Study of Axicabtagene Ciloleucel Versus Standard of Care Therapy in Participants With Relapsed/Refractory Follicular Lymphoma (ZUMA-22)
Relapsed/Refractory Follicular Lymphoma
About this trial
This is an interventional treatment trial for Relapsed/Refractory Follicular Lymphoma
Eligibility Criteria
Key Inclusion Criteria:
- Histologically-confirmed follicular lymphoma (FL) (Grade 1, 2, or 3a)
- Relapsed/refractory (R/r) disease after first-line chemoimmunotherapy and high-risk disease with relapse or progression within 24 months of the initial course of chemoimmunotherapy (ie, POD24), Or r/r disease after ≥ 2 prior systemic lines of therapy
- Clinical indication for treatment.
- At least 1 measurable lesion per the Lugano Classification {Cheson 2014}
- Adequate renal, hepatic, pulmonary, and cardiac function
Exclusion Criteria:
- Transformed FL
- FL Grade 3b
- Prior CD19-targeted therapy
- Prior CAR therapy or other genetically modified T-cell therapy
- Uncontrolled fungal, bacterial, viral, or other infection
- Active Infection with human immunodeficiency virus, hepatitis B virus or hepatitis C virus
- History or presence of a central nervous system (CNS) disorder.
- History of autoimmune disease
- Known history or CNS lymphoma involvement
- Cardiac lymphoma involvement
- History of clinically significant cardiac disease within 6 months of randomization
- Neuropathy greater than Grade 1
- Females who are pregnant or breastfeeding
- Individuals of both genders who are not willing to practice birth control
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Sites / Locations
- City of Hope (City of Hope National Medical Center, City of Hope Medical Center)Recruiting
- UC Irvine HealthRecruiting
- Stanford Health CareRecruiting
- Colorado Blood Cancer InstituteRecruiting
- Georgetown University Medical Center
- The University of Kansas HospitalRecruiting
- University of Kentucky Medical CenterRecruiting
- University of Maryland Greenebaum Comprehensive Cancer CenterRecruiting
- Dana-Farber Cancer InstituteRecruiting
- John Theurer Cancer Center at Hackensack University Medical CenterRecruiting
- Columbia University Irving Medical CenterRecruiting
- UPMC Hillman Cancer CenterRecruiting
- Prisma Health - UpstateRecruiting
- Avera Cancer InstituteRecruiting
- TriStar Centennial Medical Center - Cell ProcessingRecruiting
- Henry-Joyce Cancer Clinic
- The University of Texas MD Anderson Cancer CenterRecruiting
- Virginia Commonwealth University
- Hopital Henri MondorRecruiting
- CHU de DijonRecruiting
- Hôpital Claude Huriez-CHU de LilleRecruiting
- Hopital Saint EloiRecruiting
- Hopital Pitie-SalpetriereRecruiting
- Centre Hospitalier Lyon SudRecruiting
- Centre Henri BecquerelRecruiting
- ASST Papa Giovanni XXIIIRecruiting
- Fondazione IRCCS - Istituto Nazionale TumoriRecruiting
- Ospedale San RaffaeleRecruiting
- Arcispedale Santa Maria NuovaRecruiting
- Istituto Clinico Humanitas-IRCCSRecruiting
- Hospital Clinic de BarcelonaRecruiting
- Instituto Catalan de Oncologia - Hospital Duran i Reynolds (ICO L'Hospitalet)Recruiting
- Hospital Universitari Vall d'HebrónRecruiting
- Hospital General Universitario Gregorio MaranonRecruiting
- Hospital 12 de OctubreRecruiting
- Hospital Clínico Universitario de ValenciaRecruiting
- University Hospital Birmingham NHS Foundation TrustRecruiting
- University College London Hospitals NHS Foundation TrustRecruiting
- The Royal Marsden NHS Foundation TrustRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Axicabtagene Ciloleucel
Standard of Care Therapy
Participants will receive cyclophosphamide 500 mg/m^2/day intravenously (IV) and fludarabine 30 mg/m^2/day IV lymphodepletion chemotherapy for 3 days followed by axicabtagene ciloleucel administered as a single IV infusion at a target dose of 2 x 10^6 anti-cluster of differentiation (CD)19 chimeric antigen receptor (CAR) transduced autologous T cells/kg on Day 0. For participants weighing ≥ 100 kg, a maximum flat dose of axicabtagene ciloleucel at 2 x 10^8 anti-CD19 CAR T cells will be administered.
Participants will receive the investigator's choice of one of the following therapies/dosing schedules: Rituximab plus lenalidomide (R^2) for 12 cycles (28-day cycle) Cycle 1: lenalidomide 20 mg/day on Day 1 through Day 21; rituximab 375 mg/m^2 on Day 1, Day 8, Day 15, and Day 22 Cycle 2 through Cycle 5: lenalidomide 20 mg/day on Day 1 through Day 21; Rituximab 375 mg/m2 on Day 1 Cycle 6 through Cycle 12: lenalidomide 20 mg/day on Day 1 through Day 21 Rituximab plus cyclophosphamide, doxorubicin, vincristine, and prednisone (R-CHOP) for 6 cycles (21-day cycle) rituximab 375 mg/m^2 on Day 1 cyclophosphamide 750 mg/m^2 on Day 1 doxorubicin 50 mg/m^2 on Day 1 vincristine 1.4 mg/m^2 (maximum 2 mg) on Day 1 prednisone 40 mg/m^2 on Day 1 through Day 5 Rituximab plus bendamustine (BR) for 6 cycles (28-day cycle) rituximab 375 mg/m^2 on Day 1 bendamustine 90 mg/m^2 on Day 1 and Day 2