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AzTrials

Lymphoma, Non-HodgkinPhase 3TRANSFORMNCT03575351

A Study to Compare the Efficacy and Safety of JCAR017 to Standard of Care in Adult Subjects With High-risk, Transplant-eligible Relapsed or Refractory Aggressive B-cell Non-Hodgkin Lymphomas

A Phase 3 study testing JCAR017 in people with Lymphoma, Non-Hodgkin, run by Celgene at 54 sites in 12 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

The study will be conducted in compliance with the International Council for Harmonisation (ICH) of Technical Requirements for Registration of Pharmaceuticals for Human Use/Good Clinical Practice (GCP) and applicable regulatory requirements. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
Lymphoma, Non-Hodgkin
What is being tested?
JCAR017
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
184 participants
Where
54 sitesin 12 countries
Study dates
23 Oct 2018to 23 Oct 2023
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subject is ≥ 18 years and ≤ 75 years of age at the time of signing the informed consent form (ICF).
  • Eastern Cooperative Oncology Group (ECOG) performance status ≤ 1.
  • Histologically proven diffuse large B-cell lymphoma (DLBCL) NOS (de novo or transformed indolent NHL), high grade B-cell lymphoma with MYC and BCL2 and/or BCL6 rearrangements with DLBCL histology (double/triple-hit lymphoma [DHL/THL]), primary mediastinal (thymic) large B-cell lymphoma (PMBCL), T cell/histiocyte-rich large B-cell lymphoma (THRBCL) or follicular lymphoma grade 3B. Enough tumor material must be available for confirmation by central pathology.
  • Refractory or relapsed within 12 months from CD20 antibody and anthracycline containing first line therapy.
  • [18F] fluorodeoxyglucose (FDG) positron emission tomography (PET) positive lesion at screening. (Deauville score 4 or 5)
  • Adequate organ function
  • Participants must agree to use effective contraception

Who cannot join

  • Subjects not eligible for hematopoietic stem cell transplantation (HSCT).
  • Subjects planned to undergo allogeneic stem cell transplantation.
  • Subjects with, primary cutaneous large B-cell lymphoma, EBV (Epstein-Barr virus) positive DLBCL, Burkitt lymphoma or transformation from chronic lymphocytic leukemia/small lymphocytic lymphoma (Richter transformation).
  • Subjects with prior history of malignancies, other than aggressive R/R NHL, unless the subject has been free of the disease for ≥ 2 years with the exception of the following noninvasive malignancies:
  • Basal cell carcinoma of the skin
  • Squamous cell carcinoma of the skin
Show all 18Show fewer
  • Carcinoma in situ of the cervix
  • Carcinoma in situ of the breast
  • Incidental histologic finding of prostate cancer (T1a or T1b using the TNM [tumor, nodes, metastasis] clinical staging system) or prostate cancer that is curative.
  • Other completely resected stage 1 solid tumor with low risk for recurrence
  • Treatment with any prior gene therapy product.
  • Subjects who have received previous CD19-targeted therapy.
  • Subjects with active hepatitis B, or active hepatitis C are excluded. Subjects with negative polymerase chain reaction (PCR) assay for viral load for hepatitis B or C are permitted. Subjects positive for hepatitis B surface antigen and/or anti-hepatitis B core antibody with negative viral load are eligible and should be considered for prophylactic antiviral therapy. Subjects with a history of or active human immunodeficiency virus (HIV) are excluded.
  • Subjects with uncontrolled systemic fungal, bacterial, viral or other infection (including tuberculosis) despite appropriate antibiotics or other treatment.
  • Active autoimmune disease requiring immunosuppressive therapy.
  • History of any one of the following cardiovascular conditions within the past 6 months prior to signing the ICF: Class III or IV heart failure as defined by the New York Heart Association (NYHA), cardiac angioplasty or stenting, myocardial infarction, unstable angina, or other clinically significant cardiac disease.
  • History or presence of clinically relevant central nervous system (CNS) pathology
  • Pregnant or nursing (lactating) women.

Trial locations and contacts

54 sites in 12 countries.

54 sites in 12 countries

United States28 sites
  • Local Institution - 120

    Ann Arbor, Michigan, 48109

  • Local Institution - 108

    Atlanta, Georgia, 30322

  • Local Institution - 107

    Atlanta, Georgia, 30342

  • Local Institution - 106

    Aurora, Colorado, 80045

  • Local Institution - 102

    Boston, Massachusetts, 02114

  • Local Institution - 104

    Boston, Massachusetts, 02215

  • Local Institution - 111

    Buffalo, New York, 14263

  • Local Institution - 125

    Charlotte, North Carolina, 28204

  • Local Institution - 122

    Chicago, Illinois, 60611

  • Local Institution - 109

    Dallas, Texas, 75246

  • Local Institution - 119

    Detroit, Michigan, 48201

  • Local Institution - 121

    Hackensack, New Jersey, 07601

  • Local Institution - 124

    Houston, Texas, 77030

  • Mayo Clinic - Jacksonville

    Jacksonville, Florida, 32224

  • Loyola University Medical Center Cardinal Bernardin Cancer Center

    Maywood, Illinois, 60153

  • Local Institution - 112

    Minneapolis, Minnesota, 55455

  • Local Institution - 117

    New York, New York, 10065

  • Local Institution - 127

    Oklahoma City, Oklahoma, 73104

  • Local Institution - 100

    Omaha, Nebraska, 68198

  • Local Institution - 123

    Pittsburgh, Pennsylvania, 15232

  • Local Institution - 101

    Portland, Oregon, 97239

  • Local Institution - 114

    Richmond, Virginia, 23298

  • Local Institution - 103

    Rochester, Minnesota, 55905-0001

  • Local Institution - 115

    San Francisco, California, 94143

  • Local Institution - 129

    Scottsdale, Arizona, 85258

  • Local Institution - 116

    Scottsdale, Arizona, 85259

  • Local Institution - 110

    Seattle, Washington, 98109-4417

  • Local Institution - 126

    Tampa, Florida, 33612

Other trials in United States

Germany6 sites
  • Local Institution - 451

    Berlin, 13125

  • Local Institution - 450

    Cologne, 50937

  • Local Institution - 455

    Dresden, Saxony, 01307

  • Local Institution - 452

    Hamburg, 20246

  • Local Institution - 453

    München, 81377

  • Local Institution - 454

    Münster, 48149

Other trials in Germany

France4 sites
  • Local Institution - 401

    Lille, 59037

  • Local Institution - 400

    Marseille, 13273

  • Local Institution - 403

    Pierre-Bénite, 69495

  • Local Institution - 402

    Villejuif, 94805

Other trials in France

Japan4 sites
  • Local Institution - 202

    Bunkyō City, 113-8677

  • Local Institution - 200

    Chuo-ku, Tokyo, 104-0045

  • Local Institution - 201

    Minato-ku, Tokyo, 105-8470

  • Local Institution - 203

    Osaka, Osaka-shi, 545-8586

Other trials in Japan

Italy3 sites
  • Local Institution - 500

    Rome, 00161

  • Local Institution - 501

    Rozzano (MI), 20089

  • Local Institution - 502

    Torino, 10126

Other trials in Italy

Spain2 sites
  • Local Institution - 600

    Barcelona, 08036

  • Local Institution - 601

    Madrid, 28041

Other trials in Spain

United Kingdom2 sites
  • Local Institution - 750

    London, WC1E 6AG

  • Local Institution - 751

    Southampton, Hampshire, SO16 6YD

Other trials in United Kingdom

Belgium1 site
  • Local Institution - 350

    Ghent, 9000

Other trials in Belgium

Finland1 site
  • Local Institution - UNK 25

    Helsinki, 00029

Other trials in Finland

Netherlands1 site
  • Local Institution - 550

    Rotterdam, 3075 EA

Other trials in Netherlands

Sweden1 site
  • Local Institution - 650

    Stockholm, SE-141 86

Other trials in Sweden

Switzerland1 site
  • Local Institution - 700

    Bern, 3010

Other trials in Switzerland

About this study

Official title: A Global Randomized Multicenter Phase 3 Trial of JCAR017 Compared to Standard of Care in Adult Subjects With High-risk, Second-line, Transplant-eligible Relapsed or Refractory Aggressive B-cell Non-Hodgkin Lymphomas (TRANSFORM).

The study will be conducted in compliance with the International Council for Harmonisation (ICH) of Technical Requirements for Registration of Pharmaceuticals for Human Use/Good Clinical Practice (GCP) and applicable regulatory requirements.

This is a randomized, open-label, parallel-group, multi-center trial in adult subjects with Relapsed or refractory (R/R) aggressive Non-Hodgkin lymphoma (NHL) to compare safety and efficacy between the standard of care (SOC) strategy versus JCAR017 (also known as lisocabtagene maraleucel or liso-cel). Subjects will be randomized to either receive SOC (Arm A) or to receive JCAR017 (Arm B).

Read more

All subjects randomized to Arm A will receive Standard of care (SOC) salvage therapy (R-DHAP, RICE or R-GDP) as per physician's choice before proceeding to High dose chemotherapy (HDCT) and Hematopoietic stem cell transplant (HSCT).

Subjects from Arm A may be allowed to cross over and receive JCAR017 upon confirmation of an EFS event.

Subjects randomized to Arm B will receive Lymphodepleting (LD) chemotherapy followed by JCAR017 infusion.

Being tested
Standard of Care, JCAR017
Keywords
Non-Hodgkin Lymphomas, DLBCL, Efficacy, Safety, JCAR017, Liso-cel, High-Risk, Relapsed, Refractory, B-cell NHL
Medical subject headings
Lymphoma, Non-Hodgkin, Recurrence

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Standard of CareDrug

    Standard of Care

  • JCAR017Genetic

    Also called lisocabtagene maraleucel or liso-cel

    JCAR017

Study groups in NCT03575351
Study groupRoleWhat they receive
Arm A - Standard of Care (SOC)Active comparatorSubjects should receive SOC (R-DHAP, R-ICE or R-GDP) followed by HDCT (BEAM) and HSCT. Standard of care regimen will be administered as per investigator decision.
Receives: Drug: Standard of Care
Arm B - JCAR017ExperimentalLymphodepleting chemotherapy with intravenous (IV) fludarabine (30 mg/m2/day for 3 days) plus cyclophosphamide IV (300 mg/m2/day for 3 days) (flu/cy) concurrently followed by JCAR017 infusion.
Receives: Genetic: JCAR017

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Event-free Survival (EFS) Per Independent Review Committee (IRC)

    Time from randomization to death, progressive disease (PD), failure to achieve complete response (CR) or partial response (PR) by 9 weeks or start of new antineoplastic therapy, whichever occurs first. CR: Target nodes masses must regress to ≤ 1.5cm in LDi, no extralymphatic sites, no new lesions. PR: ≥ 50% decrease in sum of diameters of up to 6 target nodes and extranodal sites, no new lesions, spleen must have regressed > 50% in length. PD: LDi > 1.5cm, increase by ≥ 50% from PPD nadir, an increase in LDi or SDi from nadir, 0.5 cm for lesions ≤ 2cm, 1.0cm for lesions > 2cm. Complete metabolic response: Lymph nodes score 1, 2, 3 with/without residual mass on 5-point scale, no new lesions, no FDG-avid disease. Partial metabolic response: Lymph nodes score 4 or 5, reduced uptake from baseline, no new lesions, residual uptake higher than normal, reduced from baseline. Progressive metabolic disease: Score 4 or 5 with an increase in uptake intensity from baseline and/or new FDG-avid.

    Measured: From randomization to death from any cause, PD, failure to achieve CR or PR by 9 weeks post randomization, or start of new antineoplastic therapy due to efficacy concerns, whichever occurs first (Up to 36 months)

Secondary outcomes (25)
  1. Complete Response Rate (CRR)

    Complete response rate (CRR) is defined as the percentage of participants achieving a best overall response of complete response (CR). Participants with unknown or missing response will be counted as non-evaluable in the analysis. CR: Target nodes/nodal masses must regress to ≤ 1.5 cm in LDi, no extralymphatic sites, no new lesions. Complete metabolic response: Lymph nodes/extralymphatic sites score 1, 2, 3 with/without residual mass on 5-point scale, no new lesions, no FDG-avid disease.

    Measured: From randomization up to 3 years post randomization (Up to 36 months)

  2. Number of Participants With Complete Response (CR)

    The number of participants achieving a best overall response of complete response (CR). Participants with unknown or missing response will be counted as non-evaluable in the analysis. CR: Target nodes/nodal masses must regress to ≤ 1.5 cm in LDi, no extralymphatic sites, no new lesions. Complete metabolic response: Lymph nodes/extralymphatic sites score 1, 2, 3 with/without residual mass on 5-point scale, no new lesions, no FDG-avid disease.

    Measured: From randomization up to 3 years post randomization (Up to 36 months)

  3. Progression-free Survival (PFS)

    Progression-free survival is defined as the time from randomization to progressive disease (PD) or death from any cause, whichever occurs first. Estimates of time to event are from Kaplan-Meier product-limit estimates. PD: LDi > 1.5 cm, increase by ≥ 50% from PPD nadir, an increase in LDi or SDi from nadir, 0.5 cm for lesions ≤ 2 cm, 1.0 cm for lesions > 2 cm. Progressive metabolic disease: Score 4 or 5 with an increase in the intensity of uptake from baseline and/or new FDG-avid.

    Measured: From randomization to progression, or death from any cause, whichever occurs first (Up to 36 months)

  4. Overall Survival (OS)

    Overall Survival (OS) is defined as the time from randomization to death due to any cause. Estimates of time to event are from Kaplan-Meier product-limit estimates.

    Measured: From randomization to time of death due to any cause (Up to 36 months)

  5. Overall Response Rate (ORR)

    ORR is defined as the percentage of participants achieving a best overall response of partial response (PR) or complete response (CR). CR: Target nodes masses must regress to ≤ 1.5cm in LDi, no extralymphatic sites, no new lesions. PR: ≥ 50% decrease in sum of diameters of up to 6 target nodes and extranodal sites, no new lesions, spleen must have regressed > 50% in length. Complete metabolic response: Lymph nodes score 1, 2, 3 with/without residual mass on 5-point scale, no new lesions, no FDG-avid disease. Partial metabolic response: Lymph nodes score 4 or 5, reduced uptake from baseline, no new lesions, residual uptake higher than normal, reduced from baseline.

    Measured: From randomization to PR or CR (Up to 36 months)

  6. Duration of Response (DoR) Per Independent Review Committee (IRC)

    DoR is defined as the time from first partial or complete response (CR or PR) to disease progression, start of new antineoplastic therapy due to efficacy concerns or death, whichever occurs first. CR: Target nodes masses must regress to ≤ 1.5cm in LDi, no extralymphatic sites, no new lesions. PR: ≥ 50% decrease in sum of diameters of up to 6 target nodes and extranodal sites, no new lesions, spleen must have regressed > 50% in length. PD: LDi > 1.5cm, increase by ≥ 50% from PPD nadir, an increase in LDi or SDi from nadir, 0.5 cm for lesions ≤ 2cm, 1.0cm for lesions > 2cm. Complete metabolic response: Lymph nodes score 1, 2, 3 with/without residual mass on 5-point scale, no new lesions, no FDG-avid disease. Partial metabolic response: Lymph nodes score 4 or 5, reduced uptake from baseline, no new lesions, residual uptake higher than normal, reduced from baseline. Progressive metabolic disease: Score 4 or 5 with an increase in uptake intensity from baseline and/or new FDG-avid.

    Measured: From randomization to to disease progression, start of new antineoplastic therapy due to efficacy concerns or death, whichever occurs first (Up to 36 months)

  7. Number of Participants With Progression-free Survival on Next Line of Treatment (PFS-2)

    Progression-free Survival (PFS)-2 based on investigator's assessment is defined as time from randomization to second objective progressive disease (PD) or death from any cause, whichever occurs first. Estimates of time to event are from Kaplan-Meier product-limit estimates. PD: LDi > 1.5 cm, increase by ≥ 50% from PPD nadir, an increase in LDi or SDi from nadir, 0.5 cm for lesions ≤ 2 cm, 1.0 cm for lesions > 2 cm. Progressive metabolic disease: Score 4 or 5 with an increase in the intensity of uptake from baseline and/or new FDG-avid.

    Measured: From randomization to second objective progression, or death from any cause, whichever occurs first (Up to 36 months)

  8. Event-free Survival (EFS) Rate

    EFS rate is defined as the percentage of participants free of any EFS event at fixed timepoints. Complete response: Target nodes masses must regress to ≤ 1.5cm in LDi, no extralymphatic sites, no new lesions. Partial response: ≥ 50% decrease in sum of diameters of up to 6 target nodes and extranodal sites, no new lesions, spleen must have regressed > 50% in length. Progression: LDi > 1.5cm, increase by ≥ 50% from PPD nadir, an increase in LDi or SDi from nadir, 0.5 cm for lesions ≤ 2cm, 1.0cm for lesions > 2cm. Complete metabolic response: Lymph nodes score 1, 2, 3 with/without residual mass on 5-point scale, no new lesions, no FDG-avid disease. Partial metabolic response: Lymph nodes score 4 or 5, reduced uptake from baseline, no new lesions, residual uptake higher than normal, reduced from baseline. Metabolic progression: Score 4 or 5 with an increase in uptake intensity from baseline and/or new FDG-avid.

    Measured: Months 6, 12, 18, 24, 36

  9. Progression-free Survival (PFS) Rate

    Progression-free Survival (PFS) rate is defined as the percentage of participants free of any PFS event at fixed timepoints. Progression-free survival is defined as the time from randomization to progressive disease (PD) or death from any cause, whichever occurs first. Estimates of time to event are from Kaplan-Meier product-limit estimates. PD: LDi > 1.5 cm, increase by ≥ 50% from PPD nadir, an increase in LDi or SDi from nadir, 0.5 cm for lesions ≤ 2 cm, 1.0 cm for lesions > 2 cm. Progressive metabolic disease: Score 4 or 5 with an increase in the intensity of uptake from baseline and/or new FDG-avid.

    Measured: Months 6, 12, 18, 24, 36

  10. Overall Survival (OS) Rate

    Overall Survival (OS) rate is defined as the percentage of participants alive at fixed timepoints. OS is defined as the time from randomization to death due to any cause. Participants alive or lost to follow up at the time of analysis will be censored at the last date the participants was known to be alive.

    Measured: Months 6, 12, 18, 24, 36

  11. Number of Participants With Treatment Emergent Adverse Events (TEAEs)

    An Adverse Event (AE) is defined as any new untoward medical occurrence or worsening of a pre-existing medical condition in a clinical investigation participant administered study treatment that does not necessarily have a causal relation with this treatment. TEAEs are adverse events occurring or worsening on or after the date of randomization and within 90 days after last dose of chemotherapy (Arm A), or within 90 days after the infusion of JCAR017 (Arm B) or start of new antineoplastic therapy, whichever occurs first as well as those AEs made known to the investigator at any time thereafter that are suspected of being related to study treatment. Graded using Common Terminology Criteria for Adverse Events (CTCAE) version 4.03.

    Measured: From randomization to 90 days after last dose or start of new antineoplastic therapy, whichever occurs first (Up to 16.5 months)

  12. Number of Participants With Serious Treatment-Emergent Adverse Events (TEAEs)

    A serious adverse event is defined as any adverse event occurring at any dose that results in death; is life-threatening; requires inpatient hospitalization or prolongation of existing hospitalization; results in persistent or significant disability/incapacity; is a congenital anomaly/birth defect; or constitutes an important medical event. Treatment emergent adverse events are adverse events occurring or worsening on or after the date of randomization and within 90 days after last dose of chemotherapy (Arm A), or within 90 days after the infusion of JCAR017 (Arm B) or start of new antineoplastic therapy, whichever occurs first as well as those AEs made known to the investigator at any time thereafter that are suspected of being related to study treatment. Graded using Common Terminology Criteria for Adverse Events (CTCAE) version 4.03.

    Measured: From randomization to 90 days after last dose or start of new antineoplastic therapy, whichever occurs first (Up to 16.5 months)

  13. Change From Baseline in Hematology Parameters 1: Hemoglobin

    Change from baseline in hemoglobin. Baseline value will be defined as the last value on the randomization date (+3 days) or before the date/time of randomization (date if date/time not collected).

    Measured: baseline, months 1, 2, 3, 4, 6, 9, 12, 18, 24, 36

  14. Change From Baseline in Selected Hematology Parameters 2

    Change from baseline in selected hematology parameters such as leukocytes, lymphocytes, neutrophils, and platelets. Baseline value will be defined as the last value on the randomization date (+3 days) or before the date/time of randomization (date if date/time not collected).

    Measured: baseline, months 1, 2, 3, 4, 6, 9, 12, 18, 24, 36

  15. Change From Baseline in Selected Chemistry Parameters 1

    Change from baseline in selected chemistry parameters such as alanine aminotransferase, aspartate aminotransferase, and lactate dehydrogenase. Baseline value will be defined as the last value on the randomization date (+3 days) or before the date/time of randomization (date if date/time not collected).

    Measured: baseline, months 1, 2, 3, 4, 6, 9, 12, 18, 24, 36

  16. Change From Baseline in Selected Chemistry Parameters 2

    Change from baseline in selected chemistry parameters such as magnesium, phosphate, potassium, and sodium. Baseline value will be defined as the last value on the randomization date (+3 days) or before the date/time of randomization (date if date/time not collected).

    Measured: baseline, months 1, 2, 3, 4, 6, 9, 12, 18, 24, 36

  17. Overall Response Rate (ORR) by Subgroups

    ORR is defined as the percentage of participants achieving a best overall response of partial response (PR) or complete response (CR). CR: Target nodes masses must regress to ≤ 1.5cm in LDi, no extralymphatic sites, no new lesions. PR: ≥ 50% decrease in sum of diameters of up to 6 target nodes and extranodal sites, no new lesions, spleen must have regressed > 50% in length. Complete metabolic response: Lymph nodes score 1, 2, 3 with/without residual mass on 5-point scale, no new lesions, no FDG-avid disease. Partial metabolic response: Lymph nodes score 4 or 5, reduced uptake from baseline, no new lesions, residual uptake higher than normal, reduced from baseline.

    Measured: From randomization to PR or CR (Up to 36 months)

  18. Event-free Survival (EFS) by Subgroups

    Time from randomization to death, progressive disease (PD), failure to achieve complete response (CR) or partial response (PR) by 9 weeks or start of new antineoplastic therapy, whichever occurs first. CR: Target nodes masses must regress to ≤ 1.5cm in LDi, no extralymphatic sites, no new lesions. PR: ≥ 50% decrease in sum of diameters of up to 6 target nodes and extranodal sites, no new lesions, spleen must have regressed > 50% in length. PD: LDi > 1.5cm, increase by ≥ 50% from PPD nadir, an increase in LDi or SDi from nadir, 0.5 cm for lesions ≤ 2cm, 1.0cm for lesions > 2cm. Complete metabolic response: Lymph nodes score 1, 2, 3 with/without residual mass on 5-point scale, no new lesions, no FDG-avid disease. Partial metabolic response: Lymph nodes score 4 or 5, reduced uptake from baseline, no new lesions, residual uptake higher than normal, reduced from baseline. Progressive metabolic disease: Score 4 or 5 with an increase in uptake intensity from baseline and/or new FDG-avid.

    Measured: From randomization to death from any cause, PD, failure to achieve CR or PR by 9 weeks post randomization, or start of new antineoplastic therapy due to efficacy concerns, whichever occurs first (Up to 36 months)

  19. Progression-free Survival (PFS) by Subgroups

    Progression-free survival is defined as the time from randomization to progressive disease (PD) or death from any cause, whichever occurs first. Estimates of time to event are from Kaplan-Meier product-limit estimates. PD: LDi > 1.5 cm, increase by ≥ 50% from PPD nadir, an increase in LDi or SDi from nadir, 0.5 cm for lesions ≤ 2 cm, 1.0 cm for lesions > 2 cm. Progressive metabolic disease: Score 4 or 5 with an increase in the intensity of uptake from baseline and/or new FDG-avid.

    Measured: From randomization to progression, or death from any cause, whichever occurs first (Up to 36 months)

  20. Overall Survival (OS) by Subgroups

    Overall Survival (OS) is defined as the time from randomization to death due to any cause. Estimates of time to event are from Kaplan-Meier product-limit estimates.

    Measured: From randomization to time of death due to any cause (Up to 36 months)

  21. Change From Baseline in the European Organization for Research and Treatment of Cancer - Quality of Life C30 Questionnaire (EORTC QLQ-C30)

    Change from baseline in EORTC QLQ-C30 specified parameters including global health/quality of life, cognitive functioning, physical functioning, and fatigue. It is composed of both multi-item scales and single item measures. All of the scales and single-item measures range in score from 0 to 100. A 10-point change in the scoring is considered to be a meaningful change in HRQoL. Functional scale and global health status/HRQoL higher scale score represents a higher level of well-being and better ability of daily functioning. Symptom scale/item higher score represents a high level of symptomatic problem. Baseline value will be defined as the last value on the randomization date (+3 days) or before the date/time of randomization (date if date/time not collected).

    Measured: baseline, months 1, 6, 9, 12, 18, 24, 36

  22. Change From Baseline in the Functional Assessment of Cancer Therapy-Lymphoma Subscale (FACT-Lym)

    Change from Baseline in the Functional Assessment of Cancer Therapy-Lymphoma 15-item lymphoma-specific "Additional concerns" subscale (FACT-Lym). The LYM items are scored on a 0 ("Not at all") to 4 ("Very much") response scale. Items are aggregated to a single score on a 0-60 scale. Baseline value will be defined as the last value on the randomization date (+3 days) or before the date/time of randomization (date if date/time not collected). A meaningful change from baseline in the FACT-Lym score, often referred to as the minimally important difference (MID), typically ranges between 6.5 and 11.2 points for the total score. This range indicates a clinically significant improvement or deterioration in a patient's health-related quality of life.

    Measured: baseline, months 1, 6, 9, 12, 18, 24, 36

  23. Hospital Resource Utilization (HRU) Results

    Hospital resource utilization (HRU) results including hospitalized, reasons for hospitalizations, and admitted to intensive care unit (ICU)

    Measured: Up to 36 months

  24. Percentage of Participants Completing High Dose Chemotherapy (HDCT)

    Percentage of Participants Completing High Dose Chemotherapy (HDCT).

    Measured: Up to 5 months after first dose

  25. Percentage of Participants Completing Hematopoietic Stem Cell Transplant (HSCT)

    Percentage of Participants Completing Hematopoietic Stem Cell Transplant (HSCT).

    Measured: Up to 5 months after first dose

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted2 Jul 2018
  2. Study start23 Oct 2018
  3. Primary completion23 Oct 2023
  4. Study completion23 Oct 2023

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
184 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03575351
Sponsor's protocol ID
JCAR017-BCM-003
Other IDs
U1111-1213-1944, 2018-000929-32, 2018
Acronym
TRANSFORM
Status last verified
Jul 2025
First submitted
14 Jun 2018
Last updated
3 Aug 2025
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Deger KA, Liu FF, Klijn SL, Franco-Villalobos C, Sorensen SV, Lunning M. Cost-Effectiveness of Lisocabtagene Maraleucel Versus Axicabtagene Ciloleucel as Second-Line Treatment for Large B Cell Lymphoma in the United States. Adv Ther. 2026 Oct 23. doi: 10.1007/s12325-026-03827-6. Online ahead of print.

    PubMed 42909844
  • Stepan L, Ansari S, Abramson JS, Okal A, Dell'Aringa J, Thompson EG, Crotta A, Chow VA, Kamdar M, Solomon SR, Johnston PB, Glass B, Mutsaers P, Arnason J, Mielke S, Shadman M, Hernandez-Ilizaliturri F, Izutsu K, Bachanova V, Ibrahimi S, Chabon JJ, Kurtz DM, Alizadeh AA, Peiser L. Circulating Tumor DNA Assessment of Disease Response in Large B-Cell Lymphoma: Lisocabtagene Maraleucel Versus Autologous Stem Cell Transplantation Standard Therapy. J Clin Oncol. 2026 Jul;44(19):1767-1773. doi: 10.1200/JCO-25-03051. Epub 2026 Apr 27.

    PubMed 42044466
  • Kamdar M, Solomon SR, Arnason J, Johnston PB, Glass B, Bachanova V, Ibrahimi S, Mielke S, Mutsaers P, Hernandez-Ilizaliturri F, Izutsu K, Morschhauser F, Lunning M, Chow VA, Montheard S, Santamaria J, Colicino S, Ogasawara K, Stepan L, Liu FF, Abramson JS. Lisocabtagene Maraleucel Versus Standard of Care for Second-Line Relapsed/Refractory Large B-Cell Lymphoma: 3-Year Follow-Up From the Randomized, Phase III TRANSFORM Study. J Clin Oncol. 2025 Aug 20;43(24):2671-2678. doi: 10.1200/JCO-25-00399. Epub 2025 Jul 7.

    PubMed 40623279
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Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing JCAR017 in people with Lymphoma, Non-Hodgkin, run by Celgene at 54 sites in 12 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 18 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 3 Aug 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 54 sites in United States, Germany, France, Japan, Italy and 7 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 3 Aug 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Event-free Survival (EFS) Per Independent Review Committee (IRC) (time frame: From randomization to death from any cause, PD, failure to achieve CR or PR by 9 weeks post randomization, or start of new antineoplastic therapy due to efficacy concerns, whichever occurs first (Up to 36 months)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03575351, which also lists 9 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Aug 2025.

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