Overview
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
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 only include standard of care regimens, with or without corticosteroids given for disease-related symptoms.
- Prior to ICF signature, participant's disease must be sensitive to prior high-dose methotrexate-based 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) and isolated cerebrospinal fluid (CSF) disease.
- 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.
- Other protocol-defined Inclusion/Exclusion criteria apply.