Relma-cel Followed by Tislelizumab for the Treatment of Relapsed/Refractory CNS Large B-Cell Lymphoma

NCT ID: NCT06876688

Last Updated: 2025-03-14

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

RECRUITING

Clinical Phase

PHASE2

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-11-30

Study Completion Date

2028-11-30

Brief Summary

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This study aims to evaluate the efficacy and safety of Relma-cel in the treatment of central nervous system lymphoma (CNSL), as well as its pharmacokinetic characteristics. Enrolled patients with relapsed/refractory (R/R) CNSL will receive Relma-cel infusion, followed by Tislelizumab treatment (200mg, IV, q4w, for 12 months) starting on day 35 after infusion. Bruton's tyrosine kinase (BTK) inhibitors will be used in combination as needed. The follow-up period will last for 4 years, monitoring drug safety, disease status, survival, and the pharmacokinetic characteristics of Relma-cel.

Detailed Description

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Conditions

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CNS Lymphoma

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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intervention group

Relma-cel Followed by Tislelizumab

Group Type EXPERIMENTAL

Relma-cel Followed by Tislelizumab

Intervention Type DRUG

Enrolled patients with relapsed/refractory (R/R) CNSL will receive Relma-cel infusion, followed by treatment with Tislelizumab (200mg, IV, q4w, for 12 months) starting at 35 days post-infusion. BTK inhibitors will be used in combination as needed.

Interventions

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Relma-cel Followed by Tislelizumab

Enrolled patients with relapsed/refractory (R/R) CNSL will receive Relma-cel infusion, followed by treatment with Tislelizumab (200mg, IV, q4w, for 12 months) starting at 35 days post-infusion. BTK inhibitors will be used in combination as needed.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Age greater than or equal to 18 years old, male or female;
2. Relapsed or refractory CNS-involved large b-cell lymphoma after at least first-line therapy, with an efficacy assessment of CR or PR after salvage therapy, and current stable efficacy status;
3. Eastern Cooperative Oncology Group (ECOG) score of 0-2;
4. Have a life expectancy of ≥ 12 weeks
5. Use contraception
6. Have adequate bone marrow and organ function:

1. Neutrophil count (anc) ≥1.0 x 109/L;
2. Hemoglobin ≥ 8.0 g/dl;
3. Platelet count ≥ 50 x 109/L;
4. Total bilirubin ≤ 1.5 × upper limit of normal (ULN)
5. Alanine aminotransferase/aspartate aminotransferase (ALT/AST) ≤ 2.5 x ULN or ≤ 5 x ULN (in the presence of hepatic invasion);
6. Creatinine clearance ≥40mL/min
7. Lipase ≤ 1.5 x ULN

Exclusion Criteria

1. Severe active central nervous system symptoms
2. Prior chimeric antigen receptor cellular immunotherapy targeting cd19
3. Known human immunodeficiency virus (hiv) infection or positive immunoassay;
4. Live vaccination within 30 days prior to study drug administration;
5. Active autoimmune disease requiring systemic therapy in the last 12 months
6. Allergy to the study drug or history of severe allergic reactions
7. Potential risk of malignant cardiac arrhythmia
8. History of stroke or intracranial hemorrhage within 3 months prior to the date of administration of study medication
9. Other malignant tumors presently or within 3 years prior to enrollment
10. Conditions that, in the judgment of the investigator, would interfere with full participation in the study; pose a significant risk to the subject; or interfere with the interpretation of the study data
11. Pregnant or lactating patients;
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Ruijin Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Beljing Tiantan Hospital, Capttal Medical, University

Beijing, , China

Site Status NOT_YET_RECRUITING

Xuanwu Hospital Capital Medical University

Beijing, , China

Site Status NOT_YET_RECRUITING

Sun Yat-Sen University Cancer Center

Guangzhou, , China

Site Status NOT_YET_RECRUITING

Henan Cancer Hospital

Henan, , China

Site Status NOT_YET_RECRUITING

Ruijin Hospital, Shanghai Jiao Tong University School of Medicine

Shanghai, , China

Site Status RECRUITING

Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology,

Wuhan, , China

Site Status NOT_YET_RECRUITING

Countries

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China

Central Contacts

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Wenyan Yu

Role: CONTACT

+86 13564230293

Facility Contacts

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Yuanbo Liu

Role: primary

Wanling Sun

Role: primary

Zhiming Li

Role: primary

Keshu Zhou

Role: primary

Wenyan Yu

Role: primary

Yi Xiao

Role: primary

Other Identifiers

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CNSL-CART

Identifier Type: -

Identifier Source: org_study_id

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