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Non Hodgkin LymphomaPhase 1NCT04240808

Study of Feasibility and Safety of UCD19 Chimeric Antigen Receptor (CAR) T Cells in Adult Subjects With Relapsed/Refractory (R/R) B-Cell Non-Hodgkin's Lymphoma (B-NHL)

A Phase 1 study testing UCD19 CAR T Cells in people with Non Hodgkin Lymphoma, run by University of Colorado, Denver at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study will test whether immune cells modified to recognize B-cell non-Hodgkin lymphoma (NHL) can be successfully manufactured at the University of Colorado Anschutz and whether these cells can be administered with an acceptable safety profile. Read more about this study

Who is it for?
Ages 18 to 80 years
Conditions the study is for
Non Hodgkin Lymphoma
What is being tested?
UCD19 CAR T Cells
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
10 participants
Where
1 siteUnited States
Study dates
17 Jul 2020to 23 Oct 2023
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 to 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Provision of signed and dated Informed Consent form.
  • Stated willingness to comply with all study procedures and availability for the duration of the parent study and the long-term follow-up observational study.
  • Male or non-pregnant, non-lactating females, aged 18 to 80 years.
  • Performance status according to the Eastern Cooperative Oncology Group ≤ 2.
  • Failed two or more lines of systemic therapy.
  • Unable to receive commercially available CD19 CAR T Cells.
Show all 17Show fewer
  • Relapsed or primary refractory CD19 positive (i.e. CD19 expressing) B-NHL of the following types as confirmed by either flow cytometry, Immunohistochemistry (IHC), or both:
  • Diffuse large B-cell lymphoma (DLBCL)
  • Burkitt lymphoma
  • Intermediate lymphoma between Burkitt and DLBCL
  • Primary Mediastinal B-cell lymphoma (PMBL)
  • Follicular lymphoma
  • Mantle cell lymphoma (MCL)
  • Marginal zone lymphoma (MZL)
  • No available curative alternative treatment, as determined by primary treating oncologist.
  • No active Graft-versus-Host Disease (GvHD).
  • In women of childbearing potential, willingness to use effective means of birth control for 1 year after UCD19 CAR T Cell infusion.

Who cannot join

  • Prior therapies:
  • Received monoclonal antibody therapy within 14 days of the apheresis; or
  • Received immunomodulatory drugs (lenalidomide, tyrosine kinase inhibitors) within 14 days of the apheresis; or
  • Received corticosteroids more than 7.5mg/day within 14 days of the apheresis (physiologic replacement allowed up until apheresis, as clinically indicated); or
  • Allogeneic hematopoietic stem cell transplant with 90 days (immunosuppressive therapy for at least 4 weeks) of apheresis; or
  • Donor lymphocyte infusion within 4 weeks of apheresis.
Show all 21Show fewer
  • Cluster of differentiation 3 (CD3) count <0.15 x 106 cells/mL
  • Severe psychiatric illness that could impede the patient's ability to provide informed consent and/or adhere to the parent protocol and/or the long-term follow-up protocol.
  • Active HIV (Acquired Immune Deficiency Syndrome) or history of HIV infection, as directed by schedule or if known.
  • Active Hepatitis B or Hepatitis C infection.
  • Diffusion capacity of the lungs for carbon monoxide < 40% predicted prior to lymphodepletion.
  • Left ventricular ejection fraction < 40% (evaluated by echocardiogram [ECHO] or Multigated Acquisition Scan [MUGA]) prior to lymphodepletion.
  • Transaminases > 5x upper limit of normal prior to lymphodepletion.
  • Serum Bilirubin > 4 mg/dL prior to lymphodepletion.
  • Serum Creatinine > 1.6 mg/dL or measured creatinine clearance < 50 mL/min prior to lymphodepletion.
  • Active infection that is unresponsive to antimicrobial therapy prior to lymphodepletion.
  • Females planning to become pregnant during the course of the study.
  • Unwillingness or inability to comply with study visits and study procedures for the entire duration of study participation.
  • Unsuitable for cellular therapy for any reason, in the opinion of the Investigator.
  • Any prior gene therapy, including prior CAR T cell therapy.
  • Active central nervous system (CNS) disease.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • University of Colorado Hospital

    Aurora, Colorado, 80045

Other trials in United States

About this study

Official title: Phase I Study of Feasibility and Safety of UCD19 Chimeric Antigen Receptor (CAR) T Cells in Adult Subjects With Relapsed/Refractory (R/R) B-Cell Non-Hodgkin's Lymphoma (B-NHL)

This study will test whether immune cells modified to recognize B-cell non-Hodgkin lymphoma (NHL) can be successfully manufactured at the University of Colorado Anschutz and whether these cells can be administered with an acceptable safety profile. Adults who have been diagnosed with B-cell non-Hodgkin lymphoma (NHL) that has relapsed or no longer responds to chemotherapy (relapsed or refractory) may be eligible to participate in this study.

The investigators will use participants own immune cells, called T cells, to kill the lymphoma. These T cells are involved in fighting infections and in some cases, can also kill cancer cells. The investigators will extract T cells from the participant's blood, modify the cells in a laboratory, and then return teh cells to the participant's body via intravenous (IV) injection. In the laboratory, the investigators will add a new gene into the T cells that allows the T cells to recognize and kill the lymphoma cells, and allows these modified cells to multiply and increase in numbers. To put the new gene into your T cells, the investigators will use a weakened virus. The virus is modified so that it cannot multiply or spread once the cells are infused.

Read the detailed description

The objective of this Phase 1 open-label study is to assess the feasibility of UCD19 Chimeric Antigen Receptor (CAR) T Cells manufacture onsite, successful infusion of eligible subjects, and safety of UCD19 CAR T Cells infusion in subjects with relapsed/refractory B-Cell Non-Hodgkin's Lymphoma (B-NHL).

Six (6) subjects will participate in the initial cohort of this open-label, single arm, single site study to assess dose-limiting toxicity (DLT) and safety; the first set of 3 subjects will initiate treatment with lymphodepleting chemotherapy prior to CAR T cell infusion staggered 30 days from CAR T cell dosing of the previously treated subject. Depending on the assessment of DLTs, the second set of 3 subjects may be enrolled and dosed without stagger.

After the initial 6 subjects have received treatment, an additional 14 subjects will participate in the Phase 1 expansion study.

Participants will include adults with relapsed/ primary refractory CD19 positive (i.e. CD19 expressing) B-NHL as confirmed by either flow cytometry, immunohistochemistry (IHC), or both who are not candidates for other curative forms of therapy. Enrolled participants will receive lymphodepleting chemotherapy followed by infusion of UCD19 CAR T Cells (Lentiviral Vector [LV] Transduced Autologous Peripheral Blood Lymphocytes). Participants will be enrolled up to 1 month before anticipated date of apheresis, and will be considered completed at 12 months post-treatment.

Long Term Follow Up will be conducted under a separate protocol and will occur for up to 15 Years to collect data on the long-term safety of UCD19 CAR T Cells, and for the observation, detection, and evaluation of latent adverse reactions including secondary malignancies.

While this study focuses on primary endpoints for feasibility of the manufacturing and infusion processes and safety of the administered UCD19 CAR T Cells, preliminary evidence of effectiveness will be collected and analyzed for use in planning future CAR T cell therapy studies.

Being tested
UCD19 CAR T Cells
Keywords
Car T, Car T Cells, Cancer, B-Cell Non-Hodgkin's Lymphoma, B-NHL
Medical subject headings
Lymphoma, Non-Hodgkin, Neoplasms, Lymphoma, B-Cell

What participants receive

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

  • UCD19 CAR T CellsBiological

    Lymphodepleting chemotherapy followed by infusion of UCD19 CAR T Cells (Lentiviral Vector [LV] Transduced Autologous Peripheral Blood Lymphocytes)

Study groups in NCT04240808
Study groupRoleWhat they receive
UCD19 CAR T CellsExperimentalParticipants will receive lymphodepleting chemotherapy followed by infusion of UCD19 CAR T Cells (Lentiviral Vector [LV] Transduced Autologous Peripheral Blood Lymphocytes
Receives: Biological: UCD19 CAR T Cells

What is being measured

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

  1. Feasibility: Successful manufacture of UCD19 CAR T Cells, as determined by the number of successfully manufactured doses

    The successful manufacture of UCD19 Chimeric Antigen Receptor (CAR) T Cells onsite meeting the IND-defined release criteria. Manufacture of UCD19 CAR T Cells will begin after enrollment and be completed within 1 month. Success will be determined by whether or not the participant's CAR T Cell count meets the target dose required for infusion at Day 0. The number of successfully manufactured doses will be reported.

    Measured: Day 0 (infusion)

  2. Feasibility: Percent of Participants successfully infused with UCD19 CAR T Cells

    The percent of participants who are able to receive an infusion of UCD19 CAR T cells.

    Measured: Day 0 (infusion)

  3. Safety: Number of Participants Who Experience a Dose Limiting Toxicity (DLT) within 30 days after treatment

    The number of subjects who receive UCD19 CAR T Cells and experience a DLT within 30 days after treatment, as defined herein using the National Cancer Institute's (NCI) Common Terminology Criteria for Adverse Events (CTCAE v5.0).

    Measured: Up to 30 Days Post-Infusion

  4. Safety: Percent of Participants Who Experience a Dose Limiting Toxicity (DLT) within 30 days after treatment

    The percent of all subjects who receive UCD19 CAR T Cells and experience a DLT within 30 days after treatment, as defined herein using the National Cancer Institute's (NCI) Common Terminology Criteria for Adverse Events (CTCAE v5.0).

    Measured: Up to 30 Days Post-Infusion

Secondary outcomes (8)
  1. Efficacy: Overall response rate (Complete Response (CR)/Partial Response (PR)/Stable Disease (SD)) at 90 days

    The number of participants with Complete Response (CR)/Partial Response (PR)/Stable Disease (SD) at 90 days post-treatment, as determined by the investigators.

    Measured: 90 Days Post-Infusion

  2. Efficacy: Overall response rate (Complete Response (CR)/Partial Response (PR)/Stable Disease (SD)) at 6 Months

    The number of participants with Complete Response (CR)/Partial Response (PR)/Stable Disease (SD) at 6 months post-treatment, as determined by the investigators.

    Measured: 6 Months Post-Infusion

  3. Efficacy: Overall response rate (Complete Response (CR)/Partial Response (PR)/Stable Disease (SD)) at 1 Year

    The number of participants with Complete Response (CR)/Partial Response (PR)/Stable Disease (SD) at 1 Year post-treatment, as determined by the investigators.

    Measured: 1 Year Post-Infusion

  4. Efficacy: Rate of participants with Complete Response at 6 Months

    Measured: 6 Months Post-Infusion

  5. Efficacy: Rate of participants with Complete Response at 1 Year

    Measured: 1 Year Post-Infusion

  6. Efficacy: Median Duration of Remission at 1 Year

    Measured: 1 Year Post-Infusion

  7. Efficacy: Progression Free Survival (PFS) at 1 Year

    Number of participants with Progression Free Survival (PFS) at 1 year post-infusion.

    Measured: 1 Year Post-Infusion

  8. Efficacy: Overall Survival (OS) at 1 Year

    Number of participants surviving at 1 year post-infusion.

    Measured: 1 Year Post-Infusion

Timeline

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

  1. First posted27 Jan 2020
  2. Study start17 Jul 2020
  3. Primary completion24 Mar 2023
  4. Study completion23 Oct 2023

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
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
10 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04240808
Sponsor's protocol ID
19-2807
Status last verified
May 2025
First submitted
22 Jan 2020
Last updated
15 May 2025
Results posted
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Bair SM, Pinto N, Roth A, Verneris M, Haverkos B, Nicklawsky A, Ohm A, Jordan K, Murphy LA, Marians R, Mallo R, Orentas R, Adams C, Kamdar M, Fry T. Feasibility and Safety of a Novel CD19-Directed CAR T-Cell Therapy in Patients with R/R B-Cell Non-Hodgkin Lymphoma. Transplant Cell Ther. 2026 Jun 3:S2666-6367(26)00447-1. doi: 10.1016/j.jtct.2026.06.002. Online ahead of print.

    PubMed 42242517

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing UCD19 CAR T Cells in people with Non Hodgkin Lymphoma, run by University of Colorado, Denver at 1 site in United States.

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 17 inclusion and 21 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: finished, as of the sponsor's last update on 15 May 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Feasibility: Successful manufacture of UCD19 CAR T Cells, as determined by the number of successfully manufactured doses (time frame: Day 0 (infusion)). The study lists 4 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 NCT04240808, which also lists 1 linked publication.

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 15 May 2025.

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