A Study of Itacitinib for the Prevention of Cytokine Release Syndrome Induced by Immune Effector Cell Therapy
Cytokine Release Syndrome

About this trial
This is an interventional prevention trial for Cytokine Release Syndrome focused on measuring Cytokine release syndrome, immune effector cell-associated neurotoxicity syndrome, Janus kinase inhibitor, immune effector cell therapy
Eligibility Criteria
Inclusion Criteria:
- Part 1: Eligible to receive any IEC therapy for any approved indication.
- Part 2: Eligible to receive Yescarta for relapsed or refractory large B-cell lymphoma or follicular lymphoma.
- Eastern Cooperative Oncology Group performance status 0 to 1.
- Willingness to avoid pregnancy or fathering children
Exclusion Criteria:
- Evidence of active uncontrolled/untreated infection (viral, bacterial, fungal, opportunistic) of any origin.
- Evidence of active hepatitis B virus or hepatitis C virus infection.
- Known human immunodeficiency virus.
- Active acute or chronic graft-versus-host disease requiring systemic therapy.
- Concurrent use of chronic systemic steroids or immunosuppressant medications.
- Any unresolved toxicity ≥ Grade 2 (except stable Grade 2 peripheral neuropathy or alopecia) from previous anticancer therapy.
- Known history or prior diagnosis of immunologic or inflammatory/autoimmune disease affecting the central nervous system (CNS) and unrelated to their disease under study or previous treatment.
- Clinically significant or uncontrolled cardiac disease.
- Acute lymphoblastic leukemia participants with protocol-defined CNS status are eligible only in the absence of neurologic symptoms suggestive of CNS leukemia.
- Diffuse large B-cell lymphoma participants must have no signs or symptoms of CNS disease or detectable evidence of CNS disease; participants who have been previously treated for CNS disease but have no evidence of disease at screening are eligible.
- Laboratory values at screening outside the protocol-defined ranges.
Sites / Locations
- University of Miami Sylvester Comprehensive Cancer Center
- Moffitt Cancer Center
- Massachusetts General Hospital
- Washington University School of Medicine
- Columbia University Medical Center
- Memorial Sloan Kettering Cancer Center
- Cincinnati Childrens Hospital Medical Center
- Oregon Health & Science University
- University of Pennsylvania Hospital
- Medical College of Wisconsin
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
Part 1: Open Label Itacitinib Once Daily
Part 2: Double-Blind Itacitinib Twice Daily
During Part 1, all participants receive itacitinib 200mg once daily (open label) for 30 days. The study population will include participants receiving any approved IEC for an approved indication.
During Part 2, participants will be randomized to receive itacitinib 200mg or placebo twice daily for 30 days. The study population also includes participants who are receiving Yescarta for relapsed or refractory large B-cell lymphoma or follicular lymphoma.