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Multiple MyelomaPhase 2CARTIFAN-1NCT03758417

A Study of LCAR-B38M CAR-T Cells, a Chimeric Antigen Receptor T-cell (CAR-T) Therapy Directed Against B-cell Maturation Antigen (BCMA) in Chinese Participants With Relapsed or Refractory Multiple Myeloma

A Phase 2 study testing LCAR-B38M CAR-T Cell in people with Multiple Myeloma, run by Nanjing Legend Biotech Co. at 11 sites in China.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The purpose of this study is to evaluate the efficacy and safety of LCAR-B38M chimeric antigen receptor T (CAR-T) cells. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Multiple Myeloma
What is being tested?
LCAR-B38M CAR-T Cell
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
123 participants
Where
11 sitesChina
Study dates
23 Jan 2019to 20 Oct 2025
Phase
Phase 2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Documented initial diagnosis of multiple myeloma according to International Myeloma Working Group (IMWG) diagnostic criteria
  • Measurable disease at Screening
  • Received at least 3 prior lines of treatment for multiple myeloma
  • Undergone at least 1 complete cycle of treatment for each line, unless progressive disease (PD) was documented by IMWG criteria as the best response to the regimen
  • Received a proteasome inhibitor (PI) and an immunomodulatory drug (IMiD)
  • Participant must have documented evidence of progressive disease based on investigator's determination of response consistent with IMWG criteria on or within 12 months of their last regimen. Non-responsive disease is defined as either failure to achieve minimal response or development of progressive disease (PD) while on therapy. Also, participants with documented evidence of PD disease (as above) within the previous 6 months and who are refractory or non-responsive to their most recent line of treatment afterwards are eligible
  • Eastern Cooperative Oncology Group (ECOG) Performance Status grade of 0 or 1

Who cannot join

  • Prior treatment with chimeric antigen receptor T (cells) CAR-T therapy directed at any target
  • Any therapy that is targeted to B-cell maturation antigen (BCMA)
  • The following cardiac conditions: a) New York Heart Association (NYHA) stage III or IV congestive heart failure b) Myocardial infarction or coronary artery bypass graft (CABG) 6 months prior to enrollment c) History of clinically significant ventricular arrhythmia or unexplained syncope, not believed to be vasovagal in nature or due to dehydration d) History of severe non-ischemic cardiomyopathy e) Impaired cardiac function (left ventricular ejection fraction [LVEF] less than [<]45%) as assessed by echocardiogram or multiple-gated acquisition (MUGA) scan (performed less than or equal to (<=) 8 weeks of apheresis)
  • Have received a cumulative dose of corticosteroids equivalent to greater than or equal to(>=)70 milligram (mg) of prednisone within 7 days prior to apheresis
  • Diagnosed or treated for invasive malignancy other than multiple myeloma, except:
  • Malignancy treated with curative intent and with no known active disease present for greater than or equal to (>=) 2 years before enrollment; or
Show all 13Show fewer
  • Adequately treated non-melanoma skin cancer without evidence of disease
  • Prior antitumor therapy with insufficient washout period
  • Toxicity from previous anticancer therapy must resolve to baseline levels or to Grade 1 or less except for alopecia or peripheral neuropathy
  • Received either of the following:
  • An allogeneic stem cell transplant for multiple myeloma
  • An autologous stem cell transplant less than or equal to (<=) 12 weeks before apheresis
  • Known active, or prior history of, central nervous system (CNS) involvement or exhibits clinical signs of meningeal involvement of multiple myeloma

Trial locations and contacts

11 sites in 1 country.

11 sites in 1 country

China11 sites
  • Peking University Third Hospital

    Beijing, Beijing Municipality, 100191

  • West China Hospital, Sichuan University

    Chengdu, Sichuan, 610041

  • Fujian Medical University Union hospital

    Fuzhou, Fujian, 350001

  • Sun Yat -Sen University Cancer Center

    Guandong, Guangzhou, 510060

  • The First Affiliated Hospital, Medical School of Zhejiang University

    Hangzhou, Zhejiang, 310003

  • Nanjing Drum Tower Hospital

    Nanjing, Jiangsu, 210008

  • Jiangsu Province Hospital

    Nanjing, Jiangsu, 210029

  • Shanghai Changzheng Hospital

    Shanghai, Shanghai Municipality, 200003

  • Ruijin Hospital, Shanghai Jiao Tong University

    Shanghai, Shanghai Municipality, 200025

  • Shanghai Fourth People Hospital

    Shanghai, Shanghai Municipality, 200434

  • The Second Affiliated Hospital of Xi'an Jiaotong University

    Xi’an, Shanxi, 710004

Other trials in China

About this study

Official title: A Phase 2, Open-Label Study of LCAR-B38M CAR-T Cells, a Chimeric Antigen Receptor T-cell (CAR-T) Therapy Directed Against BCMA in Chinese Subjects With Relapsed or Refractory Multiple Myeloma

The purpose of this study is to evaluate the efficacy and safety of LCAR-B38M chimeric antigen receptor T (CAR-T) cells.

Being tested
LCAR-B38M CAR-T Cell
Medical subject headings
Multiple Myeloma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • LCAR-B38M CAR-T CellBiological

    Also called Ciltacabtagene autoleucel

    Participants will receive LCAR-B38M CAR-T cells as a single infusion which consists of autologous T lymphocytes transduced with LCAR-B38M, a lentiviral vector to express a chimeric antigen receptor targeting the human B cell maturation antigen (anti-BCMA CAR).

Study groups in NCT03758417
Study groupRoleWhat they receive
LCAR-B38M Chimeric Antigen Receptor T CellExperimentalParticipants will receive LCAR-B38M CAR-T cells as a single infusion which consists of autologous T lymphocytes transduced with LCAR-B38M, a lentiviral vector to express a chimeric antigen receptor targeting the human B cell maturation antigen (anti-BCMA CAR). In addition, participants will enroll in additional cohort to further characterize the safety profile and accumulate efficacy data of LCAR-B38M CAR-T cells.
Receives: Biological: LCAR-B38M CAR-T Cell

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Overall Response Rate (ORR)

    The ORR is defined as the percentage of participants who achieve at least a partial response (PR) or better according to international myeloma working group (IMWG) criteria.

    Measured: Minimum 2 years after LCAR-B38M chimeric antigen receptor T (CAR-T) infusion (Day 1)

Secondary outcomes (19)
  1. Number of Participants With Adverse Events

    An adverse event is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product.

    Measured: Minimum 2 years after LCAR-B38M CART infusion (Day 1)

  2. Chimeric Antigen Receptor T (CAR-T) Positive Cell Concentration

    Venous blood samples will be collected for measurement of CAR-T positive cellular concentration.

    Measured: Minimum 2 years after LCAR-B38M CART infusion (Day 1)

  3. Transgene Levels of LCAR-B38M CAR-T Cells

    Transgene Levels of LCAR-B38M CAR-T Cells using sensitive assay methods will be assessed.

    Measured: Minimum 2 years after LCAR-B38M CART infusion (Day 1)

  4. Systemic Cytokine Concentrations

    Serum cytokine concentrations such as Interleukin [IL]-6, IL-15, IL-10 will be measured for biomarker assessment.

    Measured: Minimum 2 years after LCAR-B38M CART infusion (Day 1)

  5. Number of Participants With Anti- LCAR-B38M CAR-T Cell Antibodies

    Number of participants with anti- LCAR-B38M CAR-T cell antibodies will be evaluated.

    Measured: Minimum 2 years after LCAR-B38M CART infusion (Day 1)

  6. Percentage of Participants with Very Good Partial Response (VGPR) or Better Rate

    The VGPR or better rate, defined as the percentage of participants achieving VGPR and complete response (CR) (including stringent complete response [sCR]) according to IMWG criteria during or after the study treatment. IMWG criteria for VGPR: Serum and urine M-component detectable by immunofixation but not on electrophoresis, or greater than or equal to (>=) 90 percent (%) reduction in serum Mprotein plus urine M-protein less than (<) 100 milligram (mg)/24 hours, CR: Negative immunofixation on the serum and urine, disappearance of any soft tissue plasmacytomas and <5% plasma cells (PCs) in bone marrow. sCR: CR plus normal free light chain (FLC) ratio, and absence of clonal PCs by immunohistochemistry (IHC), immunofluorescence for 2 to 4 color flow cytometry.

    Measured: Minimum 2 years after LCAR-B38M CART infusion (Day 1)

  7. Percentage of Participants with Complete Response (CR)

    Complete response is based on serum M-Protein and bone marrow assessments as per IMWG criteria.

    Measured: Minimum 2 years after LCAR-B38M CART infusion (Day 1)

  8. Percentage of Participants with Negative Minimal Residual Disease (MRD)

    Minimal residual disease negative rate is defined as the percentage of participants who achieve MRD negative status by the respective time point. MRD will be assessed by bone marrow 8-colored flow cytometry.

    Measured: Minimum 2 years after LCAR-B38M CART infusion (Day 1)

  9. Percentage of Participants who Achieve Clinical Benefit

    Clinical Benefit Rate is defined as the percentage of participants who achieve ORR (sCR + CR + VGPR + PR) and minimal response (MR) as per IMWG criteria.

    Measured: Minimum 2 years after LCAR-B38M CART infusion (Day 1)

  10. Duration of Response (DOR)

    Duration of response (DOR) will be calculated among responders (with a PR or better response) from the date of initial documentation of a response (PR or better) to the date of first documented evidence of progressive disease, as defined in the IMWG criteria or death due to any cause, whichever occurs first.

    Measured: Minimum 2 years after LCAR-B38M CART infusion (Day 1)

  11. Time to Response (TTR)

    Time to response (TTR) is defined as the time between date of the initial infusion of LCAR-B38M CAR-T cells and the first efficacy evaluation that the participant has met all criteria for PR or better.

    Measured: Minimum 2 years after LCAR-B38M CART infusion (Day 1)

  12. Progression-Free Survival (PFS)

    PFS defined as time from date of initial infusion of LCAR-B38M CAR-T cells to date of first documented disease progression, defined in the IMWG criteria, or death due to any cause, whichever occurs first.

    Measured: Minimum 2 years after LCAR-B38M CART infusion (Day 1)

  13. Overall survival (OS)

    Overall survival (OS) is measured from the date of infusion of the LCAR-B38M CAR-T cells to the date of the participant's death.

    Measured: Mnimum 2 years after LCAR-B38M CART infusion (Day 1)

  14. Levels of CAR-T cell Activation Markers

    Levels of CAR-T cell Activation Markers like CD4+, CD8+, and CD25+ will be assessed. An evaluation of cell populations may be performed by flow cytometry.

    Measured: Minimum 2 years after LCAR-B38M CART infusion (Day 1)

  15. Levels of LCAR-B38M CAR-T cell Expansion (proliferation)

    Levels of LCAR-B38M CAR-T cell expansion (proliferation) will be reported.

    Measured: Minimum 2 years after LCAR-B38M CART infusion (Day 1)

  16. Levels of LCAR-B38M CAR-T Persistence

    Levels of LCAR-B38M CAR-T persistence will be evaluated via monitoring CAR-T positive cell counts and CART transgene levels.

    Measured: Minimum 2 years after LCAR-B38M CART infusion (Day 1)

  17. Percentage of Participants with Stringent Complete Response (sCR)

    Stringent Complete Response (sCR) is based on serum M-Protein and bone marrow assessments as per IMWG criteria for complete response(CR) plus normal free light chain (FLC) ratio, and absence of clonal PCs by immunohistochemistry(IHC), or 2 to 4 color flow cytometry.

    Measured: Minimum 2 years after LCAR-B38M CART infusion (Day 1)

  18. Circulating Soluble B-Cell Maturation Antigen (sBCMA) Levels

    Blood samples will be collected for measurement of sBCMA level.

    Measured: Minimum 2 years after LCAR-B38M CART infusion (Day 1)

  19. Percent Reduction in BCMA Expression Cells

    Percent reduction in BCMA Expression Cells will be measured.

    Measured: Minimum 2 years after LCAR-B38M CART infusion (Day 1)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted29 Nov 2018
  2. Study start23 Jan 2019
  3. Primary completion10 Jul 2025
  4. Study completion20 Oct 2025

Why it stopped: The study was terminated early due to a strategic realignment of the sponsor's business plan, not related to safety, efficacy, or data integrity concerns.

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
123 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03758417
Sponsor's protocol ID
CR108494
Other IDs
68284528MMY2002
Acronym
CARTIFAN-1
Status last verified
Dec 2025
First submitted
27 Nov 2018
Last updated
17 Dec 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Publications

  • Mi JQ, Zhao W, Jing H, Fu W, Hu J, Chen L, Zhang Y, Yao D, Chen D, Schecter JM, Yang F, Tian X, Sun H, Zhuang SH, Ren J, Fan X, Jin J, Niu T, Chen SJ. Phase II, Open-Label Study of Ciltacabtagene Autoleucel, an Anti-B-Cell Maturation Antigen Chimeric Antigen Receptor-T-Cell Therapy, in Chinese Patients With Relapsed/Refractory Multiple Myeloma (CARTIFAN-1). J Clin Oncol. 2023 Feb 20;41(6):1275-1284. doi: 10.1200/JCO.22.00690. Epub 2022 Oct 21.

    PubMed 36269898

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing LCAR-B38M CAR-T Cell in people with Multiple Myeloma, run by Nanjing Legend Biotech Co. at 11 sites in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 17 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 11 sites in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study was stopped early (reason given: The study was terminated early due to a strategic realignment of the sponsor's business plan, not related to safety, efficacy, or data integrity concerns.). Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Overall Response Rate (ORR) (time frame: Minimum 2 years after LCAR-B38M chimeric antigen receptor T (CAR-T) infusion (Day 1)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03758417, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Dec 2025.

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