Status:

ACTIVE_NOT_RECRUITING

PD-L1 PET-imaging During CAR T-cell Therapy

Lead Sponsor:

University Medical Center Groningen

Conditions:

Large B-cell Lymphoma

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

This is a single-center, single-arm pilot trial designed to evaluate the expression of PD-L1 in patients with Large B-cell lymphoma (LBCL) and its role in non-responsiveness to chimeric antigen recept...

Eligibility Criteria

Inclusion

  • Histologically confirmed LBCL and associated subtypes, defined by WHO 2016 classification
  • Tumor lesion(s) of which a histological biopsy can safely be obtained according to Standard clinical care procedures.
  • Measurable disease, as defined by Lugano criteria.
  • If has history of central nervous system (CNS) disease, then must have no signs or symptoms of CNS disease, no active disease on magnetic resonance imaging (MRI) and absence of large cell lymphoma in cerebral spinal fluid (CSF) on cytospin preparation and flow cytometry, regardless of the number of white blood cells.
  • If has history of cerebral vascular accident (CVA), the CVA event must be 12 months prior to apheresis and any neurological deficits must be stable.
  • Signed informed consent.
  • Age \>18 at the time of signing informed consent.
  • Life expectancy \>12 weeks.
  • Eastern Cooperative Oncology Group (ECOG) performance status 0-1
  • Ability to comply with the protocol.

Exclusion

  • Signs or symptoms of active infection within 2 weeks prior to 89Zr-atezolizumab injection, unless treated to resolution.
  • Prior CD19-directed CAR T-cell therapy or other bi-specific antibodies targeting CD19 receptor (e.g.blinatumomab).
  • History of severe allergy, anaphylactic, or other hypersensitivity reactions to chimeric or humanized antibodies or fusion proteins.
  • Any other diseases, metabolic dysfunction, physical examination finding, or clinical laboratory finding giving reasonable suspicion of a disease or condition that contraindicates the use of 89Zr-atezolizumab, or that may affect the interpretation of the results or render the patient at high risk for complications.

Key Trial Info

Start Date :

May 18 2022

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

May 1 2026

Estimated Enrollment :

20 Patients enrolled

Trial Details

Trial ID

NCT05404048

Start Date

May 18 2022

End Date

May 1 2026

Last Update

December 3 2025

Active Locations (1)

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1

University Medical Center Groningen

Groningen, Netherlands, 9713GZ