Diffuse Large B-cell Lymphoma RefractoryPhase 2NCT06271057
Golcadomide Post-CAR T-cell in R/R Aggressive Large B-cell Lymphoma Patients With High Risk of Relapse
A Phase 2 study testing golcadomide in people with Diffuse Large B-cell Lymphoma Refractory and Refractory Primary Mediastinal Large B-Cell Lymphoma, run by The Lymphoma Academic Research Organisation at 13 sites in France.
Trial summary
This study is an open-label, multicenter, proof of concept, phase 2 trial. Patients will be recruited over 18 months. Safety analysis will be performed with a stop of the enrollment after 3 patients have either 1 complete treatment cycle or permanently discontinued treatment whichever occurs first. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Diffuse Large B-cell Lymphoma Refractory, Refractory Primary Mediastinal Large B-Cell Lymphoma, Refractory Transformed B-cell Non-Hodgkin Lymphoma
- What is being tested?
- golcadomide
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 65 participants
- Where
- 13 sitesFrance
- Study dates
- 14 Jun 2024to 31 Dec 2028
- Phase
- Phase 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 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patient who understood and voluntarily signed and dated an informed consent prior to any study-specific assessments/procedures being conducted
- Adults patients (≥ 18-year-old at the time of signing the informed consent form; no upper age limit)
- Eligible for any commercialized market authorized anti-CD19 CAR T-cells
- Performance Status 0, 1, or 2
- With aggressive large B-cell lymphoma, including:
- diffuse large B-cell lymphoma
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- Primary mediastinal B-cell lymphoma
- Any transformed follicular or marginal zone lymphoma
- high-grade B-cell lymphoma (HGBL) Note: patients with Central Nervous System (CNS) involvement could be included but not patients with primary CNS lymphoma
- Available biopsy for centralized review
- With a CAR T-cells indication as soon as 2nd line treatment no later than in 4th line, previously validated by the multidisciplinary tumor board Note: Any treatment performed prior to leukapheresis is considered a line of treatment
- Total MetabolicTumor Volume (TMTV) > 80 ml, measured by centralized review, on standard18FDG-PET (positron emission tomography) done just before starting CAR T-cells procedure (i.e., D-13 +/- 4 days before lymphodepletion)
- Creatinine clearance (as estimated by Modification of Diet in Renal Disease (MDRD) if > 60-year-old or Cockcroft-Gault if <60yo) >45 mL/min,
- Adequate hepatic function:
- aspartate aminotransferase/alanine aminotransferase (ALT/AST) ≤ 3.0 x ULN. (Note: In the case of documented liver involvement by lymphoma, ALT/AST must be ≤ 5.0 x ULN)
- Serum total bilirubin ≤ 2.0 mg/dL (34 μmol/L) (Note: In the case of Gilbert's syndrome, or documented liver or pancreatic involvement by lymphoma, serum total bilirubin must be ≤ 3.0 mg/dL (51 μmol/L))
- Patient covered by any social security system (France)
- Patient who understands and speaks one of the country official languages, unless local regulation authorizes independent translators
- Contraception:
- For women of childbearing potential: Agreement to remain abstinent (refrain from heterosexual intercourse) or use two adequate methods of contraception, including at least one highly effective method, as soon as consent is signed, during the treatment period (including periods of treatment interruption), and for at least 28 days after the last dose of golcadomide, Women must refrain from donating eggs during this same period.
Who cannot join
- History of malignancy other than non-melanoma skin cancer or carcinoma in situ (eg, cervix, bladder, breast) unless disease free for at least 3 years
- Presence or suspicion of fungal, bacterial, viral, or other infection that is uncontrolled or requiring IV antimicrobials for management; simple urinary tract infection and uncomplicated bacterial pharyngitis are permitted if responding to active treatment and after consultation with the sponsor's medical monitor
- History of human immunodeficiency virus (HIV) infection or acute or chronic active hepatitis B or C infection; subjects with history of hepatitis infection must have cleared their infection as determined by standard serological and genetic testing per current Infectious Diseases Society of America guidelines or applicable country guidelines
- Significant pulmonary function impairment and oxygen saturation (SaO2) < 92% on room air
- Significant cardiovascular disease such as New York Heart Association Class III or IV or Objective Class C or D cardiac disease (see appendix 07)
- History of myocardial infarction, cardiac angioplasty or stenting, unstable angina, or other clinically significant cardiac disease within 6 months of enrollment
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- History of severe immediate hypersensitivity reaction to any of the agents used in this study
- Current treatment with strong CYP3A4/5 modulators (see appendix 13)
- Pregnant, planning to become pregnant or lactating Women of Child Bearing Potential
- Any significant medical conditions, laboratory abnormality or psychiatric illness likely to interfere with participation in this clinical study (according to the investigator's decision)
- Person deprived of his/her liberty by a judicial or administrative decision
- Person hospitalized without consent
- Adult person under legal protection
Trial locations and contacts
13 sites in 1 country. Contact the study team or a site near you to ask about taking part.
13 sites in 1 country
France13 sites, 13 recruiting
- Recruiting
Hopital Henri Mondor
Créteil, 94010
François LEMONNIER, francois.lemonnier@aphp.fr
François LEMONNIER, Doctor
- Recruiting
Chu Dijon Bourgogne
Dijon, 21000
Amandine DURAND, amandine.durand@chu-dijon.fr
Amandine DURAND, Doctor
- Recruiting
Chu de Grenoble
La Tronche, 38700
Sylvain CARRAS, scarras@chu-grenoble.fr
Sylvain CARRAS, Doctor
- Recruiting
Chru de Lille
Lille, 59037
Franck MORSCHHAUSER, franck.morschhauser@chu-lille.fr
Franck MORSCHHAUSER, Professor
- Recruiting
Institut Paoli Calmettes
Marseille, 13273
Gabriel BRISOU, brisoug@ipc.unicancer.fr
Gabriel BRISOU, Doctor
- Recruiting
Chu de Montpellier
Montpellier, 34090
Charles HERBAUX, c-herbaux@chu-montpellier.fr
Charles HERBAUX, Doctor
- Recruiting
Chu de Nantes
Nantes, 44093
Benoit TESSOULIN, benoit.tessoulin@chu-nantes.fr
Benoit TESSOULIN, Doctor
- Recruiting
Hopital Saint-Louis
Paris, 75475
Catherine THIEBLEMONT, catherine.thieblemont@aphp.fr
Catherine THIEBLEMONT, Professor
- Recruiting
Chu de Bordeaux
Pessac, 33604
François-Xavier GROS, francois-xavier.gros@chu-bordeaux.fr
François-Xavier GROS, Doctor
- Recruiting
Chu Pontchaillou
Rennes, 35033
Roch HOUOT, roch.houot@chu-rennes.fr
Roch HOUOT, Professor
- Recruiting
Centre Henri Becquerel
Rouen, 76038
Fabrice JARDIN, fabrice.jardin@chb.unicancer.fr
Fabrice JARDIN, Professor
- Recruiting
Iuct Oncopole
Toulouse, 31059
Lucie OBERIC, oberic.lucie@iuct-oncopole.fr
Lucie OBERIC, Doctor
- Recruiting
Chu Brabois
Vandœuvre-lès-Nancy, 54511
Arnaud CAMPIDELLI, A.CAMPIDELLI@chru-nancy.fr
Arnaud CAMPIDELLI, Doctor
About this study
Official title: Golcadomide (BMS-986369) Post-CAR T-cell in R/R Aggressive Large B-cell Lymphoma Patients With High Risk of Relapse
This study is an open-label, multicenter, proof of concept, phase 2 trial. Patients will be recruited over 18 months. Safety analysis will be performed with a stop of the enrollment after 3 patients have either 1 complete treatment cycle or permanently discontinued treatment whichever occurs first.
Approximatively 65 patients with aggressive large B-cell lymphoma (LBCL) (including diffuse large B-cell lymphoma (DLBCL), Primary mediastinal B-cell lymphoma (PMBCL), any transformed follicular or marginal zone lymphoma, high-grade B-cell lymphoma (HGBL)) will be enrolled in the study.
Read more
The duration of treatment with golcadomide (CELMoD) is 24 weeks with 6 cycles of 28 days (4 weeks), starting at 5 days after CAR-T cells infusion.
The primary objective of the study is to estimate the efficacy of golcadomide administered post-anti-CD19 CAR T-cell infusion, Efficacy determination will be based upon the primary endpoint of complete metabolic response (CMR) rate at 3 months after infusion of anti-CD19 CAR T-cell assessed by study investigator.
- Conditions
- Diffuse Large B-cell Lymphoma Refractory, Refractory Primary Mediastinal Large B-Cell Lymphoma, Refractory Transformed B-cell Non-Hodgkin Lymphoma, Refractory High Grade B-Cell Lymphoma
- Being tested
- golcadomide
- Keywords
- eligible for CAR T-cells therapy
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
golcadomideDrug
Also called BMS-986369, CC-99282
golcadomide 0.3 mg weekly from D+5 post CAR T-cells administration until D+166
| Study group | Role | What they receive |
|---|---|---|
| golcadomide post CAR T-cells | Experimental | 0.3 mg - Per Os - every week - 6 months Receives: Drug: golcadomide |
What is being measured
The primary outcome is the main question the study is designed to answer.
Complete metabolic response rate (CMR rate)
efficacy of golcadomide administered post-anti-CD19 CAR T-cell infusion
Measured: 3 months
Secondary outcomes (9)
Objective response rate (ORR)
incidence of either a complete (CMR) or a partial (PMR) metabolic response per the Lugano Classification (Cheson 2014) as determined by study investigators
Measured: at 1 month, 3 months, 6 months, 1 year and 2 years, from CAR-T infusion
Objective response rate (ORR)
determined by imaging central review
Measured: at 1 month and 3 months
Complete response rate (CRR)
percentage of complete response determined by investigator assessment classification
Measured: at 1 Month, 6 Months, 1 year, and 2 years
Duration of response (DR)
time from attainment of PMR or CMR to the date of first documented disease progression/relapse (based on investigator disease assessment (INV)) or death from any cause
Measured: 2 years
Event-free survival (EFS)
the time between CAR T-cells injection and death, disease progression, or start of subsequent new anti-lymphoma therapy including Stem Cell Transplant (SCT)
Measured: 2 years
Progression-free survival (PFS)
time from CAR T-cells injection to the first observation of documented disease progression/relapse (based on investigator disease assessment (INV)) or death
Measured: 2 years
Time To Next anti-Lymphoma Treatment (TTNLT)
from the date of CAR T-cells injection to the date of first documented administration of any new anti-lymphoma treatment
Measured: 2 years
Overall survival (OS)
from date of CAR T-cells injection to the date of death
Measured: 2 years
Incidence of Adverse Events and Serious Adverse events
Measured: 2 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted21 Feb 2024
- Study start14 Jun 2024
- Primary completion31 Mar 2027 (estimated)
- Study completion31 Dec 2028 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Diffuse Large B-cell Lymphoma RefractoryStudies 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
- 65 participants (estimated)
Sponsor and investigators
- Lead sponsor
- The Lymphoma Academic Research Organisation
- Sponsor type
- University, hospital or other
- Collaborators
- Lymphoma Study Association
- Responsible party
- Sponsor
- Investigators
- Catherine THIEBLEMONT, Prof. Dr., Principal investigator, Hôpital Saint-LouisGabriel BRISOU, Prof. Dr., Principal investigator, Institut Paoli-CalmettesFrançois-Xavier GROS, Prof. Dr., Principal investigator, University Hospital, Bordeaux
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06271057
- Sponsor's protocol ID
- CARMOD
- Status last verified
- Jun 2026
- First submitted
- 14 Feb 2024
- Last updated
- 4 Jun 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 4 Jun 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Golcadomide (BMS-986369) Post-CAR T-cell in R/R Aggressive Large B-cell Lymphoma Patients With High Risk of Relapse
- ClinicalTrials.gov ID
- NCT06271057
- Acronym / sponsor ID
- CARMOD
- Conditions
- Diffuse Large B-cell Lymphoma Refractory, Refractory Primary Mediastinal Large B-Cell Lymphoma, Refractory Transformed B-cell Non-Hodgkin Lymphoma, Refractory High Grade B-Cell Lymphoma
- Keywords
- eligible for CAR T-cells therapy
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 65 participants (estimated)
- Lead sponsor
- The Lymphoma Academic Research OrganisationUniversity, hospital or other
- Collaborators
- Lymphoma Study Association
- Study start
- 14 Jun 2024 (actual)
- Primary completion
- 31 Mar 2027 (estimated)
- Study completion
- 31 Dec 2028 (estimated)
- First posted
- 21 Feb 2024 (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 study is an open-label, multicenter, proof of concept, phase 2 trial. Patients will be recruited over 18 months. Safety analysis will be performed with a stop of the enrollment after 3 patients have either 1 complete treatment cycle or permanently discontinued treatment whichever occurs first.
Approximatively 65 patients with aggressive large B-cell lymphoma (LBCL) (including diffuse large B-cell lymphoma (DLBCL), Primary mediastinal B-cell lymphoma (PMBCL), any transformed follicular or marginal zone lymphoma, high-grade B-cell lymphoma (HGBL)) will be enrolled in the study.
The duration of treatment with golcadomide (CELMoD) is 24 weeks with 6 cycles of 28 days (4 weeks), starting at 5 days after CAR-T cells infusion.
The primary objective of the study is to estimate the efficacy of golcadomide administered post-anti-CD19 CAR T-cell infusion, Efficacy determination will be based upon the primary endpoint of complete metabolic response (CMR) rate at 3 months after infusion of anti-CD19 CAR T-cell assessed by study investigator.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| golcadomide post CAR T-cells | Experimental | Drug: golcadomide0.3 mg - Per Os - every week - 6 months |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (20 listed)
- Patient who understood and voluntarily signed and dated an informed consent prior to any study-specific assessments/procedures being conducted
- Adults patients (≥ 18-year-old at the time of signing the informed consent form; no upper age limit)
- Eligible for any commercialized market authorized anti-CD19 CAR T-cells
- Performance Status 0, 1, or 2
- With aggressive large B-cell lymphoma, including:
Key exclusion criteria (13 listed)
- History of malignancy other than non-melanoma skin cancer or carcinoma in situ (eg, cervix, bladder, breast) unless disease free for at least 3 years
- Presence or suspicion of fungal, bacterial, viral, or other infection that is uncontrolled or requiring IV antimicrobials for management; simple urinary tract infection and uncomplicated bacterial pharyngitis are permitted if responding to active treatment and after consultation with the sponsor's medical monitor
- History of human immunodeficiency virus (HIV) infection or acute or chronic active hepatitis B or C infection; subjects with history of hepatitis infection must have cleared their infection as determined by standard serological and genetic testing per current Infectious Diseases Society of America guidelines or applicable country guidelines
- Significant pulmonary function impairment and oxygen saturation (SaO2) < 92% on room air
- Significant cardiovascular disease such as New York Heart Association Class III or IV or Objective Class C or D cardiac disease (see appendix 07)
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 |
|---|---|---|
| golcadomideAlso: BMS-986369, CC-99282golcadomide 0.3 mg weekly from D+5 post CAR T-cells administration until D+166 | Drug | golcadomide post CAR T-cells |
Primary outcome
Complete metabolic response rate (CMR rate)
Time frame: 3 months
efficacy of golcadomide administered post-anti-CD19 CAR T-cell infusion
9 secondary outcomes
Objective response rate (ORR)
Time frame: at 1 month, 3 months, 6 months, 1 year and 2 years, from CAR-T infusion
Objective response rate (ORR)
Time frame: at 1 month and 3 months
Complete response rate (CRR)
Time frame: at 1 Month, 6 Months, 1 year, and 2 years
Duration of response (DR)
Time frame: 2 years
Event-free survival (EFS)
Time frame: 2 years
Progression-free survival (PFS)
Time frame: 2 years
Time To Next anti-Lymphoma Treatment (TTNLT)
Time frame: 2 years
Overall survival (OS)
Time frame: 2 years
Incidence of Adverse Events and Serious Adverse events
Time frame: 2 years
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 4 Jun 2026.
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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.
Catherine THIEBLEMONT, Prof. Dr. principal investigator
Hôpital Saint-Louis
Gabriel BRISOU, Prof. Dr. principal investigator
Institut Paoli-Calmettes
François-Xavier GROS, Prof. Dr. principal investigator
University Hospital, Bordeaux
13 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 golcadomide in people with Diffuse Large B-cell Lymphoma Refractory and Refractory Primary Mediastinal Large B-Cell Lymphoma, run by The Lymphoma Academic Research Organisation at 13 sites in France.
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 20 inclusion and 13 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 4 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 13 sites in France. 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?
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 Stéphanie DOYEN (+33 4 27 01 27 36, stephanie.doyen@lysarc.org), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Complete metabolic response rate (CMR rate) (time frame: 3 months). 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 4 Jun 2026; AzTrials last refreshed its copy on 6 Nov 2026.