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Safety and Efficacy of Axicabtagene Ciloleucel in Combination With Rituximab in Participants With Refractory Large B-Cell Lymphoma

A Phase 2 Open-Label, Multicenter Study Evaluating the Safety and Efficacy of Axicabtagene Ciloleucel in Combination With Rituximab in Participants With Refractory Large B-Cell Lymphoma (ZUMA-14)

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04002401
Acronym
ZUMA-14
Enrollment
27
Registered
2019-06-28
Start date
2019-11-05
Completion date
2023-01-30
Last updated
2024-02-20

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Refractory Large B-cell Lymphoma

Brief summary

The primary objective of this study is to estimate the efficacy of axicabtagene ciloleucel in combination with rituximab, as measured by assessment of response rates in adult participants with relapsed/refractory large B-cell lymphoma.

Detailed description

Following at least 24 months of assessments after axicabtagene ciloleucel infusion, participants will be asked to rollover to a separate long-term follow-up study (Study KT-US-982-5968). Participants will complete the remainder of the 15-year follow-up assessments in the KT-US-982-5968 study.

Interventions

BIOLOGICALAxicabtagene Ciloleucel

A single infusion of CAR-transduced autologous T cells administered intravenously

DRUGRituximab

Administered intravenously

DRUGFludarabine

Administered according to package insert

DRUGCyclophosphamide

Administered according to package insert

Sponsors

Kite, A Gilead Company
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Key Inclusion Criteria: * Histologically confirmed large B-cell lymphoma * Chemotherapy-refractory disease, defined as one or more of the following: * No response to first-line therapy (primary refractory disease) * No response to second or greater lines of therapy OR * Refractory after autologous stem cell transplant (ASCT) * At least 1 measureable lesion according to the Lugano Classification (Cheson 2014). * Individuals must have received adequate prior therapy, including at a minimum: * Anti-CD20 monoclonal antibody * An anthracycline-containing chemotherapy regimen * Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 * Adequate renal, hepatic, pulmonary, and cardiac function Key

Exclusion criteria

* Known CD19 negative or CD20 negative tumor * History of Richter's transformation of Chronic Lymphocytic Leukemia (CLL) * Prior CAR therapy or other genetically modified T-cell therapy * Prior organ transplantation including prior allogeneic stem cell transplant (SCT) * Prior CD19 targeted therapy * Clinically significant infection or cardiopulmonary disease * Presence of any in-dwelling lines or drains (dedicated central venous access catheters allowed) * History or presence of central nervous system (CNS) lymphoma or nonmalignant CNS disorder or cerebrospinal fluid (CSF) malignant cells or brain metastases * History of autoimmune disease * History of deep vein thrombosis (DVT) or pulmonary embolism (PE) within the last 6 months Note: Other protocol defined Inclusion/

Design outcomes

Primary

MeasureTime frameDescription
Complete Response (CR) Rate Per the International Working Group (IWG) Lugano Classification as Determined by Study InvestigatorsFirst infusion date up to maximum duration of 32.7 monthsCR rate is defined as the incidence of a CR per the IWG Lugano Classification as determined by study investigators. CR rate: percentage of participants with CR \[complete metabolic response (CMR); complete radiological response (CRR)\]. CMR: positron emission tomography (PET) 5-point scale (5-PS) scores of 1 (no uptake above background), 2 (uptake ≤ mediastinum), 3 (uptake \> mediastinum but ≤ liver) with/without a residual mass); no new lesions; and no evidence of fluorodeoxyglucose (FDG)-avid disease in bone marrow (BM). CRR: target nodes/nodal masses regressed to ≤ 1.5 cm in longest transverse diameter of lesion (LDi); no extralymphatic sites of disease; absent non-measured lesion (NMLs); organ enlargement regress to normal; no new sites; and bone marrow normal by morphology. 95% confidence interval (CI) was calculated by Clopper-Pearson method.

Secondary

MeasureTime frameDescription
Percentage of Participants Who Experienced Laboratory Toxicity Grade Shifts to Grade 3 or Higher Resulting From Increased Parameter ValueFirst infusion date up to maximum duration of 27 monthsGrading categories were determined by Common Terminology Criteria for Adverse Events (CTCAE) version 5.0. Laboratory parameters with only non-zero values are presented.
Objective Response Rate (ORR) Per the IWG Lugano Classification as Determined by Study InvestigatorsFirst infusion date up to maximum duration of 32.7 monthsORR: percentage of participants with CR \[CMR;CRR\] or PR \[partial metabolic response (PMR); partial radiologic response (PRR)\].CMR: PET 5PS scores of 1 (no uptake above background, 2 (uptake ≤ mediastinum), 3 (uptake \> mediastinum but ≤ liver) with/without a residual mass; no new lesions; no evidence of FDG-avid disease in BM. CRR: target nodes/nodal masses regressed to ≤ 1.5 cm in LDi;no extralymphatic sites of disease;absent NMLs;organ enlargement regress to normal;no new sites;bone marrow morphology normal. PMR: scores 4 (uptake moderately \> liver), 5 (uptake markedly \> liver, new lesions) with reduced uptake compared with baseline and residual mass; no new lesions; responding disease at interim/residual disease at end of treatment (EOT). PRR: ≥ 50% decrease in sum of the product of perpendicular diameters (SPD) of up to 6 target measurable nodes and extra-nodal sites; absent/normal, regressed, but no increase of NMLs; spleen regressed by \> 50% in length beyond normal; no new sites.
Duration of Response (DOR) Per the IWG Lugano Classification as Determined by Study InvestigatorsFrom the date of first confirmed objective response (CR or PR) to disease progression or death regardless of cause (up to approximately 32.7 months)DOR is defined only for participants who experience an objective response and is the time from the first objective response to disease progression \[progressive metabolic disease (PMD); progressive radiologic disease (PRD)\] or death from any cause. Objective response is defined in outcome measure (OM) 4. PMD: scores 4 (uptake moderately \> liver), 5 (uptake markedly \> liver, new lesions) with increased uptake compared with baseline; new fluorodeoxyglucose (FDG)-avid foci consistent with lymphoma rather than another etiology; new or recurrent FDG-avid foci in bone marrow. PRD: LDi \>1.5 cm; ≥ 50% increase from cross product of LDi and perpendicular diameter (PPD); increase in LDi or shortest axis perpendicular to the LDi (SDi) of 0.5 cm for lesions ≤1.5 cm and 1 cm for lesions \>2 cm; spleen increased by \>50% in length beyond normal; new or recurrent splenomegaly, bone marrow involvement; new lesions; progression of pre-existing lesions. Kaplan-Meier (KM) estimate of median was reported.
Progression-Free Survival (PFS) Per the IWG Lugano Classification as Determined by Study InvestigatorsFirst infusion date up to disease progression or death regardless of cause (up to approximately 32.7 months)PFS is defined as the time from the axicabtagene ciloleucel infusion date to the date of disease progression (PMD; PRD) or death from any cause. PMD: scores 4 (uptake moderately \> liver), 5 (uptake markedly \> liver, new lesions) with increased uptake compared with baseline; new FDG-avid foci consistent with lymphoma rather than another etiology; new or recurrent FDG-avid foci in bone marrow. PRD: LDi \>1.5 cm; ≥ 50% increase from cross product of LDi and PPD; increase in LDi or SDi of 0.5 cm for lesions ≤1.5 cm and 1 cm for lesions \>2 cm; spleen increased by \>50% in length beyond normal; new or recurrent splenomegaly, bone marrow involvement; new lesions; progression of pre-existing lesions. KM estimate of median was reported.
Percentage of Participants Who Experienced Treatment Emergent Adverse Events (TEAEs)First infusion date up to maximum duration of 27 monthsAn AE is defined as any untoward medical occurrence in a clinical trial participant that does not necessarily have a relationship with study treatment or worsening of a pre-existing medical condition. TEAEs are any AEs with onset on or after axicabtagene ciloleucel infusion or worsening of a pre-existing medical condition that occurs on or after axicabtagene ciloleucel infusion.
Peak Level of Anti-CD19 CAR T Cells in BloodBaseline (Day 0), post-infusion on Days 7, 14, 21, 28, 49, 105, 180, Months 9, 12, 15, 18, and 24Peak was defined as the maximum number of CAR T cells in blood measured after infusion.
Level of Anti-CD19 CAR T Cells in Blood by VisitBaseline (Day 0), post-infusion on Days 7, 14, 21, 28, 49, 105, 180, Months 9, 12, 15, 18, and 24
Area Under the Curve of CAR T Cells From Day 0 to Day 28 (AUC0-28)Baseline (Day 0), post-infusion on Days 7, 14, 21, and 28AUC0-28 is defined as the area under curve in a plot of number of CAR T cells against scheduled visit from Day 0 to Day 28.
Time to Peak Level of Anti-CD19 CAR T Cells in BloodBaseline (Day 0), post-infusion on Days 7, 14, 21, 28, 49, 105, 180, Months 9, 12, 15, 18, and 24Time to peak was defined as the number of days from the date of the axicabtagene ciloleucel infusion to the date of peak level defined as the maximum number of CAR T cells in blood measured after infusion.
Overall Survival (OS)First infusion date up to death regardless of cause (up to approximately 32.7 months)OS is defined as the time from axicabtagene ciloleucel infusion to the date of death from any cause. KM estimate of median was reported.

Countries

United States

Participant flow

Recruitment details

Participants were enrolled at study sites in the United States.

Pre-assignment details

36 participants were screened.

Participants by arm

ArmCount
Axicabtagene Ciloleucel and Rituximab Combination
Participants received rituximab 375 mg/m\^2 IV once on Day -5 along with conditioning chemotherapy (fludarabine 30 mg/m\^2 over 30 minutes and cyclophosphamide 500 mg/m\^2 over 60 minutes) administered IV once on Days -5 to -3, followed by axicabtagene ciloleucel 2 x 10\^6 anti-CD19 CAR T cells/kg administered IV once on Day 0 and additional rituximab 375 mg/m\^2 of 5 doses, administered IV once every 28 days starting from Day 21 up to Day 133.
26
Total26

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyDeath10
Overall StudyEnrolled but Never Treated1
Overall StudyLost to Follow-up1
Overall StudyRolled Over to Long-term Follow-up Study13
Overall StudySubject Withdrawal of Consent From Further Follow-up2

Baseline characteristics

CharacteristicAxicabtagene Ciloleucel and Rituximab Combination
Age, Categorical
<=18 years
0 Participants
Age, Categorical
>=65 years
12 Participants
Age, Categorical
Between 18 and 65 years
14 Participants
Age, Continuous60 years
STANDARD_DEVIATION 12.6
Ethnicity (NIH/OMB)
Hispanic or Latino
4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
21 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
Race/Ethnicity, Customized
Race
Asian
3 Participants
Race/Ethnicity, Customized
Race
Other or More Than One Race
4 Participants
Race/Ethnicity, Customized
Race
White
19 Participants
Region of Enrollment
United States
26 Participants
Sex: Female, Male
Female
12 Participants
Sex: Female, Male
Male
14 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
11 / 27
other
Total, other adverse events
26 / 26
serious
Total, serious adverse events
14 / 26

Outcome results

Primary

Complete Response (CR) Rate Per the International Working Group (IWG) Lugano Classification as Determined by Study Investigators

CR rate is defined as the incidence of a CR per the IWG Lugano Classification as determined by study investigators. CR rate: percentage of participants with CR \[complete metabolic response (CMR); complete radiological response (CRR)\]. CMR: positron emission tomography (PET) 5-point scale (5-PS) scores of 1 (no uptake above background), 2 (uptake ≤ mediastinum), 3 (uptake \> mediastinum but ≤ liver) with/without a residual mass); no new lesions; and no evidence of fluorodeoxyglucose (FDG)-avid disease in bone marrow (BM). CRR: target nodes/nodal masses regressed to ≤ 1.5 cm in longest transverse diameter of lesion (LDi); no extralymphatic sites of disease; absent non-measured lesion (NMLs); organ enlargement regress to normal; no new sites; and bone marrow normal by morphology. 95% confidence interval (CI) was calculated by Clopper-Pearson method.

Time frame: First infusion date up to maximum duration of 32.7 months

Population: Modified intent-to-treat (mITT) analysis set included all enrolled participants who were treated with the target dose of axicabtagene ciloleucel and at least 1 dose of rituximab after axicabtagene ciloleucel infusion.

ArmMeasureValue (NUMBER)
Axicabtagene Ciloleucel and Rituximab CombinationComplete Response (CR) Rate Per the International Working Group (IWG) Lugano Classification as Determined by Study Investigators73 percentage of participants
Secondary

Area Under the Curve of CAR T Cells From Day 0 to Day 28 (AUC0-28)

AUC0-28 is defined as the area under curve in a plot of number of CAR T cells against scheduled visit from Day 0 to Day 28.

Time frame: Baseline (Day 0), post-infusion on Days 7, 14, 21, and 28

Population: Participants in the safety analysis set were analyzed.

ArmMeasureValue (MEDIAN)
Axicabtagene Ciloleucel and Rituximab CombinationArea Under the Curve of CAR T Cells From Day 0 to Day 28 (AUC0-28)376.83 cells/μL*days
Secondary

Duration of Response (DOR) Per the IWG Lugano Classification as Determined by Study Investigators

DOR is defined only for participants who experience an objective response and is the time from the first objective response to disease progression \[progressive metabolic disease (PMD); progressive radiologic disease (PRD)\] or death from any cause. Objective response is defined in outcome measure (OM) 4. PMD: scores 4 (uptake moderately \> liver), 5 (uptake markedly \> liver, new lesions) with increased uptake compared with baseline; new fluorodeoxyglucose (FDG)-avid foci consistent with lymphoma rather than another etiology; new or recurrent FDG-avid foci in bone marrow. PRD: LDi \>1.5 cm; ≥ 50% increase from cross product of LDi and perpendicular diameter (PPD); increase in LDi or shortest axis perpendicular to the LDi (SDi) of 0.5 cm for lesions ≤1.5 cm and 1 cm for lesions \>2 cm; spleen increased by \>50% in length beyond normal; new or recurrent splenomegaly, bone marrow involvement; new lesions; progression of pre-existing lesions. Kaplan-Meier (KM) estimate of median was reported.

Time frame: From the date of first confirmed objective response (CR or PR) to disease progression or death regardless of cause (up to approximately 32.7 months)

Population: Participants in the mITT analysis set with an objective response (CR+PR) were analyzed.

ArmMeasureValue (MEDIAN)
Axicabtagene Ciloleucel and Rituximab CombinationDuration of Response (DOR) Per the IWG Lugano Classification as Determined by Study Investigators26.0 months
Secondary

Level of Anti-CD19 CAR T Cells in Blood by Visit

Time frame: Baseline (Day 0), post-infusion on Days 7, 14, 21, 28, 49, 105, 180, Months 9, 12, 15, 18, and 24

Population: Participants in the safety analysis set with available data were analyzed.

ArmMeasureGroupValue (MEDIAN)
Axicabtagene Ciloleucel and Rituximab CombinationLevel of Anti-CD19 CAR T Cells in Blood by VisitBaseline (Day 0)0.00 cells/µL
Axicabtagene Ciloleucel and Rituximab CombinationLevel of Anti-CD19 CAR T Cells in Blood by VisitDay 7 Post-infusion18.11 cells/µL
Axicabtagene Ciloleucel and Rituximab CombinationLevel of Anti-CD19 CAR T Cells in Blood by VisitDay 14 Post-infusion12.74 cells/µL
Axicabtagene Ciloleucel and Rituximab CombinationLevel of Anti-CD19 CAR T Cells in Blood by VisitDay 21 Post-infusion4.66 cells/µL
Axicabtagene Ciloleucel and Rituximab CombinationLevel of Anti-CD19 CAR T Cells in Blood by VisitDay 28 Post-infusion1.66 cells/µL
Axicabtagene Ciloleucel and Rituximab CombinationLevel of Anti-CD19 CAR T Cells in Blood by VisitDay 49 Post-infusion0.99 cells/µL
Axicabtagene Ciloleucel and Rituximab CombinationLevel of Anti-CD19 CAR T Cells in Blood by VisitDay 105 Post-infusion0.32 cells/µL
Axicabtagene Ciloleucel and Rituximab CombinationLevel of Anti-CD19 CAR T Cells in Blood by VisitDay 180 Post-infusion0.09 cells/µL
Axicabtagene Ciloleucel and Rituximab CombinationLevel of Anti-CD19 CAR T Cells in Blood by VisitMonth 9 Post-infusion0.06 cells/µL
Axicabtagene Ciloleucel and Rituximab CombinationLevel of Anti-CD19 CAR T Cells in Blood by VisitMonth 12 Post-infusion0.0054 cells/µL
Axicabtagene Ciloleucel and Rituximab CombinationLevel of Anti-CD19 CAR T Cells in Blood by VisitMonth 15 Post-infusion0.0027 cells/µL
Axicabtagene Ciloleucel and Rituximab CombinationLevel of Anti-CD19 CAR T Cells in Blood by VisitMonth 18 Post-infusion0.00 cells/µL
Axicabtagene Ciloleucel and Rituximab CombinationLevel of Anti-CD19 CAR T Cells in Blood by VisitMonth 24 Post-infusion0.00 cells/µL
Secondary

Objective Response Rate (ORR) Per the IWG Lugano Classification as Determined by Study Investigators

ORR: percentage of participants with CR \[CMR;CRR\] or PR \[partial metabolic response (PMR); partial radiologic response (PRR)\].CMR: PET 5PS scores of 1 (no uptake above background, 2 (uptake ≤ mediastinum), 3 (uptake \> mediastinum but ≤ liver) with/without a residual mass; no new lesions; no evidence of FDG-avid disease in BM. CRR: target nodes/nodal masses regressed to ≤ 1.5 cm in LDi;no extralymphatic sites of disease;absent NMLs;organ enlargement regress to normal;no new sites;bone marrow morphology normal. PMR: scores 4 (uptake moderately \> liver), 5 (uptake markedly \> liver, new lesions) with reduced uptake compared with baseline and residual mass; no new lesions; responding disease at interim/residual disease at end of treatment (EOT). PRR: ≥ 50% decrease in sum of the product of perpendicular diameters (SPD) of up to 6 target measurable nodes and extra-nodal sites; absent/normal, regressed, but no increase of NMLs; spleen regressed by \> 50% in length beyond normal; no new sites.

Time frame: First infusion date up to maximum duration of 32.7 months

Population: Participants in the mITT analysis set were analyzed.

ArmMeasureValue (NUMBER)
Axicabtagene Ciloleucel and Rituximab CombinationObjective Response Rate (ORR) Per the IWG Lugano Classification as Determined by Study Investigators88 percentage of participants
Secondary

Overall Survival (OS)

OS is defined as the time from axicabtagene ciloleucel infusion to the date of death from any cause. KM estimate of median was reported.

Time frame: First infusion date up to death regardless of cause (up to approximately 32.7 months)

Population: Participants in the mITT analysis set were analyzed.

ArmMeasureValue (MEDIAN)
Axicabtagene Ciloleucel and Rituximab CombinationOverall Survival (OS)NA months
Secondary

Peak Level of Anti-CD19 CAR T Cells in Blood

Peak was defined as the maximum number of CAR T cells in blood measured after infusion.

Time frame: Baseline (Day 0), post-infusion on Days 7, 14, 21, 28, 49, 105, 180, Months 9, 12, 15, 18, and 24

Population: Participants in the safety analysis set were analyzed.

ArmMeasureValue (MEDIAN)
Axicabtagene Ciloleucel and Rituximab CombinationPeak Level of Anti-CD19 CAR T Cells in Blood40.33 cells per microliter (cells/µL)
Secondary

Percentage of Participants Who Experienced Laboratory Toxicity Grade Shifts to Grade 3 or Higher Resulting From Increased Parameter Value

Grading categories were determined by Common Terminology Criteria for Adverse Events (CTCAE) version 5.0. Laboratory parameters with only non-zero values are presented.

Time frame: First infusion date up to maximum duration of 27 months

Population: Participants in the safety analysis set were analyzed.

ArmMeasureGroupValue (NUMBER)
Axicabtagene Ciloleucel and Rituximab CombinationPercentage of Participants Who Experienced Laboratory Toxicity Grade Shifts to Grade 3 or Higher Resulting From Increased Parameter ValueAlanine Aminotransferase12 percentage of participants
Axicabtagene Ciloleucel and Rituximab CombinationPercentage of Participants Who Experienced Laboratory Toxicity Grade Shifts to Grade 3 or Higher Resulting From Increased Parameter ValueAspartate Aminotransferase12 percentage of participants
Axicabtagene Ciloleucel and Rituximab CombinationPercentage of Participants Who Experienced Laboratory Toxicity Grade Shifts to Grade 3 or Higher Resulting From Increased Parameter ValueBilirubin8 percentage of participants
Axicabtagene Ciloleucel and Rituximab CombinationPercentage of Participants Who Experienced Laboratory Toxicity Grade Shifts to Grade 3 or Higher Resulting From Increased Parameter ValueCalcium8 percentage of participants
Axicabtagene Ciloleucel and Rituximab CombinationPercentage of Participants Who Experienced Laboratory Toxicity Grade Shifts to Grade 3 or Higher Resulting From Increased Parameter ValueDirect Bilirubin15 percentage of participants
Axicabtagene Ciloleucel and Rituximab CombinationPercentage of Participants Who Experienced Laboratory Toxicity Grade Shifts to Grade 3 or Higher Resulting From Increased Parameter ValueGlucose19 percentage of participants
Axicabtagene Ciloleucel and Rituximab CombinationPercentage of Participants Who Experienced Laboratory Toxicity Grade Shifts to Grade 3 or Higher Resulting From Increased Parameter ValueMagnesium8 percentage of participants
Axicabtagene Ciloleucel and Rituximab CombinationPercentage of Participants Who Experienced Laboratory Toxicity Grade Shifts to Grade 3 or Higher Resulting From Increased Parameter ValueUrate8 percentage of participants
Secondary

Percentage of Participants Who Experienced Treatment Emergent Adverse Events (TEAEs)

An AE is defined as any untoward medical occurrence in a clinical trial participant that does not necessarily have a relationship with study treatment or worsening of a pre-existing medical condition. TEAEs are any AEs with onset on or after axicabtagene ciloleucel infusion or worsening of a pre-existing medical condition that occurs on or after axicabtagene ciloleucel infusion.

Time frame: First infusion date up to maximum duration of 27 months

Population: Safety analysis set included all participants treated with any dose of axicabtagene ciloleucel.

ArmMeasureValue (NUMBER)
Axicabtagene Ciloleucel and Rituximab CombinationPercentage of Participants Who Experienced Treatment Emergent Adverse Events (TEAEs)100 percentage of participants
Secondary

Progression-Free Survival (PFS) Per the IWG Lugano Classification as Determined by Study Investigators

PFS is defined as the time from the axicabtagene ciloleucel infusion date to the date of disease progression (PMD; PRD) or death from any cause. PMD: scores 4 (uptake moderately \> liver), 5 (uptake markedly \> liver, new lesions) with increased uptake compared with baseline; new FDG-avid foci consistent with lymphoma rather than another etiology; new or recurrent FDG-avid foci in bone marrow. PRD: LDi \>1.5 cm; ≥ 50% increase from cross product of LDi and PPD; increase in LDi or SDi of 0.5 cm for lesions ≤1.5 cm and 1 cm for lesions \>2 cm; spleen increased by \>50% in length beyond normal; new or recurrent splenomegaly, bone marrow involvement; new lesions; progression of pre-existing lesions. KM estimate of median was reported.

Time frame: First infusion date up to disease progression or death regardless of cause (up to approximately 32.7 months)

Population: Participants in the mITT analysis set were analyzed.

ArmMeasureValue (MEDIAN)
Axicabtagene Ciloleucel and Rituximab CombinationProgression-Free Survival (PFS) Per the IWG Lugano Classification as Determined by Study Investigators23.6 months
Secondary

Time to Peak Level of Anti-CD19 CAR T Cells in Blood

Time to peak was defined as the number of days from the date of the axicabtagene ciloleucel infusion to the date of peak level defined as the maximum number of CAR T cells in blood measured after infusion.

Time frame: Baseline (Day 0), post-infusion on Days 7, 14, 21, 28, 49, 105, 180, Months 9, 12, 15, 18, and 24

Population: Participants in the safety analysis set were analyzed.

ArmMeasureValue (MEDIAN)
Axicabtagene Ciloleucel and Rituximab CombinationTime to Peak Level of Anti-CD19 CAR T Cells in Blood8 days

Source: ClinicalTrials.gov · Data processed: Feb 20, 2026