AzTrials
AzTrials

Relapsed/Refractory Follicular LymphomaPhase 3ZUMA-22NCT05371093

Study of Axicabtagene Ciloleucel Versus Standard of Care Therapy in Participants With Relapsed/Refractory Follicular Lymphoma

A Phase 3 study testing Axicabtagene Ciloleucel, Cyclophosphamide and Fludarabine in people with Relapsed/Refractory Follicular Lymphoma, run by Kite, A Gilead Company at 52 sites in 7 countries.

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
Search all trials

Trial summary

The goal of this clinical study is test how well the study drug, axicabtagene ciloleucel, works in participants with relapsed/refractory follicular lymphoma Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Relapsed/Refractory Follicular Lymphoma
What is being tested?
Axicabtagene Ciloleucel, Cyclophosphamide and Fludarabine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
231 participants
Where
52 sitesin 7 countries
Study dates
22 Sep 2022to Oct 2030
Phase
Phase 3
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Histologically-confirmed follicular lymphoma (FL) (Grade 1, 2, or 3a)
  • Relapsed/refractory (R/r) disease after first-line chemoimmunotherapy and high-risk disease with relapse or progression within 24 months of the initial course of chemoimmunotherapy (ie, POD24), Or r/r disease after ≥ 2 prior systemic lines of therapy
  • Clinical indication for treatment.
  • At least 1 measurable lesion per the Lugano Classification {Cheson 2014}
  • Adequate renal, hepatic, pulmonary, and cardiac function

Who cannot join

  • Presence of large B cell lymphoma or transformed FL
  • Small lymphocytic lymphoma
  • Lymphoplasmacytic lymphoma
  • Full-thickness involvement of the gastric wall by lymphoma
  • FL Grade 3b
  • Prior CD19-targeted therapy
Show all 19Show fewer
  • Prior CAR therapy or other genetically modified T-cell therapy
  • Uncontrolled fungal, bacterial, viral, or other infection
  • Active Infection with human immunodeficiency virus, hepatitis B virus or hepatitis C virus
  • History or presence of a clincially significant central nervous system (CNS) disorder.
  • History of autoimmune disease
  • Known history or CNS lymphoma involvement
  • Cardiac lymphoma involvement
  • History of clinically significant cardiac disease 6 months before randomization
  • Neuropathy greater than grade 2
  • Females who are pregnant or breastfeeding
  • Individuals of both genders who are not willing to practice birth control
  • Presence of any indwelling line or drain (eg, percutaneous nephrostomy tube, indwelling Foley catheter, biliary drain, G/J-tube, pleural/peritoneal/pericardial catheter, or Ommaya reservoirs). Dedicated central venous access catheters such as Port-a-Cath or Hickman catheter are permitted.
  • Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Trial locations and contacts

52 sites in 7 countries.

52 sites in 7 countries

United States12 sites
  • University of Maryland Greenebaum Comprehensive Cancer Center

    Baltimore, Maryland, 21201

  • Dana-Farber Cancer Institute

    Boston, Massachusetts, 02215

  • Novant Health Cancer Institute Hematology - Charlotte

    Charlotte, North Carolina, 28204

  • City of Hope (City of Hope National Medical Center, City of Hope Medical Center)

    Duarte, California, 91010

  • Penn State Milton S. Hershey Medical Center

    Hershey, Pennsylvania, 17033

  • The University of Texas MD Anderson Cancer Center

    Houston, Texas, 77030

  • TriStar Centennial Medical Center - Cell Processing

    Nashville, Tennessee, 37203

  • Henry-Joyce Cancer Clinic

    Nashville, Tennessee, 37232

  • Virginia Commonwealth University

    Richmond, Virginia, 23298

  • Stanford Health Care

    Stanford, California, 94305

  • Moffitt Cancer Center

    Tampa, Florida, 33612

  • The University of Kansas Hospital

    Westwood, Kansas, 66205

Other trials in United States

France11 sites
  • Hopital Henri Mondor

    Créteil, 94010

  • CHU de Dijon

    Dijon, 21079

  • Hôpital Claude Huriez-CHU de Lille

    Lille, 59037

  • Institut Paoli-Calmettes

    Marseille, 13273

  • Hopital Saint Eloi

    Montpellier, 34295

  • Hopital Pitie-Salpetriere

    Paris, 75013

  • CHU Bordeaux - Hospital Haut-Leveque - Centre Francois Magendie

    Pessac, 33604

  • Centre Hospitalier Lyon Sud

    Pierre-Bénite, 69495

  • CHU de Poitiers

    Poitiers, 86021

  • Hopital Pontchaillou - CHU Rennes

    Rennes, 35033

  • Centre Henri Becquerel

    Rouen, 76038

Other trials in France

Spain8 sites
  • Hospital Universitari Vall d'Hebrón

    Barcelona, 08035

  • Hospital Clinic de Barcelona

    Barcelona, 08036

  • Instituto Catalan de Oncologia - Hospital Duran i Reynolds (ICO L'Hospitalet)

    Barcelona, 08908

  • Hospital General Universitario Gregorio Maranon

    Madrid, 28009

  • Hospital 12 de Octubre

    Madrid, 28041

  • Hospital Universitario de Salamanca

    Salamanca, 37007

  • Hospital Universitario Virgen del Rocio

    Seville, 41013

  • Hospital Clínico Universitario de Valencia

    Valencia, 46010

Other trials in Spain

United Kingdom8 sites
  • University Hospital Birmingham NHS Foundation Trust

    Birmingham, B15 2GW

  • Cambridge University Hospitals NHS Foundation Trust

    Cambridge, CB2 2QQ

  • University College London Hospitals NHS Foundation Trust

    London, NW2 2QG

  • King's College Hospital NHS Foundation Trust

    London, SE5 9RS

  • The Christie NHS Foundation Trust

    Manchester, M20 4BX

  • Oxford University Hospitals NHS Foundation Trust

    Oxford, OX3 7LE

  • The University Hospital Southampton NHS Foundation Trust

    Southampton, SO16 6YD

  • The Royal Marsden NHS Foundation Trust

    Sutton, SM2 5PT

Other trials in United Kingdom

Italy6 sites
  • ASST Papa Giovanni XXIII

    Bergamo, 24128

  • Azienda Ospedallero-Universitaria di Bologna Policlinico Sant'Orsola-Malpighi

    Bologna, 40138

  • Fondazione IRCCS - Istituto Nazionale Tumori

    Milan, 20100

  • Ospedale San Raffaele

    Milan, 20132

  • Arcispedale Santa Maria Nuova

    Reggio Emilia, 42123

  • Istituto Clinico Humanitas-IRCCS

    Rozzano, 20089

Other trials in Italy

Japan5 sites
  • Hyogo Medical University Hospital

    Hyōgo, 663-8501

  • University Hospital Kyoto Prefectural University of Medicine

    Kyoto, 602-8566,

  • Tohoku University Hospital

    Miyagi, 980-8574

  • Okayama University Hospital

    Okayama, 700-8558

  • Osaka University Hospital

    Osaka, 565-0871

Other trials in Japan

Germany2 sites
  • Universitatsmedizin Gottingen

    Göttingen, 37075

  • Universitatsklinikum Koln Klinik I fur Innere Medizin

    Würzburg, 97080

Other trials in Germany

About this study

Official title: A Phase 3 Randomized, Open-Label, Multicenter Study Evaluating the Efficacy of Axicabtagene Ciloleucel Versus Standard of Care Therapy in Subjects With Relapsed/Refractory Follicular Lymphoma

The goal of this clinical study is test how well the study drug, axicabtagene ciloleucel, works in participants with relapsed/refractory follicular lymphoma

Read the detailed description

Five years after the last study participant is randomized, participants who have received axicabtagene ciloleucel will transition to a separate Long-term Follow-up study (study KT-US-982-5968) to complete the remainder of the 15-year follow-up assessments.

Being tested
Axicabtagene Ciloleucel, Cyclophosphamide, Fludarabine, Lenalidomide, Rituximab
Medical subject headings
Lymphoma, Follicular

What participants receive

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

  • Axicabtagene CiloleucelBiological

    Also called Yescarta®, axi-cel

    A single infusion of chimeric antigen receptor (CAR)-transduced autologous T cells

  • CyclophosphamideDrug

    Administered intravenously

  • FludarabineDrug

    Administered intravenously

  • LenalidomideDrug

    Administered orally

  • RituximabDrug

    Administered intravenously

  • DoxorubicinDrug

    Administered intravenously

  • VincristineDrug

    Administered intravenously

  • PrednisoneDrug

    Administered orally

  • BendamustineDrug

    Administered intravenously

Study groups in NCT05371093
Study groupRoleWhat they receive
Axicabtagene CiloleucelExperimentalParticipants will receive cyclophosphamide 500 mg/m^2/day intravenously (IV) and fludarabine 30 mg/m^2/day IV lymphodepleting chemotherapy for 3 days followed by axicabtagene ciloleucel administered as a single IV infusion at a target dose of 2 x 10^6 anti-cluster of differentiation (CD)19 chimeric antigen receptor (CAR) transduced autologous T cells/kg on Day 0. For participants weighing ≥ 100 kg, a maximum flat dose of axicabtagene ciloleucel at 2 x 10^8 anti-CD19 CAR T cells will be administered.
Receives: Biological: Axicabtagene Ciloleucel; Drug: Cyclophosphamide; Drug: Fludarabine
Standard of Care TherapyActive comparatorParticipants will receive the investigator's choice of one of the following therapies/dosing schedules: * Rituximab plus lenalidomide (R^2) for 12 cycles (28-day cycle) * Cycle 1: lenalidomide 20 mg/day on Day 1 through Day 21; rituximab 375 mg/m^2 on Day 1, Day 8, Day 15, and Day 22 * Cycle 2 through Cycle 5: lenalidomide 20 mg/day on Day 1 through Day 21; Rituximab 375 mg/m2 on Day 1 * Cycle 6 through Cycle 12: lenalidomide 20 mg/day on Day 1 through Day 21 * Rituximab plus cyclophosphamide, doxorubicin, vincristine, and prednisone (R-CHOP) for 6 cycles (21-day cycle) * rituximab 375 mg/m^2 on Day 1 * cyclophosphamide 750 mg/m^2 on Day 1 * doxorubicin 50 mg/m^2 on Day 1 * vincristine 1.4 mg/m^2 (maximum 2 mg) on Day 1 * prednisone 40 mg/m^2 on Day 1 through Day 5 * Rituximab plus bendamustine (BR) for 6 cycles (28-day cycle) * rituximab 375 mg/m^2 on Day 1 * bendamustine 90 mg/m^2 on Day 1 and Day 2
Receives: Drug: Cyclophosphamide; Drug: Lenalidomide; Drug: Rituximab; Drug: Doxorubicin; Drug: Vincristine; Drug: Prednisone; Drug: Bendamustine

What is being measured

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

  1. Progression-free Survival (PFS) as Assessed by Blinded Central Assessment per Lugano Classification

    PFS is defined as the time from randomization to disease progression or death due to any cause.

    Measured: Up to 5 years

Secondary outcomes (16)
  1. Overall Survival (OS)

    OS is defined as the time from randomization to death from any cause.

    Measured: Up to 5 years

  2. Complete Response (CR) Rate as Assessed by Blinded Central Assessment per Lugano Classification

    CR rate is defined as the proportion of participants with best overall response of CR during the study prior to any subsequent off-protocol anti-follicular lymphoma (FL) therapy.

    Measured: Up to 5 years

  3. Objective Response Rate (ORR) as Assessed by Blinded Central Assessment per Lugano Classification

    Objective response rate is defined as the proportion of participants with best overall response of either a complete response or a partial response during the study prior to any subsequent off-protocol anti-FL therapy.

    Measured: Up to 5 years

  4. Duration of Response (DOR) as Assessed by Blinded Central Assessment per Lugano Classification

    DOR is defined as the time from first objective response to disease progression or death from any cause.

    Measured: Up to 5 years

  5. Duration of CR as Assessed by Blinded Central Assessment per Lugano Classification

    Duration of CR is defined as the time from first CR to disease progression or death from any cause.

    Measured: Up to 5 years

  6. Event Free Survival (EFS) as Assessed by Blinded Central Assessment per Lugano Classification

    EFS is defined as the time from randomization to the earliest date of disease progression, the initiation of subsequent off-protocol anti-FL therapy, or death from any cause.

    Measured: Up to 5 years

  7. Time to Next Treatment (TTNT)

    TTNT is defined as the time from randomization to the start of subsequent off-protocol anti-lymphoma therapy or death from any cause.

    Measured: Up to 5 years

  8. Percentage of Participants Experiencing Treatment-emergent Adverse Events (TEAEs)

    Measured: Randomization up to 5 years plus 30 days

  9. Percentage of Participants Experiencing Clinically Significant Changes in Safety Laboratory Values

    Measured: Randomization up to 5 years plus 30 days

  10. Percentage of Participants with Replication-competent Retrovirus in Blood Over time

    Measured: Up to 5 years

  11. Change From Baseline in the Global Health Status Quality of Life Scale of the European Organisation for Research and Treatment of Cancer-Quality of Life Questionnaire-30 (EORTC QLQ-C30)

    The EORTC-QLQ-C30 is a multi-item questionnaire measuring the following content five (5) multi-item functional scales, three (3) multi-item symptom scales, one (1) global health status scale, and one (1) global health-related quality of life (HRQoL) each scale is measured from 0 to 100 after a linear transformation. Higher scores for functioning scales and for the Global Health Status or Global HRQoL scales indicate a higher level of functioning and a better HRQoL respectively, whereas higher scores in symptom scales represent a higher level of symptoms.

    Measured: Baseline, up to 5 years

  12. Change From Baseline in the Physical Functioning Domain of the EORTC QLQ-C30

    The EORTC-QLQ-C30) is a multi-item questionnaire measuring the following content five (5) multi-item functional scales, three (3) multi-item symptom scales, one (1) global health status scale, and one (1) global health-related quality of life (HRQoL) each scale is measured from 0 to 100 after a linear transformation. Higher scores for functioning scales and for the Global Health Status or Global HRQoL scales indicate a higher level of functioning and a better HRQoL respectively, whereas higher scores in symptom scales represent a higher level of symptoms.

    Measured: Baseline, up to 5 years

  13. Change From Baseline in the Global Health Status Quality of Life Scale of the Low Grade Non-Hodgkin Lymphoma-20 (NHL-LG20)

    The NHL-LG20 is is a 20-item supplement questionnaire that was specifically developed to assess HRQoL in participants with low-grade non-Hodgkin lymphomas (such as follicular lymphoma). The NHL-LG20 includes multi-item scales of symptom burden, physical condition/fatigue, worries/fears on health and functioning, and emotional impact; and is administered in conjunction with the EORTC QLQ-C30. Each scale is measured from 0 to 100 after a linear transformation. Higher scores for functional scales and for the global health status or global HRQoL scales indicate a higher level of functioning and a better HRQoL, whereas higher scores in symptom scales represent a higher level of symptoms.

    Measured: Baseline, up to 5 years

  14. Change From Baseline in the Physical Functioning Domain of the NHL-LG20

    The NHL-LG20 is is a 20-item supplement questionnaire that was specifically developed to assess HRQoL in participants with low-grade non-Hodgkin lymphomas (such as follicular lymphoma). The NHL-LG20 includes multi-item scales of symptom burden, physical condition/fatigue, worries/fears on health and functioning, and emotional impact; and is administered in conjunction with the EORTC QLQ-C30. Each scale is measured from 0 to 100 after a linear transformation. Higher scores for functional scales and for the global health status or global HRQoL scales indicate a higher level of functioning and a better HRQoL, whereas higher scores in symptom scales represent a higher level of symptoms.

    Measured: Baseline, up to 5 years

  15. Changes From Baseline in the European Quality of Life Five Dimensions Five Levels Scale (EQ-5D-5L)

    The EQ-5D-5L questionnaire is a generic measure of health status that provides a simple descriptive profile and a single index value. The EQ-5D-5L comprises 2 components: a questionnaire covering 5 dimensions and a tariff of values based upon direct valuations of health states using a visual analog scale (VAS). Rating gets recorded on a vertical VAS in which the endpoints are labeled best imaginable health state is 100 (on the top) and worst imaginable health state is 0 (on the bottom). Higher scores of EQ VAS indicate better health.

    Measured: Baseline, up to 5 years

  16. Changes From Baseline in the Visual Analog Scale (VAS) Scores

    The EQ-5D-5L VAS is a 20-cm VAS for recording self-rated current HRQoL state and is used to describe the participants health status on the day of the assessment. The EQ-5D-5L VAS score is recorded by each participant for his or her current HRQoL state and scored 0 ("the worst health you can imagine") to 100 ("the best health you can imagine"). Higher scores indicate better health.

    Measured: Baseline, up to 5 years

Timeline

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

  1. First posted12 May 2022
  2. Study start22 Sep 2022
  3. Primary completionOct 2030 (estimated)
  4. Study completionOct 2030 (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 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
231 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05371093
Sponsor's protocol ID
KT-US-473-0133
Other IDs
2021-003260-28, 2024-511594-30
Acronym
ZUMA-22
Status last verified
Oct 2025
First submitted
9 May 2022
Last updated
15 Oct 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Axicabtagene Ciloleucel, Cyclophosphamide and Fludarabine in people with Relapsed/Refractory Follicular Lymphoma, run by Kite, A Gilead Company at 52 sites in 7 countries.

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 5 inclusion and 19 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: under way, not looking for participants, as of the sponsor's last update on 15 Oct 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 52 sites in United States, France, Spain, United Kingdom, Italy and 2 more countries. 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 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

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?

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?

Progression-free Survival (PFS) as Assessed by Blinded Central Assessment per Lugano Classification (time frame: Up to 5 years). 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 15 Oct 2025.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in