Clinical Trial of CD19 and CD22 CAR Sequential Therapy Versus Single CD19 CAR Bridging to HSCT for r/r B-ALL Patients
NCT06343090 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 353
Last updated 2026-03-10
Summary
This is a multi-center, open-label, non-randomized, two-arm, non-inferior trial. Patients with r/r B-ALL would be assigned to the CD19 CAR and CD22 CAR T-cell sequential infusion group (Sequential CAR, Arm-1) and the CD19 CAR T-cell infusion bridging to hematopoietic stem cell transplantation group (CAR+HSCT, Arm-2), according their own discretion. Patients would be also allowed to assigned to the CD19 CAR T-cell infusion without consolidation therapies group (Single CAR, additional placebo arm) according their own discretion. The primary objective is to prospectively evaluate and compare the efficacy of CD19 CAR and CD22 CAR T cell sequential infusions and CD19 CAR T-cell infusion bridging to HSCT in the treatment of r/r B-ALL. The primary endpoint is event-free survival of children and adolescent and young adult (AYA) with r/r B-ALL a treated with CD19 CAR and CD22 CAR T-cell sequential infusions and CD19 CAR T-cell infusion bridging to HSCT. A total number of 353 subjects will be enrolled.
Conditions
- B-cell Acute Lymphoblastic Leukemia
- Acute Lymphoblastic Leukemia, in Relapse
- Refractory Acute Lymphoid Leukemia
Interventions
- PROCEDURE
-
hematopoietic stem-cell transplantation
allo-HSCT
- DRUG
-
CD22 CAR T cells
humanized CD22 CAR T cells
- DRUG
-
CD19 CAR T-cell
Murine-derived CD19 CAR T cells
Sponsors & Collaborators
-
The General Hospital of Western Theater Command
collaborator OTHER -
Zhaxin Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai
collaborator OTHER -
Shanghai Liquan Hospital
collaborator OTHER -
Ruijin Hospital
collaborator OTHER -
Central People's Hospital of Zhanjiang
collaborator OTHER -
First Affiliated Hospital of Guangxi Medical University
collaborator OTHER -
Beijing GoBroad Hospital
lead OTHER
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 1 Year
- Max Age
- 70 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-04-12
- Primary Completion
- 2042-12-01
- Completion
- 2043-09-30
Countries
- China
Study Locations
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