New antibody drug shows promise against Hard-to-Treat lymphoma
NCT ID NCT03888105
First seen Jun 25, 2026 · Last updated Jul 31, 2026 · Updated 2 times
Summary
This Phase 2 trial tests an investigational drug called odronextamab in 515 adults with B-cell non-Hodgkin lymphoma that has come back or not responded to treatment. The drug is designed to help the immune system attack cancer cells. The main goal is to see if it shrinks tumors and to check for side effects.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- odronextamab (a bispecific antibody that helps immune cells attack cancer cells)
- What this could lead to
- If successful, this could offer a new treatment option for people with B-cell non-Hodgkin lymphoma who have not responded to other therapies.
- What could go wrong
- This is a Phase 2 trial, so it is still early. The drug may not work for everyone, and side effects could be serious. Results may not lead to approval.
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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515 people
The number who actually took part.
- Started
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Nov 2019
- Expected to finish
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Dec 2028
An estimate. End dates often move.
- 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: 1. For the FL grade 1-3a cohort only: Central histopathologic confirmation of the FL Grade 1 to 3a diagnosis must be obtained before study enrollment. Patients with FL grade 3b are ineligible for this cohort but may be included in the "other B-NHL" cohort. Follicular lymphoma subtyping is based on the World Health Organization (WHO) classification (Swerdlow, 2017) 2. Disease-specific cohorts: Patients should in the judgment of the investigator require systemic therapy for lymphoma at the time of study enrollment * FL grade 1-3a cohort: Patients with FL grade 1-3a that has relapsed after or is refractory to at least 2 prior lines of systemic therapy, as defined in the protocol * DLBCL cohort: Patients with DLBCL that has relapsed after or is refractory to at least 2 prior lines of systemic therapy as defined in the protocol * MCL after BTK inhibitor therapy cohort: Patients with MCL who have relapsed or refractory disease to at least one prior line of systemic therapy and had prior treatment with a Bruton's tyrosine kinase (BTK) inhibitor * MZL cohort: Patients with MZL that have relapsed or is refractory to at least 2 prior lines of systemic therapy * Other B-NHL cohort: Patients with B-NHL other than FL grade 1-3a, DLBCL, MCL, or MZL that has relapsed after or is refractory to at least 2 prior lines of systemic therapy as defined in the protocol. New enrollment stopped for patients with Burkitt lymphoma and Burkitt-like lymphoma. 3. Measurable disease on cross sectional imaging as defined in the protocol documented by diagnostic imaging (computed tomography (CT), or magnetic resonance imaging (MRI) 4. Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1 5. Adequate bone marrow, hepatic, and renal function as defined in the protocol Key Exclusion Criteria: 1. Primary central nervous system (CNS) lymphoma or known involvement by non-primary CNS Non-Hodgkin Lymphoma (NHL) (suspected CNS lymphoma should be evaluated by lumbar puncture, as appropriate, in addition to the mandatory head CT or MRI) 2. Treatment with any systemic anti-lymphoma therapy within 5 half-lives or within 28 days prior to first administration of study drug, whichever is shorter 3. History of allogeneic stem cell transplantation, up to 12 months prior to first administration of study drug. The presence of acute or chronic graft-versus host disease (GVHD) will also be an exclusion 4. Continuous systemic corticosteroid treatment with more than 10 mg per day of prednisone or anti-inflammatory equivalent within 72 hours of start of study drug 5. History of neurodegenerative condition or CNS movement disorder. Patients with a history of seizure within 12 months prior to study enrollment are excluded 6. Another malignancy except B-NHL in the past 5 years, with the exception of non-melanoma skin cancer that has undergone potentially curative therapy or in situ cervical carcinoma, or any other tumor that has been deemed to be effectively treated with definitive local control and with curative intent 7. Uncontrolled infection with human immunodeficiency virus (HIV), hepatitis B or hepatitis C infection; cytomegalovirus (CMV) infection as noted by detectable levels on a blood polymerase chain reaction (PCR) assay as defined in the protocol or other uncontrolled infections 8. Known hypersensitivity to both allopurinol and rasburicase 9. Prior treatment with an anti-CD20 x anti-CD3 bispecific therapy Note: Other protocol-defined Inclusion/Exclusion criteria 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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AOU Maggiore della Carita
Novara, 28100, Italy
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ASST Grande Ospedale Metropolitano Niguarda - Division of Hematology
Milan, 20162, Italy
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Andrew Love Cancer Centre
Geelong, Victoria, 3220, Australia
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Arcispedale Santa Maria Nuova
Reggio Emilia, 42123, Italy
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Beth Israel Deaconess Medical Center
Boston, Massachusetts, 02215, United States
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Border Medical Oncology
East Albury, New South Wales, 2640, Australia
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CHU Hotel Dieu Service Hematologie
Nantes, Pays de la Loire Region, 44093, France
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Centre Hospitalier Universitaire de Caen - Hematologie Clinique IHBN
Caen, Calvados, 14000, France
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Centrum Onkologii Instytut im M Sklodowskiej CurieOddzial Chorob United Kingdomladu Chlonnego
Warsaw, Masovian Voivodeship, 02-781, Poland
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Chang Gung Medical Foundation-
Taoyuan, 333, Taiwan
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Chang Gung Memorial Hospital Kaohsiung
Kaohsiung City, 83301, Taiwan
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Chi-Mei Medical Center - Liuying
Tainan, 736, Taiwan
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Chiba Cancer Center
Chiba, Chiba, 260-8717, Japan
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China Medical University
Taichung, 40447, Taiwan
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Chu Poitiers - Pole Regional De Cancerologie
Poitiers, Vienne, 86000, France
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Cleveland Clinic Foundation
Cleveland, Ohio, 44195, United States
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Cross Cancer Institute
Edmonton, Alberta, T6G172, Canada
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Derriford Hospital and the Royal Eye Infirmary
Plymouth, Devon, PL6 8DH, United Kingdom
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Dong-A University Hospital
Busan, 49201, South Korea
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Epworth Hospital
East Melbourne, Victoria, VIC 3002, Australia
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Ewha Womans University Mokdong Hospital - Hemato Oncology
Seoul, 7985, South Korea
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Harold C. Simmons Comprehensive Cancer Center
Dallas, Texas, 75390, United States
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Hopital Claude Huriez - CHR Lille
Lille, Nord, 59037, France
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Hopital Haut-Leveque
Pessac, Aquitaine, 33604, France
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Hopital Lyon Sud
Pierre-Bénite, Lyon, 69310, France
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Hopital Saint Louis
Paris, 75010, France
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Hospital Clinic de Barcelona - Planta 4 Escalera
Barcelona, 8036, Spain
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Hospital Son Llatzer
Palma, Balearic Islands, 07198, Spain
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Hospital Universitari Son Espases
Palma, Balearic Islands, 07120, Spain
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Hospital Universitari i Politecnic La Fe
Valencia, 46026, Spain
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Hospital Universitario 12 de Octubre
Madrid, 28041, Spain
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Hospital Universitario Fundacion Jimenez Diaz
Madrid, 28040, Spain
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Hospital Universitario HM Sanchinarro
Madrid, 28050, Spain
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Hospital Universitario Quiron Salud Madrid
Pozuelo de Alarcón, Madrid, 28223, Spain
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Hospital Universitario Vall d'Hebron
Barcelona, 08035, Spain
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Hospital Universitario de Salamanca
Salamanca, 37007, Spain
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Hospital de la Pitie-Salpetriere
Paris, 75651, France
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Hospital de la Santa Creu i Sant Pau
Barcelona, 8041, Spain
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Ico Lhospitalet - Hospital Duran i Reynals
Barcelona, Catalonia, 8907, Spain
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Icon Soc Farrer Park
Singapore, 217562, Singapore
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Institute of Hematology & Blood Diseases Hospital
Tianjin, Beijing Municipality, 300020, China
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Instytut Hematologii I Transfuzjologii Klinika Hematologii
Warsaw, 02-776, Poland
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Japanese Red Cross Aichi Medical Center Nagoya Daini Hospital
Nagoya, Aichi-ken, 466-8650, Japan
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Japanese Red Cross Nagasaki Genbaku Hospital
Nagasaki, 852-8511, Japan
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John Theurer Cancer Center at Hackensack UMC
Hackensack, New Jersey, 07601, United States
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Kings College Hospital
London, SE5 9RS, United Kingdom
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Kliniken Ostalb Stauferklinikum Schwab Gmund
Mutlangen, Gmund, D-73557, Germany
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Kobe City Medical Center General Hospital
Kobe, Hyōgo, 650-0047, Japan
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Koo Foundation Sun Yat-Sen Cancer Center
Taipei, 11251, Taiwan
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Mayo Clinic - Rochester
Rochester, Minnesota, 55905, United States
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National Cancer Center
Gyeonggi-do, Gyeonggi-do, 10408, South Korea
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National Cancer Center Hospital - Tsukiji Campus
Chuo Ku, Tokyo, 104-0045, Japan
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National Cancer Center Hospital East
Kashiwa-shi, Chiba, 277-8577, Japan
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National Cheng Kung University
Tainan, 704, Taiwan
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National Hospital Organization Nagoya Medical Center
Nagoya, Aiti, 460-0001, Japan
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National Hospital Organization National Kyushu Cancer Center
Fukuoka, Hukuoka, 811-1395, Japan
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National Hospital Organization Shikoku Cancer Center
Matsuyama, Ehime, 791-0280, Japan
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National Taiwan University Hospital
Taipei, 10002, Taiwan
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National University Hospital
Singapore, 119074, Singapore
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North Building
Frankston, Victoria, 3199, Australia
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Northern NSW Local Health District The Tweed Hospital
Tweed Heads, South Wales, 2485, Australia
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Norton Cancer Institute
Louisville, Kentucky, 40207, United States
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Olivia Newton John Cancer Wellness & Research Centre
Heidelberg, Victoria, VIC 3084, Australia
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Osaka Metropolitan University Hospital
Osaka, Osaka, 545-8586, Japan
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Ospedale DellAngelo Di Mestre
Venice, 30174, Italy
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Ospedale Santa Maria delle Croci
Ravenna, 48121, Italy
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Ospedale dell'Angelo - Varese
Varese, 21100, Italy
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Peking Union Medical College Hospital
Beijing, Beijing Municipality, 100730, China
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Peking University - Third Hospital
Beijing, 100191, China
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Peking University Cancer Hospital (Beijing Cancer Hospital) (Beijing Institute for Cancer Research)
Beijing, Beijing Municipality, 100142, China
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Pomorskie Hospitals SP. Z O. O. Oncology And Radiotherapy Ward
Gdynia, Pomeranian Voivodeship, 81519, Poland
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Presidio Ospedaliero Santa Maria della Misericordia
Perugia, 6156, Italy
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QEII Health Science Centre - Halifax location
Halifax, Nova Scotia, B3H 2Y9, Canada
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Royal Cornwall Hospital
Truro, Cornwall, TR1 3LJ, United Kingdom
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Royal Perth Hospital
Perth, Western Australia, 6000, Australia
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Rush University Medical Center
Chicago, Illinois, 60612, United States
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Saitama Medical University International Medical Center
Hidaka, Saitama, 350-1298, Japan
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Samsung Medical Center
Seoul, 6351, South Korea
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Second Affiliated Hospital - Xinqiao Hospital
Chongqing, Chongqing Municipality, 400000, China
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Seoul National University Hospital
Seoul, 3080, South Korea
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Severance Hospital
Seoul, 3722, South Korea
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Shanhai Cancer Center
Shanghai, Shanghai Municipality, 200032, China
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Singapore General Hospital
Singapore, 169608, Singapore
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Stephenson Cancer Center
Oklahoma City, Oklahoma, 73104, United States
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Stony Brook University Hospital
Stony Brook, New York, 11794, United States
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Sun Yat-Sen University Cancer Center - Cancer Prevention and Treatment Center, Sun Yat-sen University
Guangzhou, Guangdong, 510000, China
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Szpitale Pomorskie spSp. Z.o.o.
Gdynia, 81-519, Poland
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The Affiliated Tumor Hospital
Harbin, Heilongjiang, 150081, China
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The Catholic University of Korea Seoul St Marys Hospital
Seoul, 6591, South Korea
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The First Affiliated Hospital - Soochow University
Suzhou, Jiangsu, 215000, China
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The First Affiliated Hospital of Xi 'an Jiaotong University
Xi'an, Shaanxi, 710061, China
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The First Affiliated Hospital of Zhengzhou University
Zhengzhou, Henan, 450000, China
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The First Bethune Hospital
Changchun, Jilin, 130021, China
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The First Hospital affiliated to the Medical School of Zhejiang University
Hangzhou, Zhejiang, 310003, China
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The Royal Marsden Hospital
Sutton, Surrey, SM2 5PT, United Kingdom
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The Second Affiliated Hospital of Zhejiang University School of Medicine
Hangzhou, Zhejiang, 310009, China
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Tianjin Medical University Cancer Institute
Tianjin, Tianjin Municipality, 300060, China
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Tokai University Hospital
Isehara-Shi, Kanagawa, 259-1193, Japan
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Tongji Hospital, Tongji Medical College of Huazhong University of Science and Technology
Wuhan, Hubei, 430030, China
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Tri-Service General Hospital
Taipei, 11490, Taiwan
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Tufts Medical Center
Boston, Massachusetts, 02111, United States
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UOC Hematologia, Fondazione IRCCS, Ca Granda, OM Policlinico
Milan, Milan, 20122, Italy
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Unite Hemopathies Lymphoides Hospital Henri Mondor
Créteil, Île-de-France Region, 94010, France
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Universitatsklinik Wurzburg, Med Klinik und Poliklinik II, Zentrum Innere Medizin
Würzburg, 97080, Germany
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University Hospital Halle Saale
Halle, 6120, Germany
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University Hospital Kyoto Prefectural University of Medicine
Kyoto, Kyoto, 602-8566, Japan
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University Hospital of Wales
Cardiff, Wales, CF14 4XW, United Kingdom
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University of Bologna Dipartimento di Medicina Specialistica Diagnostica e Sperimentale
Bologna, 40138, Italy
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University of Iowa
Iowa City, Iowa, 52242, United States
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University of Ulsan College of Medicine
Ulsan, Daegu, 682-714, South Korea
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Uniwersytecki Szpital Kliniczny we Wroclawiu, Klinika Hematologii, Terapii Komorkowych i Chorob Wewnetrznych
Wroclaw, 50-367, Poland
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Uniwersyteckie Centrum
Gdansk, Pomeranian Voivodeship, 80-214, Poland
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Uniwersyteckie Centrum Kliniczne
Gdansk, 80-214, Poland
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Uos Ematologia - Ospedale Civile di Livorno
Livorno, 57124, Italy
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Wake Forest Baptist Medical Center
Winston-Salem, North Carolina, 27257, United States
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Weill Cornell Medical College New York Presbyterian Hospital
New York, New York, 10021, United States
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West China Hospital
Chengdu, Sichuan, 610041, China
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Wojewodzkie Wielospecjalistyczne Centrum Onkologii i Traumatologii im. Mikolaja Kopernika w Lodzi (Copernicus Memorial Hospital)
Lodz, 93-513, Poland
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Yamagata University Hospital
Yamagata, Yamagata, 990-9585, Japan
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Off-the-Shelf Gene-Edited immune cells tested against Hard-to-Treat lymphoma
- New drug joins standard chemotherapy in fight against B-Cell lymphoma
- Which lymphoma drug combo works best? a new study aims to find out
- Can engineered immune cells beat tough B-Cell cancers?
- Can CAR-T Therapy's Long-Term safety be tracked in the real world?
- Can a single injection reprogram immune cells to fight cancer?