B-cell Non-Hodgkin Lymphoma (B-NHL)Phase 1/2NatHaLi-01NCT05607420
Study Evaluating UCART20x22 in B-Cell Non-Hodgkin Lymphoma
A Phase 1/2 study testing UCART20x22 and CLLS52 in people with B-cell Non-Hodgkin Lymphoma (B-NHL), run by Cellectis S.A. at 10 sites in 3 countries.
Trial summary
First-in-human, open-label, dose-finding and dose-expansion study of UCART20x22 administered intravenously in subjects with relapsed or refractory B-Cell Non-Hodgkin Lymphoma (B-NHL). Read more about this study
- Who is it for?
- Ages 18 to 80 years
- Conditions the study is for
- B-cell Non-Hodgkin Lymphoma (B-NHL)
- What is being tested?
- UCART20x22 and CLLS52
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 80 participants
- Where
- 10 sitesin 3 countries
- Study dates
- 1 Nov 2022to Aug 2027
- Phase
- Phase 1/2
- 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 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
- Relapsed or refractory (R/R) mature B-NHL per 2016 WHO criteria and positive for CD20 and/or CD22
- Subjects with NHL subtypes defined by WHO:
- Dose-Finding Part: R/R mature B-NHL (except chronic lymphocytic leukemia/small lymphocytic leukemia [CLL/SLL], Richter's transformation from prior CLL/SLL, Burkitt's lymphoma, and Waldenstrom's macroglobulinemia)
- Dose-Expansion Part: R/R LBCL, defined as:
- DLBCL; ii. High-grade B-cell lymphoma with MYC and BCL2 and/or BCL6 rearrangements; iii. Transformed FL or transformed marginal zone lymphoma (MZL); iv. Follicular lymphoma Grade 3B
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- R/R disease after at least 2 lines of prior treatment, which must have included:
- An Anti-CD20 MoAb and an anthracycline for DLBCL, high-grade B-cell lymphoma with MYC and BCL2 and/or BCL6 rearrangements, primary mediastinal large B-cell lymphoma (PMBCL), or transformed FL or MZL
- An alkylating agent in combination with an anti-CD20 MoAb for FL
- An anthracycline or bendamustine-containing chemotherapy regimen and a Bruton's tyrosine kinase (BTK) inhibitor for mantle cell lymphoma (MCL)
- Autologous anti-CD19 CAR T-cell therapy, if approved and available for the indicated lymphoma subtype, unless the subject is unable or is ineligible to receive approved autologous anti-CD19 CAR T-cell therapy (e.g., fail leukapheresis or manufacture, unable to wait for manufacture, CD19 negative disease, etc.)
- Autologous hematopoietic stem cells must be available prior to the start of the LD regimen if the subject is considered high-risk for prolonged hematologic toxicity.
Who cannot join
- Prior use of an investigational product (except for cell or gene therapies and MoAbs) within 5 half-lives or within 14 days, whichever is shorter, prior to start of LD regimen
- Previous approved therapy including chemotherapy, biologic (except MoAbs), or targeted therapy for R/R B-NHL with 5 half-lives or within 14 days, whichever is shorter, prior to start of the LD regimen
- > 4 lines of therapy R/R B-NHL prior to start of the LD regimen.
- Prior MoAb therapy (approved or investigational) within 30 days prior to start of LD
- Prior systemic immunostimulatory agent within 3 half-lives prior to start of the LD regimen
- Prior cell or gene therapy (approved or investigational) within 6 months of the start of LD
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- Prior cell or gene therapy (approved or investigational) targeting both CD20 and CD22
- Autologous HSCT infusion within 6 weeks of the start of LD
- Allogeneic HSCT within 3 months of the start of LD, or donor lymphocyte infusion within 6 weeks of the start of LD
- Active acute or chronic graft versus host disease (GvHD). Subjects should be off all immunosuppressive therapies for at least 6 weeks prior to start of LD
- Radiotherapy within 8 weeks (except for palliative radiotherapy for specific on-target lesions) (prior to start of LD regimen)
- Evidence of active central nervous system (CNS) lymphoma or previous CNS involvement of R/R B-NHL
- Presence of an active and clinically relevant CNS disorder
- Daily treatment with >20 mg prednisone or equivalent
- Known active infection, or reactivation of a latent infection, whether bacterial or viral, fungal, mycobacterial, or other pathogens
- History of hypersensitivity to alemtuzumab
- History of neutralizing anti-drug antibody against alemtuzumab
- Any known uncontrolled cardiovascular disease within 3 months of enrollment
- Subjects requiring immunosuppressive treatment
- Major surgery within 28 days prior to start of LD
- Evidence of another uncontrolled malignancy within 2 years prior to Screening (except in situ nonmelanoma skin cell cancers and/or carcinoma in-situ of the cervix)
Trial locations and contacts
10 sites in 3 countries. Contact the study team or a site near you to ask about taking part.
10 sites in 3 countries
United States4 sites, 4 recruiting
- Recruiting
Sarah Cannon - St. David South Austin Medical Center
Austin, Texas, 78704
Aravind Ramakrishnan, 512-816-8078, Aravind.Ramakrishnan@hcahealthcare.com
Aravind Ramakrishnan
- Recruiting
Harvard Medical School - Massachusetts General Hospital
Boston, Massachusetts, 02114
Jeremy Abramson, 617-724-9190, jabramson@mgh.harvard.edu
Jeremy Abramson
- Recruiting
The University of Chicago Medical Center (UCMC)
Chicago, Illinois, 60637
Peter Riedell, 773-834-5903, priedell@medicine.bsd.uchicago.edu
Peter Riedell
- Recruiting
Rutgers Cancer Institute of New Jersey (CINJ) - New Brunswick
New Brunswick, New Jersey, 08901
Matthew Matasar, 732-439-5162, mm3511@cinj.rutgers.edu
Matthew Matasar
France4 sites, 4 recruiting
- Recruiting
Centre Hospitalier Universitaire de Montpellier (CHU Montpellier) - Hopital Saint-Eloi
Montpellier, Occitanie, 34295
Guillaume Cartron, (+33)467336733, g-cartron@chu-montpellier.fr
Guillaume Cartron
- Recruiting
Centre Hospitalier Universitaire de Nantes (CHU de Nantes)-Hotel-Dieu
Nantes, 44093
Thomas Gastinne, (+33)240083302, thomas.gastinne@chu-nantes.fr
Thomas Gastinne
- Recruiting
Assistance Publique-Hopitaux de Paris (AP-HP) - Hopital Saint-Louis - Centre Integre en Cancerologie
Paris, Île-de-France Region, 75010
Catherine Thieblemont, (+33)0142499236, catherine.thieblemont@aphp.fr
Catherine Thieblemont
- Recruiting
Hospices Civils de Lyon (HCL) - Centre Hospitalier Lyon-Sud
Pierre-Bénite, Auvergne Rhone Alpe, 69310
Emmanuel Bachy, emmanuel.bachy@chu-lyon.fr
Emmanuel Bachy
Spain2 sites, 2 recruiting
- Recruiting
Universidad de Navarra - Clinica Universidad de Navarra (CUN) - Pamplona
Pamplona, Navarre, 31008
Ana Alfonso, (+34) 948 255 400, aalfonso@unav.es
Ana Alfonso
- Recruiting
Hospital Universitario Virgen del Rocio (HUVR) - Instituto de Biomedicina de Sevilla (IBIS)
Seville, 41013
Jose Antonio Perez Simon, (+34)955923000, josea.perez.simon.sspa@juntadendalucia.es
Jose Antonio Perez Simon
About this study
Official title: Open-label Dose-finding and Dose-expansion Study to Evaluate the Safety, Expansion, Persistence, and Clinical Activity of UCART20x22 in Subjects With Relapsed or Refractory B-Cell Non-Hodgkin Lymphoma (B-NHL)
First-in-human, open-label, dose-finding and dose-expansion study of UCART20x22 administered intravenously in subjects with relapsed or refractory B-Cell Non-Hodgkin Lymphoma (B-NHL). The purpose of this study is to evaluate the safety and clinical activity of UCART20x22 and determine the Maximum Tolerated Dose (MTD) and Recommended Phase 2 Dose (RP2D).
- Conditions
- B-cell Non-Hodgkin Lymphoma (B-NHL)
- Being tested
- UCART20x22, CLLS52
- Keywords
- B-cell Non-Hodgkin Lymphoma (B-NHL), Relapsed/Refractory B-NHL, Universal Chimeric Antigen Receptor T-Cell (UCAR-T) Therapy, Allogeneic, Transcription Activator-Like Effector Nuclease (TALEN®)
- Medical subject headings
- Lymphoma, B-Cell, Recurrence
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
UCART20x22Biological
Allogeneic engineered T-cells expressing anti-CD20 and anti-CD22 Chimeric Antigen Receptors given following a lymphodepletion regimen
CLLS52Biological
Also called Alemtuzumab
A monoclonal antibody that recognizes a CD52 antigen
| Study group | Role | What they receive |
|---|---|---|
| Dose finding part | Experimental | UCART20x22 tested at several dose levels until the Maximum Tolerated Dose (MTD) and/or the Recommended Phase 2 Dose (RP2D) is identified.
Dose expansion part: UCART20x22 administered at the RP2D determined during the dose finding part Receives: Biological: UCART20x22; Biological: CLLS52 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Dose finding and expansion parts: Incidence of adverse events/serious adverse events/dose limiting toxicity [Safety and Tolerability]
Incidence, nature and severity of adverse events and serious adverse events in relation to UCART20x22 and/or lymphodepletion
Measured: From study entry through month 12
Dose finding part: Occurrence of Dose Limiting Toxicities (DLTs)
Measured: Up to Day 28 post UCART20x22 infusion
Secondary outcomes (4)
Investigator assessed overall response rate (ORR) according to Lugano Response Criteria for Malignant Lymphoma
Measured: At Day 28, Day 84, Month 6, Month 9, Month 12
Duration of Response
Measured: From achievement of the initial response to disease relapse/progression or death from any cause, assessed up to Month 12
Progression-free survival (PFS)
Measured: From the first day of any study treatment to the date of disease progression or death from any cause, whichever occurs first, assessed up to Month 12
Overall survival
Measured: From initiation of any study treatment to death from any cause, assessed up to Year 15
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Nov 2022
- Study start1 Nov 2022
- Primary completionAug 2027 (estimated)
- Study completionAug 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for B-cell Non-Hodgkin Lymphoma (B-NHL)Studies 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 1/2
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 80 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Cellectis S.A.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Jeremy Abramson, MD, Principal investigator, Harvard Medical School - Massachusetts General
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05607420
- Sponsor's protocol ID
- UCART20x22_01
- Acronym
- NatHaLi-01
- Status last verified
- Aug 2025
- First submitted
- 25 Oct 2022
- Last updated
- 24 Aug 2025
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 24 Aug 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Open-label Dose-finding and Dose-expansion Study to Evaluate the Safety, Expansion, Persistence, and Clinical Activity of UCART20x22 in Subjects With Relapsed or Refractory B-Cell Non-Hodgkin Lymphoma (B-NHL)
- ClinicalTrials.gov ID
- NCT05607420
- Acronym / sponsor ID
- NatHaLi-01 / UCART20x22_01
- Conditions
- B-cell Non-Hodgkin Lymphoma (B-NHL)
- Keywords
- B-cell Non-Hodgkin Lymphoma (B-NHL), Relapsed/Refractory B-NHL, Universal Chimeric Antigen Receptor T-Cell (UCAR-T) Therapy, Allogeneic, Transcription Activator-Like Effector Nuclease (TALEN®)
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 80 participants (estimated)
- Lead sponsor
- Cellectis S.A.Industry (pharma, biotech, devices)
- Study start
- 1 Nov 2022 (actual)
- Primary completion
- Aug 2027 (estimated)
- Study completion
- Aug 2027 (estimated)
- First posted
- 7 Nov 2022 (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.
First-in-human, open-label, dose-finding and dose-expansion study of UCART20x22 administered intravenously in subjects with relapsed or refractory B-Cell Non-Hodgkin Lymphoma (B-NHL). The purpose of this study is to evaluate the safety and clinical activity of UCART20x22 and determine the Maximum Tolerated Dose (MTD) and Recommended Phase 2 Dose (RP2D).
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Dose finding part | Experimental | Biological: UCART20x22, Biological: CLLS52UCART20x22 tested at several dose levels until the Maximum Tolerated Dose (MTD) and/or the Recommended Phase 2 Dose (RP2D) is identified. Dose expansion part: UCART20x22 administered at the RP2D determined during the dose finding part |
Who may qualify
- Ages
- 18 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (12 listed)
- Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
- Relapsed or refractory (R/R) mature B-NHL per 2016 WHO criteria and positive for CD20 and/or CD22
- Subjects with NHL subtypes defined by WHO:
- Dose-Finding Part: R/R mature B-NHL (except chronic lymphocytic leukemia/small lymphocytic leukemia [CLL/SLL], Richter's transformation from prior CLL/SLL, Burkitt's lymphoma, and Waldenstrom's macroglobulinemia)
- Dose-Expansion Part: R/R LBCL, defined as:
Key exclusion criteria (21 listed)
- Prior use of an investigational product (except for cell or gene therapies and MoAbs) within 5 half-lives or within 14 days, whichever is shorter, prior to start of LD regimen
- Previous approved therapy including chemotherapy, biologic (except MoAbs), or targeted therapy for R/R B-NHL with 5 half-lives or within 14 days, whichever is shorter, prior to start of the LD regimen
- > 4 lines of therapy R/R B-NHL prior to start of the LD regimen.
- Prior MoAb therapy (approved or investigational) within 30 days prior to start of LD
- Prior systemic immunostimulatory agent within 3 half-lives prior to start of the LD regimen
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 |
|---|---|---|
| UCART20x22Allogeneic engineered T-cells expressing anti-CD20 and anti-CD22 Chimeric Antigen Receptors given following a lymphodepletion regimen | Biological | Dose finding part |
| CLLS52Also: AlemtuzumabA monoclonal antibody that recognizes a CD52 antigen | Biological | Dose finding part |
Primary outcome
Dose finding and expansion parts: Incidence of adverse events/serious adverse events/dose limiting toxicity [Safety and Tolerability]
Time frame: From study entry through month 12
Incidence, nature and severity of adverse events and serious adverse events in relation to UCART20x22 and/or lymphodepletion
Dose finding part: Occurrence of Dose Limiting Toxicities (DLTs)
Time frame: Up to Day 28 post UCART20x22 infusion
4 secondary outcomes
Investigator assessed overall response rate (ORR) according to Lugano Response Criteria for Malignant Lymphoma
Time frame: At Day 28, Day 84, Month 6, Month 9, Month 12
Duration of Response
Time frame: From achievement of the initial response to disease relapse/progression or death from any cause, assessed up to Month 12
Progression-free survival (PFS)
Time frame: From the first day of any study treatment to the date of disease progression or death from any cause, whichever occurs first, assessed up to Month 12
Overall survival
Time frame: From initiation of any study treatment to death from any cause, assessed up to Year 15
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 24 Aug 2025.
- 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.
Jeremy Abramson, MD principal investigator
Harvard Medical School - Massachusetts General
10 sites in 3 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing UCART20x22 and CLLS52 in people with B-cell Non-Hodgkin Lymphoma (B-NHL), run by Cellectis S.A. at 10 sites in 3 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 12 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: looking for participants now, as of the sponsor's last update on 24 Aug 2025. 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 United States, France, Spain. 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 combined 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.
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?
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 Cellectis Central Contact (+1 917 580-1088, clinicaltrials@cellectis.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Dose finding and expansion parts: Incidence of adverse events/serious adverse events/dose limiting toxicity [Safety and Tolerability] (time frame: From study entry through month 12). 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 24 Aug 2025.