CD33KO-HSPC Infusion Followed by CART-33 Infusion(s) for Refractory/Relapsed AML
NCT05945849 · Status: RECRUITING · Phase: PHASE1 · Type: INTERVENTIONAL · Enrollment: 16
Last updated 2025-06-29
Summary
The purpose of this study is to provide a new type of treatment for AML. This treatment combines a new type of stem cell transplant along with treatment using chimeric antigen receptor (CAR) T cells that have been engineered to recognize and attack your AML cells.
The first treatment is a modified stem cell transplant, using blood-forming stem cells donated from a healthy donor. From the same donor, we will also make CAR T-cells, which are leukemia fighting cells, which will be given to the patient via an infusion into the vein after the transplanted stem cells have started to grow healthy blood cells. The modification of the stem cell transplant means that the healthy bone marrow cells will be "invisible" to the CAR T-cells that are trying to kill the leukemia cells.
Conditions
- Leukemia, Myeloid, Acute
Interventions
- BIOLOGICAL
-
CD33KO-HSPC; CART33
CD33KO-HSPC: Stem cell transplant (also known as bone marrow transplant) is a common treatment used for patients with blood cancers, but for this transplant we will first modify the cells, in order to make the CAR T-cell treatment safer for when the patient receives them later. The modification is a type of gene editing - this means changing the DNA of the cells, so that a protein that the bone marrow stem cells usually show on their surface is not shown any more. This makes the bone marrow cells "invisible" to the CAR T-cells, and makes this therapy safer for the patient. The protein is called CD33. CART33: Chimeric Antigen Receptor T-cells (CART) are immune cells which are modified by adding a CAR molecule, which makes them much more efficient at finding and killing cancer cells. In this case, the CAR T-cells are programmed to target a protein called CD33, which is found on the surface of leukemia cells, and on healthy bone marrow cells.
Sponsors & Collaborators
- lead OTHER
Principal Investigators
-
Noelle Frey, MD · University of Pennsylvania
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-02-23
- Primary Completion
- 2029-02-23
- Completion
- 2044-02-23
- FDA Drug
- Yes
Countries
- United States
Study Locations
More Related Trials
-
Post-transplant Flotetuzumab for AML
NCT05506956 ·Status: COMPLETED ·Phase: PHASE1
-
Flotetuzumab in Primary Induction Failure (PIF) or Early Relapse (ER) Acute Myeloid Leukemia (AML)
NCT02152956 ·Status: TERMINATED ·Phase: PHASE1/PHASE2
-
Lymphodepletion and Anti-PD-1 Blockade to Reduce Relapse in AML Patient Not Eligible for Transplant
NCT02771197 ·Status: COMPLETED ·Phase: PHASE2
-
225Ac-DOTA-Anti-CD38 Daratumumab Monoclonal Antibody With Fludarabine, Melphalan and Total Marrow and Lymphoid Irradiation as Conditioning Treatment for Donor Stem Cell Transplant in Patients With High-Risk Acute Myeloid Leukemia, Acute Lymphoblastic Leukemia and Myelodysplastic Syndrome
NCT06287944 ·Status: RECRUITING ·Phase: PHASE1
-
Allogeneic Donor Lymphocyte Infusions Combined With Blinatumomab
NCT03982992 ·Status: WITHDRAWN ·Phase: PHASE2
-
PF-04449913 For Patients With Acute Myeloid Leukemia at High Risk of Relapse After Donor Stem Cell Transplant
NCT01841333 ·Status: COMPLETED ·Phase: PHASE2
-
Gemtuzumab Ozogamicin in Treating Patients With Relapsed or Refractory Acute Myeloid Leukemia or Acute Promyelocytic Leukemia
NCT01869803 ·Status: APPROVED_FOR_MARKETING
-
Sequential Conditioning in Haploidentical Transplantation for Refractory Acute Myeloid Leukemia
NCT03035422 ·Status: COMPLETED ·Phase: NA
-
Donor Stem Cell Transplant in Treating Young Patients With Acute Myeloid Leukemia With Monosomy 7, -5/5q-, High FLT3-ITD AR, or Refractory or Relapsed Acute Myelogenous Leukemia
NCT00553202 ·Status: COMPLETED ·Phase: PHASE2
-
Phase I Study of Cell Therapies for the Treatment of Patients With Relapsed or Refractory AML or High-risk MDS
NCT05457010 ·Status: RECRUITING ·Phase: PHASE1
-
Phase II Study of Post-Transplant Low-Dose Inotuzumab Ozogamicin to Prevent Relapse of Acute Lymphoblastic Leukemia
NCT06427330 ·Status: RECRUITING ·Phase: PHASE2
-
Immunotherapy for Acute Myeloid Leukemia (AML), Acute Lymphoblastic Leukemia (ALL), Blast Phase Chronic Myelogenous Leukemia (BP CML), and Myelodysplastic Syndrome (MDS) Relapse After Allogeneic Transplantation
NCT00548847 ·Status: COMPLETED ·Phase: PHASE2
-
Prophylactic Donor Lymphocyte Infusion After Allo-PBSCT for Patients With Very High-risk Hematologic Malignancies
NCT03771222 ·Status: UNKNOWN ·Phase: PHASE2
-
Treatment of Elderly AML Patients With Induction Chemotherapy Followed by G-CSF-Mobilized Stem Cells From Haploidentical Related Donors
NCT02519712 ·Status: TERMINATED ·Phase: NA
-
Dasatinib Followed by Stem Cell Transplant in Treating Older Patients With Newly Diagnosed Acute Lymphoblastic Leukemia
NCT01256398 ·Status: COMPLETED ·Phase: PHASE2
-
Daratumumab and Donor Lymphocyte Infusion in Treating Participants With Relapsed Acute Myeloid Leukemia After Stem Cell Transplant
NCT03537599 ·Status: TERMINATED ·Phase: PHASE1/PHASE2
-
Inotuzumab Ozogamicin in Treating Patients With Relapsed or Refractory CD22 Positive Acute Lymphoblastic Leukemia
NCT03094611 ·Status: TERMINATED ·Phase: PHASE2
-
Clinical Study of ARD103 CAR-T Therapy for Patients With R/R AML or MDS
NCT06680752 ·Status: RECRUITING ·Phase: PHASE1/PHASE2
-
Intensity Modulated Total Marrow Irradiation, Fludarabine Phosphate, and Melphalan in Treating Patients With Relapsed Hematologic Cancers Undergoing a Second Donor Stem Cell Transplant
NCT02333162 ·Status: SUSPENDED ·Phase: PHASE1
-
Flotetuzumab in Treating Patients With Recurrent or Refractory CD123 Positive Blood Cancer
NCT03739606 ·Status: WITHDRAWN ·Phase: PHASE2
-
Feasibility Study of Intermediate Doses of ARA-C With Autologous SCT as Consolidation of Low/Intermediate-risk AML
NCT03023384 ·Status: UNKNOWN
-
Flotetuzumab for Relapsed Acute Myeloid Leukemia (AML) and Myelodysplastic Syndrome (MDS) Following Allogeneic Hematopoietic Cell Transplantation (Allo-HCT)
NCT04582864 ·Status: TERMINATED ·Phase: PHASE2
-
Lintuzumab-Ac225 in Older Acute Myeloid Leukemia (AML) Patients
NCT02575963 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Combination Chemotherapy With or Without Monoclonal Antibody Therapy in Treating Patients With AML Leukemia
NCT00049517 ·Status: COMPLETED ·Phase: PHASE3
-
Gemtuzumab Ozogamicin in Treating Patients With Acute Myeloid Leukemia
NCT01548911 ·Status: WITHDRAWN ·Phase: PHASE2