Lymphoma, Non-HodgkinPhase 2NCT04089215
CD19-targeted CAR T Cells for Relapsed and Refractory (R/R) Non-Hodgkins Lymphoma
A Phase 2 study testing CD19-targeted Chimeric Antigen Receptor (CAR) T Cells in people with Lymphoma, Non-Hodgkin and Diffuse Large B Cell Lymphoma, run by Shanghai Ming Ju Biotechnology Co., Ltd. at 10 sites in China.
Trial summary
This is a phase II, open-label, single-arm, multicenter study to asess the efficacy and safety of JWCAR029 in adult R/R Non-Hodgkins Lymphoma subjects in China. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Lymphoma, Non-Hodgkin, Diffuse Large B Cell Lymphoma, Follicular Lymphoma
- What is being tested?
- CD19-targeted Chimeric Antigen Receptor (CAR) T Cells
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 82 participants
- Where
- 10 sitesChina
- Study dates
- 11 Jun 2019to 30 Sep 2024
- Phase
- Phase 2
- 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
- Subjects must meet all of the following criteria to participate in the study:
- ≥ 18 years old;
- Sign on the informed consent;
- Subject must have histologically confirmed large B lymphoma or follicular lymphoma;
- Subjects have accessible PET-positive lesion and have measurable CT-positive lesion according to Lugano Classification;
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1;
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- Adequate organ function;
- Adequate vascular access for leukapheresis procedure;
- Subjects who have previously received CD19 targeted therapy must confirm that lymphoma lesions still express CD19;
- Women of childbearing potential must agree to use highly effective methods of contraception for 1 year after the last dose of JWCAR029;
- Males who have partners of childbearing potential must agree to use an effective barrier contraceptive method for 1 year after the last dose of JWCAR029.
Who cannot join
- Central nervous system (CNS) only involvement by malignancy or primary CNS lymphoma;
- History of another primary malignancy that has not been in remission for at least 2 years;
- Subjects has HBV, HCV, HIV or syphilis infection at the time of screening;
- Deep venous thrombosis (DVT)/Pulmonary embolism (PE), or DVT/PE requires anti-coagulation within 3 months prior to signing the ICF;
- Subjects with uncontrolled systemic fungal, bacterial, viral or other infection;
- Presence of acute or chronic graft-versus-host disease (GVHD);
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- History of any serious cardiovascular disease or presence of clinically relevant CNS pathology;
- Pregnant or nursing women;
- Subjects using of any chemotherapy, corticisteriod, experiment agents, GVHD therapies, radiation, allo-HSCT or any other therapies for lymphoma must go through a specific wash-out period before leukapheresis;
- Uncontrolled conditions or unwillingness or inability to follow the procedures required in the protocol;
- Received CAR T-cell or other genetically-modified T-cell therapy previously.
Trial locations and contacts
10 sites in 1 country.
10 sites in 1 country
China10 sites
Beijing Cancer Hospital
Beijing, Beijing Municipality
Beijing Friendship Hospital, Capital Medical University
Beijing, Beijing Municipality
Beijing Hospital
Beijing, Beijing Municipality
Peking Union Medical College Hospital
Beijing, Beijing Municipality
Guangdong General Hospital
Guangzhou, Guangdong
Zhejiang Cancer Hospital
Hangzhou, Zhejiang
Jiangsu Cancer Hospital
Nanjing, Jiangsu
Shanghai East Hospital
Shanghai, Shanghai Municipality
Institute of Hematology&Hospital of Blood Disease CAMS
Tianjin, Tianjin Municipality
The First Affiliated Hospital of Zhenzhou Universtity
Zhenzhou, Henan
About this study
Official title: A Phase II Open-Label, Single-Arm, Multicenter Study of JWCAR029, CD19-targeted Chimeric Antigen Receptor (CAR) T Cells for Relapsed and Refractory (R/R) Non-Hodgkins Lymphoma
This is a phase II, open-label, single-arm, multicenter study to asess the efficacy and safety of JWCAR029 in adult R/R Non-Hodgkins Lymphoma subjects in China.
Read the detailed description
This is a phase II, open-label, single-arm, multicenter study conducted in adult subjects with R/R Non-Hodgkins Lymphoma in China to evaluate the safety, efficacy, pharmacokinetics(PK), pharmacodynamics(PD) of JWCAR029 and collect the patient reported quality of life changes and immune response after JWCAR029 treatment.
There will be two cohorts of cohort A and cohort B. Large B cell lymphoma (LBCL) patients will be enrolled in cohort A and follicular lymphoma patients will be enrolled in cohort B. Two dose levels of 1.0 x 10^8 CAR+ T cells and 1.5 x 10^8 CAR+ T cells are adopted in this study in both cohorts, subjects will be randomly assigned into the two dose levels with a 1:1 ratio. All sujects will be followed for 2 years following JWCAR029 infusion.
- Being tested
- CD19-targeted Chimeric Antigen Receptor (CAR) T Cells
- Keywords
- JWCAR029, B-Cell Malignancies, non-Hodgkin lymphoma, CAR T cells, Chimeric antigen receptor, Relapsed/Refractory
- Medical subject headings
- Lymphoma, Non-Hodgkin, Lymphoma, Large B-Cell, Diffuse, Lymphoma, Follicular, Recurrence
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
CD19-targeted Chimeric Antigen Receptor (CAR) T CellsBiological
JWCAR029 be administered at dose level: 1 x 10^8 CAR+T cells and 1.5 x 10^8 CAR+T cells
| Study group | Role | What they receive |
|---|---|---|
| JWCAR029 treatment | Experimental | JWCAR029 be administrated in two dose level Receives: Biological: CD19-targeted Chimeric Antigen Receptor (CAR) T Cells |
What is being measured
The primary outcome is the main question the study is designed to answer.
Objective response rate (ORR) in LBCL subjects in cohort A;
Objective response rate (ORR) in 3 month in cohort A of large B cell lymphoma (LBCL) subjects;
Measured: 3 months
Complete response rate (CRR) in FL subjects in cohort B
Complete response rate (CRR) in 3 month in cohort B of follicular lymphoma (FL) subjects
Measured: 3 months
Secondary outcomes (22)
Complete response rate (CRR) in cohort A of LBCL subjects
Measured: 3 months
Objective response rate (ORR) in cohort B of FL subjects
Measured: 3 months
Adverse events (AEs)
Number of participants with adverse events, type of adverse events, severity of adverse events, and number of participants with laboratory abnormalities, type of laboratory abnormalities and severity of laboratory abnormalities.
Measured: up to 24 months after JWCAR029 infusion
Duration of response (DOR)
Time from first response(PR or CR) to disease progression or death from any cause.
Measured: up to 24 months after JWCAR029 infusion
Duration of complete remission (DoCR)
Time from complete response (CR) to disease progression or death from any cause.
Measured: up to 24 months after JWCAR029 infusion
Duration of partial remission (DoPR)
Time from partial response (PR) to disease progression or death from any cause.
Measured: up to 24 months after JWCAR029 infusion
Time to response (TTR)
Time from JWCAR029 infusion to first documentation of CR or PR
Measured: up to 24 months after JWCAR029 infusion
Time to complete response (TTCR)
Time from JWCAR029 infusion to first documentation of CR
Measured: up to 24 months after JWCAR029 infusion
Pharmacokinetic (PK)- Cmax of JWCAR029
Maximum observed concentration of JWCAR029 in peripheral blood
Measured: up to 1 year after JWCAR029 infusion
Pharmacokinetic (PK)- Tmax of JWCAR029
Time to maximum concentration of JWCAR029 in the peripheral blood
Measured: up to 1 year after JWCAR029 infusion
Pharmacokinetic (PK)- AUC of JWCAR029
Area under the concentration vs time curve of JWCAR029
Measured: up to 1 year after JWCAR029 infusion
Progression-free survival (PFS)
Measured: 3 to 5 years after JWCAR029 infusion
Overall survival
Measured: 3 to 5 years after JWCAR029 infusion
Quality of Life C30 questionnaire (EORTC-QLQ-C30)
EORTC-QLQ-C30 is composed of both multi-item scales and single item measures. These include five functional scales (physical, role, emotional, cognitive and social), three symptom scales (fatigue, nausea/vomiting, and pain), a global health status/health-related quality of life (HRQoL) scale, and six single items (dyspnea, insomnia, appetite loss, constipation, diarrhea, and financial difficulties). Each of the multi-item scales includes a different set of items - no item occurs in more than one scale
Measured: up to 2 year after JWCAR029 infusion
European Quality of Life-5 Dimensions health state classifier to 5 Levels (EQ-5D-5L)
The EQ-5D-5L consists of the EQ-5D-5L descriptive system and the EQ visual analogue scale (EQ VAS). The descriptive system comprises dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/depression). Each dimension has 5 levels (no problems, slight problems, moderate problems, severe problems, extreme problems)
Measured: up to 2 year after JWCAR029 infusion
ICU and non-ICU hospitalization days
Measured: up to 2 year after JWCAR029 infusion
ICU and non-ICU hospitalization reasons
Measured: up to 2 year after JWCAR029 infusion
Anti-therapeutic JWCAR029 antibody
Measured: up to 2 year after JWCAR029 infusion
Changes of T cell counts, subgroups and serum cytokines
Measured: up to 2 year after JWCAR029 infusion
CD19 expression in tumor biopsy samples
Measured: up to 2 year after JWCAR029 infusion
Changes of inflammation biomarkers-CRP
Measured: up to 1 year after JWCAR029 infusion
Changes of inflammation biomarkers-serum ferritin
Measured: up to 1 year after JWCAR029 infusion
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Sep 2019
- Study start11 Jun 2019
- Primary completion10 Sep 2021
- Study completion30 Sep 2024 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (4)Papers the sponsor has linked to this study.
- Other trials for Lymphoma, Non-HodgkinStudies 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 2
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 82 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Shanghai Ming Ju Biotechnology Co., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Yuqin Song, Principal investigator, Peking University Cancer Hospital & Institute
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04089215
- Sponsor's protocol ID
- JWCAR029-002
- Status last verified
- Nov 2023
- First submitted
- 10 Sep 2019
- Last updated
- 24 Nov 2023
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Ying Z, Yang H, Guo Y, Li W, Zou D, Zhou D, Wang Z, Zhang M, Wu J, Liu H, Zhang P, Yang S, Zhou Z, Zheng H, Song Y, Zhu J. Relmacabtagene autoleucel (relma-cel) CD19 CAR-T therapy for adults with heavily pretreated relapsed/refractory large B-cell lymphoma in China. Cancer Med. 2021 Feb;10(3):999-1011. doi: 10.1002/cam4.3686. Epub 2020 Dec 31.
PubMed 33382529Song Y, Zou D, Yang H, Wu J, Guo Y, Li W, Liu H, Xia Z, Zhang Y, Zhou Z, Zhu J. Two-year follow-up of relmacabtagene autoleucel in relapsed or refractory follicular lymphoma in RELIANCE study. Br J Haematol. 2025 Oct;207(4):1476-1483. doi: 10.1111/bjh.20122. Epub 2025 Sep 1.
PubMed 40888120Ying Z, Yang H, Guo Y, Li W, Zou D, Zhou D, Wang Z, Zhang M, Wu J, Liu H, Wang C, Ma L, Yang S, Zhou Z, Qin Y, Song Y, Zhu J. Long-term outcomes of relmacabtagene autoleucel in Chinese patients with relapsed/refractory large B-cell lymphoma: Updated results of the RELIANCE study. Cytotherapy. 2023 May;25(5):521-529. doi: 10.1016/j.jcyt.2022.10.011. Epub 2023 Feb 24.
PubMed 36842849Ying Z, Zou D, Yang H, Wu J, Guo Y, Li W, Liu H, Wang C, Ma L, Yang S, Zhou Z, Qin Y, Song Y, Zhu J. Preliminary efficacy and safety of Relmacabtagene autoleucel (Carteyva) in adults with relapsed/refractory follicular lymphoma in China: A phase I/II clinical trial. Am J Hematol. 2022 Dec;97(12):E436-E438. doi: 10.1002/ajh.26711. Epub 2022 Sep 14. No abstract available.
PubMed 36053875
Study at a glance
From the registry record, last updated by the sponsor on 24 Nov 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase II Open-Label, Single-Arm, Multicenter Study of JWCAR029, CD19-targeted Chimeric Antigen Receptor (CAR) T Cells for Relapsed and Refractory (R/R) Non-Hodgkins Lymphoma
- ClinicalTrials.gov ID
- NCT04089215
- Acronym / sponsor ID
- JWCAR029-002
- Keywords
- JWCAR029, B-Cell Malignancies, non-Hodgkin lymphoma, CAR T cells, Chimeric antigen receptor, Relapsed/Refractory
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 82 participants (estimated)
- Lead sponsor
- Shanghai Ming Ju Biotechnology Co., Ltd.Industry (pharma, biotech, devices)
- Study start
- 11 Jun 2019 (actual)
- Primary completion
- 10 Sep 2021 (actual)
- Study completion
- 30 Sep 2024 (estimated)
- First posted
- 13 Sep 2019 (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 II, open-label, single-arm, multicenter study to asess the efficacy and safety of JWCAR029 in adult R/R Non-Hodgkins Lymphoma subjects in China.
Detailed description
This is a phase II, open-label, single-arm, multicenter study conducted in adult subjects with R/R Non-Hodgkins Lymphoma in China to evaluate the safety, efficacy, pharmacokinetics(PK), pharmacodynamics(PD) of JWCAR029 and collect the patient reported quality of life changes and immune response after JWCAR029 treatment.
There will be two cohorts of cohort A and cohort B. Large B cell lymphoma (LBCL) patients will be enrolled in cohort A and follicular lymphoma patients will be enrolled in cohort B. Two dose levels of 1.0 x 10^8 CAR+ T cells and 1.5 x 10^8 CAR+ T cells are adopted in this study in both cohorts, subjects will be randomly assigned into the two dose levels with a 1:1 ratio. All sujects will be followed for 2 years following JWCAR029 infusion.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| JWCAR029 treatment | Experimental | Biological: CD19-targeted Chimeric Antigen Receptor (CAR) T CellsJWCAR029 be administrated in two dose level |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (11 listed)
- Subjects must meet all of the following criteria to participate in the study:
Key exclusion criteria (11 listed)
- Central nervous system (CNS) only involvement by malignancy or primary CNS lymphoma;
- History of another primary malignancy that has not been in remission for at least 2 years;
- Subjects has HBV, HCV, HIV or syphilis infection at the time of screening;
- Deep venous thrombosis (DVT)/Pulmonary embolism (PE), or DVT/PE requires anti-coagulation within 3 months prior to signing the ICF;
- Subjects with uncontrolled systemic fungal, bacterial, viral or other infection;
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 |
|---|---|---|
| CD19-targeted Chimeric Antigen Receptor (CAR) T CellsJWCAR029 be administered at dose level: 1 x 10^8 CAR+T cells and 1.5 x 10^8 CAR+T cells | Biological | JWCAR029 treatment |
Primary outcome
Objective response rate (ORR) in LBCL subjects in cohort A;
Time frame: 3 months
Objective response rate (ORR) in 3 month in cohort A of large B cell lymphoma (LBCL) subjects;
Complete response rate (CRR) in FL subjects in cohort B
Time frame: 3 months
Complete response rate (CRR) in 3 month in cohort B of follicular lymphoma (FL) subjects
22 secondary outcomes
Complete response rate (CRR) in cohort A of LBCL subjects
Time frame: 3 months
Objective response rate (ORR) in cohort B of FL subjects
Time frame: 3 months
Adverse events (AEs)
Time frame: up to 24 months after JWCAR029 infusion
Duration of response (DOR)
Time frame: up to 24 months after JWCAR029 infusion
Duration of complete remission (DoCR)
Time frame: up to 24 months after JWCAR029 infusion
Duration of partial remission (DoPR)
Time frame: up to 24 months after JWCAR029 infusion
Time to response (TTR)
Time frame: up to 24 months after JWCAR029 infusion
Time to complete response (TTCR)
Time frame: up to 24 months after JWCAR029 infusion
Pharmacokinetic (PK)- Cmax of JWCAR029
Time frame: up to 1 year after JWCAR029 infusion
Pharmacokinetic (PK)- Tmax of JWCAR029
Time frame: up to 1 year after JWCAR029 infusion
Pharmacokinetic (PK)- AUC of JWCAR029
Time frame: up to 1 year after JWCAR029 infusion
Progression-free survival (PFS)
Time frame: 3 to 5 years after JWCAR029 infusion
Overall survival
Time frame: 3 to 5 years after JWCAR029 infusion
Quality of Life C30 questionnaire (EORTC-QLQ-C30)
Time frame: up to 2 year after JWCAR029 infusion
European Quality of Life-5 Dimensions health state classifier to 5 Levels (EQ-5D-5L)
Time frame: up to 2 year after JWCAR029 infusion
ICU and non-ICU hospitalization days
Time frame: up to 2 year after JWCAR029 infusion
ICU and non-ICU hospitalization reasons
Time frame: up to 2 year after JWCAR029 infusion
Anti-therapeutic JWCAR029 antibody
Time frame: up to 2 year after JWCAR029 infusion
Changes of T cell counts, subgroups and serum cytokines
Time frame: up to 2 year after JWCAR029 infusion
CD19 expression in tumor biopsy samples
Time frame: up to 2 year after JWCAR029 infusion
Changes of inflammation biomarkers-CRP
Time frame: up to 1 year after JWCAR029 infusion
Changes of inflammation biomarkers-serum ferritin
Time frame: up to 1 year after JWCAR029 infusion
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Nov 2023.
- Results publication: PubMed 33382529Ying Z, Yang H, Guo Y, Li W, Zou D, Zhou D, Wang Z, Zhang M, Wu J, Liu H, Zhang P, Yang S, Zhou Z, Zheng H, Song Y, Zhu J. Relmacabtagene autoleucel (relma-cel) CD19 CAR-T therapy for adults with heavily pretreated relapsed/refractory large B-cell lymphoma in China. Cancer Med. 2021 Feb;10(3):999-1011. doi: 10.1002/cam4.3686. Epub 2020 Dec 31.
- Derived from this study: PubMed 40888120Song Y, Zou D, Yang H, Wu J, Guo Y, Li W, Liu H, Xia Z, Zhang Y, Zhou Z, Zhu J. Two-year follow-up of relmacabtagene autoleucel in relapsed or refractory follicular lymphoma in RELIANCE study. Br J Haematol. 2025 Oct;207(4):1476-1483. doi: 10.1111/bjh.20122. Epub 2025 Sep 1.
- Derived from this study: PubMed 36842849Ying Z, Yang H, Guo Y, Li W, Zou D, Zhou D, Wang Z, Zhang M, Wu J, Liu H, Wang C, Ma L, Yang S, Zhou Z, Qin Y, Song Y, Zhu J. Long-term outcomes of relmacabtagene autoleucel in Chinese patients with relapsed/refractory large B-cell lymphoma: Updated results of the RELIANCE study. Cytotherapy. 2023 May;25(5):521-529. doi: 10.1016/j.jcyt.2022.10.011. Epub 2023 Feb 24.
- Derived from this study: PubMed 36053875Ying Z, Zou D, Yang H, Wu J, Guo Y, Li W, Liu H, Wang C, Ma L, Yang S, Zhou Z, Qin Y, Song Y, Zhu J. Preliminary efficacy and safety of Relmacabtagene autoleucel (Carteyva) in adults with relapsed/refractory follicular lymphoma in China: A phase I/II clinical trial. Am J Hematol. 2022 Dec;97(12):E436-E438. doi: 10.1002/ajh.26711. Epub 2022 Sep 14. No abstract available.
- 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.
Yuqin Song principal investigator
Peking University Cancer Hospital & Institute
10 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing CD19-targeted Chimeric Antigen Receptor (CAR) T Cells in people with Lymphoma, Non-Hodgkin and Diffuse Large B Cell Lymphoma, run by Shanghai Ming Ju Biotechnology Co., Ltd. at 10 sites in China.
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 11 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: status not confirmed, as of the sponsor's last update on 24 Nov 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 10 sites in China. 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 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?
Results are not available in the source record.
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?
Objective response rate (ORR) in LBCL subjects in cohort A; (time frame: 3 months). 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?
On the ClinicalTrials.gov record for NCT04089215, which also lists 4 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 24 Nov 2023.