analyzable baseline scale and at least one post-baseline analyzable scale
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Lisocabtagene Maraleucel (JCAR017) | Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Role Functioning Subscale | Baseline | 77.083 Scores on a scale | Standard Deviation 30.4117 |
| Lisocabtagene Maraleucel (JCAR017) | Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Role Functioning Subscale | Day 29 | 69.792 Scores on a scale | Standard Deviation 28.0695 |
Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Social Functioning Subscale
* Health Related Quality of Life (HRQoL) was assessed using the EORTC QLQ-C30 questionnaire. * The EORTC QLQ-C30 is a 30-item scale composed of both multi-item scales and single-item measures. * All of the scales and single-item measures range in score from 0 to 100. A 10-point change in the scoring is considered to be a meaningful change in HRQoL. * Functional scale and global health status/HRQoL higher scale score represents a higher level of well-being and better ability of daily functioning.
Time frame: Baseline and Day 29
Population: All participants who received at least one JCAR017 infusion who has an analyzable baseline scale and at least one post-baseline analyzable scale
| Arm | Measure | Group | Value (MEAN) | Dispersion |
|---|---|---|---|---|
| Lisocabtagene Maraleucel (JCAR017) | Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Social Functioning Subscale | Baseline | 74.702 Scores on a scale | Standard Deviation 26.3985 |
| Lisocabtagene Maraleucel (JCAR017) | Mean Score in the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC-QLQ-30) Social Functioning Subscale | Day 29 | 72.917 Scores on a scale | Standard Deviation 25.8713 |
Number of Participants With Any Treatment-Emergent Adverse Events (TEAEs)
A TEAE was defined as an adverse event that started any time from initiation of product administration through and including 90 days following product administration. AEs that occurred after the initiation of subsequent anticancer therapy or product retreatment were not considered as product TEAE. AEs are graded according to National Cancer Institute Common Terminology Criteria for Adverse Events (Version 4.03) (NCI CTCAE) guidelines where Grade 3= Severe, Grade 4= Life-threatening, and 5 = Death.
Time frame: From first dose to 90 days following first dose (up to approximately 90 days)
Population: All participants who received at least one JCAR017 infusion
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| Lisocabtagene Maraleucel (JCAR017) | Number of Participants With Any Treatment-Emergent Adverse Events (TEAEs) | Participants with any TEAE | 59 Participants |
| Lisocabtagene Maraleucel (JCAR017) | Number of Participants With Any Treatment-Emergent Adverse Events (TEAEs) | Participants with any serious TEAEs | 20 Participants |
| Lisocabtagene Maraleucel (JCAR017) | Number of Participants With Any Treatment-Emergent Adverse Events (TEAEs) | Participants with any Grade ≥ 3 TEAEs | 48 Participants |
| Lisocabtagene Maraleucel (JCAR017) | Number of Participants With Any Treatment-Emergent Adverse Events (TEAEs) | Participants with any product-related TEAE | 48 Participants |
Numbers of Intensive Care Unit (ICU) Inpatient Days
The numbers of ICU inpatient days.
Time frame: From first dose after JCAR017 infusion to up to approximately 24 months
Population: All participants who received at least one infusion of JCAR017 who were monitored inpatient
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Lisocabtagene Maraleucel (JCAR017) | Numbers of Intensive Care Unit (ICU) Inpatient Days | 0.0 Day |
Numbers of Non-intensive Care Unit (ICU) Inpatient Days
Number of non-ICU inpatient days.
Time frame: From first dose after JCAR017 infusion to up to approximately 24 months
Population: All participants who received at least one infusion of JCAR017 who were monitored inpatient
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Lisocabtagene Maraleucel (JCAR017) | Numbers of Non-intensive Care Unit (ICU) Inpatient Days | 14.0 Day |
Overall Survival (OS)
OS is defined as the time from JCAR017 infusion to the date of death. Kaplan-Meier (KM) methodology will be used to analyze OS.
Time frame: From first dose to date of death (up to approximately 24 months)
Population: All participants with PET positive disease who received at least one infusion of JCAR017
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Lisocabtagene Maraleucel (JCAR017) | Overall Survival (OS) | NA Months |
PK Parameters of JCAR017 in Blood as Assessed by qPCR: AUC (0-28)
Pharmacokinetic (PK) analyses were based on quantitative polymerase chain reaction (qPCR). AUC (0-28) = Area under the curve for concentration.
Time frame: From first dose to up to 24 months
Population: All participants who received at least one infusion of JCAR017 who have baseline and on-study PK measurements assessed by qPCR
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Lisocabtagene Maraleucel (JCAR017) | PK Parameters of JCAR017 in Blood as Assessed by qPCR: AUC (0-28) | 178631.0 day*copies/ug | Geometric Coefficient of Variation 228.3 |
PK Parameters of JCAR017 in Blood as Assessed by qPCR: Cmax
Pharmacokinetic (PK) analyses were based on quantitative polymerase chain reaction (qPCR). Cmax = Maximum observed blood concentration.
Time frame: From first dose to up to 24 months
Population: All participants who received at least one infusion of JCAR017 who have baseline and on-study PK measurements assessed by qPCR
| Arm | Measure | Value (GEOMETRIC_MEAN) | Dispersion |
|---|---|---|---|
| Lisocabtagene Maraleucel (JCAR017) | PK Parameters of JCAR017 in Blood as Assessed by qPCR: Cmax | 22516.3 copies/μg | Geometric Coefficient of Variation 237.4 |
PK Parameters of JCAR017 in Blood as Assessed by qPCR: Tmax
Pharmacokinetic (PK) analyses were based on quantitative polymerase chain reaction (qPCR). Tmax = Time of maximum observed blood concentration.
Time frame: From first dose to up to 24 months
Population: All participants who received at least one infusion of JCAR017 who have baseline and on-study PK measurements assessed by qPCR
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Lisocabtagene Maraleucel (JCAR017) | PK Parameters of JCAR017 in Blood as Assessed by qPCR: Tmax | 10.0 Day |
Progression-Free Survival (PFS)
PFS is defined as the time from JCAR017 infusion to progressive disease (PD) or death. Kaplan-Meier (KM) methodology will be used to analyze PFS. PD = Score 4 or 5b on the positron emission tomography 5-point scale (PET 5PS) with an increase in intensity of uptake from baseline and/or new fluorodeoxyglucose-avid foci consistent with lymphoma at interim or end-of-treatment assessment. PET 5PS = 1- no uptake above background; 2- uptake ≤ mediastinum; 3- uptake \> mediastinum but ≤ liver; 4- uptake moderately \> liver; 5- uptake markedly higher than liver and/or new lesions; X- new areas of uptake unlikely to be related to lymphoma.
Time frame: From first dose to progressive disease (PD) or death (up to approximately 24 months)
Population: All participants with PET positive disease who received at least one infusion of JCAR017
| Arm | Measure | Value (MEDIAN) |
|---|---|---|
| Lisocabtagene Maraleucel (JCAR017) | Progression-Free Survival (PFS) | 9.03 Months |
The Number of Participants That Were Hospitalized For Adverse Events, Prophylaxis, Other
Length of hospitalization stay was reported for up to 24 months post liso-cel infusion. Reasons for hospitalization include adverse events, prophylaxis, and other. Adverse events were reported for up to 90 days post liso-cel infusion.
Time frame: From first dose after JCAR017 infusion to up to approximately 24 months
Population: All participants who received at least one infusion of JCAR017 who were monitored inpatient
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Lisocabtagene Maraleucel (JCAR017) | The Number of Participants That Were Hospitalized For Adverse Events, Prophylaxis, Other | Adverse Event | 2 Participants |
| Lisocabtagene Maraleucel (JCAR017) | The Number of Participants That Were Hospitalized For Adverse Events, Prophylaxis, Other | Prophylaxis for CAR T-cell administration | 36 Participants |
| Lisocabtagene Maraleucel (JCAR017) | The Number of Participants That Were Hospitalized For Adverse Events, Prophylaxis, Other | Other | 3 Participants |