Odronextamab for Relapsed/Refractory Large B-cell Lymphomas Before CAR-T
This study is testing odronextamab, a bispecific antibody, given before CAR-T cell therapy for large B-cell lymphomas that have returned or not responded to previous treatments. Odronextamab works by targeting two different proteins: CD3 on your T-cells and CD20 on your cancer cells, which may help stop cancer growth. We are looking for about 27 participants aged 18 or older with specific types of large B-cell lymphoma that can be measured. The main goal is to see if participants can successfully undergo leukapheresis (a procedure to collect your immune cells for CAR-T therapy). The study status is currently unclear.
- Study design
- This is a Phase II interventional study with a planned enrollment of 27 participants.
- What's involved
- You would receive odronextamab intravenously, undergo blood and swab collections, and potentially bone marrow aspirations/biopsies. You would also undergo CAR-T cell therapy after two cycles of odronextamab.
- Compensation
- Not stated in the trial record.
- Follow-up
- You will be followed for up to 5 years after treatment.
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NCT06784726
Odronextamab for Relapsed and Refractory Large B-cell Lymphomas Before CAR-T
Recruiting
PHASE2Ages 18+InterventionalTreatmentUniversity of WashingtonInvestigator-initiated
~27 participants
Updated 2026-08-28 on ClinicalTrials.gov
What's tested:OdronextamabBiospecimen CollectionBone Marrow AspirationBone Marrow BiopsyChimeric Antigen Receptor T-Cell TherapyComputed Tomography
At a glance
Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Failure to undergo leukapheresis
Measured over Up to 5 years
Conditions
Where it's being run
1 sites across 1 statesWashington1
Study leadership
- Mengyang Di, MD, PhD · PRINCIPAL_INVESTIGATOR · Fred Hutch/University of Washington Cancer Consortium
Who to contact
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Do you actually qualify for this trial?
Add a private profile and we'll compare every criterion below against your situation — and tell you which ones are met, uncertain, or excluding.
Eligibility criteria
Inclusion
Histologically confirmed large B cell lymphoma, including diffuse large B-cell lymphoma (DLBCL) not otherwise specified, primary mediastinal large B-cell lymphoma, high grade B-cell lymphoma, DLBCL arising from indolent lymphoma, follicular lymphoma (FL) grade 3B
Measurable disease, defined as at least one measurable lesion ≥ 15 mm on PET, CT, or magnetic resonance imaging (MRI) within one month of screening, according to the International Working Group consensus response evaluation criteria in lymphoma
Prior frontline therapy for large B cell lymphoma must have failed the patient, and criteria must be met for receiving commercial axicabtagene ciloleucel (axi-cel), lisocabtagene maraleucel (liso-cel), or tisagenlecleucel (tisa-cel) per Food and Drug Administration (FDA) label
Age ≥ 18 years
Capable of understanding and providing a written informed consent
Prior treatment with an anti-CD20 antibody therapy
Eastern Cooperative Oncology Group performance status of 0-1; we allow enrollment of patients with a performance status of 2 if it is attributed to lymphoma per discretion of the treating physician or principal investigator (PI)
Creatinine clearance ≥ 45 mL/min calculated by Cockcroft-Gault equation
Total bilirubin ≤ 1.5 x the upper limit of normal (ULN), except in patients with Gilbert's syndrome
Aspartate aminotransferase and alanine aminotransferase ≤ 2.5 x the ULN
Adequate pulmonary function, defined as ≤ grade 1 dyspnea and oxygen saturation (SpO2) ≥ 92% on room air
Adequate cardiac function, defined as left ventricular ejection fraction ≥ 50% and without evidence for pericardial effusion
Platelet count ≥ 75 x 10\^9 /L
Hemoglobin (Hg) level ≥ 9 g/dL
Absolute neutrophil count (ANC) ≥ 1 x 10\^9 /L
Patients with bone marrow involvement or splenic sequestration: Platelet count ≥ 25 x 10\^9 /L
Patients with bone marrow involvement or splenic sequestration: Hg ≥ 7.0 g/dL
Patients with bone marrow involvement or splenic sequestration: ANC ≥ 0.5 x 10\^9 /L
Negative serum pregnancy test within 2 days of initiating odronextamab for women of childbearing potential (WOCBP), defined as those who have not been surgically sterilized or who have not been free of menses for at least 1 year
Fertile male and WOCBP patients must be willing to use highly effective contraceptive methods from study recruitment to at least 6 months after the CAR T-cell infusion
Patients must not provide egg or sperm donation until at least 6 months after the completion of the last dose of Odron
Exclusion
Detectable cerebrospinal fluid malignant cells, or brain metastases, or with a history of cerebrospinal fluid malignant cells or brain metastases. Patients with a history of secondary central nervous system (CNS) lymphoma may be eligible provided that there has been no evidence of CNS disease from lymphoma for at least 3 months at the time of screening
History of a seizure disorder, cerebrovascular ischemia/hemorrhage, dementia, cerebellar disease, or any autoimmune disease with central nervous system (CNS) involvement
Standard anti-neoplastic chemotherapy (non-biologic) within 5-times the half-life or within 2 weeks, whichever is shorter, prior to first administration of study drug
Standard radiotherapy within 2 weeks of first administration of study drug
Prior treatment with an anti-CD20 x anti-CD3 bispecific therapy, unless all the following are met: disease responded to prior bispecific therapy (CR or PR per Lugano criteria) and did not experience disease progression within 12 months of the last dose of prior bispecific therapy, and the tumor must still express CD20 (CD20 examination per standard of care \[SOC\])
Allogeneic stem cell transplantation
Any CAR-T cell therapy
Patients may not be receiving other investigational agents
Treatment with rituximab, alemtuzumab, or other investigational or commercial biologic agent within 2 weeks prior to first administration of study drug
Immunosuppressive therapy (other than biologic) within 2 weeks of first administration of study drug
Treatment with an investigational non-biologic agent within 2 weeks of first administration of study drug
History of allergic reactions attributed to compounds of similar chemical or biologic composition of study drug
History of hypersensitivity to any compound in the tetracycline antibiotics group
Concurrent active malignancy for which the patient is receiving systemic treatment, unless approved by PI
Known active and uncontrolled bacterial, viral, fungal, mycobacterial, or other infection
Evidence of significant concurrent disease or medical condition that could interfere with the conduct of the study, or put the patient at significant risk including, but not limited to, significant cardiovascular disease (e.g., New York Heart Association class III or IV cardiac disease, myocardial infarction within the previous 6 months, unstable arrhythmias, or unstable angina) and/or significant pulmonary disease (e.g., obstructive pulmonary disease and history of symptomatic bronchospasm)
Ongoing systemic corticosteroid treatment, with the exception of corticosteroid use for other (non-tumor and non-immunosuppressive) indications up to a maximum of 10 mg/day of prednisone or equivalent. A short course of corticosteroid for lymphoma disease control during screening is allowed
Infection with human immunodeficiency virus (unless viral load is undetectable and CD4 count ≥ 400) or chronic infection with hepatitis B virus or hepatitis C virus. Patients with hepatitis B (hepatitis B surface antigen positive \[HepBsAg+\]) with controlled infection were permitted upon consultation with the physician managing the infection
Known hypersensitivity to both allopurinol and rasburicase
Pregnant or breast-feeding women
Administration of live vaccination within 28 days of first administration of study drug
What this trial measures
- Failure to undergo leukapheresisUp to 5 years
Will include failures due to disease progression or adverse events (AEs) due to odronextamab (Odron), or requirement of other lymphoma-directed therapy for bridging before leukapheresis due to lack of response. Will report the total number and percentage with 95% confidence interval (CI).