NCT06447987

Phase Ib Study to Evaluate Humanized CD19-Specific CAR T Cells Following Lymphodepleting Chemotherapy in Adult Patients With Relapsed/Refractory CD19+ B-Cell Acute Lymphoblastic Leukemia

Study Summary

This phase Ib trial tests the safety, side effects, and effectiveness of humanized (hu)CD19-chimeric antigen receptor (CAR) T cell therapy in treating patients with CD19 positive B-cell acute lymphoblastic leukemia (ALL) that has come back after a period of improvement (relapsed) or that has not responded to previous treatment (refractory). CAR T-cell therapy is a 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, such as CD19, 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 huCD19 positive CAR T cells are grown in the laboratory and given to the patient by infusion for treatment of certain cancers. Chemotherapy drugs, such as fludarabine and cyclophosphamide, work in different ways to stop the growth of cancer cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading. huCD19-CAR T cell therapy may be safe, tolerable and effective in treating patients with relapsed or refractory CD19 positive ALL.

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Interventions

Allogeneic Hematopoietic Stem Cell TransplantationPROCEDURE
Undergo alloHCT
Biospecimen CollectionPROCEDURE
Undergo blood sample collection
Bone Marrow AspirationPROCEDURE
Undergo bone marrow biopsy and aspiration
Bone Marrow BiopsyPROCEDURE
Undergo bone marrow biopsy and aspiration
CD19CAR-CD28-CD3zeta-EGFRt-expressing Tn/mem-enriched T-lymphocytesBIOLOGICAL
Given IV
CetuximabBIOLOGICAL
Given IV
Computed TomographyPROCEDURE
Undergo CT and PET
CyclophosphamideDRUG
Given IV
EchocardiographyPROCEDURE
Undergo ECHO
FludarabineDRUG
Given IV
LeukapheresisPROCEDURE
Undergo leukapheresis
Magnetic Resonance ImagingPROCEDURE
Undergo MRI
Multigated Acquisition ScanPROCEDURE
Undergo MUGA
Positron Emission TomographyPROCEDURE
Undergo PET/CT

Study Locations

FacilityCityStateCountry
City of Hope Medical CenterDuarteCaliforniaUnited States

Official Trial Information

View on ClinicalTrials.gov

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