Study of Talikabtagene Autoleucel NexCAR19 CAR-T Cell Therapy
in Adults With Relapsed or Refractory B-Cell Leukemia and Lymphoma
Phase 2-3 Open-Label Multicenter Trial
Led by Health Institutes of Turkey · Updated on 2026-03-30
40
Participants Needed
4
Research Sites
100 weeks
Total Duration
AI-Summary
What this Trial Is About
Researchers are evaluating Talikabtagene Autoleucel, an anti-CD19 CAR-T cell therapy, in adults with relapsed or refractory B-cell malignancies such as B-cell Acute Lymphoblastic Leukemia B-ALL and Non-Hodgkin Lymphoma. This national, open-label, multicenter Phase 2-3 trial supported by the Turkish Health Institutes aims to assess the treatments overall response rate 28 days after infusion and to monitor its safety profile. Secondary goals include studying complete remission, survival rates, and treatment-related side effects like cytokine release syndrome and neurotoxicity.
The treatment involves collecting the patients own T cells through leukapheresis, modifying them in the lab to target CD19 on cancer cells, and then reinfusing them after administering lymphodepleting chemotherapy if needed. Patients receive a single infusion of the CAR-T cells. The study includes short-term monitoring especially during the first 10 days post-infusion for side effects, followed by long-term follow-up lasting up to 30 months.
Participants will undergo regular assessments including imaging scans, bone marrow evaluation, immune function tests, and laboratory tests to track response and CAR-T cell persistence. Safety monitoring includes watching for adverse events and immune-related effects over time. The overall study duration includes about 6 months for recruitment, 3 months for treatment and early follow-up, and 21 months for long-term monitoring to gather comprehensive data on outcomes and safety.
CONDITIONS
Brief Title
NexCAR19 (Talikabtagene Autoleucel) in Relapsed/Refractory B-Cell Malignancies (NexCAR19)
Research Team
F
Funda Ceran Ankara Bilkent City Hospital - Hematology Clinic, Prof. MD
Ş
Şule Mine Bakanay Öztürk Ankara Bilkent City Hospital - Hematology Clinic, Prof. MD
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Approved for leukapheresis by the CAR-T cell treatment council
ECOG performance status less than 2
Life expectancy of at least 12 weeks
Adequate kidney function (creatinine clearance ≥60 mL/min; bendamustine allowed if 30-60 mL/min)
Adequate liver function (ALT and AST ≤3 times upper normal limit; bilirubin ≤2 times upper normal limit with exceptions)
Stable heart function with left ventricular ejection fraction ≥45%
Baseline oxygen saturation above 92% on room air
Adequate blood counts (ANC ≥500/µL and platelets ≥50,000/µL) unless due to malignancy
Negative pregnancy test for women of childbearing potential prior to therapy
Use of effective contraception for at least 12 months after CAR-T infusion
Written informed consent provided
Disease-specific criteria for high-grade lymphoma, other B-cell lymphomas, or B-ALL as defined in the protocol
You will not qualify if you...
Uncontrolled severe infection or positive blood culture within 72 hours before infusion
HIV positive
Active hepatitis B or C infection
Unstable angina or heart attack within past 6 months
Uncontrolled heart rhythm problems
Current other cancers except certain treated skin or in situ cancers disease-free for 3 years
Pregnant or breastfeeding
Allergy to CAR-T product ingredients
Active autoimmune or inflammatory neurological disorders
Primary immunodeficiency
Recent leukemia/lymphoma treatments not stopped more than 72 hours before leukapheresis
Burkitt lymphoma or leukemia
Steroid use not stopped more than 72 hours before therapy (low dose allowed)
Inability to comply as judged by investigator
Disease-specific exclusions including active CNS involvement, prior allogeneic stem cell transplant, recent immunosuppressive or chemotherapy treatments, live vaccines within 6 weeks, and tumor mass effect needing urgent treatment
Active graft-versus-host disease requiring recent treatment for B-ALL patients
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Run-in Period
Duration - Up to 3 weeks
Participants undergo leukapheresis to collect peripheral blood mononuclear cells for CAR-T cell manufacturing and receive lymphodepleting chemotherapy if required before infusion.
1 to 2 visits depending on lymphodepletion requirements
Treatment
Duration - Single day
Participants receive a single intravenous infusion of Talikabtagene Autoleucel (CAR-T cells).
1 infusion visit (in-person)
Short-term Follow-up
Duration - 10 days post-infusion
Participants are closely monitored for signs of cytokine release syndrome and neurotoxicity, including clinical response evaluation and safety assessments.
Daily visits or assessments for up to 10 days
Post-treatment Monitoring
Duration - Up to 6 months post-infusion
Participants undergo ongoing clinical response evaluations, imaging, bone marrow assessments, immunological testing, and monitoring of CAR-T cell persistence and expansion.
Regular visits including assessments at Day 28, Day 90, and Day 180 post-infusion
Long-term Follow-up
Duration - Up to 2 years post-infusion
Participants are monitored long-term for survival outcomes, disease control, immunological effects, and CAR-T cell persistence for up to 2 years after infusion.
Periodic visits over 2 years
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
TREATMENT
Number of Arms
1
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Published Research Related To This Trial
National Institutes of Health Consensus Development Project on Criteria for Clinical Trials in Chronic Graft-versus-Host Disease: I. The 2014 Diagnosis and Staging Working Group report.
Madan H Jagasia, Hildegard T Greinix, Mukta Arora...