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Relapsed and/or Refractory B-cell LymphomaPhase 1/2PALISADES-1NCT04989803

Study of KITE-363 or KITE-753 in Participants With Relapsed and/or Refractory B-cell Lymphoma

A Phase 1/2 study testing Cyclophosphamide, Fludarabine and KITE-363 in people with Relapsed and/or Refractory B-cell Lymphoma, run by Kite, A Gilead Company at 36 sites in 6 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

The goal of this clinical study is to learn more about the safety and effectiveness of the study drugs, KITE-363 and KITE-753, in participants with relapsed and/or refractory B-cell lymphoma. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Cyclophosphamide, Fludarabine and KITE-363
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
247 participants
Where
36 sitesin 6 countries
Study dates
27 Oct 2021to Feb 2030
Phase
Phase 1/2
Are there results?
Not yet: the study is under way

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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Relapsed and/or refractory B-cell lymphoma (R/R BCL).
  • At least 1 measurable lesion.
  • Adequate organ and bone marrow (BM) function.

Who cannot join

  • History of chimeric antigen receptor (CAR) therapy or other genetically modified T cell therapy.
  • Phase 1b Cohort D only: Absolute lymphocyte count ≥ 20,000/μL.
  • History of malignancy other than nonmelanoma skin cancer or carcinoma in situ (eg, cervix, bladder, or breast) unless disease free and without anticancer therapy (with the exception of hormonal therapy in the case of breast cancer) for at least 3 years.
  • History of allogeneic stem cell transplant (allo-SCT).
  • Auto-SCT within 6 weeks before the planned KITE-363 or KITE-753 infusion.
  • Presence of fungal, bacterial, viral, or other infection that is uncontrolled or requires intravenous (IV) antimicrobials for management.
Show all 15Show fewer
  • Known history of human immunodeficiency virus (HIV) infection, hepatitis B virus (HBV) (hepatitis B surface [HBs] antigen [HBsAg] positive) infection, or hepatitis C (anti-hepatitis C virus [HCV] positive) infection. History of a hepatitis B or C infection is permitted if the viral load is undetectable per quantitative polymerase chain reaction (qPCR) or nucleic acid testing.
  • Individuals with suspicion and/or evidence of primary or secondary CNS lymphoma.
  • History or presence of a CNS disorder.
  • History of myocardial infarction, cardiac angioplasty or stenting, unstable angina, active arrhythmia, New York Heart Association Class II or greater congestive heart failure or other clinically significant cardiac disease within the 6 months before enrollment.
  • Primary immunodeficiency.
  • History of autoimmune disease resulting in or requiring systemic immunosuppression and/or systemic disease-modifying agents within the last 90 days.
  • Individuals with concern for gastric or intestinal perforation or known contained perforation.
  • Females of childbearing potential who are pregnant or breastfeeding because of the potentially dangerous effects of the preparative chemotherapy on the fetus or infant. Females who have undergone surgical sterilization or have been postmenopausal for at least 2 years are not considered to be of childbearing potential.
  • Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Trial locations and contacts

36 sites in 6 countries.

36 sites in 6 countries

United States21 sites
  • Northside Hospital

    Atlanta, Georgia, 30342

  • St. David's Medical Center

    Austin, Texas, 78704

  • University of MD, Greenebaum Comprehensive Cancer Center

    Baltimore, Maryland, 21201

  • University of Illinois Chicago

    Chicago, Illinois, 60618

  • The Ohio State University Wexner Medical Center - James Cancer Hospital

    Columbus, Ohio, 43210

  • City of Hope (City of Hope National Medical Center, City of Hope Medical Center)

    Duarte, California, 91010

  • Banner MD Anderson Cancer Center

    Gilbert, Arizona, 85234

  • Hackensack University Medical Center

    Hackensack, New Jersey, 07601

  • The University of Texas, MD Anderson Cancer Center

    Houston, Texas, 77030

  • Mayo Clinic Jacksonville

    Jacksonville, Florida, 32224

  • Tennessee Oncology, PLLC - Investigational Drug Services

    Nashville, Tennessee, 37203

  • Vanderbilt University

    Nashville, Tennessee, 37232

  • Columbia University Irving Medical Center

    New York, New York, 10032

  • Virginia Oncology Associates

    Norfolk, Virginia, 23502

  • Midwestern Regional Medical Center, Inc.City of Hope Chicago

    Park Ridge, Illinois, 60068

  • Mayo Clinic

    Rochester, Minnesota, 55905

  • University of Rochester Medical Center

    Rochester, New York, 14642

  • Swedish Cancer Institute

    Seattle, Washington, 98104

  • Norton Cancer Institute, St. Matthews Campus

    Shelbyville, Kentucky, 40065

  • Stanford Cancer Institute

    Stanford, California, 94305

  • Moffitt Cancer Center

    Tampa, Florida, 33612

Other trials in United States

Australia6 sites
  • Royal Adelaide Hospital

    Adelaide, South Australia, 5000

  • Monash Health, Monash Medical Centre

    Clayton, Victoria, 3168

  • Epworth Healthcare

    East Melbourne, Victoria, 3002

  • St. Vincent's Hospital Melbourne

    Fitzroy, Victoria, 3065

  • Royal North Shore Hospital

    St Leonards, New South Wales, 2065

  • Concord Repatriation General Hospital

    Sydney, New South Wales, 2139

Other trials in Australia

Canada5 sites
  • Cross Cancer Center

    Edmonton, T6G 1Z2

  • Queen Elizabeth II Health Sciences Centre

    Halifax, B3H 2Y9

  • Jewish General Hospital

    Montreal, H3T 1E2

  • McGill University Health Center

    Montreal, H4A 0B1

  • Princess Margaret Cancer Centre - University Health Network

    Toronto, M5G 2C4

Other trials in Canada

Netherlands2 sites
  • Academisch Medisch Centrum

    Amsterdam, 1105 AZ

  • Universitair Medisch Centrum Groningen

    Groningen, 9700 RB

Other trials in Netherlands

Germany1 site
  • Universitatsklinikum Wurzburg

    Würzburg, 97080

Other trials in Germany

United Kingdom1 site
  • King's College Hospital

    London, SE5 9RS

Other trials in United Kingdom

About this study

Official title: A Phase 1/2 Open-label, Multicenter Study Evaluating the Safety and Efficacy of KITE-363 or KITE-753, Autologous Anti-CD19/CD20 CAR T-cell Therapies, in Subjects With Relapsed and/or Refractory B-cell Lymphoma

The goal of this clinical study is to learn more about the safety and effectiveness of the study drugs, KITE-363 and KITE-753, in participants with relapsed and/or refractory B-cell lymphoma.

Read the detailed description

Eligible study participants who have received IP administration with either KITE-363 or KITE-753 will transition to a separate Long-term Follow-up study (Study KT-US-982-5968) to complete the remainder of the 15-year follow-up assessments.

Being tested
Cyclophosphamide, Fludarabine, KITE-363, KITE-753

What participants receive

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

  • CyclophosphamideDrug

    Lymphodepleting chemotherapy administered intravenously

  • FludarabineDrug

    Lymphodepleting chemotherapy administered intravenously

  • KITE-363Biological

    A single infusion of CAR-transduced autologous T cells administered intravenously

  • KITE-753Biological

    A single infusion of CAR-transduced autologous T cells administered intravenously

Study groups in NCT04989803
Study groupRoleWhat they receive
Phase 1 a/b: KITE-363ExperimentalPhase 1a (Dose escalation): Participants with r/r large B-cell lymphoma will receive lymphodepleting chemotherapy with cyclophosphamide and fludarabine followed by a single target starting dose of KITE-363 chimeric antigen receptor (CAR) transduced autologous T cells. Based on dose limiting toxicities (DLTs) observed in the first cohort, additional participants will be enrolled and administered escalating dose of KITE-363. Phase 1b (Dose expansion): After completion of dose escalation, additional participants with r/r B-cell lymphoma across different disease indications will receive lymphodepleting chemotherapy with cyclophosphamide and fludarabine followed by a single dose of KITE-363 at 1 or more dose-level deemed to be tolerable. [Recruitment completed for this arm]
Receives: Drug: Cyclophosphamide; Drug: Fludarabine; Biological: KITE-363
Phase 1 a/b: KITE-753ExperimentalPhase 1a (Dose escalation): Participants with r/r large B-cell lymphoma will receive lymphodepleting chemotherapy with cyclophosphamide and fludarabine followed by a single target starting dose of KITE-753 chimeric antigen receptor (CAR) transduced autologous T cells. Based on dose limiting toxicities (DLTs) observed in the first cohort, additional participants will be enrolled and administered escalating dose of KITE-753. Phase 1b (Dose expansion): After completion of dose escalation, additional participants with r/r B-cell lymphoma across different disease indications will receive lymphodepleting chemotherapy with cyclophosphamide and fludarabine followed by a single dose of KITE-753 at 1 or more dose-level deemed to be tolerable. [Recruitment open for frontline LBCL and r/r MCL for this arm]
Receives: Drug: Cyclophosphamide; Drug: Fludarabine; Biological: KITE-753
Phase 2: KITE-753ExperimentalParticipants with r/r large B-cell lymphoma who have received at least 2 prior lines of systemic therapy will receive lymphodepleting chemotherapy with cyclophosphamide and fludarabine followed by a single target starting dose of KITE-753 chimeric antigen receptor (CAR) transduced autologous T cells /kg intravenously (IV).
Receives: Drug: Cyclophosphamide; Drug: Fludarabine; Biological: KITE-753

What is being measured

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

  1. Phase 1a: Percentage of Participants Experiencing Adverse Events Defined as Dose-limiting Toxicities (DLTs) After the Infusion of KITE-363 or KITE-753

    DLTs are defined as the KITE-363-related or KITE-753-related events with onset within the first 28 days after the infusion of KITE-363 or KITE-753 respectively.

    Measured: Up to 28 days

  2. Phase 1b: Objective Response Rate (ORR) for KITE-363 and KITE-753 as per investigator's assessment.

    ORR is defined as the percentage of participants with a complete response (CR) or a partial response (PR) by the International Working Group (IWG) Lugano Response Criteria for Malignant Lymphoma (Cheson 2014) as determined by investigator assessment.

    Measured: Up to 24 months

  3. Phase 2: ORR as per central assessment for KITE-753

    Measured: Up to 36 months

Secondary outcomes (22)
  1. Phase 1a/b: Percentage of Participants Experiencing Adverse Events (AEs) After the Infusion of KITE-363 and KITE-753

    Measured: Up to 24 months

  2. Phase 1a/b: Percentage of Participants Experiencing Serious AEs (SAEs) After the Infusion of KITE-363 and KITE-753

    Measured: Up to 24 months

  3. Phase 1a/b: Time To Next Treatment (TTNT) for KITE-363 and KITE-753

    TTNT is defined as the time from KITE-363 or KITE-753 infusion to the next anticancer treatment (including stem cell transplantation [SCT]) or death from any cause, whichever occurs first.

    Measured: Up to 24 months

  4. Phase 1a/b: Complete Response (CR) Rate for KITE-363 and KITE-753

    CR rate is defined as the incidence of a CR by the IWG Lugano Response Criteria for Malignant Lymphoma (Cheson 2014) as determined by investigator assessment.

    Measured: Up to 24 months

  5. Phase 1a/b: Duration of Response (DOR) for KITE-363 and KITE-753

    DOR is defined only for participants who experience an objective response and is the time from the first objective response to disease progression per the IWG Lugano Classification or death due to any cause, whichever occurs first.

    Measured: Up to 24 months

  6. Phase 1a/b: Progression-Free Survival (PFS) for KITE-363 and KITE-753

    PFS is defined as the time of KITE-363 or KITE-753 infusion to disease progression per IWG Lugano Response Criteria for Malignant Lymphoma (Cheson 2014) or death from any cause, whichever occurs first.

    Measured: Up to 24 months

  7. Phase 1a/b: Overall Survival (OS) for KITE-363 and KITE-753

    OS is defined as the time from KITE-363 or KITE-753 infusion to death from any cause.

    Measured: Up to 24 months

  8. Phase 1a/b: Percentage of Participants who Develop Antibodies to KITE-363 and KITE-753 Chimeric Antigen Receptor (CAR) T Cells

    Measured: Enrollment; up to 12 months

  9. Phase 1a/b: Levels of KITE-363 and KITE-753 CAR T Cells

    Measured: Up to 24 months

  10. Phase 1a/b: Peak Serum Levels of Key Analytes Homeostatic/Proliferative Cytokines: Interleukin (IL)-2, IL-7, and IL-15

    Measured: Up to 3 months

  11. Phase 1a/b: Peak Serum Levels of Key Analytes Inflammatory/Immune Modulating Cytokines: IFN-γ, IL-6, IL-10, IL-17, IL-1RA, Granulocyte Macrophage-Colony Stimulating Factor (GM-CSF), and Tumor Necrosis Factor-Alpha (TNF-α)

    IFN-γ=Interferon-Gamma, IL-1 Receptor Antagonist=IL-1RA

    Measured: Up to 3 months

  12. Phase 1a/b: Peak Serum Levels of Key Analytes Correlates of Acute Phase Response: C-Reactive Protein (CRP)

    Measured: Up to 3 months

  13. Phase 1a/b: Peak Serum Levels of Key Analytes Correlates of Acute Phase Response: Ferritin

    Measured: Up to 3 months

  14. Phase 1a/b: Peak Serum Levels of Key Analytes Correlates of Acute Phase Response: Soluble IL-2 Receptor Alpha (Sil-2Rα)

    Measured: Up to 3 months

  15. Phase 1a/b: Peak Serum Levels of Key Analytes Chemokines: IL-8, C-X-C Motif Chemokine Ligand-10 (CXCL-10), and Monocyte Chemotactic Protein-1 (MCP-1)

    Measured: Up to 3 months

  16. Phase 1a/b: Peak Serum Levels of Key Analytes Immune-Effector Molecules: Perforin, Granzyme A, and Granzyme B

    Measured: Up to 3 months

  17. Phase 2: CR rate for KITE-753

    Measured: Up to 36 months

  18. Phase 2: DOR for KITE-753

    Measured: Up to 36 months

  19. Phase 2: PFS for KITE-753

    Measured: Up to 36 months

  20. Phase 2: OS for KITE-753

    Measured: Up to 36 months

  21. Phase 2: Percentage of Participants Experiencing Adverse Events (AEs) After the Infusion of KITE-753

    Measured: Up to 36 months

  22. Phase 2: Percentage of Participants Experiencing Serious AEs (SAEs) After the Infusion of KITE-753

    Measured: Up to 36 months

Timeline

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

  1. First posted4 Aug 2021
  2. Study start27 Oct 2021
  3. Primary completionFeb 2030 (estimated)
  4. Study completionFeb 2030 (estimated)

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 1/2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Sequential
Masking
None (open label)
Enrolment
247 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04989803
Sponsor's protocol ID
KT-US-499-0150
Other IDs
2020-000562-41, 2024-511616-24
Acronym
PALISADES-1
Status last verified
Oct 2026
First submitted
26 Jul 2021
Last updated
28 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Cyclophosphamide, Fludarabine and KITE-363 in people with Relapsed and/or Refractory B-cell Lymphoma, run by Kite, A Gilead Company at 36 sites in 6 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 3 inclusion and 15 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: under way, not looking for participants, as of the sponsor's last update on 28 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 36 sites in United States, Australia, Canada, Netherlands, Germany and 1 more country. 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 combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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?

Phase 1a: Percentage of Participants Experiencing Adverse Events Defined as Dose-limiting Toxicities (DLTs) After the Infusion of KITE-363 or KITE-753 (time frame: Up to 28 days). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 28 Oct 2026.

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