Diffuse Large B Cell LymphomaPhase 1NCT05934097
FT596 in Combination With R-CHOP in Subjects With B-Cell Lymphoma
A Phase 1 study testing FT596, Cyclophosphamide and Doxorubicin in people with Diffuse Large B Cell Lymphoma and Transformed Indolent Non-Hodgkin's Lymphoma, run by Fate Therapeutics.
Trial summary
This is a Phase I study of FT596 in combination with two different schedules (standard or alternate) of R-CHOP in subjects with B-cell lymphoma who are previously untreated or have received no more than one prior line of treatment. The study will consist of a dose-escalation stage followed by a dose-expansion stage. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Diffuse Large B Cell Lymphoma, Transformed Indolent Non-Hodgkin's Lymphoma, Follicular Lymphoma
- What is being tested?
- FT596, Cyclophosphamide and Doxorubicin
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 0 participants
- Where
- No sites listed yet
- Study dates
- Dec 2022to May 2039
- Phase
- Phase 1
- Are there results?
- None posted in the registry
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
- Diagnosis of B-cell lymphoma (BCL) as described below:
- Histologically documented BCL
- Previously untreated or no more than one prior systemic therapy for BCL
- At least one bi-dimensionally measurable lesion
- Subjects with >1 measurable lesion agreement to undergo a biopsy
- Capable of giving signed informed consent
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- Age ≥ 18 years old
- Stated willingness to comply with study procedures through study duration
- Contraception use for women and men as defined in the protocol
- Negative serum pregnancy test within 7 days of treatment for women
Who cannot join
- Prior anthracycline therapy
- Females who are pregnant or breastfeeding
- Eastern Cooperative Oncology Group (ECOG) Performance Status ≥2
- Evidence of insufficient organ function
- Currently receiving or likely to receive systemic immunosuppressive therapy
- Receipt of allograft organ transplant
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- Known active central nervous system (CNS) involvement by malignancy
- Non-malignant CNS disease such as stroke, epilepsy, CNS vasculitis, or neurodegenerative disease
- Clinically significant cardiovascular disease
- Positive HIV test
- Positive Hepatitis B (HBV) or Hepatitis C (HCV) test
- Live vaccine <6 weeks prior to start of conditioning
- Allergy to human albumin or dimethyl sulfoxide (DMSO)
About this study
Official title: A Phase 1b, Open-Label, Multicenter Study of FT596 in Combination With R-CHOP in Subjects With B-Cell Lymphoma
This is a Phase I study of FT596 in combination with two different schedules (standard or alternate) of R-CHOP in subjects with B-cell lymphoma who are previously untreated or have received no more than one prior line of treatment. The study will consist of a dose-escalation stage followed by a dose-expansion stage.
Read the detailed description
This is a Phase I study of FT596 in combination with 2 different schedules (standard or alternate) of R-CHOP in subjects with B-cell lymphoma who are previously untreated or have received no more than one prior line of treatment.
The study will evaluate both the clinical benefit of FT596 when combined with R-CHOP given on a standard or alternate schedule.
Subjects will be enrolled in two stages: a dose-escalation stage and a dose-expansion stage. After safety and tolerability have been assessed to define the maximum tolerated dose (MTD) (or the maximum assessed dose [MAD] in the absence of dose limiting toxicities [DLTs] defining the MTD) in the dose-escalation stage, the dose-expansion stage will further evaluate the safety and activity of FT596 in combination.
- Conditions
- Diffuse Large B Cell Lymphoma, Transformed Indolent Non-Hodgkin's Lymphoma, Follicular Lymphoma, Mantle Cell Lymphoma, Marginal Zone Lymphoma
- Being tested
- FT596, Cyclophosphamide, Doxorubicin, Vincristine, Prednisone
- Medical subject headings
- Lymphoma, Large B-Cell, Diffuse, Lymphoma, Follicular, Lymphoma, Mantle-Cell, Lymphoma, B-Cell, Marginal Zone
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
FT596Drug
Dosing to be initiated at a dose no higher than highest tolerable dose in study FT596-101, intravenously
CyclophosphamideDrug
750 mg/m^2 intravenously
DoxorubicinDrug
50 mg/m^2 intravenously
VincristineDrug
1.4 mg/m^2 (maximum dose 2 mg) intravenously
PrednisoneDrug
100 mg orally
RituximabDrug
Also called Rituxan, Truxima, Ruxience
375 mg/m^2 intravenously
BendamustineDrug
Also called Bendeka, Treanda
90 mg/m^2 IV infusion
| Study group | Role | What they receive |
|---|---|---|
| Regimen A (FT596 in combination with standard schedule R-CHOP) | Experimental | FT596 in combination with standard schedule R-CHOP (rituximab, cyclophosphamide, doxorubicin, and vincristine on Day 1; prednisone on Days 1-5; and FT596 on Day 8) for a total of six 21-day cycles. Receives: Drug: FT596; Drug: Cyclophosphamide; Drug: Doxorubicin; Drug: Vincristine; Drug: Prednisone; Drug: Rituximab; Drug: Bendamustine |
| Regimen B (FT596 in combination with alternate schedule R-CHOP) | Experimental | FT596 in combination with alternate schedule R-CHOP (prednisone on Days 1-5; rituximab, cyclophosphamide, doxorubicin, and vincristine on Day 5; and FT596 on Day 8) for a total of six 21-day cycles Receives: Drug: FT596; Drug: Cyclophosphamide; Drug: Doxorubicin; Drug: Vincristine; Drug: Prednisone; Drug: Rituximab; Drug: Bendamustine |
What is being measured
The primary outcome is the main question the study is designed to answer.
Incidence of dose-limiting toxicities within each dose escalation cohort
Measured: Day 21
Nature of dose-limiting toxicities within each dose escalation cohort
Measured: Day 21
Incidence, nature, and severity of adverse events (AEs) of FT596 in combination with R-CHOP in B-cell lymphoma previously untreated or no more than one previous line of therapy with severity determined according to NCI CTCAE, v5.0
Measured: Up to 5 years
Secondary outcomes (8)
Investigator-assessed complete response (CR)
Proportion of subjects who achieve a complete response (CR) per Lugano 2014 classification
Measured: Up to 2 years
Investigator-assessed objective-response rate (ORR)
Proportion of subjects who achieve a partial response (PR) or complete response (CR) per Lugano 2014 classification
Measured: Up to 2 years
Investigator-assessed duration of response (DOR)
Duration from the first occurrence of a documented objective response until the time of disease progression or relapse, or death from any cause, whichever occurs first, per Lugano 2014 classification
Measured: Up to 15 years
Investigator-assessed duration of complete response (DoCR)
Duration from the first occurrence of a documented complete response (CR), per Lugano 2014 classification until the time of disease progression or relapse, or death from any cause, whichever occurs first
Measured: Up to 15 years
Progression-free survival (PFS)
Time from first dose of study treatment to progressive disease (PD), or to the day of death for any reason, whichever occurs earlier, based on Lugano 2014 classification
Measured: Up to 15 years
Overall survival (OS)
Time from first dose of study treatment to death from any cause
Measured: Up to 15 years
Area Under the Plasma Concentration Time Curve (AUC) of FT596
Assessed by the detection of FT596 in peripheral blood following FT596 administration.
Measured: Cycles 1-6 (each cycle is 28 days): Days 1,8,11,15,18; and Post-Treatment Week 1, Week 2, Week 4, and Week 8
Maximum Plasma Concentration (Cmax) of FT596
Assessed by the detection of FT596 in peripheral blood following FT596 administration.
Measured: Cycles 1-6 (each cycle is 28 days): Days 1,8,11,15,18; and Post-Treatment Week 1, Week 2, Week 4, and Week 8
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Jul 2023
- Study startDec 2022 (estimated)
- Primary completionMay 2026 (estimated)
- Study completionMay 2039 (estimated)
Why it stopped: This study was withdrawn (Sponsor decision).
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Diffuse Large B Cell LymphomaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Model description
- Subjects will be assigned to one of 2 treatment regimens corresponding to different schedules (standard or alternate) of R-CHOP
- Masking
- None (open label)
- Enrolment
- 0 participants (actual)
Sponsor and investigators
- Lead sponsor
- Fate Therapeutics
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Fate Trial Disclosure, Study director, Fate Therapeutics
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05934097
- Sponsor's protocol ID
- FT596-102
- Status last verified
- Jun 2023
- First submitted
- 30 Apr 2023
- Last updated
- 6 Jul 2023
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 6 Jul 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 1b, Open-Label, Multicenter Study of FT596 in Combination With R-CHOP in Subjects With B-Cell Lymphoma
- ClinicalTrials.gov ID
- NCT05934097
- Acronym / sponsor ID
- FT596-102
- Conditions
- Diffuse Large B Cell Lymphoma, Transformed Indolent Non-Hodgkin's Lymphoma, Follicular Lymphoma, Mantle Cell Lymphoma, Marginal Zone Lymphoma
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- WithdrawnReason stopped: This study was withdrawn (Sponsor decision).
- Enrolment
- 0 participants (actual)
- Lead sponsor
- Fate TherapeuticsIndustry (pharma, biotech, devices)
- Study start
- Dec 2022 (estimated)
- Primary completion
- May 2026 (estimated)
- Study completion
- May 2039 (estimated)
- First posted
- 6 Jul 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a Phase I study of FT596 in combination with two different schedules (standard or alternate) of R-CHOP in subjects with B-cell lymphoma who are previously untreated or have received no more than one prior line of treatment. The study will consist of a dose-escalation stage followed by a dose-expansion stage.
Detailed description
This is a Phase I study of FT596 in combination with 2 different schedules (standard or alternate) of R-CHOP in subjects with B-cell lymphoma who are previously untreated or have received no more than one prior line of treatment.
The study will evaluate both the clinical benefit of FT596 when combined with R-CHOP given on a standard or alternate schedule.
Subjects will be enrolled in two stages: a dose-escalation stage and a dose-expansion stage. After safety and tolerability have been assessed to define the maximum tolerated dose (MTD) (or the maximum assessed dose [MAD] in the absence of dose limiting toxicities [DLTs] defining the MTD) in the dose-escalation stage, the dose-expansion stage will further evaluate the safety and activity of FT596 in combination.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- Subjects will be assigned to one of 2 treatment regimens corresponding to different schedules (standard or alternate) of R-CHOP
| Arm | Type | Receives |
|---|---|---|
| Regimen A (FT596 in combination with standard schedule R-CHOP) | Experimental | Drug: FT596, Drug: Cyclophosphamide, Drug: Doxorubicin, Drug: Vincristine, Drug: Prednisone, Drug: Rituximab, Drug: BendamustineFT596 in combination with standard schedule R-CHOP (rituximab, cyclophosphamide, doxorubicin, and vincristine on Day 1; prednisone on Days 1-5; and FT596 on Day 8) for a total of six 21-day cycles. |
| Regimen B (FT596 in combination with alternate schedule R-CHOP) | Experimental | Drug: FT596, Drug: Cyclophosphamide, Drug: Doxorubicin, Drug: Vincristine, Drug: Prednisone, Drug: Rituximab, Drug: BendamustineFT596 in combination with alternate schedule R-CHOP (prednisone on Days 1-5; rituximab, cyclophosphamide, doxorubicin, and vincristine on Day 5; and FT596 on Day 8) for a total of six 21-day cycles |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (10 listed)
- Diagnosis of B-cell lymphoma (BCL) as described below:
- Capable of giving signed informed consent
- Age ≥ 18 years old
- Stated willingness to comply with study procedures through study duration
- Contraception use for women and men as defined in the protocol
Key exclusion criteria (13 listed)
- Prior anthracycline therapy
- Females who are pregnant or breastfeeding
- Eastern Cooperative Oncology Group (ECOG) Performance Status ≥2
- Evidence of insufficient organ function
- Currently receiving or likely to receive systemic immunosuppressive therapy
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| FT596Dosing to be initiated at a dose no higher than highest tolerable dose in study FT596-101, intravenously | Drug | Regimen A (FT596 in combination with standard schedule R-CHOP), Regimen B (FT596 in combination with alternate schedule R-CHOP) |
| Cyclophosphamide750 mg/m^2 intravenously | Drug | Regimen A (FT596 in combination with standard schedule R-CHOP), Regimen B (FT596 in combination with alternate schedule R-CHOP) |
| Doxorubicin50 mg/m^2 intravenously | Drug | Regimen A (FT596 in combination with standard schedule R-CHOP), Regimen B (FT596 in combination with alternate schedule R-CHOP) |
| Vincristine1.4 mg/m^2 (maximum dose 2 mg) intravenously | Drug | Regimen A (FT596 in combination with standard schedule R-CHOP), Regimen B (FT596 in combination with alternate schedule R-CHOP) |
| Prednisone100 mg orally | Drug | Regimen A (FT596 in combination with standard schedule R-CHOP), Regimen B (FT596 in combination with alternate schedule R-CHOP) |
| RituximabAlso: Rituxan, Truxima, Ruxience375 mg/m^2 intravenously | Drug | Regimen A (FT596 in combination with standard schedule R-CHOP), Regimen B (FT596 in combination with alternate schedule R-CHOP) |
| BendamustineAlso: Bendeka, Treanda90 mg/m^2 IV infusion | Drug | Regimen A (FT596 in combination with standard schedule R-CHOP), Regimen B (FT596 in combination with alternate schedule R-CHOP) |
Primary outcome
Incidence of dose-limiting toxicities within each dose escalation cohort
Time frame: Day 21
Nature of dose-limiting toxicities within each dose escalation cohort
Time frame: Day 21
Incidence, nature, and severity of adverse events (AEs) of FT596 in combination with R-CHOP in B-cell lymphoma previously untreated or no more than one previous line of therapy with severity determined according to NCI CTCAE, v5.0
Time frame: Up to 5 years
8 secondary outcomes
Investigator-assessed complete response (CR)
Time frame: Up to 2 years
Investigator-assessed objective-response rate (ORR)
Time frame: Up to 2 years
Investigator-assessed duration of response (DOR)
Time frame: Up to 15 years
Investigator-assessed duration of complete response (DoCR)
Time frame: Up to 15 years
Progression-free survival (PFS)
Time frame: Up to 15 years
Overall survival (OS)
Time frame: Up to 15 years
Area Under the Plasma Concentration Time Curve (AUC) of FT596
Time frame: Cycles 1-6 (each cycle is 28 days): Days 1,8,11,15,18; and Post-Treatment Week 1, Week 2, Week 4, and Week 8
Maximum Plasma Concentration (Cmax) of FT596
Time frame: Cycles 1-6 (each cycle is 28 days): Days 1,8,11,15,18; and Post-Treatment Week 1, Week 2, Week 4, and Week 8
Results and safety
The study was withdrawn before enrolling participants, so there are no results.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 6 Jul 2023.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Fate Trial Disclosure study director
Fate Therapeutics
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing FT596, Cyclophosphamide and Doxorubicin in people with Diffuse Large B Cell Lymphoma and Transformed Indolent Non-Hodgkin's Lymphoma, run by Fate Therapeutics.
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 10 inclusion and 13 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: withdrawn, as of the sponsor's last update on 6 Jul 2023. Status can change between updates, so confirm with the study contact before making plans.
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 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.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study was withdrawn before enrolling participants, so there are no results.
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?
Incidence of dose-limiting toxicities within each dose escalation cohort (time frame: Day 21). 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 6 Jul 2023.