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CompletedNCT04555811Updated Jul 9, 2024Results posted

FT596 With Rituximab as Relapse Prevention After Autologous HSCT for NHL

A Phase 1 interventional study of FT596 and Rituximab in NHL, Non Hodgkin Lymphoma and Diffuse Large B Cell Lymphoma, sponsored by Masonic Cancer Center, University of Minnesota. Completed at 2 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-07-09.

Sponsored by Masonic Cancer Center, University of Minnesota · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
7
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a Phase I multi-center study to evaluate the safety of FT596 when given with rituximab as relapse prevention in patients who have undergone an autologous hematopoietic stem cell transplant (auto-HSCT) for diffuse large or high-grade B cell lymphoma.

Read the detailed description

This study uses a single dose of the investigational product FT596 in the early post-transplant period. Rituximab or an FDA approved by biosimilar including Rituxan®, Truxima®, and Ruxience™ is given 48 to 72 hours prior to FT596. The goal of this study is to 1) establish a maximum tolerated dose (MTD) of FT596 when given 30 days after transplant and 2) to confirm the MTD and safety of giving a single dose of FT596 at Day 7 post-transplant starting at one dose level below the MTD identified at Day 30.

02

Conditions studied

  • NHL
  • Non Hodgkin Lymphoma
  • Diffuse Large B Cell Lymphoma
  • High-grade B-cell Lymphoma

Keywords

  • auto HSCT
  • Stem cell transplantation
  • Lymphoma
03

In context

Lymphoma

5,579 studies on the registry are indexed under Lymphoma; 825 are open to participants now.

This study's enrollment of 7 is below the median of 40 across 4,509 interventional studies indexed under Lymphoma.

Browse Lymphoma studies →

Lead sponsor

Masonic Cancer Center, University of Minnesota is the lead sponsor of 284 studies on the registry; 34 are open to participants now.

Of its 39 completed or terminated interventional studies of FDA-regulated products, 28 (72%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Diagnosis of diffuse large B cell lymphoma or aggressive (high-grade) B-cell lymphoma for which an autologous stem cell transplant is planned or recently completed
  • High risk for relapse defined as at least one of the below:

    • Primary induction failure (no complete or partial remission at any point after diagnosis
    • Initial remission duration \< 12 months
    • Lack of complete metabolic (PET scan) response after 2-3 cycles of salvage chemotherapy
    • Evidence of c-myc and bcl-2 and/or bcl-6 re-arrangement (double hit or triple hit lymphoma)
    • Age-adjusted IPI 2-3 at relapse
  • Age 18 years or older at the time of signing consent.
  • Agrees to use adequate contraception (or evidence of sterility) for at least 12 months after the last dose of rituximab.
  • Agrees and signs the separate consent for up to 15 years of follow-up (Long-term Follow-up study CPRC#2020LS052)
  • Provides voluntary written consent prior to the performance of any research related activities.

Exclusion criteria

Exclusion Criteria:

  • Receipt of any investigational therapy within 28 days prior to the first dose of FT596 or planned use of an investigational therapy during the first 100 days after transplant
  • Planned post-transplant irradiation prior to Day +100
  • Seropositive for HIV, active Hepatitis B or C infection with detectable viral load by PCR
  • Body weight \<50kg
  • Known allergy to the following FT596 components: albumin (human) or DMSO
  • Unable to receive rituximab

Post-HSCT Reconfirmation of eligibility

  • No life-threatening medical issues (i.e. ongoing Grade 4 adverse events) where, in the opinion of the treating investigator, use of FT596 is not in the patient's best interest.
  • No active uncontrolled infection.
  • Adequate organ function post-transplant including:

    • alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤5 x ULN (Grade 2 CTCAE v5)
    • total bilirubin ≤1.5 x ULN (Grade 1 CTCAE v5)
    • serum creatinine ≤1.5 x ULN (Grade 1 CTCAE v5)
    • oxygen saturation ≥93% on room air
  • For Day 30 dosing only - CBC requirement consistent with engraftment (ANC>500, platelet>20,000 without transfusion support within previous 7 days). There are no CBC parameters for Day 7 dosing.
  • No requirement for systemic immunosuppressive therapy (> 5mg prednisone daily) during the FT596 dosing period.
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
7 participants (actual)

Study arms

  • Experimental
    FT596 + Rituximab Dose Level 1: 9x10^7 cells/dose

    Up to three sequential FT596 dose levels are planned for Day 30 administration: (Dose Level 1: 9x10\^7 cells/dose, Dose Level 2: 3x10\^8 cells/dose, Dose Level 3: 9x10\^8 cells/dose with a Dose Level -1: 3x10\^7 cells/dose tested only if dose limiting toxicity events (DLT) occur at dose level 1).The maximum tolerated dose will be determined by using a modified continual reassessment method (CRM).

    Drug: FT596 · Drug: Rituximab

  • Experimental
    FT596 + Rituximab Dose Level 2: 3x10^8 cells/dose

    Up to three sequential FT596 dose levels are planned for Day 30 administration: (Dose Level 1: 9x10\^7 cells/dose, Dose Level 2: 3x10\^8 cells/dose, Dose Level 3: 9x10\^8 cells/dose with a Dose Level -1: 3x10\^7 cells/dose tested only if dose limiting toxicity events (DLT) occur at dose level 1).The maximum tolerated dose will be determined by using a modified continual reassessment method (CRM).

    Drug: FT596 · Drug: Rituximab

  • Experimental
    FT596 + Rituximab Dose Level 3: 9x10^8 cells/dose

    Up to three sequential FT596 dose levels are planned for Day 30 administration: (Dose Level 1: 9x10\^7 cells/dose, Dose Level 2: 3x10\^8 cells/dose, Dose Level 3: 9x10\^8 cells/dose with a Dose Level -1: 3x10\^7 cells/dose tested only if dose limiting toxicity events (DLT) occur at dose level 1).The maximum tolerated dose will be determined by using a modified continual reassessment method (CRM).

    Drug: FT596 · Drug: Rituximab

Interventions

  • DrugFT596

    FT596 is given 2-3 days after rituximab; however, it may be delayed for up to 7 days until all rituximab infusion related toxicities resolve to ≤Grade 1.

  • DrugRituximab

    Rituximab 375 mg/m\^2 is administered as an IV infusion per institutional standard of care and package insert on 2-3 days (48 to 72 hours) prior to the FT596 infusion

    Also known as: Rituxan

06

What researchers measure

Primary outcomes

  1. Number of Participants Experiencing Dose Limiting Toxicity Events

    The component I design (FT596 on day 30) will continue until the MTD is declared or until the first dose is declared to be above MTD. The component I dose limiting toxicity (DLT) is defined as any of the following events within 28 days after the FT596 dosing based on CTCAE v5:Grade 4 hematologic toxicity lasting \> 7 days ,Grade 4 non-hematologic toxicity ,Grade ≥3 Infusion Related Reaction, Grade 2 acute GVHD that requires steroid therapy \>7 days or progression after 3 days of steroids or has partial response after 14 days of treatment, Grade ≥3 acute GVHD, Grade 4 cytokine release syndrome (CRS), Grade 3 CRS that does not resolve to \< Grade 2 in 72 hours, Grade 3 neurotoxicity, Grade 3 organ toxicity involving vital organs, Any Grade 3 non-hematological toxicity that does not resolve to ≤Grade 2 within 72 hours

    Time frame: 28 Days Post FT596 infusion

Secondary outcomes

  1. Number of Participants Experiencing Adverse Events

    Number of participants experiencing adverse events related to FT596 post auto-HSCT in combination with rituximab

    Time frame: 1 year post FT596 infusion

  2. Percentage of Participants With Relapse/Progression

    Percentage of participants experiencing progression or relapse at 12 months post auto HSCT

    Time frame: 1 year post auto HSCT

  3. Number of Participants Experiencing Non-relapse Mortality Incidents at 100 Days Post HSCT

    Number of participants experiencing non-relapse mortality at 100 days post auto-HSCT.

    Time frame: 100 days post HSCT

  4. Percentage of Non-relapse Mortality Incidents at One Year Post HSCT

    Percentage of participants experiencing non-relapse mortality at one year post auto-HSCT.

    Time frame: one year post auto-HSCT

  5. Progression-Free Survival 12 Months Post Auto-HCT

    Progression-Free Survival 12 Months Post Auto-HCT

    Time frame: 12 Months Post Auto-HCT

07

Results

Posted Jul 9, 2024

Participant flow

Participant flow — Overall Study
MilestoneFT596 + Rituximab Dose Level 1: 9x10^7 Cells/DoseFT596 + Rituximab Dose Level 2: 3x10^8 Cells/DoseFT596 + Rituximab Dose Level 3: 9x10^8 Cells/Dose
Started331
Completed331
Not completed000

Outcome measures

PrimaryNumber of Participants Experiencing Dose Limiting Toxicity Events

The component I design (FT596 on day 30) will continue until the MTD is declared or until the first dose is declared to be above MTD. The component I dose limiting toxicity (DLT) is defined as any of the following events within 28 days after the FT596 dosing based on CTCAE v5:Grade 4 hematologic toxicity lasting \> 7 days ,Grade 4 non-hematologic toxicity ,Grade ≥3 Infusion Related Reaction, Grade 2 acute GVHD that requires steroid therapy \>7 days or progression after 3 days of steroids or has partial response after 14 days of treatment, Grade ≥3 acute GVHD, Grade 4 cytokine release syndrome (CRS), Grade 3 CRS that does not resolve to \< Grade 2 in 72 hours, Grade 3 neurotoxicity, Grade 3 organ toxicity involving vital organs, Any Grade 3 non-hematological toxicity that does not resolve to ≤Grade 2 within 72 hours

Time frame:
28 Days Post FT596 infusion
Reported as:
Count of participants · Participants
Number of Participants Experiencing Dose Limiting Toxicity Events
ParticipantsFT596 + Rituximab Dose Level 1: 9x10^7 Cells/DoseFT596 + Rituximab Dose Level 2: 3x10^8 Cells/DoseFT596 + Rituximab Dose Level 3: 9x10^8 Cells/Dose
Number of Participants Experiencing Dose Limiting Toxicity Events000
SecondaryNumber of Participants Experiencing Adverse Events

Number of participants experiencing adverse events related to FT596 post auto-HSCT in combination with rituximab

Time frame:
1 year post FT596 infusion
Reported as:
Number · participants
Number of Participants Experiencing Adverse Events
participantsFT596 + Rituximab Dose Level 1: 9x10^7 Cells/DoseFT596 + Rituximab Dose Level 2: 3x10^8 Cells/DoseFT596 + Rituximab Dose Level 3: 9x10^8 Cells/Dose
Number of Participants Experiencing Adverse Events301
SecondaryPercentage of Participants With Relapse/Progression

Percentage of participants experiencing progression or relapse at 12 months post auto HSCT

Time frame:
1 year post auto HSCT
Reported as:
Number · Percentage of participants
Percentage of Participants With Relapse/Progression
Percentage of participantsFT596 + Rituximab Dose Level 1: 9x10^7 Cells/DoseFT596 + Rituximab Dose Level 2: 3x10^8 Cells/DoseFT596 + Rituximab Dose Level 3: 9x10^8 Cells/Dose
Percentage of Participants With Relapse/Progression67 (22 to 100)33 (0 to 77)0 (0 to 100)
SecondaryNumber of Participants Experiencing Non-relapse Mortality Incidents at 100 Days Post HSCT

Number of participants experiencing non-relapse mortality at 100 days post auto-HSCT.

Time frame:
100 days post HSCT
Reported as:
Count of participants · Participants
Number of Participants Experiencing Non-relapse Mortality Incidents at 100 Days Post HSCT
ParticipantsFT596 + Rituximab Dose Level 1: 9x10^7 Cells/DoseFT596 + Rituximab Dose Level 2: 3x10^8 Cells/DoseFT596 + Rituximab Dose Level 3: 9x10^8 Cells/Dose
Number of Participants Experiencing Non-relapse Mortality Incidents at 100 Days Post HSCT000
SecondaryPercentage of Non-relapse Mortality Incidents at One Year Post HSCT

Percentage of participants experiencing non-relapse mortality at one year post auto-HSCT.

Time frame:
one year post auto-HSCT
Reported as:
Number · Percentage of participants
Percentage of Non-relapse Mortality Incidents at One Year Post HSCT
Percentage of participantsFT596 + Rituximab Dose Level 1: 9x10^7 Cells/DoseFT596 + Rituximab Dose Level 2: 3x10^8 Cells/DoseFT596 + Rituximab Dose Level 3: 9x10^8 Cells/Dose
Percentage of Non-relapse Mortality Incidents at One Year Post HSCT67 (5 to 95)100 (0 to 100)100 (0 to 100)
SecondaryProgression-Free Survival 12 Months Post Auto-HCT

Progression-Free Survival 12 Months Post Auto-HCT

Time frame:
12 Months Post Auto-HCT
Reported as:
Number · Percentage of participants
Progression-Free Survival 12 Months Post Auto-HCT
Percentage of participantsFT596 + Rituximab Dose Level 1: 9x10^7 Cells/DoseFT596 + Rituximab Dose Level 2: 3x10^8 Cells/DoseFT596 + Rituximab Dose Level 3: 9x10^8 Cells/Dose
Progression-Free Survival 12 Months Post Auto-HCT33 (1 to 77)67 (5 to 95)100 (0 to 100)

Adverse events

Collected over 1 year. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
FT596 + Rituximab Dose Level 1: 9x10^7 Cells/Dose2/3 (66.7%)0/3 (0%)3/3 (100%)
FT596 + Rituximab Dose Level 2: 3x10^8 Cells/Dose3/3 (100%)0/3 (0%)0/3 (0%)
FT596 + Rituximab Dose Level 3: 9x10^8 Cells/Dose1/1 (100%)0/1 (0%)1/1 (100%)
Most frequent other events
Showing 10 of 20
Most frequent other events
EventFT596 + Rituximab Dose Level 1: 9x10^7 Cells/DoseFT596 + Rituximab Dose Level 2: 3x10^8 Cells/DoseFT596 + Rituximab Dose Level 3: 9x10^8 Cells/Dose
Lung InfectionInfections and infestations0/30/31/1
AnemiaBlood and lymphatic system disorders2/30/30/1
FatigueGeneral disorders2/30/30/1
DiarrheaGastrointestinal disorders2/30/30/1
Lymphocyte count decreasedInvestigations1/30/30/1
SinusitisInfections and infestations1/30/30/1
HeadacheNervous system disorders1/30/30/1
NauseaGastrointestinal disorders1/30/30/1
CoughRespiratory, thoracic and mediastinal disorders1/30/30/1
HypoxiaRespiratory, thoracic and mediastinal disorders1/30/30/1

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)FT596 + Rituximab Dose Level 1: 9x10^7 Cells/DoseFT596 + Rituximab Dose Level 2: 3x10^8 Cells/DoseFT596 + Rituximab Dose Level 3: 9x10^8 Cells/DoseTotal
<=18 years0000
Between 18 and 65 years2215
>=65 years1102
Sex: Female, Male
Sex: Female, Male(Participants)FT596 + Rituximab Dose Level 1: 9x10^7 Cells/DoseFT596 + Rituximab Dose Level 2: 3x10^8 Cells/DoseFT596 + Rituximab Dose Level 3: 9x10^8 Cells/DoseTotal
Female1001
Male2316
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)FT596 + Rituximab Dose Level 1: 9x10^7 Cells/DoseFT596 + Rituximab Dose Level 2: 3x10^8 Cells/DoseFT596 + Rituximab Dose Level 3: 9x10^8 Cells/DoseTotal
Hispanic or Latino0000
Not Hispanic or Latino3317
Unknown or Not Reported0000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)FT596 + Rituximab Dose Level 1: 9x10^7 Cells/DoseFT596 + Rituximab Dose Level 2: 3x10^8 Cells/DoseFT596 + Rituximab Dose Level 3: 9x10^8 Cells/DoseTotal
American Indian or Alaska Native0000
Asian1001
Native Hawaiian or Other Pacific Islander0000
Black or African American0000
White2215
More than one race0000
Unknown or Not Reported0101
Region of Enrollment
Region of Enrollment(participants)FT596 + Rituximab Dose Level 1: 9x10^7 Cells/DoseFT596 + Rituximab Dose Level 2: 3x10^8 Cells/DoseFT596 + Rituximab Dose Level 3: 9x10^8 Cells/DoseTotal
United States3317
08

Study locations

2 sites
  • University of Minnesota
    Minneapolis, Minnesota 55401, United States
  • Washington University School of Medicine - Siteman Cancer Center
    Saint Louis, Missouri 63110, United States
09

References and documents

Study documents

  • Protocol and statistical analysis plan · Nov 30, 2020
  • Informed consent form · Dec 14, 2020

Documents are hosted by the registry — open the source record to download them.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 9, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT04555811
Lead sponsor
Masonic Cancer Center, University of Minnesota
Collaborators
National Cancer Institute (NCI)
Responsible party
Sponsor
First posted
Sep 21, 2020
Start date
Sep 22, 2020
Primary completion
Feb 8, 2023
Completion
Nov 30, 2023
Results posted
Jul 9, 2024
Last update
Jul 9, 2024

Study contacts

Dr.Veronika Bachanova, MD, PhD
principal investigator · Masonic Cancer Center, University of Minnesota

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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