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NCT Number: NCT07765524

A Phase I/II Open-label, Single-arm, Multicenter Clinical Study to Evaluate the Safety and Efficacy of FKC289 in Subjects With Relapsed/Refractory Primary AL Amyloidosis

This Phase I study is designed to evaluate the safety and efficacy of FKC289 in subjects with relapsed/refractory primary light chain (AL) amyloidosis.The primary objectives are to assess the safety of FKC289 and to establish the recommended Phase II dose (RP2D). And this Phase II study is designed to evaluate the efficacy of FKC289.The primary objectives are to assess proportion of subjects with hematologically best complete response (CR) within 6 months.

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Key information

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1 / Phase 2

Primary location

Sun Yat-sen University Cancer Center, Guangzhou, Guangdong, China

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Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Voluntarily signed the informed consent form (ICF);
  • Aged between 18-75 years old (inclusive);
  • Confirmed clinical diagnosis of primary light chain (AL) amyloidosis;
  • Relapsed or refractory disease;
  • dFLC ≥ 40 mg/L (based on central laboratory test results);
  • ECOG performance status of 0 to 2;
  • No active systemic infection within 2 weeks prior to leukapheresis;
  • Adequate bone marrow and major organ function (including hepatic, renal, cardiac, and pulmonary);

Exclusion criteria

  • Presence of any clinically significant cardiovascular disease within 6 months prior to screening;
  • Clinically significant central nervous system (CNS) disease or pathological abnormality;
  • History of solid organ transplantation (e.g., heart, lung, kidney, liver);
  • Presence of complete intestinal obstruction;
  • Moderate to severe pleural effusion or ascites that is difficult to control with conventional treatment and requires continuous catheter drainage;
  • History of malignancy within 5 years prior to signing the ICF

Treatment and study plan

FKC289 infusion

Drug

Anti-BCMA/CD19 chimeric antigen receptor autologous T cells

Primary outcomes

  1. Dose-Limiting Toxicity (DLT)

    Time frame: Within 28 days after FKC289 infusion

    Number of subjects experiencing DLT

  2. Adverse Events (AEs) and Serious Adverse Events (SAEs)

    Time frame: Within 24 months after FKC289 infusion

    Number of subjects experiencing AEs and SAEs

  3. Replication Competent Lentivirus (RCL)

    Time frame: Within 24 months after FKC289 infusion

    Number of subjects with positive detection of RCL

Secondary outcomes

  1. Hematologic complete response rate (CRR)

    Time frame: Within 6 months,12 months, and 24 months after FKC289 infusion

    Proportion of subjects achieving hematologic complete response (CR) according to the NCCN 2023

  2. Hematologic objective response rate (ORR)

    Time frame: Within 6 months,12 months, and 24 months after FKC289 infusion

    Proportion of subjects achieving hematologic objective response according to the NCCN 2023

  3. Pharmacokinetics (PK)

    Time frame: Within 24 months after FKC289 infusion

    Levels of CAR-T cells in peripheral blood

  4. Pharmacodynamics (PD)

    Time frame: Within 24 months after FKC289 infusion

    Proportion of CD19+ B cells and BCMA+ plasma cells in peripheral blood; Changes in the levels of cytokines in peripheral blood

Study contacts

Contact information is provided by the study sponsor or research team.

Jing Li, MD

CONTACT

[email protected]

+8621-64041990 ext. 2025

Zhizhong Geng, MD

CONTACT

[email protected]

+8616601956551

Sponsors and collaborators

Lead sponsor

Shenzhen Fosun Kairos Biotechnology Co., Ltd.

Industry

Registry information

Important dates

Study start
2026
Primary completion
2028
Study completion
2029
First posted
Aug 14, 2026
Registry last updated
Aug 14, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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