A Phase 3 Study of Tabelecleucel for Participants With Epstein-Barr Virus-Associated Post-Transplant Lymphoproliferative Disease After Failure With Rituximab or Rituximab and Chemotherapy
Start Date
12/29/2017
Completion Date
8/1/2030
Summary
The purpose of this study is to determine the clinical benefit and characterize the safety profile of tabelecleucel for the treatment of Epstein-Barr virus-associated post-transplant lymphoproliferative disease (EBV+ PTLD) in the setting of (1) solid organ transplant (SOT) after failure of rituximab (SOT-R) and rituximab plus chemotherapy (SOT-R+C) or (2) allogeneic hematopoietic cell transplant (HCT) after failure of rituximab.
Detailed Description
This is a multicenter, open-label, phase 3 study to assess the efficacy and safety of tabelecleucel for the treatment of EBV+ PTLD in the setting of SOT-R and SOT-R+C (Cohort \[C\]-SOT) or HCT after failure of rituximab (C-HCT). SOT-R further included participants: 1. who did not receive chemotherapy and did not have a documented medical reason not to receive chemotherapy (SOT-Ro) or 2. who were considered chemotherapy ineligible/inappropriate (SOT-R-Ci) Combined population (SOT-R-Ci, SOT-R+C, and HCT) and (SOT-R-Ci and SOT-R+C) who received commercial product, or a product manufactured using a comparable process version (PV) were also used for analysis of outcomes. Enrollment will be preceded by confirmation of availability of partially human leukocyte antigen (HLA) matched and restricted tabelecleucel for the participant. Study procedures and product administration will be the same for each cohort. Tabelecleucel will be administered in cycles lasting 5 weeks (35 days). During each cycle, participants will receive intravenous tabelecleucel at a dose of 2 × 10\^6 cells/kg on Days 1, 8, and 15, followed by observation through Day 35. Treatment will continue until maximal response, unacceptable toxicity, initiation of non protocol therapy, or failure of tabelecleucel with up to 2 different HLA restrictions (C-SOT) or up to 4 different HLA restrictions (C-HCT). The study includes a total of 5 years of follow-up for disease and survival status for participants enrolled before or after 09 October 2023 to reach the initial sample size of 33 participants in both cohorts. For all other participants enrolled after 09 October 2023 and after the initial sample of 33 participants in both cohorts has been reached in both cohorts, the follow-up will be every 3 months, up to 12 months, as assessed on anniversary of Cycle 1 Day 1. For responders, the follow-up will be 12 months from the date of initial response.
Eligibility Criteria
Age Range: No minimum to No maximum
Interventions
tabelecleucel
Conditions
Locations
City of Hope (Adults and Pediatrics)
Duarte, California 91010
United States
University of California San Diego Moores Cancer Center (Adults only)
La Jolla, California 92093
United States
Loma Linda University Medical Center (Adults only)
Loma Linda, California 92354
United States
Children's Hospital Los Angeles, Div. of Research Immunology/BMT (Adults and Pediatrics)
Los Angeles, California 90027
United States
UCLA Medical Center (Adults and Pediatrics)
Los Angeles, California 90095
United States
University of California Davis Comprehensive Cancer Center (Adults only)
Sacramento, California 95817
United States
Yale University (Adults and Pediatrics)
New Haven, Connecticut 06519
United States
MedStar Georgetown University Hospital (Adults and Pediatrics)
Washington D.C., District of Columbia 20007
United States
University of Florida (Adults and Pediatrics)
Gainesville, Florida 32610
United States
University of Miami/Jackson Memorial Hospital (Adults only)
Miami, Florida 33136
United States
Winship Cancer Institute (Adults only)
Atlanta, Georgia 30322
United States
Arthur M. Blank Hospital (Pediatrics)
Atlanta, Georgia 30329
United States
Ann & Robert H. Lurie Children's Hospital of Chicago (Adults and Pediatrics)
Chicago, Illinois 60611
United States
University of Chicago Medical Center - Duchossois Center for Advanced Medicine (Adults only)
Chicago, Illinois 60637
United States
Loyola University Medical Center (Adults and Pediatrics)
Maywood, Illinois 60153
United States
University of Maryland School of Medicine (Adults only)
Baltimore, Maryland 21201
United States
Dana Farber Cancer Institute, Brigham and Women's Hospital (Adults and Pediatrics)
Boston, Massachusetts 02215
United States
Washington University School of Medicine (Adults only)
St Louis, Missouri 63110
United States
Weill Cornell Medicine (Adults only)
New York, New York 10021
United States
Columbia University Medical Center (Adults and Pediatrics)
New York, New York 10032
United States
Memorial Sloan Kettering Cancer Center (Adults and Pediatrics)
New York, New York 10065
United States
Montefiore Medical Center (Adults only)
The Bronx, New York 10467
United States
Montefiore Medical Center (Pediatrics only)
The Bronx, New York 10467
United States
University of North Carolina at Chapel Hill, Lineberger Comprehensive Cancer Center (Adults and Pediatrics)
Chapel Hill, North Carolina 27599
United States
Carolinas Medical Center/Levine Children's Hospital (Adults and Pediatrics)
Charlotte, North Carolina 28204
United States
Duke Cancer Institute (Adults and Pediatrics)
Durham, North Carolina 27710
United States
Cleveland Clinic Foundation (Adults and Pediatrics)
Cleveland, Ohio 44195
United States
Nationwide Children's Hospital (Pediatrics only)
Columbus, Ohio 43205
United States
Arthur G. James Cancer Hospital and Richard J. Solove Research Institute (Adults and Pediatrics)
Columbus, Ohio 43210
United States
Oregon Health and Science University Physicians Pavilion (Adults and Pediatrics)
Portland, Oregon 97239
United States
Hospital of the University of Pennsylvania (Adults only)
Philadelphia, Pennsylvania 19104
United States
The Children's Hospital of Philadelphia Oncology Division, Blood & Marrow Transplant Section (Pediatrics)
Philadelphia, Pennsylvania 19104
United States
University of Pittsburgh Medical Center (Adults only)
Pittsburgh, Pennsylvania 15232
United States
Medical University of South Carolina (Adults and Pediatrics)
Charleston, South Carolina 29425
United States
Saint Jude Children's Research Hospital (Pediatrics only)
Memphis, Tennessee 38105
United States
Vanderbilt University Medical Center Henry-Joyce Cancer Clinic (Adults and Pediatrics)
Nashville, Tennessee 37232
United States
Baylor Scott and White Research Institute (Adults only)
Dallas, Texas 75246
United States
University of Texas Southwestern Medical Center - Children's Medical Center (Pediatrics only)
Dallas, Texas 75390
United States
MD Anderson Cancer Center (Pediatrics and Adult)
Houston, Texas 77030
United States
Froedtert and Medical College of Wisconsin - Clinical Cancer Center (Adults only)
Milwaukee, Wisconsin 53226
United States
The Children's Hospital at Westmead (Pediatrics only)
Westmead, New South Wales 2145
Australia
Westmead Hospital (Adults only)
Westmead, New South Wales 2145
Australia
The Prince Charles Hospital (Adults only)
Chermside, Queensland 4032
Australia
Royal Adelaide Hospital (Adults only)
Adelaide, South Australia 5000
Australia
The Royal Children's Hospital Melbourne (Pediatrics only)
Melbourne, Victoria 3052
Australia
Fiona Stanley Hospital (Adults only)
Murdoch, Western Australia 6150
Australia
Medizinische Universitat Wien (Adults only)
Vienna, Austria 1090
Austria
Centre Hospitalier Universitaire de Liège Site Sart Tilman (Adults and Pediatrics)
Liège, Brussels Capital 4000
Belgium
Universitair Ziekenhuis Leuven (Adults and Pediatrics)
Leuven, Flemish Brabant 3000
Belgium
Alberta Children's Hospital (Adults and Pediatrics)
Calgary, Alberta T3B 6A8
Canada
Sick Kids (Pediatrics only)
Toronto, Ontario M5G 1X8
Canada
Princess Margaret Cancer Centre (Adults only)
Toronto, Ontario M5G 2M9
Canada
Centre Hospitalier Universitaire de Bordeaux (Adults only)
Pessac, Aquitaine 33600
France
Centre Hospitalier Régional Universitaire de Lille (Adults and Pediatrics)
Lille, Hauts-de-France 59037
France
Hôpital Necker-Enfants Malades (Pediatrics only)
Paris, Île-de-France Region 75015
France
Hôpital Saint Antoine (Adults only)
Paris, Île-de-France Region 75571
France
Hôpital Universitaire Pitié Salpêtrière (Adults only)
Paris, Île-de-France Region 75651
France
Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda (Adults only)
Milan, Milano 20162
Italy
Fondazione IRCCS Policlinico San Matteo (Adults and Pediatrics)
Pavia, Pavia 27100
Italy
Fondazione Policlinico Universitario Agostino Gemelli (Adults only)
Roma, Roma 00168
Italy
Ospedale Pediatrico Bambino Gesu (Pediatrics only)
Roma, Roma 165
Italy
Azienda Ospedaliera - Universitaria Città della Salute e della Scienza di Torino (Adults only)
Torino, Torino 10126
Italy
Hospital Duran i Reynals (Adults and Pediatrics)
Badalona, BARCELONA 8908
Spain
Hospital Universitari Vall d'Hebrón - Institut de Recerca (Adults and Pediatrics)
Barcelona, Barcelona 08035
Spain
Hospital Universitario Marqués de Valdecilla (Adults and Pediatrics)
Santander, Cantabria 39008
Spain
Hospital General Universitario Gregorio Marañón (Adults and Pediatrics)
Madrid, Madrid 28009
Spain
University Hospital Virgen del Rocio (Adults and Pediatrics)
Seville, Spain 41013
Spain
Hospital Universitario La Fe (Adults and Pediatrics)
Valencia, Valencia 46009
Spain
University Hospitals Birmingham NHS Foundation Trust (Adults only)
Birmingham, England B15 2GW
United Kingdom
King's College Hospital NHS Foundation Trust (Adults only)
London, England SE5 9RS
United Kingdom
Imperial College Healthcare NHS Trust (Adults only)
London, England W12 0HS
United Kingdom