Central Nervous System Lymphoma, High Grade B-cell Lymphoma, Non Hodgkin Lymphoma, Primary Mediastinal B-cell Lymphoma (PMBCL), Refractory Diffuse Large B Cell Lymphoma (DLBCL), Relapsed Diffuse Large B Cell Lymphoma
Conditions
Keywords
Chimeric antigen receptor, CAR T, CD19, CD20
Brief summary
This is an observational long-term follow-up (LTFU) study for subjects who previously received zamtocabtagene autoleucel, known as MB-CART2019.1.
Detailed description
This is a non-therapeutic study design. After successful screening, subjects will be monitored for potential gene therapy-related adverse events for up to 15 years post MB-CART2019.1 infusion. Subjects will be assessed yearly for the occurrence of delayed adverse events (AEs), monitored for replication competent lentivirus (RCL) and assessed for long term efficacy as well as CAR-T persistence.
Interventions
No intervention
Sponsors
Study design
Eligibility
Inclusion criteria
* Received zamtocabtagene autoleucel in a North American Miltenyi Biomedicine-sponsored clinical study and have not withdrawn consent to be followed or been deemed lost to follow-up. * Provided written informed consent to participate in this study.
Exclusion criteria
* None
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of subjects with new or recurrence of pre-existing malignancy | Up to 15 years | — |
| Number of subjects with new incidence or exacerbation of a pre-existing neurological disorder | Up to 15 years | — |
| Number of subjects with new incidence or exacerbation of pre-existing rheumatologic or other autoimmune disorders | Up to 15 years | — |
| Number of subjects with new incidence of Grade ≥ 3 hematologic disorders | Up to 15 years | — |
| Number of subjects with related AEs, related SAEs, and all AESIs | Up to 15 years | AESIs will be collected |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of subjects with measurable replication competent lentivirus in peripheral blood (if positive at study entry) | Up to 15 years | Peripheral blood samples may be collected for RCL assessment |
| Duration of zamtocabtagene autoleucel persistence | Up to 15 years | Peripheral blood samples will be collected to test for CAR T cells |
| Objective Response Rate (ORR) | Up to 15 years | ORR for subjects who did not have progressive disease at their last assessment in the parent study; will be assessed by IRC and Investigator using Lugano 2014 Criteria for DLBCL and SCNSL and using IPCG Criteria (Abrey 2005) for PCNSL |
| Overall Survival | Up to 15 years | OS, measured from the date of zamtocabtagene autoleucel infusion to the date of the subject's death or the date the subject is last to known to be alive |
| To determine the number of subjects who relapse after zamtocabtagene autoleucel infusion during LTFU | Up to 15 years | Disease relapse: Number of subjects who enter the study as responders and relapse |
| To assess immune reconstitution based on the recovery of total lymphocytes | Up to 15 years | Change from baseline in peripheral B cell and lymphocyte levels |
Countries
United States
Contacts
Miltenyi Biomedicine GmbH