NCT05972720

Brief Summary

This is a prospective, open-label, multi-center clinical study designed to evaluate the safety, tolerability, efficacy, pharmacokinetics, pharmacodynamics, and immunogenicity of firicabtagene autoleucel (firi-cel), a CD22-directed autologous Chimeric Antigen Receptor (CAR) T-cell therapy for the treatment of relapsed or refractory large B-cell lymphoma (LBCL).

Trial Health

57
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
101

participants targeted

Target at P75+ for phase_2 cancer

Timeline
Completed

Started Aug 2023

Shorter than P25 for phase_2 cancer

Geographic Reach
1 country

31 active sites

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

July 25, 2023

Completed
7 days until next milestone

Study Start

First participant enrolled

August 1, 2023

Completed
1 day until next milestone

First Posted

Study publicly available on registry

August 2, 2023

Completed
1.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 4, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 4, 2025

Completed
Last Updated

May 15, 2025

Status Verified

May 1, 2025

Enrollment Period

1.7 years

First QC Date

July 25, 2023

Last Update Submit

May 13, 2025

Conditions

Keywords

LymphomaCD-22 Expressing TumorChimeric Antigen ReceptorAdoptive ImmunotherapyLymphoma, B-CellLymphoma, Large B-Cell, DiffuseLymphoma, Primary Mediastinal B-cellLymphoma, TransformedLymphoma, Transformed Non-HodgkinLymphoma, Non-HodgkinCAR TCAR T-cell therapyCell TherapyCellular Immuno-therapyCRG-022CD22FIRCE-1firicabtagene autoleucelfiri-cel

Outcome Measures

Primary Outcomes (1)

  • Objective response rate - Blinded independent review

    Percentage of patients with complete or partial response determined by a blinded independent review committee

    Up to 24 months

Secondary Outcomes (7)

  • Objective response rate - Investigator assessment

    Up to 24-months

  • Complete response rate

    Up to 24-months

  • Duration of response

    Up to 24-months

  • Duration of complete response

    Up to 24-months

  • Progression-free survival

    Up to 24-months

  • +2 more secondary outcomes

Study Arms (3)

Experimental Drug (Cohort 1)

EXPERIMENTAL

Single infusion of firi-cel following conditioning chemotherapy

Drug: Fludarabine (Conditional therapy)Drug: Cyclophosphamide Monohydrate (Conditional therapy)Drug: firi-cel (Experimental drug)

Experimental Drug (Cohort 2: non-conforming product)

EXPERIMENTAL

Single infusion of firi-cel following conditioning chemotherapy (patients in this cohort will receive non-conforming firi-cel that is deemed safe to administer).

Drug: Fludarabine (Conditional therapy)Drug: Cyclophosphamide Monohydrate (Conditional therapy)Drug: firi-cel (Experimental drug)

Experimental Drug (Cohort 3)

EXPERIMENTAL

Patients with relapsed or refractory Large B-cell lymphoma who have previously been treated with bispecific T-cell engaging antibody therapy will receive a single infusion of firi-cel following conditioning chemotherapy.

Drug: Fludarabine (Conditional therapy)Drug: Cyclophosphamide Monohydrate (Conditional therapy)Drug: firi-cel (Experimental drug)

Interventions

Lymphodepletion chemotherapy

Experimental Drug (Cohort 1)Experimental Drug (Cohort 2: non-conforming product)Experimental Drug (Cohort 3)

Lymphodepletion chemotherapy

Experimental Drug (Cohort 1)Experimental Drug (Cohort 2: non-conforming product)Experimental Drug (Cohort 3)

Investigational agent

Experimental Drug (Cohort 1)Experimental Drug (Cohort 2: non-conforming product)Experimental Drug (Cohort 3)

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Aged ≥18 years
  • Relapsed or refractory, histologically confirmed large B-cell lymphoma.
  • Must have relapsed or refractory diseae after last therapy.
  • For enrollment in cohort 1, patients must have previously received a CD19-directed CAR T-cell therapy
  • For enrollment in cohort 3, patients must have received at least two prior lines of therapy including a bispecific T-cel engaging antibody therapy.
  • Must have at least one radiographically measurable lesion.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
  • Adequate hematological, renal, and liver function
  • Willing and able to remain within 1 hour of the treating center for at least 4 weeks after infusion.

You may not qualify if:

  • Clinically significant concurrent medical illness
  • Active fungal, bacterial, viral or other infection.
  • Prior allogeneic stem cell transplant or allogeneic cell therapy

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (31)

University of Arkansas Medical Sciences

Little Rock, Arkansas, 72205, United States

Location

City of Hope National Medical Center

Duarte, California, 91010, United States

Location

UCLA Division of Hematology Oncology

Los Angeles, California, 90095, United States

Location

Stanford University Hospital and Clinics

Stanford, California, 94305, United States

Location

Colorado Blood Cancer Institute

Denver, Colorado, 80218, United States

Location

Yale University

New Haven, Connecticut, 06511, United States

Location

University of Miami Hospital Sylvester Comprehensive Cancer Center

Miami, Florida, 33136, United States

Location

H. Lee Moffitt Cancer Center and Research Institute

Tampa, Florida, 33612-941, United States

Location

Northside Hospital

Atlanta, Georgia, 30342, United States

Location

Robert H. Lurie Comprehensive Cancer Center of Northwestern University

Chicago, Illinois, 60611, United States

Location

University of Chicago Medical Center

Chicago, Illinois, 60637, United States

Location

University of Iowa Hopitals & Clinics

Iowa City, Iowa, 52242, United States

Location

University of Kansas Medical Center Research Institute, Inc

Westwood, Kansas, 66205, United States

Location

University of Maryland Medical Center

Baltimore, Maryland, 21201, United States

Location

National Cancer Institute

Bethesda, Maryland, 20892, United States

Location

Beth Israel Deaconess Medical Center

Boston, Massachusetts, 02215, United States

Location

Dana-Farber Cancer Institute

Boston, Massachusetts, 02215, United States

Location

University of Michigan Rogel Cancer Center

Ann Arbor, Michigan, 48109, United States

Location

Washington University School of Medicine in St. Louis

St Louis, Missouri, 63110, United States

Location

Roswell Park Comprehensive Cancer Center

Buffalo, New York, 14263, United States

Location

New York University Medical Center

New York, New York, 10016, United States

Location

Cleveland Clinic Foundation

Cleveland, Ohio, 44195, United States

Location

The Ohio State University Comprehensive Cancer Center

Columbus, Ohio, 43210, United States

Location

University of Pennsylvania

Philadelphia, Pennsylvania, 19104, United States

Location

Thomas Jefferson University

Philadelphia, Pennsylvania, 19107, United States

Location

Vanderbilt University Medical Center

Nashville, Tennessee, 37232, United States

Location

UT Southwestern Medical Center

Dallas, Texas, 75390-9020, United States

Location

MD Anderson Cancer Center

Houston, Texas, 77030, United States

Location

Swedish Medical Center

Seattle, Washington, 98104, United States

Location

UW-Fred Hutchinson Cancer Center

Seattle, Washington, 98109, United States

Location

Medical College of Wisconsin

Milwaukee, Wisconsin, 53226-1222, United States

Location

MeSH Terms

Conditions

NeoplasmsRecurrenceLymphomaLymphoma, B-CellLymphoma, Large B-Cell, DiffuseLymphoma, Non-Hodgkin

Interventions

fludarabineCyclophosphamideDrugs, Investigational

Condition Hierarchy (Ancestors)

Disease AttributesPathologic ProcessesPathological Conditions, Signs and SymptomsNeoplasms by Histologic TypeLymphoproliferative DisordersLymphatic DiseasesHemic and Lymphatic DiseasesImmunoproliferative DisordersImmune System Diseases

Intervention Hierarchy (Ancestors)

Phosphoramide MustardsNitrogen Mustard CompoundsMustard CompoundsHydrocarbons, HalogenatedHydrocarbonsOrganic ChemicalsPhosphoramidesOrganophosphorus CompoundsPharmaceutical Preparations

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 25, 2023

First Posted

August 2, 2023

Study Start

August 1, 2023

Primary Completion

April 4, 2025

Study Completion

April 4, 2025

Last Updated

May 15, 2025

Record last verified: 2025-05

Data Sharing

IPD Sharing
Will not share

Locations