A Phase 2 Study of Firi-cel in Patients With Relapsed/Refractory Large B-cell Lymphoma

NCT ID: NCT05972720

Last Updated: 2025-05-15

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

101 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-08-01

Study Completion Date

2025-04-04

Brief Summary

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This is a prospective, open-label, multi-center clinical study designed to evaluate the safety, tolerability, efficacy, pharmacokinetics, pharmacodynamics, and immunogenicity of firicabtagene autoleucel (firi-cel), a CD22-directed autologous Chimeric Antigen Receptor (CAR) T-cell therapy for the treatment of relapsed or refractory large B-cell lymphoma (LBCL).

Detailed Description

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Firicabtagene autoleucel (firi-cel) is an autologous CAR T-cell therapy targeting CD22, a common B-cell antigen widely expressed in LBCL. This Phase 2 study is designed to evaluate the safety and the efficacy of firi-cel in patients with R/R LBCL that has progressed after CD19-directed CAR T-cell therapy. The study is designed to treat up to 123 patients with a single infusion of firi-cel.

Conditions

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Cancer Relapsed/Refractory Large B-cell Lymphoma (LBCL)

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Experimental Drug (Cohort 1)

Single infusion of firi-cel following conditioning chemotherapy

Group Type EXPERIMENTAL

Fludarabine (Conditional therapy)

Intervention Type DRUG

Lymphodepletion chemotherapy

Cyclophosphamide Monohydrate (Conditional therapy)

Intervention Type DRUG

Lymphodepletion chemotherapy

firi-cel (Experimental drug)

Intervention Type DRUG

Investigational agent

Experimental Drug (Cohort 2: non-conforming product)

Single infusion of firi-cel following conditioning chemotherapy (patients in this cohort will receive non-conforming firi-cel that is deemed safe to administer).

Group Type EXPERIMENTAL

Fludarabine (Conditional therapy)

Intervention Type DRUG

Lymphodepletion chemotherapy

Cyclophosphamide Monohydrate (Conditional therapy)

Intervention Type DRUG

Lymphodepletion chemotherapy

firi-cel (Experimental drug)

Intervention Type DRUG

Investigational agent

Experimental Drug (Cohort 3)

Patients with relapsed or refractory Large B-cell lymphoma who have previously been treated with bispecific T-cell engaging antibody therapy will receive a single infusion of firi-cel following conditioning chemotherapy.

Group Type EXPERIMENTAL

Fludarabine (Conditional therapy)

Intervention Type DRUG

Lymphodepletion chemotherapy

Cyclophosphamide Monohydrate (Conditional therapy)

Intervention Type DRUG

Lymphodepletion chemotherapy

firi-cel (Experimental drug)

Intervention Type DRUG

Investigational agent

Interventions

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Fludarabine (Conditional therapy)

Lymphodepletion chemotherapy

Intervention Type DRUG

Cyclophosphamide Monohydrate (Conditional therapy)

Lymphodepletion chemotherapy

Intervention Type DRUG

firi-cel (Experimental drug)

Investigational agent

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Aged ≥18 years
* Relapsed or refractory, histologically confirmed large B-cell lymphoma.
* Must have relapsed or refractory diseae after last therapy.
* For enrollment in cohort 1, patients must have previously received a CD19-directed CAR T-cell therapy
* For enrollment in cohort 3, patients must have received at least two prior lines of therapy including a bispecific T-cel engaging antibody therapy.
* Must have at least one radiographically measurable lesion.
* Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
* Adequate hematological, renal, and liver function
* Willing and able to remain within 1 hour of the treating center for at least 4 weeks after infusion.

Exclusion Criteria

* Clinically significant concurrent medical illness
* Active fungal, bacterial, viral or other infection.
* Prior allogeneic stem cell transplant or allogeneic cell therapy
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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CARGO Therapeutics

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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University of Arkansas Medical Sciences

Little Rock, Arkansas, United States

Site Status

City of Hope National Medical Center

Duarte, California, United States

Site Status

UCLA Division of Hematology Oncology

Los Angeles, California, United States

Site Status

Stanford University Hospital and Clinics

Stanford, California, United States

Site Status

Colorado Blood Cancer Institute

Denver, Colorado, United States

Site Status

Yale University

New Haven, Connecticut, United States

Site Status

University of Miami Hospital Sylvester Comprehensive Cancer Center

Miami, Florida, United States

Site Status

H. Lee Moffitt Cancer Center and Research Institute

Tampa, Florida, United States

Site Status

Northside Hospital

Atlanta, Georgia, United States

Site Status

Robert H. Lurie Comprehensive Cancer Center of Northwestern University

Chicago, Illinois, United States

Site Status

University of Chicago Medical Center

Chicago, Illinois, United States

Site Status

University of Iowa Hopitals & Clinics

Iowa City, Iowa, United States

Site Status

University of Kansas Medical Center Research Institute, Inc

Westwood, Kansas, United States

Site Status

University of Maryland Medical Center

Baltimore, Maryland, United States

Site Status

National Cancer Institute

Bethesda, Maryland, United States

Site Status

Beth Israel Deaconess Medical Center

Boston, Massachusetts, United States

Site Status

Dana-Farber Cancer Institute

Boston, Massachusetts, United States

Site Status

University of Michigan Rogel Cancer Center

Ann Arbor, Michigan, United States

Site Status

Washington University School of Medicine in St. Louis

St Louis, Missouri, United States

Site Status

Roswell Park Comprehensive Cancer Center

Buffalo, New York, United States

Site Status

New York University Medical Center

New York, New York, United States

Site Status

Cleveland Clinic Foundation

Cleveland, Ohio, United States

Site Status

The Ohio State University Comprehensive Cancer Center

Columbus, Ohio, United States

Site Status

University of Pennsylvania

Philadelphia, Pennsylvania, United States

Site Status

Thomas Jefferson University

Philadelphia, Pennsylvania, United States

Site Status

Vanderbilt University Medical Center

Nashville, Tennessee, United States

Site Status

UT Southwestern Medical Center

Dallas, Texas, United States

Site Status

MD Anderson Cancer Center

Houston, Texas, United States

Site Status

Swedish Medical Center

Seattle, Washington, United States

Site Status

UW-Fred Hutchinson Cancer Center

Seattle, Washington, United States

Site Status

Medical College of Wisconsin

Milwaukee, Wisconsin, United States

Site Status

Countries

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United States

Other Identifiers

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CRG-022-101

Identifier Type: -

Identifier Source: org_study_id

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