NCT06343376

A Phase I Trial of CD19-Targeted Chimeric Antigen Receptor (CAR) Modified T Cells Genetically Engineered to Secrete Interleukin 12 (IL-12) and With a Truncated Human Epidermal Growth Factor Receptor (EGFRt) in Patients With Relapsed or Refractory CD19+ Hematologic Malignancies

Study Summary

This phase I trial tests the safety, side effects, and best dose of genetically engineered cells called EGFRt/19-28z/IL-12 CAR T cells, and to see how they work in treating patients with hematologic malignancies that makes a protein called CD19 (CD19-positive) that has come back after a period of improvement (relapsed) or that has not responded to previous treatment (refractory). Chimeric Antigen Receptor (CAR) T-cell Therapy is a type of treatment in which a patient's T cells (a type of immune system cell) are changed in the laboratory so they will attack cancer cells. T cells are taken from a patient's blood. Then the gene for a special receptor that binds to a certain protein on the patient's cancer cells is added to the T cells in the laboratory. The special receptor is called a chimeric antigen receptor (CAR). Large numbers of the CAR T cells are grown in the laboratory and given to the patient by infusion for treatment of certain cancers. To improve the effectiveness of the modified T cells and to help the immune system fight cancer cells better, the modified T cells given in this study will include a gene that makes the T cells produce a cytokine (a molecule involved in signaling within the immune system) called interleukin-12 (IL-12). The researchers think that IL-12 may improve the effectiveness of the modified T cells, and it may also strengthen the immune system to fight cancer. Giving EGFRt/19-28z/IL-12 CAR T cells may be safe and tolerable in treating patients with relapsed or refractory CD19+ hematologic malignancies.

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Interventions

BiopsyPROCEDURE
Undergo tissue biopsy
Biospecimen CollectionPROCEDURE
Undergo blood sample collection
Bone Marrow AspirationPROCEDURE
Undergo bone marrow biopsy and aspiration
Bone Marrow BiopsyPROCEDURE
Undergo bone marrow biopsy and aspiration
Computed TomographyPROCEDURE
Undergo CT
CyclophosphamideDRUG
Given IV
EchocardiographyPROCEDURE
Undergo ECHO
EGFRt/19-28z/IL-12 CAR T-lymphocytesBIOLOGICAL
Given IV
Fludarabine PhosphateDRUG
Given IV
LeukapheresisPROCEDURE
Undergo leukapheresis
Multigated Acquisition ScanPROCEDURE
Undergo MUGA
Positron Emission TomographyPROCEDURE
Undergo PET

Study Locations

FacilityCityStateCountry
Roswell Park Cancer InstituteBuffaloNew YorkUnited States

Official Trial Information

View on ClinicalTrials.gov

Data sourced from ClinicalTrials.gov. Last updated: April 14, 2026