drugset / Trial / NCT07257419

CD45RA-depleted CD19-CAR T Cell Consolidation After TCRαβ+/CD19 B Cell-depleted Haploidentical Hematopoietic Cell Transplantation for Relapsed/Refractory CD19+ ALL and Lymphoma

NCT07257419

Phase 1 Recruiting 70 enrolled St. Jude Children's Research Hospital
NaSingle-groupOpen-labelTreatment

Summary

The purpose of this study is to learn more about newer methods of transplanting blood cells donated by a partially matched family member to children with high-risk CD19 positive leukemia ALL. Primary Objective: \- To assess the safety and feasibility of combining CD19-CAR(Mem) T cells after TCRαβ+/CD19 depleted haploidentical donor transplantation for pediatric patients with relapsed/refractory CD19+ B-cell malignancies. Secondary Objectives: * To estimate 1-year post-transplant overall survival, event-free survival, and GVHD-free relapse-free survival (GRFS). * To estimate cumulative incidence of engraftment, acute and chronic GVHD, and immune-related adverse events, including CRS and ICANS.

Timeline

Start
2026-08-03
Primary completion
2031-12
Completion
2035-12

Drugs

EvaluationDrugModalityDoseRoute
Background 2-MERCAPTOETHANESULFONIC ACID Small molecule 15 mg/kg
Background Cyclophosphamide Other / unclassified 60 mg/kg Intravenous
Background Fludarabine Small molecule 1 mg/kg Intravenous
Background Fludarabine Small molecule 30 mg/m2 Intravenous
Background Melphalan Small molecule 2.3 mg/kg Intravenous
Background Melphalan Small molecule 70 mg/m2 Intravenous
Background Thiotepa Other / unclassified 5 mg/kg Intravenous
Background Thymoglobulin Protein / enzyme biologic
Background filgrastim Protein / enzyme biologic 10 ug/kg Subcutaneous