Stanford University
This is a phase 1b clinical trial to assess the efficacy of rapcabtagene autoleucel (YTB323) administered at the recommended dose in adults with Large B Cell Lymphoma (LBCL) who are at high risk of relapse at end of first line treatment (EOT), as defined by positive measurable residual disease detected by Foresight CLARITY (PhasED-seq). Participants will initially be pre-screened for MRD status after first line treatment (1L) with chemoimmunotherapy including a CD20 monoclonal antibody and anthracycline.
Inclusion Criteria: Eligibility for Pre-Screening: 1. Diagnosis: Histologically confirmed aggressive B cell NHL including the following types defined by WHO 2022\[1\]: • Diffuse large B cell lymphoma (DLBCL); OR • Primary mediastinal (thymic) large B cell lymphoma; OR • Transformation of indolent lymphomas (eg follicular lymphoma or marginal zone lymphoma)to DLBCL; OR * High grade B-cell Lymphoma (NOS, or with MYC/BCL2 rearrangements); * Double hit lymphoma (DHL) / Triple hit lymphoma (THL); OR * Follicular lymphoma grade 3b 2. Must have 10 unstained slides or tissue blo…
Autologous CD19-directed chimeric antigen receptor (CAR) T-cell therapy manufactured from participant-derived T cells. Participants undergo leukapheresis for cell collection, receive lymphodepleting chemotherapy, followed by a single intravenous infusion of rapcabtagene autoleucel (YTB323).
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