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Study of Rondecabtagene Autoleucel in Aggressive Large B-Cell Lymphoma

RecruitingPhase 1/2

A Phase 1/2 Multi-Center Study Evaluating the Safety and Efficacy of Rondecabtagene Autoleucel, a CD19/CD20 Dual-Targeting Chimeric Antigen Receptor T-Cell Therapy in Participants With Aggressive B-Cell Non-Hodgkin Lymphoma

Who can join

Ages 18 and older · All sexes

Full eligibility criteria
Inclusion Criteria:

1. Age 18 years or older
2. Willing and able to provide written informed consent
3. Histologically confirmed LBCL, including the following types defined by the World Health Organization (WHO 2022) or International Consensus Classification (2022)
4. Received at least two prior lines of therapy for Cohorts 1, 2, and 4 and one prior line of therapy for Cohort 3
5. Relapsed or refractory disease.
6. At least 1 measurable lesion (per Lugano classification)
7. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 or ECOG 0 to 2 (Cohort 5)
8. Absolute neutrophil count (ANC) ≥ 1000/µL
9. Platelet count ≥ 50,000/µL
10. Absolute lymphocyte count (ALC) ≥ 200/µL

Other protocol-defined criteria apply.

Exclusion Criteria:

1. History of malignancy other than non-melanoma skin cancer or carcinoma in situ unless disease-free for at least 3 years
2. Active central nervous system involvement
3. History of cardiac lymphoma involvement or Epstein-Barr virus (EBV)+ lymphoma
4. Ongoing or impending oncologic emergency
5. Recent systemic anti-cancer therapy or radiation
6. Ongoing non-hematologic toxicities due to prior therapy
7. History of allogeneic stem cell or solid organ transplantation
8. Autologous stem cell transplantation within 6 weeks
9. History of prior genetically modified cell therapy (Cohorts 1, 3, 4, 5) or no other than a product targeting CD19 with an FMC63-based CAR (e.g., axicabtagene ciloleucel (axi-cel), tisagenlecleucel (tisa-cel), or lisocabtagene maraleucel (liso-cel) (Cohort 2).
10. Primary immunodeficiency
11. History of autoimmune disease resulting in end organ injury or requiring recent therapy

Other protocol-defined criteria apply.

About the study

This is a Phase 1/2, multi-center, open-label study evaluating the safety and efficacy of rondecabtagene autoleucel (ronde-cel) also known as LYL314, a dual-targeting chimeric antigen receptor (CAR) targeting cluster of differentiation (CD)19 and CD20 in participants with aggressive large B-cell lymphoma.

What is being tested

Sponsor: Lyell Immunopharma, Inc. · Participants: 270 · Started: May 9, 2023

Contact the study team

Official record on ClinicalTrials.gov — NCT05826535

Locations in the U.S.

CaliforniaUniversity of California-Irvine Medical Center, Irvine
Cedars-Sinai Medical Center, Los Angeles
University of California, Los Angeles (UCLA) Medical Center, Los Angeles
Scripps Clinic, San Diego
ColoradoColorado Blood Cancer Institute, Denver
District of ColumbiaMedstar Georgetown University Hospital, Washington D.C.
GeorgiaAugusta University Medical Center, Augusta
IndianaIndiana Blood and Marrow Transplantation, Indianapolis
IowaUniversity of Iowa, Iowa City
KentuckyUniversity of Louisville Brown Cancer Center, Louisville
LouisianaLouisiana State University Health Sciences Center, Shreveport
MichiganCorewell Health, Grand Rapids
NebraskaUniversity of Nebraska Medical Center, Omaha
New JerseyJohn Theurer Cancer Center Hackensack University Medical Center, Hackensack
New MexicoUniversity of New Mexico Comprehensive Cancer Center, Albuquerque
New YorkRoswell Park Comprehensive Cancer Center, Buffalo
David H. Koch Center for Cancer Care at Memorial Sloan Kettering Cancer Center, New York
Montefiore Medical Center, The Bronx
North CarolinaAtrium Health Wake Forest Baptist, Winston-Salem
OhioUniversity of Cincinnati (UC) Physicians Company, LLC, Cincinnati
Cleveland Clinic, Cleveland
PennsylvaniaLehigh Valley Topper Cancer Center Institute, Allentown
Thomas Jefferson University, Philadelphia
West Penn Hospital, Pittsburgh
TennesseeVanderbilt University Medical Center, Nashville
TexasBaylor University Medical Center, Dallas
Texas Transplant Institute, San Antonio
UtahHuntsman Cancer Institute, Salt Lake City
Intermountain Healthcare, Salt Lake City
VirginiaVirginia Oncology Associates, Norfolk
Virginia Commonwealth University-Massey Cancer Center, Richmond
WisconsinMedical College of Wisconsin, Milwaukee

Conditions

From ClinicalTrials.gov, data retrieved Sep 29, 2026. Each study sets its own eligibility; the study team decides who can join.