Recruiting
Phase 3

rondecabtagene Autoleucel vs. CD19 CAR T-cell

Sponsor:

Lyell Immunopharma, Inc.

Code:

NCT07188558

Conditions

Large B-cell Lymphoma

Lymphoma, B-Cell

Relapsed Non-Hodgkin Lymphoma

Refractory Non-Hodgkin Lymphoma

Non-Hodgkin Lymphoma

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Interventions

rondecabtagene autoleucel

axicabtagene ciloleucel

lisocabtagene maraleucel

Study Details

Brief summary:

This Phase 3 study compares rondecabtagene autoleucel (ronde-cel), a dual-targeting CD19/CD20 CAR T-cell therapy, with investigator's choice of CD19 CAR T-cell therapy in patients with relapsed or refractory large B-cell lymphoma in the second-line setting.

Conditions

Large B-cell Lymphoma

Lymphoma, B-Cell

Relapsed Non-Hodgkin Lymphoma

Refractory Non-Hodgkin Lymphoma

Non-Hodgkin Lymphoma

Study ID

NCT07188558

Start date

Jan 12, 2026

Status verified date

Jul, 2026

Completion date

Jan, 2032

Anticipated

Primary completion date

Dec, 2029

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Key Inclusion Criteria:

1. CAR T cell naïve and eligible to receive a CD19 CART-cell therapy
2. Histologically confirmed large B-cell lymphoma, including the following types defined by (WHO 2022) or International Consensus Classification (2022)

  • Diffuse large B-cell lymphoma (DLBCL)
  • Transformations of indolent B-cell lymphomas (excluding Richter's transformation)
  • DLBCL/High-grade B-cell lymphoma (HGBCL) with MYC and BCL2 rearrangements
  • High-grade B-cell lymphoma (HGBCL) not otherwise specified (HGBCL NOS)
  • Primary mediastinal large B-cell lymphoma (PMBCL)
  • Grade 3B follicular lymphoma/large cell follicular lymphoma (FL3B)
3. Relapsed or refractory disease after anti-CD20 antibody and anthracycline-containing first-line chemoimmunotherapy
4. Measurable disease by presence of \[18F\]-fluorodeoxyglucose PET/CT positive lesion during Screening per Lugano Criteria
5. Eastern Cooperative Oncology Group (ECOG) performance status 0 or 1
6. Adequate hematological, renal, hepatic, pulmonary, and cardiac function

Key Exclusion Criteria:

1. Patients ineligible to receive CD19 CAR T-cell therapy
2. Primary CNS lymphoma
3. Patients with primary cutaneous LBCL, human herpes virus-8 positive lymphoma, Burkitt lymphoma, T cell histiocyte-rich lymphoma, or transformation from chronic lymphocytic leukemia/small lymphocytic lymphoma (Richter's transformation)
4. Patients with prior history of malignancy, other than aggressive relapsed or refractory LBCL, unless the patient has been free of the disease for ≥ 2 years
5. Patients with uncontrolled systemic fungal, bacterial, viral, or other infection (including tuberculosis) despite appropriate antibiotics or other treatment
6. Active autoimmune disease requiring ongoing systemic immunosuppressive therapy.

Note: Other protocol defined Inclusion/Exclusion criteria may apply

Study Design

Enrollment

400 participants

Anticipated

Allocation

Randomized

Intervention Model

Parallel Assignment

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: Rondecabtagene autoleucel

active comparator: Investigator's Choice CD19

axicabtagene ciloleucel, lisocabtagene maraleucel

Interventions

rondecabtagene autoleucel

An autologous, dual-targeting CD19/20 CAR T-cell candidate.

axicabtagene ciloleucel

An autologous CD19 CAR T-cell therapy

lisocabtagene maraleucel

An autologous CD19 CAR T-cell therapy

Primary outcome measure

  • Event free survival [ Time Frame: 36 months ]

Central Contacts and Locations

Locations

Banner MD Anderson Cancer Center

Recruiting

Gilbert, Arizona, United States, 85234

Honor Health

Recruiting

Scottsdale, Arizona, United States, 85258

Mayo Clinic Arizona

Recruiting

Scottsdale, Arizona, United States, 85259

Cedars-Sinai Medical Center

Recruiting

Los Angeles, California, United States, 90048

University of California, Los Angeles (UCLA)

Recruiting

Los Angeles, California, United States, 90095

University of California, Irvine

Recruiting

Orange, California, United States, 92868

University of Colorado

Recruiting

Aurora, Colorado, United States, 80045

Colorado Blood Cancer Institute

Recruiting

Denver, Colorado, United States, 80218

Mayo Clinic Florida

Recruiting

Jacksonville, Florida, United States, 32224

Moffitt Cancer Center

Recruiting

Tampa, Florida, United States, 33612

Northside Hospital

Recruiting

Atlanta, Georgia, United States, 30342

University of Chicago

Recruiting

Chicago, Illinois, United States, 60637

University of Kansas Cancer Center

Recruiting

Westwood, Kansas, United States, 66205

University of Louisville Health

Recruiting

Louisville, Kentucky, United States, 40202

Mayo Clinic Rochester

Recruiting

Rochester, Minnesota, United States, 55905

University of Nebraska Medical Center (UNMC)

Recruiting

Omaha, Nebraska, United States, 68105

Hackensack

Recruiting

Hackensack, New Jersey, United States, 07601

Roswell Park Comprehensive Cancer Center

Recruiting

Buffalo, New York, United States, 14263

Duke Cancer Institute

Recruiting

Durham, North Carolina, United States, 27705

Oncology Hematology Care Clinical Trials

Recruiting

Cincinnati, Ohio, United States, 45242

University of Cincinnati

Recruiting

Cincinnati, Ohio, United States, 45267

SCRI Oncology Partners

Recruiting

Nashville, Tennessee, United States, 37203

St. David's South Austin Medical Center

Recruiting

Austin, Texas, United States, 78704

MD Anderson Cancer Center

Recruiting

Houston, Texas, United States, 77030

Texas Transplant Institute

Recruiting

San Antonio, Texas, United States, 78229

Intermountain Healthcare

Recruiting

Salt Lake City, Utah, United States, 84143

Virginia Oncology Associates

Recruiting

Norfolk, Virginia, United States, 23502

More Information

Sponsor

Lyell Immunopharma, Inc.

Last update posted

Aug 4, 2026

Last verified

Jul, 2026

Keywords

  • Lymphoma
  • Non-Hodgkin Lymphoma
  • CAR T-Cell Therapy
  • CD19
  • CD19/CD20
  • Large B-cell Lymphoma

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 2026-08-04.