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. 2021 Mar 22;28(9):513–527. doi: 10.1038/s41434-021-00246-w

Table 1.

Ongoing CAR-T and CAR-NK cell trials in Germany (listed on EU (clinicaltrialsregister.eu) and/or US Clinical Trials Register (clinicaltrials.gov)).

EudraCT
(NCT)
Study title (acronym)
Status Antigen Disease Phase Start No. Patients Age Vector IMP Sponsor
CD19-CAR-T cell products
2018-000973-57(o) (NCT03630159) Phase Ib study of tisagenlecleucel in combination with pembrolizumab in r/r diffuse large B-cell lymphoma (DLBCL) patients (PORTIA)
O CD19 DLBCL 1 >18 LV Tisagenlecleucel Novartis
2017-002116-14 (NCT03876769) A phase II trial of tisagenlecleucel in first-line high-risk (HR) pediatric and young adult patients with B-cell acute lymphoblastic leukemia (B-ALL) who are minimal residual disease (MRD) positive at the end of consolidation (EOC) therapy (CASSIOPEIA)
O CD19 B-ALL 2 2019 9 <18–64 LV Tisagenlecleucel Novartis
2017-004385-94 (NCT03568461) A phase II, single arm, multicenter open-label trial to determine the efficacy and safety of tisagenlecleucel (CTL019) in adult patients with refractory or relapsed follicular lymphoma (ELARA)
O CD19 FL 2 2019 12 >18 LV Tisagenlecleucel Novartis
2013-003205-25 (NCT02435849) A phase II, single arm, multicenter trial to determine the efficacy and safety of CTL019 in pediatric patients with relapsed and refractory B-cell acute lymphoblastic leukemia (ELIANA)
O CD19 B-ALL 2 2016 6 <18–64 LV Tisagenlecleucel Novarts
2014-003060-20 (NCT02445248) A phase II, single arm, multicenter trial to determine the efficacy and safety of CTL019 in adult patients with relapsed or refractory diffuse large B-cell lymphoma (DLBCL) (JULIET)
O CD19 DLBCL 2 2016 8 >18 LV Tisagenlecleucel Novartis
2016-002966-29 (NCT03570892) Tisagenlecleucel versus standard of care in adult patients with relapsed or refractory aggressive B-cell non-Hodgkin lymphoma: A randomized, open label, phase III trial (BELINDA)
O CD19 B-NHL 3 2019 37 >18 LV Tisagenlecleucel Novartis
2016-001991-31 (NCT03123939) Phase IIIb study for relapsed/refractory pediatric/young adult acute lymphoblastic leukemia patients to be treated with CTL019
C CD19 B-ALL 3 2017 5 <18–64 LV Tisagenlecleucel Novartis
2015-005007-86 (NCT02348216) A phase I/II multicenter study evaluating the safety and efficacy of KTE-C19 in subjects with refractory aggressive Non-Hodgkin lymphoma (NHL) (ZUMA-1)
O CD19 DLBCL, PMBCL, TFL 1/2 2017 60 18–64 RV Axicabtagene ciloleucel Kite
2017-002261-22 (NCT03391466) A phase III, randomized, open-label study evaluating the efficacy of Axicabtagene Ciloleucel versus standard of care therapy in subjects with relapsed/refractory diffuse large B-cell lymphoma (ZUMA-7)
O CD19 DLBCL 3 2018 48 >18 RV Axicabtagene ciloleucel Kite
2015-005010-30 (NCT02625480) A phase I/II multicenter study evaluating the safety and efficacy of KTE-X19 in pediatric and adolescent subjects with relapsed/refractory B-precursor acute lymphoblastic leukemia or relapsed/refractory B-cell non-Hodgkin lymphoma (ZUMA-4)
O CD19 B-ALL, B-NHL 1/2 2020 10 <18–64 RV Brexucabtagene autoleucel Kite
2018-001923-38 (NCT03624036) Phase I/II multicenter study evaluating the safety and efficacy of KTE-X19 in adult subjects with relapsed/refractory chronic lymphocytic leukemia (ZUMA-8)
T CD19 B-CLL 1/2 2019 15 >18 RV Brexucabtagene autoleucel Kite
2015-005009-35 (NCT02614066) A phase I/II multicenter study evaluating the safety and efficacy of KTE-X19 in adult subjects with relapsed/refractory B-precursor acute lymphoblastic leukemia (r/r ALL) (ZUMA-3)
O CD19 B-ALL 1/2 2018 5 18–64 RV Brexucabtagene autoleucel Kite
2015-005008-27 (NCT02601313) A phase II multicenter study evaluating the efficacy of KTE-X19 in subjects with relapsed/refractory mantle cell lymphoma (r/r MCL) (ZUMA-2)
O CD19 MCL 2 2018 20 >18 RV Brexucabtagene autoleucel Kite
2018-001246-34 (NCT03743246) A phase I/II, open-label, single arm, multicohort, multicenter trial to evaluate the safety and efficacy of JCAR017 in pediatric subjects with relapsed/refractory B-ALL and B-NHL (TRANSCEND PEDALL)
O CD19 B-ALL, B-NHL 1/2 2019 10 <18 LV Lisocabtagene maraleucel Celgene
2019-004081-18(o) (NCT04245839) A phase II, 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)
O CD19 FL 2 >18 LV Lisocabtagene maraleucel Celgene
2017-000106-38 (NCT03484702) A phase II, single-arm, multi-cohort, multicenter trial to determine the efficacy and safety of JCAR017 in adult subjects with aggressive B-cell non-Hodgkin lymphoma (TRANSCEND WORLD)
O CD19 B-NHL 2 2018 16 >18 LV Lisocabtagene maraleucel Celgene
2018-000929-32(o) (NCT03575351) A global randomized multicenter phase III trial of JCAR017 compared to standard of care in adult subjects with high-risk, second-line, transplant-eligible relapsed or refractory aggressive B-cell non-Hodgkin lymphomas (TRANSFORM).
O CD19 B-NHL 3 >18 LV Lisocabtagene maraleucel Celgene
2017-002848-32 (NCT03853616) A phase I/II safety, dose finding and feasibility trial of MB-CART19.1 in patients with relapsed or refractory CD19 positive B-cell malignancies.
O CD19 B-ALL, B-NHL, B-CLL 1/2 2018 48 <18, >18 MB-CART19.1 Miltenyi
2018-003916-38 (NCT04035434) A phase I/II dose escalation and cohort expansion study of the safety and efficacy of allogeneic CRISPR-Cas9-engineered T cells (CTX110) in subjects with relapsed or refractory B-cell malignancies
O CD19 B-NHL 1/2 2019 16 >18 CTX110 CRISPR
2016-004808-60 (NCT03676504) Treatment of patients with relapsed or refractory CD19+ lymphoid disease with T-lymphocytes transduced by RV-SFG.CD19.CD28.4-1BBzeta retroviral vector—a unicenter Phase I /II clinical trial
O CD19 B-ALL, B-NHL 1/2 2018 48 <18–64 RV CD19.CAR T cells UK HD
2007-007612-29 (NCT01195480) Immunotherapy with CD19ζ chimeric antigen receptor gene-modified EBV-specific CTLs after stem cell transplant in children with high-risk acute lymphoblastic leukemia (CD19TPALL)
T(*) CD19 B-ALL 1 2013 12 <18 RV CD19 transduced EBV-CTL UCL
CD19/CD20 -Dual-CAR-T cell products
2018-001253-27(o) (NCT03870945) A phase I/II safety, dose finding and feasibility trial of MB-CART2019.1 in patients with relapsed or resistant CD20 and CD19 positive B-NHL
O CD19, CD20 B-NHL 1/2 >18 LV MB-CART2019.1 Miltenyi
CD20 -CAR-T cell products
2017-000120-10(o) (NCT03893019) Multicenter phase I trial of MB-CART20.1 for the treatment of patients with metastatic melanoma
O CD20 Melanoma 1 >18 LV MB-CART20.1 Miltenyi
2017-000121-12(o) (NCT03664635) A phase I/II safety, dose finding and feasibility trial of MB-CART20.1 in patients with relapsed or resistant CD20-positive B-NHL
O CD20 B-NHL 1/2 >18 LV MB-CART20.1 Miltenyi
CD123-CAR-T cell products
2019-001339-30(o) (NCT04230265) Multicenter, open-label, adaptive design phase I trial with genetically modified T cells carrying universal chimeric antigen receptors (UniCAR02-T) in combination with CD123 Target Module (TM123) for the treatment of patients with hematologic and lymphatic malignancies positive for CD123
O CD123 AML, B-ALL, BPDCN 1 >18 LV UniCAR02-T + TM123 Cellex
BCMA-CAR-T cell products
2018-000264-28 (NCT03601078) A phase II, multi-cohort, open-label, multicenter study to evaluate the efficacy, and safety of bb2121 in subjects with relapsed and refractory multiple myeloma and in subjects with clinical high-risk multiple myeloma (KarMMa-2)
O BCMA MM 2 2019 10 >18 LV Idecabtagene vicleucel Celgene
2017-002245-29 (NCT03361748) A phase 2, multicenter study to determine the efficacy and safety of bb2121 in subjects with relapsed and refractory multiple myeloma (KarMMa)
O BCMA MM 2 2018 15 >18 LV Idecabtagene vicleucel Celgene
2018-001023-38 (NCT03651128) A phase III, multicenter, randomized, open-label study to compare the efficacy and safety of BB2121 versus standard regimens in subjects with relapsed and refractory multiple myeloma (RRMM) (KarMMa-3)
O BCMA MM 3 2019 40 >18 LV Idecabtagene vicleucel Celgene
2018-004124-10(o) (NCT04133636) A phase 2, multicohort open-label study of JNJ-68284528, a chimeric antigen receptor T cell (CAR-T) therapy directed against BCMA in subjects with multiple myeloma (CARTITUDE-2)
O BCMA MM 2 >18 LV JNJ-68284528 Janssen
SLAMF7-CAR-T cell product
2019-001264-30 (NCT04499339) A phase I/IIa clinical trial to assess feasibility, safety and antitumor activity of autologous SLAMF7 CAR-T cells in multiple myeloma
O SLAMF7 MM 1/2 2020 12 >18 SB SLAMF7 CAR-T UK Würzburg
CLDN6-CAR-T cell product
2019-004323-20 (NCT04503278) Phase I/IIa, first-in-human, open-label, dose-escalation trial with expansion cohorts to evaluate safety, and preliminary efficacy of CLDN6-CAR-T with or without CLDN6 RNA-LPX in patients with CLDN6-positive relapsed or refractory advanced solid tumors
O Claudin-6 Solid tumor 1/2 2020 18 >18 RV CLDN6-CAR-T BioNTech
HER2-CAR-NK-cell product
2016-000225-39(o) (NCT03383978) Multicenter, open label, phase I study of intracranial injection of NK-92/5.28.z cells in patients with recurrent HER2-positive glioblastoma (CAR2BRAIN)
O Her2 Glioblastoma 1 >18 LV NK-92/5.28.z cells KGU
Long-term follow-up studies
2017-001465-24 (NCT03435796) Long-term follow-up protocol for subjects treated with gene-modified T cells.
O 2018 55 Celgene
2014-001673-14 (NCT02445222) Long-term follow-up of patients exposed to lentiviral-based CAR T cell therapy (PAVO)
O 2016 55 Novartis

Trials are subdivided depending on the target antigen, investigational medicinal product (IMP), phase and start date of study (in chronological order). In addition, the study title, study acronym, status of the study in Germany, disease for which the drug is tested, intended number of trial participants in Germany, age of participants, vector which was used to transduce cells, and the sponsor of the study is listed.

Status: O ongoing, T terminated, C completed. Vector: LV lentiviral vector, RV retroviral vector, SB sleeping beauty. Disease: ALL acute lymphoblastic leukemia, BPDCN blastic plasmacytoid dendritic cell neoplasm, CLL chronic lymphocytic leukemia, DLBCL diffuse large B-cell lymphoma, FL follicular lymphoma, IMP investigational medicinal product, MCL mantel cell lymphoma, MM multiple myeloma, NHL Non-Hodgkin Lymphoma, PMBCL primary mediastinal B-cell lymphoma, TFL transformed follicular lymphoma, r/r relapsed/refractory. Sponsor: Celgene Celgene Corporation, Cellex Cellex Patient Treatment GmbH, KGU Johann Wolfgang Goethe University Hospital, Kite Kite Pharma, Inc., Miltenyi Miltenyi Biomedicine GmbH and Miltenyi Biotec B.V. & Co. KG Novartis, Novartis Pharma.

(o)Complete data set derived from clinicaltrials.gov.

(*)Indicated data derived from clinicaltirals.gov.