Phase II, Single arm, Open label, study of the combination of Pembrolizumab and Tazemetostat to Overcome Immune Tolerance Following Autologous Stem Cell Transplantation(ASCT) or Chimeric Antigen Receptor (CAR) T-cell therapy in Patients with Aggressive B-Cell Non-Hodgkin's Lymphoma - NU 23H05

IRB Number: STU00220351
ClinicalTrials.gov Identifier: NCT06242834
PI Name: Reem Karmali, MD
Eligibility Criteria:

  • Patients must have a histo-pathologically confirmed aggressive B-cell NHL intended for or currently undergoing standard of care ASCT or CAR T-cell therapy. For the purpose of this study, aggressive B-cell NHL histologies should conform to the label indications for the respective CAR-T being utilized.
  • For CAR T-cell therapy, patients must have metabolically active disease on PET/CT prior to therapy; For ASCT therapy, patients must be in complete remission.
  • ECOG 0-1
  • Exclusion: Patients who have received prior therapy with an anti-PD-1, anti-PD-L1, or anti PD-L2 agent or with an agent directed to another stimulatory or co-inhibitory T-cell receptor (e.g., CTLA-4, OX 40, CD137) or prior exposure to EZH2 inhibitors

For more information,

Principal Investigator

Reem Karmali, MD

Reem Karmali, MD

Primary Specialty: Hematology and Medical Oncology

An Open-label, Multicenter Phase 2 Study Evaluating the Efficacy and Safety of CRG-022, a CD22-Directed Autologous Chimeric Antigen Receptor (CAR) T-cell Therapy in Patients With Relapsed/Refractory Large B-Cell Lymphoma After CD19-Directed CAR T-cell Therapy

IRB Number: STU00221437
ClinicalTrials.gov Identifier: NCT05972720
PI Name: Reem Karmali, MD
Eligibility Criteria:

  • Diagnosis of one of the following: DLBCL not otherwise specified (NOS), including germinal center B-cell (GCB) type or active B-cell (ABC) type, double-hit or triple-hit lymphoma, DLBCL arising from follicular lymphoma, DLBCL arising from marginal zone lymphoma, primary mediastinal (thymic) large B-cell lymphoma, FL Grade 3B.
  • Patients must have previously received a CD19-directed CAR T-cell therapy.
  • Relapsed/refractory disease defined by PD or SD after last therapy OR relapsed disease following a CR or progressive disease following a PR after the last therapy.
  • Patients must have measurable disease.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
  • Exclusion: Patients with a history of CD22-directed therapy for lymphoma.

For more information,

Principal Investigator

Reem Karmali, MD

Reem Karmali, MD

Primary Specialty: Hematology and Medical Oncology

A Phase 2, Open-Label, Single-Arm, Multicohort, Multicenter Trial to Evaluate the Efficacy and Safety of JCAR017 in Adult Subjects with Relapsed or Refractory Indolent B-Cell Non-Hodgkin Lymphoma (NHL) (Transcend FL) - JCAR017-FOL-001

IRB Number: STU00212069
ClinicalTrials.gov Identifier: NCT04245839
PI Name: Reem Karmali, MD
Eligibility Criteria:

  • Cohort 3 Extension (2L r/r FL subjects) is open
  • Cohort 3 Extension (2L r/r FL): patients must have received no more than 1 prior line of combination systemic therapy, which included an anti-CD20 antibody (eg, rituximab, obinutuzumab) and an alkylating agent, and has relapsed or refractory disease that has progressed within 24 months of initiation of first-line chemoimmunotherapy (POD24) OR must meet at least one of the modified GELF criteria (NCCN, 2019)

For more information,

Principal Investigator

Reem Karmali, MD

Reem Karmali, MD

Primary Specialty: Hematology and Medical Oncology

An Open-Label, Phase 1 Safety and Phase 2 Randomized Study of JCAR017 in Subjects with Relapsed or Refractory Chronic Lymphocytic Leukemia or Small Lymphocytic Lymphoma (017004)

IRB Number: STU00208648
ClinicalTrials.gov Identifier: NCT03331198
PI Name: Shuo, Ma MD PhD
Eligibility Criteria:

  • Double-Exposed Monotherapy Expansion (DEME) Cohort - Phase 2
  • CLL with an indication for treatment based on the Investigator鈥檚 opinion and measurable disease (any of the following: bone marrow involvement by 鈮� 30% lymphocytes, peripheral blood lymphocytosis > 5脳10^9/L, and/or measurable lymph nodes 鈮� 1.5 cm in the greatest transverse diameter and/or hepatomegaly or splenomegaly), OR
  • SLL (lymphadenopathy and/or splenomegaly and < 5脳10^9 CD19+ CD5+ clonal B lymphocytes/L [< 5000/碌L] in the peripheral blood at diagnosis with measurable disease defined as at least one lesion 鈮� 1.5 cm in the greatest transverse diameter that is biopsy proven SLL).
  • DEME cohort ONLY: Subjects with R/R CLL or SLL, irrespective of cytogenetic risk features, must have received at least 2 lines of prior therapy including a BTKi and a BCL2i

For more information,

Principal Investigator

Shuo Ma, MD, PhD

Shuo Ma, MD, PhD

Primary Specialty: Hematology and Medical Oncology

A Phase 1 study evaluating SC291, a hypoimmune allogeneic CD19-directed CAR T cell therapy, in relapsed and/or refractory B-cell malignancies (ARDENT)

IRB Number: STU00220439
ClinicalTrials.gov Identifier: NCT05878184
PI Name: Reem Karmali, MD
Eligibility Criteria:
Diagnosis of NHL (WHO 2016 criteria) or CLL (iwCLL criteria), including: Large B cell lymphoma, including diffuse large B cell lymphoma (DLBCL) not otherwise specified (including DLBCL arising from indolent lymphoma), primary mediastinal large B cell lymphoma, high-grade B cell lymphoma, follicular lymphoma Grade 3B, Follicular lymphoma, Marginal zone lymphoma, Mantle cell lymphoma, CLL or small lymphocytic lymphoma (SLL).

  • Relapsed/refractory disease after at least 2 regimens per standard of care or after autologous stem cell transplant (ASCT).
  • Subjects with bulky disease will be allowed in dose expansion but not dose escalation.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1.
  • Exclusion: Prior CD19-directed therapy including CD19-directed CAR T cell treatment or other CD19-directed antibody or cell therapy (e.g., NK cell). (Part 2 dose expansion only 鈥� prior approved CD19-directed CAR T cell therapy required).

For more information,

Principal Investigator

Reem Karmali, MD

Reem Karmali, MD

Primary Specialty: Hematology and Medical Oncology

An Adaptive Phase 3, Randomized, Open-Label, Multicenter Study to Compare the Efficacy and Safety of Axicabtagene Ciloleucel versus Standard of Care Therapy as First-Line Therapy in Subjects with High-Risk Large B-Cell Lymphoma (ZUMA-23)

IRB Number: STU00219827
ClinicalTrials.gov Identifier: NCT05605899
PI Name: Reem Karmali, MD
Eligibility Criteria:
Histologically confirmed LBCL, High-risk disease (IPI of 4 or 5), Ann Arbor III or IV, ECOG 0-2, measurable disease, has received only 1 cycle of R-chemotherapy, no prior treatment for LBCL other than 1 cycle of R-chemotherapy.

For more information,

Principal Investigator

Reem Karmali, MD

Reem Karmali, MD

Primary Specialty: Hematology and Medical Oncology

A Multicenter Phase 1 Study of AIC100 CAR T Cells in Relapsed and/or Refractory Advanced Thyroid Cancer and Anaplastic Thyroid Cancer (Drug 19-12021154)

IRB Number: STU00218807
ClinicalTrials.gov Identifier: NCT04420754
PI Name: Jochen Lorch, MD
Eligibility Criteria:

  • Patients must have thyroid cancer that expresses ICAM-1 gene
  • Measurable disease by PET/CT or CT
  • ECOG performance status of 0-2
  • Life expectancy greater than 8 weeks
  • Cannot have prior treatment with investigational gene therapy or CAR T cell therapy
  • Cannot have evidence of another malignancy within 2 years prior to Screening

For more information,

Principal Investigator

Jochen H. Lorch, MD

Jochen H. Lorch, MD

Primary Specialty: Hematology and Medical Oncology

Phase I/II, open label, multicenter study of Rapcabtagene autoleucel in adult patients with 3L+ DLBCL, r/r ALL and 1L HR LBCL

IRB Number: STU00215546
ClinicalTrials.gov Identifier: NCT03960840
PI Name:  Shira Dinner, MD
Eligibility Criteria:

  • Currently available for R/R ALL, first line (1L) HR LBCL, 3L+ DLBCL
  • R/R ALL and 3L+ DLBCL: ECOG 0-1
  • 1L HR LBCL ECOG 0-2
  • R/R ALL Cohort: R/R or relapsed CD19+ ALL including at least 1 of the following: After ALLO HSCT, after 2 or more lines, primary refractory disease, first relapse within 12 months from first remission. AND morphologic disease in the bone marrow (> 5% blasts).
  • 1L HR LBCL Cohort: Histologically confirmed large B-cell non-Hodgkin lymphoma. And
    • High risk based on either IPI score of 3-5 or MCY and BCL2 and/or BCL6 rearrangement (DH/TH lymphoma) assessed locally.
    • Must have received 2 cycles of frontline therapy with RCHOP or Pola-R-CHP or DA-EPOCH-R. Participants with DH/TH lymphoma must have received at least one cycle (the most recent cycle) of DA-EPOCH-R.
    • Participants must have a positive PET per Lugano classification (Deauville PET score of 4 or 5 and overall response of PR/SD) after 2 cycles of frontline CIT.
  • 3L+ DLBCL Cohort: Confirmed DLBCL as per local histopath assessment. R/R disease after receiving 2 or more lines of therapy, including anti-CD20 and anthracycline-based chemo, and having progressed or relapsed after auto HSCT (or being ineligible for or not consenting to the procedure).
    • Patients who are not in a complete response and have measurable disease at time of enrollment must have nodal lesions > 15 mm in the long axis and/or extranodal lesions.

For more information,

Principal Investigator

Shira N. Dinner, MD

Shira N. Dinner, MD

Primary Specialty: Hematology and Medical Oncology

A multi-center single arm Phase II study to evaluate the safety and efficacy of genetically engineered autologous cells expressing anti-CD20 and anti-CD19 specific chimeric antigen receptor in subjects with relapsed and/or refractory diffuse large B cell lymphoma

IRB Number: STU00214654
ClinicalTrials.gov Identifier: NCT04792489
PI Name:  Reem Karmali, MD
Eligibility Criteria:

  • Currently available for DLBCL (NOS, High-grade B cell lymphoma, transformed lymphoma), PCNSL or SCNSL, Mantle Cell Lymphoma (MCL), Richter's Transformation (RT)
  • R/R for DLBCL is defined as failure of 2 or more lines of chemo, including rituximab or equivalent, and either having failed ASCT or ineligible.
  • CNS cohort: subjects with R/R PCNSL or have failed at least first-line therapy (high dose methotrexate-based therapy) or unable to tolerate therapy. Patients with SCNSL must have relapse or refractory disease after having received at least on prior line (including an anti-CD20 monoclonal antibody).
  • MCL cohort: Cohort: Subjects with relapsed/refractory disease after at least one prior systemic treatment (including cytoxic rituximab-based chemo regimen) AND a BTK inhibitor.
  • RT cohort: Subject must have relapsed/refractory disease after at least one prior systemic treatment following Richter鈥檚 Transformation
  • ECOG 0-1 or 2 if decrease is due to lymphoma
  • Measurable disease assessed by PET/CT

For more information,

Principal Investigator

Reem Karmali, MD

Reem Karmali, MD

Primary Specialty: Hematology and Medical Oncology

Phase II, Single-arm, Open-label, Multicenter study Evaluating the Efficacy of Adjunctive Zanubrutinib and CAR T-cell therapy in Aggressive B-cell Non-Hodgkin鈥檚 Lymphoma

IRB Number: STU00215064
ClinicalTrials.gov Identifier: NCT05202782
PI Name: Reem Karmali, MD
Eligibility Criteria:

  • Inclusion Criteria
    • Patients must have a histo-pathologically confirmed diagnosis of an aggressive B-cell non-Hodgkin lymphoma or transformed indolent B-cell lymphoma that is recurrent or refractory to standard therapy with plan to proceed with standard of care (SOC) CAR Tcell therapy.
    • Patients must have measurable disease per Lugano Criteria (2014) (Appendix E)
    • Patients must exhibit an ECOG performance status of 0-2.
    • Patients must have a life expectancy of greater than 12 weeks.
  • Exclusion Criteria
    • Patients with evidence of active disease in the central nervous system (CNS)
    • Patients with HIV
    • Pregnant and nursing mothers
    • Patients unable to swallow oral medication

For more information,

Principal Investigator

Reem Karmali, MD

Reem Karmali, MD

Primary Specialty: Hematology and Medical Oncology