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Diffuse Large B-Cell Lymphoma (DLBCL)Phase 1FOCUSNCT07906080

A Multicenter, Phase I Study to Evaluate the Feasibility and Safety of Autologous Cytokine-Induced Killer Cells (CIK_D332) in Combination With Tafasitamab and Lenalidomide in Patients With Relapsed or Refractory Diffuse Large B-Cell Lymphoma

A Phase 1 study testing The treatment regimen consists of a combination of Tafasitamab, Lenalidomide, and CIK_D332 in people with Diffuse Large B-Cell Lymphoma (DLBCL), run by Istituto Oncologico Veneto IRCCS at 2 sites in Italy.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

This is a multicentre, Phase I trial of Cytokine Induced Killer-cells (CIK_D332) in combination with Tafasitamab and Lenalidomide in patients with Diffuse Large B-cell Lymphoma (DLBCL) who have relapsed or are refractory after at least one prior line of therapy including an anti-CD20 drug and are not candidates for… Read more about this study

Who is it for?
Ages 18 to 99 years
Conditions the study is for
Diffuse Large B-Cell Lymphoma (DLBCL)
What is being tested?
The treatment regimen consists of a combination of Tafasitamab, Lenalidomide, and CIK_D332
Could I receive a placebo?
No, everyone receives an active treatment
How many people
14 participants
Where
2 sitesItaly
Study dates
31 Jan 2027to 30 Jun 2029
Phase
Phase 1
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 to 99 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Signing of informed consent;
  • Patients of both sexes, aged ≥18 years;
  • Patients with relapsed/refractory DLBCL (including transformed indolent lymphoma with subsequent DLBCL recurrence) after at least one prior chemo-immonotherapy including anti-CD20 drug;
  • Patients with documented CD19 expression (by immunohistochemistry [IHC] or flow cytometry [FCM]) in lymphoma cells;
  • Patients not candidates for high-dose chemotherapy with hematopoietic stem cell auto transplantation or CAR-T therapy;.
  • Washout period following treatment with cytotoxic T-cell drugs before peripheral blood collection for CIK_D332 cell manufacturing:
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  • minimum 2 weeks from systemic chemotherapy and targeted agents
  • minimum 12 weeks from lymphotoxic therapy (Bendamustine, Fludarabine, Cladribine, Pentostatin, loncastuximab, CAR-T)
  • minimum 7 days stop from corticosteroids
  • 2-4 weeks stop from immunosuppressants (e.g., for GVHD).

Who cannot join

  • ● Patients with known active malignancy;
  • Patients with a positive test for human immunodeficiency virus (HIV) or active hepatitis B or C;
  • Patients with active autoimmune disease requiring systemic treatment
  • Woman who is pregnant or breastfeeding or expecting to conceive or father children within the projected duration of the study;
  • Patients suffering from Burkitt's lymphoma, aggressive lymphoma with rearrangement of MYC, BCL2 or BCL6;
  • Patients with > 4 lines of therapy for lymphoma;
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  • Patients with known hypersensitivity to study antibodies, Human Serum Albumin (HSA), Dimethyl Sulfoxide (DMSO) or any formulation excipients of CIK_D332;
  • Patients with medical or psychological conditions that prevent participation;
  • Active, uncontrolled systemic bacterial, viral, fungal, or parasitic infections;.
  • Severe baseline organ failure (NYHA Class III/IV cardiac dysfunction, hepatic impairment with total bilirubin > 2.0× ULN, or renal failure with CrCl < 30 mL/min);.
  • Administration of live attenuated vaccines within 6 months prior to or following CIK_D332 cell infusion.

Trial locations and contacts

2 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Gian Luca De Salvo, MD contact

clinical.trial@iov.veneto.it

Italy2 sites
  • Istituto Oncologico Veneto

    Padova, Pd, 35128

  • Azienda Ospedaliera Universitaria integrata Verona

    Verona

    Mauro Krampera, MD, mauro.krampera@univr.it

Other trials in Italy

About this study

Official title: A Multicenter, Phase I Study to Evaluate the Feasibility and Safety of Autologous Cytokine-Induced Killer Cells (CIK_D332) in Combination With Tafasitamab and Lenalidomide in Patients With Relapsed or Refractory Diffuse Large B-Cell Lymphoma (DLBCL): The FOCUS Study

This is a multicentre, Phase I trial of Cytokine Induced Killer-cells (CIK_D332) in combination with Tafasitamab and Lenalidomide in patients with Diffuse Large B-cell Lymphoma (DLBCL) who have relapsed or are refractory after at least one prior line of therapy including an anti-CD20 drug and are not candidates for high-dose chemotherapy with hematopoietic stem cell auto transplantation or CAR-T therapy. The plasticity of CIK cells allows a simple and immediate modulation of the combined therapeutic strategy through the replacement of the antibody used, without having to resort to genetic modification of the effector cells. Furthermore, thanks to the simultaneous expression of CD3 and CD16 receptors, the choice of the antibody to be used in the combination can fall on both monoclonal antibodies (bound by CD16) and bispecific antibodies (capable of binding and stimulating CD3), significantly expanding the spectrum of therapeutic options and the possibilities of combining these effector cells in anticancer therapy. To demonstrate this potential, expanded CIK cells from healthy donors were combined with obinutuzumab (anti-CD20 mAb), tafasitamab (anti-CD19 mAb), and blinatumomab (anti-CD19 bsAb) in parallel and tested against a large panel of hematologic malignancies. The combination with each of the three antibodies led to a significant increase in the intrinsic cytotoxic activity of CIKs, inducing ADCC activity against all the lines analysed. The resulting activity was comparable to, and in some cases even superior to, cytotoxicity induced by CD19-specific CAR-T cells. CIKs are able to recognize tumour cells in a MHC-independent manner through receptors typical of NK cells, in particular NKG2D, and to induce cell death by means of perforins and granzymes. In addition, thanks to the expression of the CD16 receptor, it is possible to stimulate their antibody-dependent cell-mediated cytotoxicity (ADCC) activity, increasing their intrinsic antitumor activity [10]. The end result of this approach is a lytic activity that combines the intrinsic MHC-independent cytotoxicity of CIKs with antibody-induced ADCC, resulting in enhanced antitumor efficacy. The project aims to provide a "proof of concept" in the clinic of a complementary or alternative therapeutic strategy to other anti-tumour immunotherapies, treating patients with relapsed or refractory DLBCL with chemotherapy-free immunotherapy.

Read the detailed description

A total of 14 patients with relapsed or refractory Diffuse Large B-Cell Lymphoma (DLBCL) will be enrolled. This sample size is intended to provide a sufficient cohort to evaluate the feasibility, safety, and preliminary efficacy of the combined therapy of CIK_D332, Tafasitamab, and Lenalidomide, while allowing for early assessment of the therapeutic approach in the specified patient population.

The treatment regimen consists of a combination of Tafasitamab, Lenalidomide, and CIK_D332, administered as follows:

  • Tafasitamab: Administered at a dose of 12 mg/kg IV.
  • Cycle 1 (28-day): Days 1, 4, 8, 15, and 22.
  • Cycles 2-3: Days 1, 8, 15, and 22.
  • Cycles 4-5: Days 1 and 15.
  • Lenalidomide: Administered at 25 mg orally on days 1-21 of each cycle (up to 5 cycles). Dose adjustments are applied according to the label for renal clearance and toxicity.
  • CIK_D332 Cells: Administered in cycles 2-5 (up to 8 doses total).
  • Administration: Infused after Tafasitamab on days 1 and 15. In patient with previous infusion-related reactions requiring premedication with glucocorticosteroids also in cycles 2-5, CIK_D332 will be infused the following day
  • Dosage: 3-5 x 106 cells/kg (total 225-300 x 106 cells).
  • Note: The number of doses (2-8) depends on CIK_D332 cell amount produced. Patients receiving fewer than 2 doses will not be evaluable for secondary objectives.
  • Maintenance: Following a clinical response, patients may continue treatment with Tafasitamab and Lenalidomide, without CIK_D332, until disease progression as per the label.
Being tested
The treatment regimen consists of a combination of Tafasitamab, Lenalidomide, and CIK_D332
Keywords
Diffuse Large B-Cell Lymphoma, DLBCL, Cytokine-Induced Killer, Tafasitamab, Lenalidomide
Medical subject headings
Lymphoma, Large B-Cell, Diffuse

What participants receive

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

  • The treatment regimen consists of a combination of Tafasitamab, Lenalidomide, and CIK_D332Drug

    The treatment regimen consists of a combination of Tafasitamab, Lenalidomide, and CIK_D332, administered as follows:

    • Tafasitamab: Administered at a dose of 12 mg/kg IV.
    • Cycle 1 (28-day): Days 1, 4, 8, 15, and 22.
    • Cycles 2-3: Days 1, 8, 15, and 22.
    • Cycles 4-5: Days 1 and 15.
    • Lenalidomide: Administered at 25 mg orally on days 1-21 of each cycle (up to 5 cycles). Dose adjustments are applied according to the label for renal clearance and toxicity.
    • CIK_D332 Cells: Administered in cycles 2-5 (up to 8 doses total).
    • Administration: Infused after Tafasitamab on days 1 and 15. In patient with previous infusion-related reactions requiring premedication with glucocorticosteroids also in cycles 2-5, CIK_D332 will be infused the following day
    • Dosage: 3-5 x 106 cells/kg (total 225-300 x 106 cells).
    • Note: The number of doses (2-8) depends on CIK_D332 cell amount produced. Patients receiving fewer than 2 doses will not be evaluable for secondary objectives.
Study groups in NCT07906080
Study groupRoleWhat they receive
ExperimentalExperimentalCytokine Induced Killer-cells (CIK_D332) in combination with Tafasitamab and Lenalidomide
Receives: Drug: The treatment regimen consists of a combination of Tafasitamab, Lenalidomide, and CIK_D332

What is being measured

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

  1. Feasibility of CIK (CIK_D332) cell therapy added to tafasitamab/lenalidomide in patients with relapsed/refractory DLBCL after at least one line of immuno-chemotherapy.

    The ability to expand CIK cells for therapy from peripheral blood of individual patient will be evaluated as CIK_D332 cell expansion rate > 6 x 108 cells at first production

    Measured: Through study completion, an average of 3 years

  2. Safety of CIK (CIK_D332) cell therapy added to tafasitamab/lenalidomide in patients with relapsed/refractory DLBCL after at least one line of immuno-chemotherapy.

    The safety of CIK_D332 cell therapy added to tafasitamab/lenalidomide will be evaluated as rate of CRS (total and grade III-IV), ICANS (total and grade III-IV) and rate and severity of treatment-emergent adverse events (TEAE).

    Measured: Through study completion, an average of 3 years

Secondary outcomes (4)
  1. Feasibility of performing therapy on an outpatient basis

    Rate of outpatient infusions/total infusion starting from the second CIK_D332 dose

    Measured: Through study completion, an average of 3 years

  2. Overall Response Rate (ORR) according to 2007 International Working Group response criteria for malignant lymphoma at the End of Treatment

    Overall Response Rate (ORR) will be defined as the proportion of patients who achieve a confirmed Complete Response (CR) or Partial Response (PR) after the end of treatment or death from any cause, whichever occurs first

    Measured: Through study completion, an average of 3 years

  3. Complete Response Rate (CRR) according to 2007 International Working Group response criteria for malignant lymphoma at End of Treatment

    Complete Response Rate (CRR) will be defined as the percentage of patients who achieve a Complete Response (CR) at the end of treatment

    Measured: Through study completion, an average of 3 years

  4. Progression Free survival (PFS) according to 2007 International Working Group response criteria for malignant lymphoma at End of Treatment

    Progression Free Survival (PFS) will be defined as the time from the date of the first tafasitamab infusion (Day 0) to the date of the first documentation of Progressive Disease (PD), or death from any cause, whichever occurs first

    Measured: Through study completion, an average of 3 years

Timeline

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

  1. First posted30 Oct 2026
  2. Study start31 Jan 2027 (estimated)
  3. Primary completion30 Jun 2029 (estimated)
  4. Study completion30 Jun 2029 (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
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
14 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07906080
Sponsor's protocol ID
IOV-DLBCL-01-2026-FOCUS
Other IDs
2026-525494-39-00
Acronym
FOCUS
Status last verified
Oct 2026
First submitted
23 Oct 2026
Last updated
30 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing The treatment regimen consists of a combination of Tafasitamab, Lenalidomide, and CIK_D332 in people with Diffuse Large B-Cell Lymphoma (DLBCL), run by Istituto Oncologico Veneto IRCCS at 2 sites in Italy.

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 11 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: opening soon, as of the sponsor's last update on 30 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 2 sites in Italy. 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 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?

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?

Contact Alessandra Sperotto, MD (+39 0423 732336, alessandra.sperotto@iov.veneto.it), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Feasibility of CIK (CIK_D332) cell therapy added to tafasitamab/lenalidomide in patients with relapsed/refractory DLBCL after at least one line of immuno-chemotherapy. (time frame: Through study completion, an average of 3 years). The study lists 2 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 30 Oct 2026; AzTrials last refreshed its copy on 30 Oct 2026.

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