Engineered immune cells show promise against tough lymphoma
NCT ID NCT04880434
First seen Jun 27, 2026 · Last updated Aug 19, 2026 · Updated 2 times
Summary
This phase 2 study tested a personalized cell therapy called KTE-X19 (brexucabtagene autoleucel) in 95 adults with mantle cell lymphoma that had returned or stopped responding to prior treatments. Participants received a single infusion of their own genetically modified immune cells designed to attack the cancer. The main goal was to see how many patients had their tumors shrink or disappear.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Brexucabtagene autoleucel (KTE-X19), a CAR T-cell therapy made from the patient's own immune cells
- What this could lead to
- If successful, this could provide a powerful treatment option for people with mantle cell lymphoma that has stopped responding to other therapies.
- What could go wrong
- This is a phase 2 trial with 95 participants, so results are not yet confirmed in larger groups. CAR T-cell therapy can cause serious side effects like cytokine release syndrome and neurological problems.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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95 people
The number who actually took part.
- Started
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Apr 2021
- Finished
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Jun 2025
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Key Inclusion Criteria: * Up to 5 prior regimens for mantle cell lymphoma (MCL). Prior therapy must have included anthracycline- or bendamustine-containing chemotherapy and anti-cluster of differentiation 20 (CD20) monoclonal antibody therapy. Individuals must not have received prior therapy with a Bruton's tyrosine kinase inhibitor (BTKi). * At least 1 measurable lesion * Platelet count ≥ 75,000/μL * Creatinine clearance (as estimated by Cockcroft Gault) ≥ to 60 cc/min * Cardiac ejection fraction ≥ 50%, no evidence of pericardial effusion as determined by an echocardiogram (ECHO) or multigated acquisition (MUGA), and no clinically significant electrocardiogram (ECG) findings * Baseline oxygen saturation \> 92% on room air Key Exclusion Criteria: * Known history of infection with human immunodeficiency virus (HIV) or hepatitis B (HBsAG positive) or anti-hepatitis C virus (HCV) positive. Individuals with a history of hepatitis infection must have cleared their infection as determined by standard serological and genetic testing * History of a seizure disorder, cerebrovascular ischemia/hemorrhage, dementia, cerebellar disease, cerebral edema, posterior reversible encephalopathy syndrome, or any autoimmune disease with central nervous system (CNS) involvement * Presence of fungal, bacterial, viral, or other infection that is uncontrolled or requiring IV antimicrobials for management Note: Other protocol defined Inclusion/Exclusion criteria may apply.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Academisch Medisch Centrum
Amsterdam, 1100, Netherlands
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Advocate Aurora Health - Advocate Lutheran General Hospital
Park Ridge, Illinois, 60068, United States
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Banner MD Anderson Cancer Center
Gilbert, Arizona, 85234, United States
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Baylor Cancer Hospital
Dallas, Texas, 75246, United States
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CHU de Montpellier
Montpellier, 34295, France
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CHU de Rennes
Rennes, 35033, France
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Centre Hospitalier Lyon Sud
Pierre-Bénite, 69495, France
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Cleveland Clinic - Taussig Cancer Institute
Cleveland, Ohio, 44195, United States
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Dana Farber Cancer Institute
Boston, Massachusetts, 02215, United States
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Duke University
Durham, North Carolina, 27710, United States
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Emory University
Atlanta, Georgia, 30322, United States
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Erasmus MC
Rotterdam, 3015 CE, Netherlands
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Fox Chase Cancer Center
Philadelphia, Pennsylvania, 19111, United States
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Hackensack University Medical Center
Hackensack, New Jersey, 07601, United States
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Hopital Haut-Leveque
Pessac, 44035, France
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Hospital Clinic Barcelona
Barcelona, Spain
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Hospital Saint Louis
Paris, 75010, France
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Hospital Universitari Vall D'Hebron
Barcelona, 08035, Spain
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Hospital Universitario de Salamanca
Salamanca, 37007, Spain
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Johannes Gutenberg University Hospital-University Mainz
Mainz, 55101, Germany
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Karmanos Cancer Institute
Detroit, Michigan, 48201, United States
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Kings College Hospital
London, SE5 9RS, United Kingdom
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Loyola University Medical Center
Maywood, Illinois, 60153, United States
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MD Anderson Cancer Center
Houston, Texas, 77030, United States
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Manchester Royal Infirmary
Manchester, M13 9WL, United Kingdom
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Moffitt Cancer Center
Tampa, Florida, 33612, United States
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Munich University of Technology-Medical Faculty- Ethics Committee
München, 81377, Germany
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Ohio State University
Columbus, Ohio, 43220, United States
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Queen Elizabeth University Hospital
Glasgow, G51 4TF, United Kingdom
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Sarah Cannon - Tenessee
Nashville, Tennessee, 37203, United States
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Sarah Cannon- Denver
Denver, Colorado, 80218, United States
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Stanford University
Palo Alto, California, 94305, United States
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Swedish Cancer Institute
Seattle, Washington, 98104, United States
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Universitaetsklinikum Wuerzburg
Würzburg, 97080, Germany
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University California Los Angeles (UCLA)
Santa Monica, California, 90404, United States
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University Medical Center Groningen
Groningen, 9700 RB, Netherlands
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University of Chicago
Chicago, Illinois, 60637, United States
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University of Miami
Miami, Florida, 33136, United States
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University of Rochester
Rochester, New York, 14642, United States
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Vanderbilt University
Nashville, Tennessee, 37232, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a cancer biopsy predict who responds to a new immunotherapy?
- New drug combo shows promise for Tough-to-Treat lymphoma
- New hope for tough lymphoma: experimental drug shows promise
- Engineered immune cells show promise against tough lymphoma
- Experimental CAR-T therapy takes on relapsed blood cancers
- CAR T-Cell therapy takes on tough blood cancers in japanese trial