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Clinical Trials in Canada / NCT06500273
Recruiting Phase 2

Consolidation of First-Line MRD+ Remission With Cema-cel in Patients With LBCL

NCT06500273 · tracked via the Priya Life Science Canada tracker
Phase
Phase 2
Started
2024-06-18
Last updated
2026-08-31

Condition(s) studied

Large B-cell Lymphoma

Investigational drug(s) / intervention(s)

cemacabtagene ansegedleucelFludarabine →Cyclophosphamide →Foresight CLARITY™ IUO MRD test, powered by PhasED-Seq™

cemacabtagene ansegedleucel: An allogeneic CAR T cell therapy targeting CD19

Fludarabine: Chemotherapy for lymphodepletion

Cyclophosphamide: Chemotherapy for lymphodepletion

Foresight CLARITY™ IUO MRD test, powered by PhasED-Seq™: A diagnostic test intended to identify patients with minimal residual disease at the end of first line treatment for LBCL.

Study summary

This is a randomized, open-label study in adult patients who have completed standard first line therapy for large B-cell lymphoma (LBCL) and achieved a complete response or partial response suitable for observation, but who have minimal residual disease (MRD) as detected by the Foresight CLARITY™ Investigational Use Only (IUO) MRD test, powered by PhasED-Seq™. The purpose of the trial is to assess the efficacy and safety of consolidation with cemacabtagene ansegedleucel (cema-cel), an allogeneic CD19 CAR T product, as compared to standard of care observation.

In this study, participants with MRD are randomized 1:1 to treatment with cema-cel or an observation arm. Treatment includes cema-cel following a lymphodepletion regimen of fludarabine and cyclophosphamide.

Prior to August 2025, participants may also have received an anti-CD52 monoclonal antibody, ALLO-647, as part of their lymphodepletion regimen.

Eligibility

Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Key Inclusion Criteria: 1. LBCL per WHO 2017 including diffuse large B-cell lymphoma, high-grade B-cell lymphoma, and primary mediastinal B-cell lymphoma histologically confirmed by pathology report. 2. Participant has completed a full course of standard first line therapy (e.g., R-CHOP, dose-adjusted EPOCH-R, Pola-R-CHP) as intended. Participants cannot have received additional lines of therapy. 3. Participant achieved CR, or PR suitable for observation, at the end of first line therapy based on PET/CT evaluation 4. Foresight CLARITY™ IUO MRD test, powered by PhasED-Seq™, is positive. 5. Adult participants ≥18 years of age. 6. Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0 or 1. 7. Adequate hematological, renal, hepatic, pulmonary, and cardiac function 8. Non-hematologic toxicities related to prior therapy must be recovered to baseline or grade ≤1. Key Exclusion Criteria: 1. LBCL with history of central nervous system involvement, transformed from other malignancy (e.g., transformed follicular lymphoma or marginal zone lymphoma, Richter's transformation), or T-cell/histiocyte rich LBCL. 2. Prior treatment with anti-CD19 targeted therapies. 3. Anti-cancer treatment, including radiation, after end of treatment PET/CT and/or MRD testing is performed. 4. Active and clinically significant autoimmune disease. 5. Active systemic bacterial, fungal, or viral infections requiring systemic treatment. 6. History of another primary malignancy or bone marrow disorder (e.g., myelofibrosis, smoldering multiple myeloma) within 3 years prior to enrollment.

Primary outcome measure(s)

Trial sites (83)

FacilityCityRegionStatus
Banner MD Anderson Cancer Center Gilbert Arizona Recruiting
Genesis Cancer and Blood Institute Hot Springs Arkansas Recruiting
Alta Bates Summit Medical Center Berkeley California Recruiting
City of Hope Duarte California Recruiting
Cedars-Sinai Medical Center Los Angeles California Recruiting
University of California, Los Angeles Los Angeles California Recruiting
University of California, Davis Comprehensive Cancer Center Sacramento California Recruiting
University of California, San Diego San Diego California Recruiting
University of California, San Francisco San Francisco California Recruiting
Rocky Mountain Cancer Centers Lone Tree Colorado Recruiting
Medical Oncology Hematology Consultants Newark Delaware Recruiting
MedStar Georgetown University Hospital Washington D.C. District of Columbia Recruiting
Miami Cancer Institute at Baptist Health, Inc. Miami Florida Recruiting
Advent Health Cancer Institute Orlando Florida Recruiting
Orlando Health Cancer Institute Orlando Florida Recruiting
Moffitt Cancer Center Tampa Florida Recruiting
Augusta University Georgia Cancer Center Augusta Georgia Recruiting
Northwestern University - Feinberg School of Medicine Chicago Illinois Recruiting
Rush University Medical Center Chicago Illinois Recruiting
Fort Wayne Medical Oncology and Hematology Fort Wayne Indiana Recruiting
IU Simon Comprehensive Cancer Center Indianapolis Indiana Recruiting
Indiana Blood and Marrow Transplantation Indianapolis Indiana Recruiting
The University of Kansas Hospital Kansas City Kansas Active Not Recruiting
University of Kentucky Medical Center Lexington Kentucky Recruiting
University of Louisville Health Brown Cancer Center Louisville Kentucky Recruiting
Norton Cancer Institute Louisville Kentucky Recruiting
University of Maryland Greenebaum Comprehensive Cancer Center Baltimore Maryland Recruiting
The Center for Cancer and Blood Disorders Bethesda Maryland Recruiting
Massachusetts General Hospital Boston Massachusetts Recruiting
Beth Israel Deaconess Medical Center Boston Massachusetts Recruiting
University of Minnesota Medical Center Minneapolis Minnesota Recruiting
University of Missouri - Ellis Fischel Cancer Center Columbia Missouri Recruiting
MidAmerica Cancer Care Kansas City Missouri Recruiting
Washington University School of Medicine - Siteman Cancer Center St Louis Missouri Recruiting
Astera Cancer Care East Brunswick New Jersey Recruiting
John Theurer Cancer Center Hackensack New Jersey Recruiting
Rutgers Cancer Institute of New Jersey New Brunswick New Jersey Recruiting
Columbia University Irving Medical Center and New York-Presbyterian Hospital New York New York Recruiting
University of Rochester Medical Center Rochester New York Recruiting
Novant Health Cancer Institute- Hematology Charlotte North Carolina Recruiting

+ 43 more sites — see the full list on the official registry below.

More Allogene Therapeutics trials in Canada

Other trials for the same condition

Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT06500273 on ClinicalTrials.gov ↗ ← All trials in Canada