Recruiting
Phase 1
Phase 2

IMPT-314

Sponsor:

Lyell Immunopharma, Inc.

Code:

NCT05826535

Conditions

Relapsed Non-Hodgkin Lymphoma

Refractory Non-Hodgkin Lymphoma

Non-Hodgkin Lymphoma

Large B-cell Lymphoma

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Interventions

Rondecabtagene autoleucel (ronde-cel)

Fludarabine

Cyclophosphamide

Study Details

Brief summary:

This is a Phase 1/2, multi-center, open-label study evaluating the safety and efficacy of rondecabtagene autoleucel (ronde-cel) also known as LYL314, a dual-targeting chimeric antigen receptor (CAR) targeting cluster of differentiation (CD)19 and CD20 in participants with aggressive large B-cell lymphoma.

Conditions

Relapsed Non-Hodgkin Lymphoma

Refractory Non-Hodgkin Lymphoma

Non-Hodgkin Lymphoma

Large B-cell Lymphoma

Study ID

NCT05826535

Start date

May 9, 2023

Status verified date

Apr, 2026

Completion date

Jun 30, 2031

Anticipated

Primary completion date

Dec 31, 2028

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Inclusion Criteria:

1. Age 18 years or older
2. Willing and able to provide written informed consent
3. Histologically confirmed LBCL, including the following types defined by the World Health Organization (WHO 2022) or International Consensus Classification (2022)
4. Received at least two prior lines of therapy for Cohorts 1, 2, and 4 and one prior line of therapy for Cohort 3
5. Relapsed or refractory disease.
6. At least 1 measurable lesion (per Lugano classification)
7. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 or ECOG 0 to 2 (Cohort 5)
8. Absolute neutrophil count (ANC) ≥ 1000/µL
9. Platelet count ≥ 50,000/µL
10. Absolute lymphocyte count (ALC) ≥ 200/µL

Other protocol-defined criteria apply.

Exclusion Criteria:

1. History of malignancy other than non-melanoma skin cancer or carcinoma in situ unless disease-free for at least 3 years
2. Active central nervous system involvement
3. History of cardiac lymphoma involvement or Epstein-Barr virus (EBV)+ lymphoma
4. Ongoing or impending oncologic emergency
5. Recent systemic anti-cancer therapy or radiation
6. Ongoing non-hematologic toxicities due to prior therapy
7. History of allogeneic stem cell or solid organ transplantation
8. Autologous stem cell transplantation within 6 weeks
9. History of prior genetically modified cell therapy (Cohorts 1, 3, 4, 5) or no other than a product targeting CD19 with an FMC63-based CAR (e.g., axicabtagene ciloleucel (axi-cel), tisagenlecleucel (tisa-cel), or lisocabtagene maraleucel (liso-cel) (Cohort 2).
10. Primary immunodeficiency
11. History of autoimmune disease resulting in end organ injury or requiring recent therapy

Other protocol-defined criteria apply.

Study Design

Enrollment

270 participants

Anticipated

Allocation

Non randomized

Intervention Model

Sequential

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: Ph1, 3rd or later line, 3L+ have not received prior CAR T (Cohort 1)

experimental: Ph1 CAR T experienced, 3L+ received at least two or more prior lines of treatment (Cohort 2)

experimental: Ph1, 2L Refractory/relapse within 1 year of 1st-line therapy & no prior CAR T (Cohort 3)

experimental: Ph1 (T-cell engager experienced, 3L+) received at least 2 prior lines including 1 TCE (Cohort 4)

experimental: Ph1 high risk 1st line, PET-positive after 2-3 cycles chemoimmunotherapy, no prior CAR T (Cohort 5)

experimental: Ph2, 3rd or later line, have not received prior CAR T (Cohort 1)

Single dose determined during Phase 1.

Interventions

Rondecabtagene autoleucel (ronde-cel)

CAR T-cell therapy

Fludarabine

Conditioning chemotherapy

Cyclophosphamide

Conditioning chemotherapy

Primary outcome measure

  • Phase 1: Evaluate the safety and tolerability of a single dose of ronde-cel administered as a single agent [ Time Frame: Baseline to Month 24 ]
  • Phase 2: Estimate the efficacy of ronde-cel, as measured by overall response rate (ORR) [ Time Frame: Baseline to Month 24 ]

Central Contacts and Locations

Central contacts

Locations

University of California-Irvine Medical Center

Recruiting

Irvine, California, United States, 92697

Cedars-Sinai Medical Center

Recruiting

Los Angeles, California, United States, 90048

University of California, Los Angeles (UCLA) Medical Center

Recruiting

Los Angeles, California, United States, 90095

Scripps Clinic

Recruiting

San Diego, California, United States, 92037

Colorado Blood Cancer Institute

Recruiting

Denver, Colorado, United States, 80218

Medstar Georgetown University Hospital

Recruiting

Washington D.C., District of Columbia, United States, 20007

Augusta University Medical Center

Recruiting

Augusta, Georgia, United States, 30912

Indiana Blood and Marrow Transplantation

Recruiting

Indianapolis, Indiana, United States, 46237

University of Iowa

Recruiting

Iowa City, Iowa, United States, 52242

University of Louisville Brown Cancer Center

Recruiting

Louisville, Kentucky, United States, 40202

Louisiana State University Health Sciences Center

Recruiting

Shreveport, Louisiana, United States, 71130

Corewell Health

Recruiting

Grand Rapids, Michigan, United States, 49503

University of Nebraska Medical Center

Recruiting

Omaha, Nebraska, United States, 68198

John Theurer Cancer Center Hackensack University Medical Center

Recruiting

Hackensack, New Jersey, United States, 07601

University of New Mexico Comprehensive Cancer Center

Recruiting

Albuquerque, New Mexico, United States, 87131

Roswell Park Comprehensive Cancer Center

Recruiting

Buffalo, New York, United States, 14263

David H. Koch Center for Cancer Care at Memorial Sloan Kettering Cancer Center

Recruiting

New York, New York, United States, 10021

Montefiore Medical Center

Recruiting

The Bronx, New York, United States, 10461

Atrium Health Wake Forest Baptist

Recruiting

Winston-Salem, North Carolina, United States, 27157

University of Cincinnati (UC) Physicians Company, LLC

Recruiting

Cincinnati, Ohio, United States, 45267

Cleveland Clinic

Recruiting

Cleveland, Ohio, United States, 44195

Lehigh Valley Topper Cancer Center Institute

Recruiting

Allentown, Pennsylvania, United States, 18103

Thomas Jefferson University

Recruiting

Philadelphia, Pennsylvania, United States, 19107

West Penn Hospital

Recruiting

Pittsburgh, Pennsylvania, United States, 15224

Vanderbilt University Medical Center

Recruiting

Nashville, Tennessee, United States, 37212

Baylor University Medical Center

Recruiting

Dallas, Texas, United States, 75246

Texas Transplant Institute

Recruiting

San Antonio, Texas, United States, 78229

Huntsman Cancer Institute

Recruiting

Salt Lake City, Utah, United States, 84112

Intermountain Healthcare

Recruiting

Salt Lake City, Utah, United States, 84143

Virginia Oncology Associates

Recruiting

Norfolk, Virginia, United States, 24502

Virginia Commonwealth University-Massey Cancer Center

Recruiting

Richmond, Virginia, United States, 23298

Medical College of Wisconsin

Recruiting

Milwaukee, Wisconsin, United States, 53226

More Information

Sponsor

Lyell Immunopharma, Inc.

Last update posted

Aug 25, 2026

Last verified

Apr, 2026

Keywords

  • CAR T-cell
  • Non-Hodgkin Lymphoma
  • CD19/20
  • CD19
  • CD20
  • NHL
  • Diffuse Large B-cell lymphoma
  • DLBCL
  • Transformed follicular lymphoma
  • TFL
  • Primary mediastinal B-cell lymphoma
  • PMBCL
  • Follicular lymphoma Grade 3B
  • Large cell follicular lymphoma
  • Aggressive B-cell NHL
  • Refractory Aggressive B-Cell Lymphoma
  • Refractory B-Cell Non-Hodgkin Lymphoma
  • Lymphoma, Non-Hodgkin
  • Lymphoma
  • Lymphoma, Large B-Cell, Diffuse
  • Cyclophosphamide
  • Fludarabine
  • Lymphoma, Follicular
  • Lymphoma, B-cell
  • Immunosuppressive Agents
  • Immunologic Factors
  • Disease Attributes
  • Immune System Diseases
  • Recurrence
  • PiNACLE

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-08. This information was provided to ClinicalTrials.gov by Lyell Immunopharma, Inc. on 2026-08-25.