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NCT Number: NCT07198867

A Study of A-CAR028 Treatment in Subjects With Relapsed or Refractory Acute Myeloid Leukemia

This is a single-center, open-label study to evaluate the safety and efficacy of A-CAR028 in relapsed/refractory acute myeloid leukemia patients

Recruiting

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Key information

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Department of Hematology, The First Affiliated Hospital, School of Medicine, Zhejiang University

Hangzhou, Zhejiang, 310003, China

Location status: Recruiting

Location contact

Huafeng Wang, MD

CONTACT

Jie Jin, MD

CONTACT

[email protected]

+86-571-87236114

About this study

The study includes the following sequential phases: Screening, Apheresis and A-CAR028 manufacturing, Baseline testing, Lymphodepletion, A-CAR028 infusion, Dose-limiting toxicity observation and Follow-up Visit

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • 18 to 75 years old at the time of signing the Informed Consent Form (ICF)
  • More than 12 weeks of expected survival
  • ECOG score 0 or 1
  • Relapsed or refractory AML
  • Adequate organ function

Exclusion criteria

  • Acute Promyelocytic Leukemia (APL)
  • Mixed Phenotype Acute Leukemia (MPAL)
  • Acute Undifferentiated Leukemia (AUL)
  • Only extramedullary leukemia
  • Known allergies to the components or excipients of the A-CAR028 cell product
  • Severe heart diseases, including but not limited to, myocardial infarction, angioplasty or stent implantation within 12 months prior to signing the ICF, unstable angina pectoris, severe arrhythmia, history of severe non-ischemic cardiomyopathy, heart failure
  • Autologous or allogeneic hematopoietic stem cell transplantation within 3 months prior to signing the ICF
  • Central nervous system (CNS) involvement or symptoms of CNS involvement (including cranial nerve lesions and extensive lesions or spinal cord compression)
  • A stroke or seizure occurred within 12 months prior to signing the ICF
  • Malignancy history within 5 years prior to signing the ICF
  • Uncontrolled active infection
  • Hepatitis B Virus (HBV), Hepatitis C Virus (HCV), Human Immunodeficiency Virus (HIV), Treponema Pallidum (TP) positive, Cytomegalovirus (CMV) DNA positive
  • Live vaccine injection within 4 weeks prior to signing the ICF
  • Acute or chronic graft-versus-host disease (GVHD) was present at screening
  • Inadequate washing time for previous treatment
  • Previously treated with CAR-T cell products or genetically modified T cell therapies

Treatment and study plan

A-CAR028

Biological

A-CAR028 is a novel 2nd generation 4-1BB bispecific chimeric antigen receptor T-cell (CAR-T) targeting both CD33 and CLL-1 antigens

Primary outcomes

  1. Incidence of dose limiting toxicities (DLTs)

    Time frame: Throughout the 28 days post A-CAR028 infusion

  2. Incidence and severity of Treatment Emergent Adverse Events (TEAEs)

    Time frame: Throughout the 3 months post A-CAR028 infusion

Secondary outcomes

  1. Incidence and severity of Adverse Events (AEs)

    Time frame: Throughout the 2 years post A-CAR028 infusion

  2. Overall Response Rate (ORR): including Complete Response (CR), CR with Partial Hematologic Recovery (CRh), CR with Incomplete Hematologic Recovery (CRi), Morphologic Leukemia-free State (MLFS) and Partial Response (PR)

    Time frame: Throughout the 2 years post A-CAR028 infusion

  3. Duration of Response (DOR)

    Time frame: Throughout the 2 years post A-CAR028 infusion

  4. Event-free Survival (EFS)

    Time frame: Throughout the 2 years post A-CAR028 infusion

  5. Overall Survival (OS)

    Time frame: Throughout the 2 years post A-CAR028 infusion

  6. Maximal plasma concentration (Cmax)

    Time frame: Throughout the 2 years post A-CAR028 infusion

  7. Time to reach the maximal plasma concentration (Tmax)

    Time frame: Throughout the 2 years post A-CAR028 infusion

  8. Area under the curve within 28 days (AUC0-28d)

    Time frame: Throughout the 2 years post A-CAR028 infusion

  9. Time of last measurable observed concentration (Tlast)

    Time frame: Throughout the 2 years post A-CAR028 infusion

  10. Changes of CD33/CLL-1 positive cells in bone marrow

    Time frame: Throughout the 2 years post A-CAR028 infusion

Study contacts

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

Huafeng Wang, MD

CONTACT

[email protected]

+86-0571-87236898

Jie Jin, MD

CONTACT

[email protected]

+86-0571-87236898

Sponsors and collaborators

Lead sponsor

First Affiliated Hospital of Zhejiang University

Other

Collaborators

  • Shanghai AbelZeta Ltd.

Registry information

Official study title

A Study of A-CAR028 Treatment in Subjects With Relapsed/ Refractory Acute Myeloid Leukemia

Important dates

Study start
2025
Primary completion
2026
Study completion
2027
First posted
Sep 30, 2025
Registry last updated
Sep 30, 2025

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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