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NCT Number: NCT05827835

CD7 CAR-T Bridging to alloHSCT for R/R CD7+Malignant Hematologic Diseases

This is a single-arm, open-label, single-center, phase I/II study. The primary objective is to evaluate the safety of CD7 CAR-T Bridging to allo-HSCT therapy for patients with CD7-positive relapsed or refractory Malignant Hematologic Diseases

Recruiting

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1 / Phase 2

Primary location

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Provision of signed and dated informed consent form (ICF)
  • Male or female, older than 18 years (including 18 years)
  • Anticipated survival time more than 12 weeks
  • Eastern Cooperative Oncology Group (ECOG) performance status ≤2
  • According to the National Comprehensive Cancer Network (NCCN) Clinical Practice Guidelines for Acute Lymphocytic Leukemia and Acute Myeloid Leukemia (2016. v1), patients diagnosed as CD7+ALL and AML
  • Consistent with r/r CD7+acute leukemia diagnosis, including any of the following conditions
  • a. No CR after standard chemotherapy
  • b. The first induction reaches CR, but CR ≤ 12 months
  • c. Patients with r/r CD7+acute leukemia have not responded to the first or multiple remedial treatments
  • d. Multiple recurrences
  • Philadelphia chromosome negative (Ph -) subjects; Or cannot tolerate tyrosine kinase inhibitor (TKI) treatment; Or Philadelphia chromosome positive (Ph+) subjects who did not respond to both TKI treatments
  • Normal lung function, oxygen saturation greater than 92% without oxygen inhalation
  • The blood biochemical test results are consistent with the following results
  • a. (AST) and (ALT) ≤ 2.5 × (ULN)
  • b. Total bilirubin ≤ 1.5 × ULN
  • c. 24-hour serum creatinine clearance ≥ 30 mL/min
  • d. Lipase and amylase ≤ 2 × ULN
  • Fertility capable men and women of childbearing age must agree to use effective contraception starting with the signing of an informed consent form until within 2 years after the use of the study drug. Women of reproductive age include pre menopausal women and women within 2 years after menopause. The blood pregnancy test for women of reproductive age must be negative at screening

Exclusion criteria

  • Patients with the history of epilepsy or other CNS disease
  • Pregnant or breastfeeding
  • Active infection with no cure
  • Patients with prolonged QT interval time or severe heart disease
  • Have experienced hypersensitivity or intolerance to any drug used in this study
  • Patients who received anticancer chemotherapy or other drug treatment within 2 weeks before screening
  • Previous malignant tumors that require treatment or have evidence of recurrence within the previous 5 years of screening
  • Clinically significant central nervous system lesions such as seizures, cerebral vascular ischemia/hemorrhage, dementia, cerebellar disease, psychosis, active central nervous system involvement, or cancerous meningitis
  • In the past 2 years, terminal organ damage caused by autoimmune diseases (such as Crohn's disease, rheumatoid arthritis, systemic lupus erythematosus) or the need for systematic application of immunosuppressive or other systemic disease control drugs
  • Severe active viral, bacterial, or uncontrolled systemic fungal infections; Genetic bleeding/coagulation disorders, a history of non-traumatic bleeding or thromboembolism, and other diseases that may increase the risk of bleeding
  • Patients who received autologous hematopoietic stem cell transplantation (ASCT) within 8 weeks before screening, or who plan to undergo ASCT during this study
  • Participated in clinical trials of other drugs within 4 weeks or 5 drug half-lives (T1/2) before screening
  • Any situation that the researchers believe may increase the risk of patients or interfere with the test results.

Treatment and study plan

CD7 CAR-T cells injection

Drug

CD7 CAR T cells treat patients with refractory or relapsed CD7 positive Malignant Hematologic Diseases

Allogeneic hematopoietic stem cell transplantation

Other

In this study, Allogeneic hematopoietic stem cell transplantation is used as a bridge therapy to CD7 CAR T cells infusion to treat patients with refractory or relapsed CD7 positive Malignant Hematologic Diseases

Primary outcomes

  1. Incidence and level of AE and SAE

    Time frame: Baseline up to 28 days after CD7 CAR T-cells infusion

    Adverse events assessed according to NCI-CTCAE v5.0 criteria

Secondary outcomes

  1. CAR-T cell expression

    Time frame: Evaluate at 1, 2, 3, 4, 8,12,16, 20 and 24 weeks after CAR-T infusion

    CAR-T cell expression in vivo

  2. CAR-T related cytokine expression

    Time frame: Evaluate at 1, 2, 3 and 4 weeks after CAR-T infusion

    CAR-T related cytokine expression

  3. Survival Rate (SR)

    Time frame: Evaluate at 6, 9, and 12 months

    Survival Rate (SR)

  4. Time-To-Progression(TTP)

    Time frame: Month 2,3,4,6,12,18and 24

    Time from the beginning of treatment to the progression of the disease

  5. Progression-free survival (PFS)

    Time frame: Month 6,12,18and 24

    Assessment of PFS at Month 6,12,18and 24

  6. Duration of remission,DOR

    Time frame: Up to 1 years after Treatment

    The time from CR/CRi and PR to disease relapsed or death due to disease progression after CAR-T infusion

  7. Overall response rate,ORR

    Time frame: Evaluate at 4, 8, and 12 weeks after CAR-T infusion

    The proportion of patients with CR (complete remission) /CRi (complete remission with incomplete blood count recovery); The proportion of patients with CR (complete response) /CRi (complete response with incomplete blood cell recovery) and PR (partial response).

  8. Clinical Benefit Rate(CBR)

    Time frame: Up to 24 weeks after Treatment

    ORR+MR

  9. Disease Control Rate (DCR)

    Time frame: Up to 12 weeks after Treatment

    CBR+SD

  10. Overall survival, OS

    Time frame: Up to 1 years after Treatment

    The time from CAR-T infusion to death due to any cause

  11. Minimal Residual Disease

    Time frame: Up to 2 years after Treatment

    MRD in CR and sCR patients

  12. Bone marrow transplantation STR

    Time frame: Evaluate at 4, 8,12,16 and 20 weeks after allogeneic hematopoietic stem cell transplantation

    Monitoring the status of allogeneic hematopoietic stem cell transplantation using STR-PCR

Study contacts

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

He Huang, MD

CONTACT

[email protected]

+86-0571-87236476

Yongxian HU, MD

CONTACT

[email protected]

+86-0571-87236476

Sponsors and collaborators

Lead sponsor

Zhejiang University

Other

Collaborators

  • Yake Biotechnology Ltd.

Registry information

Official study title

A Study to Evaluate the Efficacy and Safety of CD7CAR-T Bridging to Allogeneic Hematopoietic Stem Cell Transplantation in Patients With Refractory or Relapsed CD7 Positive Malignant Hematologic Diseases

Important dates

Study start
2023
Primary completion
2026
Study completion
2027
First posted
Apr 25, 2023
Registry last updated
Aug 13, 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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