UPCC 54425 The CAROLYN Trial: Lisocabtagene Maraleucel as First-Line Therapy for Primary Central Nervous System Lymphoma (PCNSL) in Transplant-Ineligible Patients

Study of Investigational Therapy for Primary Central Nervous System Lymphoma in Transplant-Ineligible Patients

Enrolling By Invitation
18 years or above
All
Phase 2
65 participants needed
1 Location

Brief description of study

The purpose of this study is to evaluate the safety and efficacy of lisocabtagene maraleucel (Breyanzi/liso-cel/BMS-986387) in adults as first-line treatment in transplant-ineligible Primary Central Nervous System Lymphoma (PCNSL).

Eligibility of study

You may be eligible for this study if you meet the following criteria:

  • Conditions: Lymphoma
  • Age: 18 years or above
  • Gender: All

Inclusion Criteria

  • Participant must be 18 years or older at the time of signing the informed consent form (ICF).
  • Histologically confirmed primary central nervous system (CNS) lymphoma (PCNSL) prior to screening, as assessed by local pathology.
  • Transplant-ineligible based on physician's assessment and meeting at least one of the following criteria: age ≥65 years or HCT-CI (Hematopoietic Cell Transplantation-specific Comorbidity Index) score ≥3.
  • Participant must be suitable, per investigator, to receive a high dose methotrexate (HD-MTX) based treatment regimen.
  • Prior to signing ICF, anti-cancer therapy for the treatment of PCNSL must be limited to HD-MTX based standard of care regimens with a minimum of 4 and maximum of 6 doses of MTX. Corticosteroids used as part of standard-of-care management for PCNSL symptom control are permitted prior to ICF signature but must be discontinued at the time of ICF signature. For medical conditions other than PCNSL, non-therapeutic corticosteroids use may be permitted on study.
  • Prior to ICF enrollment, participant's disease must be sensitive to prior high-dose methotrexate-based (HD-MTX) regimens, as demonstrated by a complete response (CR, no remaining signs of PCNSL) or a partial response (PR, signs of PNCSL mostly gone) per Investigator's assessment, based on the International Primary CNS Lymphoma Collaborative Group (IPCG) criteria.
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2.
  • Individuals of childbearing potential (IOCBP) must have a negative highly sensitive pregnancy test within 24 hours prior to the start of study intervention.

Exclusion Criteria

  • Participant has a diagnosis of secondary CNS lymphoma due to systemic disease.
  • Primary intraocular lymphoma (PIOL)/ Primary vitreoretinal lymphoma (PVRL), isolated cerebrospinal fluid (CSF) disease, or a relapsed or refractory PCNSL.
  • Any significant medical condition including the presence of laboratory abnormalities, which places the participant at unacceptable risk if he/she was to participate in the study based on investigator's judgement.
  • History of another primary malignancy that has not been in remission for ≥2 years.
  • Prior treatment with CAR T-cell or any other gene therapy product that utilizes human genome-editing technology.
  • History of or active human immunodeficiency virus (HIV).
  • Active hepatitis B or active hepatitis C.
  • Active autoimmune disease requiring immunosuppressive therapy.
  • History of prior allogeneic transplant, or solid organ transplant requiring immunosuppressive therapy.
  • Other protocol-defined Inclusion/Exclusion criteria apply.

This study investigates primary central nervous system lymphoma. The purpose of this study is to evaluate the safety and efficacy of an investigational medication as a first-line treatment for individuals who cannot undergo a transplant.

The study evaluates the effectiveness and safety of the investigational medication in patients. It focuses on how well the treatment works and how safe it is for patients with primary central nervous system lymphoma.

  • Who can participate: Adults 18 years or older with primary central nervous system lymphoma who cannot undergo a transplant may participate. Participants must have a suitable health status as assessed by a physician.
  • Study details: Participants will receive an investigational medication to evaluate its effects. Some participants may receive a placebo, which is an inactive substance that looks like the investigational medication but does not contain any medicine.
Updated on 02 Jul 2026. Study ID: 25-1593
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