A Study of the Efficacy and Safety of Lisocabtagene Maraleucel (Liso-cel) as First-Line Therapy in Adults With Transplant-Ineligible Primary Central Nervous System Lymphoma
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Rituximab, Methotrexate, Procarbazine, Temozolomide.
- Who it may be relevant to
- Registry conditions: Lymphoma. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States, France, Germany
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
The CAROLYN Trial: Lisocabtagene Maraleucel as First-Line Therapy for Primary Central Nervous System Lymphoma (PCNSL) in Transplant-Ineligible Patients
Overview
The purpose of this study is to evaluate the safety and efficacy of lisocabtagene maraleucel (Breyanzi/liso-cel/BMS-986387) in adults as first-line treatment in transplant-ineligible Primary Central Nervous System Lymphoma (PCNSL).
Interventions
- Drug Rituximab
Specified dose on specified days - Drug Methotrexate
Specified dose on specified days - Drug Procarbazine
Specified dose on specified days - Drug Temozolomide
Specified dose on specified days - Biological Liso-cel
Specified dose on specified days - Drug Fludarabine
Specified dose on specified days - Drug Cyclophosphamide
Specified dose on specified days - Drug Calcium folinate
Specified dose on specified days
Primary outcome measures
- Progression-free Survival (PFS) [Time frame: 12 months after liso-cel infusion]
Secondary outcome measures (12)
- PFS [Time frame: 12 months after date of enrollment]
- Modified Progression-free Survival (mPFS) [Time frame: 12 months after date of enrollment]
- Complete Response Rate (CRR) [Time frame: Up to end of study (approximately 2 years)]
- Overall Response Rate (ORR) [Time frame: Up to end of study (approximately 2 years)]
- Duration of Response (DoR) [Time frame: 12 months after liso-cel infusion]
- Event-free Survival (EFS) [Time frame: 12 months after date of enrollment]
- Overall Survival (OS) [Time frame: 12 months after date of enrollment]
- Number of participants with adverse events (AEs) [Time frame: Up to end of study (approximately 2 years)]
- Number of participants with serious adverse events (SAEs) [Time frame: Up to end of study (approximately 2 years)]
- Number of participants with adverse events of special interest (AESIs) [Time frame: Up to end of study (approximately 2 years)]
- Number of participants with laboratory abnormalities [Time frame: Up to end of study (approximately 2 years)]
- Health-related quality of life (HRQoL) [Time frame: Up to end of study (approximately 2 years)]
Eligibility criteria
Inclusion criteria
- Participant must be 18 years or older at the time of signing the informed consent form (ICF).
- Histologically confirmed primary central nervous system (CNS) lymphoma (PCNSL) prior to screening, as assessed by local pathology.
- Transplant-ineligible based on physician's assessment and meeting at least one of the following criteria: age ≥65 years or HCT-CI (Hematopoietic Cell Transplantation-specific Comorbidity Index) score ≥3.
- Participant must be suitable, per investigator, to receive a high dose methotrexate (HD-MTX) based treatment regimen.
- Prior to signing ICF, anti-cancer therapy for the treatment of PCNSL must be limited to HD-MTX based standard of care regimens with a minimum of 4 and maximum of 6 doses of MTX. Corticosteroids used as part of standard-of-care management for PCNSL symptom control are permitted prior to ICF signature but must be discontinued at the time of ICF signature. For medical conditions other than PCNSL, non-therapeutic corticosteroids use may be permitted on study.
- Prior to ICF enrollment, participant's disease must be sensitive to prior high-dose methotrexate-based (HD-MTX) regimens, as demonstrated by a complete response (CR, no remaining signs of PCNSL) or a partial response (PR, signs of PNCSL mostly gone) per Investigator's assessment, based on the International Primary CNS Lymphoma Collaborative Group (IPCG) criteria.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2.
- Individuals of childbearing potential (IOCBP) must have a negative highly sensitive pregnancy test within 24 hours prior to the start of study intervention.
Exclusion criteria
- Participant has a diagnosis of secondary CNS lymphoma due to systemic disease.
- Primary intraocular lymphoma (PIOL)/ Primary vitreoretinal lymphoma (PVRL), isolated cerebrospinal fluid (CSF) disease, or a relapsed or refractory PCNSL.
- Any significant medical condition including the presence of laboratory abnormalities, which places the participant at unacceptable risk if he/she was to participate in the study based on investigator's judgement.
- History of another primary malignancy that has not been in remission for ≥2 years.
- Prior treatment with CAR T-cell or any other gene therapy product that utilizes human genome-editing technology.
- History of or active human immunodeficiency virus (HIV).
- Active hepatitis B or active hepatitis C.
- Active autoimmune disease requiring immunosuppressive therapy.
- History of prior allogeneic transplant, or solid organ transplant requiring immunosuppressive therapy.
- Other protocol-defined Inclusion/Exclusion criteria apply.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- N/A
- Model
- Single group
- Masking
- Open label
- Primary purpose
- Treatment
Study locations
France · 16 centers
- Local Institution - 0111 — Nice
- Centre Hospitalier Universitaire de Nantes - L' Hopital l'hôtel-Dieu — Nantes
- Local Institution - 0103 — Pierre-Bénite
- CHU de Dijon Bourgogne - Hopital Francois Mitterand — Dijon
- Chru De Lille - Hopital Claude Huriez — Lille
- Local Institution - 0112 — Marseille
- CHU Montpellier — Montpellier
- Local Institution - 0114 — Paris
- … and 8 more centers
United States · 14 centers
- University Of Colorado — Aurora
- Moffitt Cancer Center — Tampa
- Robert H. Lurie Comprehensive Cancer Center of Northwestern University — Chicago
- Dana-Farber Cancer Institute — Boston
- Washington University School of Medicine in St. Louis — St Louis
- Rutgers Cancer Institute of New Jersey — New Brunswick
- Roswell Park Comprehensive Cancer Center — Buffalo
- Memorial Sloan Kettering Cancer Center — New York
- … and 6 more centers
Germany · 10 centers
- Local Institution - 0202 — Freiburg im Breisgau
- Universitätsklinikum Ulm — Ulm
- Universitätsklinikum Köln — Cologne
- Universitätsklinikum Essen — Essen
- Klinikum Chemnitz gGmbH — Chemnitz
- Charité - Universitätsmedizin Berlin — Berlin
- Local Institution - 0207 — Göttingen
- Universitätsklinikum Hamburg-Eppendorf — Hamburg
- … and 2 more centers
Identifiers
NCT: NCT07015242 · CA082-1215 · 2025-521144-38 · U1111-1318-3732