Anti-CD30 CAR-T Cell Therapy in Relapsed and Refractory Hodgkin Lymphoma.
Carlos A Ramos, Natalie S Grover, Anne W Beaven...
https://pubmed.ncbi.nlm.nih.gov/32701411/Actively Recruiting
Led by Baylor College of Medicine · Updated on 2026-06-10
60
Participants Needed
2
Research Sites
669 weeks
Total Duration
This trial studies patients with types of lymph gland cancer called Hodgkins Lymphoma and Non-Hodgkin Lymphoma that have returned or not responded to previous treatments. Researchers are exploring a new approach combining genetically modified T cells with antibodies to better target and kill lymphoma cells. These special T cells, called CD30.CAR T cells, are designed to recognize and attack cancer cells that have a marker named CD30 on their surface. This Phase 1 study aims to test the safety of these modified cells given after chemotherapy that reduces other T cells, creating space for the new cells to work. To make the CD30.CAR T cells, blood is collected from the participant either by blood draw or apheresis if counts are low. The T cells are activated and genetically modified to carry a gene that makes an anti-CD30 antibody attached to the T cell, enhancing their ability to target lymphoma. Participants will receive one injection of these cells on Day 0 after a chemotherapy pre-treatment called lymphodepletion. Depending on response and safety, additional doses of up to six injections may be given at 8 to 12 week intervals. The dose will start low and increase through three levels to find the safest effective amount. During the study, participants will have blood samples taken before and after the T cell infusion at multiple time points up to 15 years. This helps researchers understand how the modified cells behave and last in the body. Participants will be monitored in clinic for at least 3 hours after each infusion for safety. The main outcome is to evaluate dose-limiting side effects within 6 weeks. Other outcomes include measuring response to treatment and the persistence of modified T cells over time. The total duration of involvement can be up to 15 years for long-term follow-up.
CONDITIONS
CD30 CAR T Cells, Relapsed CD30 Expressing Lymphoma (RELY-30)
C
Carlos A Ramos, MD
V
Vicky Torrano, RN
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Baylor College of Medicine
Lead Sponsor
The Methodist Hospital Research Institute
Collaborating Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | CAR T-cell therapy (study treatment) | Typical standard care (brentuximab vedotin or chemotherapy) |
|---|---|---|
| What is this option? | A laboratory-modified T-cell treatment designed to recognize and attack cells that express the CD30 protein, given as a single infusion. Three dose levels are tested in this trial. | Standard care consists of established therapies such as brentuximab vedotin, an antibody-drug conjugate targeting CD30, or multi-agent salvage chemotherapy regimens recommended in guidelines for relapsed or refractory disease. |
| Role in trial | All participants received a single infusion of their own T cells modified to target CD30, at one of three escalating dose levels. | Not trial tested; represents usual care pathway for eligible patients outside research, not studied in this single-arm trial. |
| Primary use | Evaluated as a treatment for relapsed or refractory Hodgkin's or non-Hodgkin lymphoma with CD30 expression. | To induce remission or provide disease control in relapsed or refractory CD30-positive lymphoma prior to possible transplantation or further therapy. |
| How it is given or performed | Participants undergo leukapheresis (T cell collection), followed by laboratory modification and a single intravenous infusion of CAR T cells at a dose determined by the protocol. | Brentuximab vedotin is typically administered as an intravenous infusion, while chemotherapy regimens usually involve intravenous or sometimes oral dosing, given in cycles according to specific protocols. |
| Evidence status | Evidence for CAR T-cell therapy in this population is limited to early-phase, single-arm studies; additional larger studies are underway. | Efficacy of brentuximab vedotin and conventional chemotherapy is established through multiple clinical trials and reflected in major treatment guidelines. |
| Important limitations | Only participants meeting strict eligibility criteria were enrolled; as a single-arm, early-phase trial across multiple dose levels, no randomization was used and long-term safety and benefit remain investigational. | Responses to salvage chemotherapy or brentuximab vedotin may be temporary; not all patients are eligible or achieve durable remission, and some experience significant side effects. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Duration - Up to 1 year or longer depending on additional doses
Participants have blood collected to prepare genetically modified CD30 CAR T cells. They receive lymphodepleting chemotherapy followed by an infusion of CD30 CAR T cells on Day 0. Additional infusions may be given at 8 to 12 week intervals depending on response and safety.
Multiple clinic visits for blood collection, chemotherapy, infusions, and monitoring
Duration - Up to 15 years
Participants have blood drawn at multiple timepoints up to 15 years to track the persistence of CAR T cells and monitor health.
Periodic blood draws and clinic visits for follow-up
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
TREATMENT
Number of Arms
1
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Carlos A Ramos, Natalie S Grover, Anne W Beaven...
https://pubmed.ncbi.nlm.nih.gov/32701411/Baylor College of Medicine
Lead Sponsor
The Methodist Hospital Research Institute
Collaborating Sponsor