Acute Lymphocytic LeukemiaPhase 1NCT05292898
A Triple-targeted Cell Preparation Targeting CD19/CD20/CD22 in Patients With Relapsed/Refractory B-cell Acute Lymphocytic Leukemia
A Phase 1 study testing LCAR-AIO Cells in people with Acute Lymphocytic Leukemia, run by Institute of Hematology & Blood Diseases Hospital, China at 2 sites in China.
Trial summary
A phase I, open-label clinical study to evaluate the safety, tolerability, and efficacy of LCAR-AIO, a triple-targeted cell preparation targeting CD19/CD20/CD22, in patients with relapsed/refractory B-cell acute lymphocytic leukemia Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Acute Lymphocytic Leukemia
- What is being tested?
- LCAR-AIO Cells
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 10 participants
- Where
- 2 sitesChina
- Study dates
- 14 Mar 2022to 31 Mar 2025
- Phase
- Phase 1
- 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 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Subjects have fully understood the possible risks and benefits of participating in this study, are willing to follow and able to complete all trial procedures, and have signed informed consent;
- Age 18-75 years;
- ECOG score: 0-1;
- Detect the expression of at least one of CD19/CD20/CD22 in leukemic cells by Flow cytometry in peripheral blood or bone marrow
- Leukemia cells in the bone marrow >5%
- Pathologically confirmed relapsed/refractory ALL must meet one of the following conditions:
Show all 12Show fewer
- Naive patients who failed to achieve CR1 after standard chemotherapy;
- relapse within 12 months after CR1, or relapse after 12 months but fail to achieve CR2
- twice or more bone marrow relapse
- Philadelphia chromosomal positive (Ph+) and unable to tolerate TKI therapy, failed TKI therapy more than 2 lines, or had contraindications for TKI therapy
- Clinical laboratory values meet screening visit criteria
- Expected survival ≥ 3 months;
Who cannot join
- 1.Prior antitumor therapy with insufficient washout period; 2.CNS infiltration; Except for patients with prior CNS infiltration who are currently in remission; 3.Have received two or more targets (CD19/CD20/CD22) CAR-T cell therapy (including but not limited to sequential infusion) at any previous time, or have received CAR-T cell therapy from Camel family origin; 4.With acute or chronic graft-versus-host disease; 5.Isolated extramedullary relapse, but hepatic, spleen, or lymph node-isolated extramedullary relapse is acceptable; 6.HBsAg, HBV DNA, HCV-Ab, HCV RNA or HIV-Ab positive; 7.Pregnant or lactating women;
- -
Trial locations and contacts
2 sites in 1 country.
China2 sites
Beijing Gobroad BoRen Hospital
Beijing, Beijing Municipality
Institute of Hematology & Blood Diseases Hospital
Tianjin, Tianjin Municipality
About this study
Official title: A Phase I, Open-label Clinical Study to Evaluate the Safety, Tolerability, and Efficacy of LCAR-AIO, a Triple-targeted Cell Preparation Targeting CD19/CD20/CD22, in Patients With Relapsed/Refractory B-cell Acute Lymphocytic Leukemia
A phase I, open-label clinical study to evaluate the safety, tolerability, and efficacy of LCAR-AIO, a triple-targeted cell preparation targeting CD19/CD20/CD22, in patients with relapsed/refractory B-cell acute lymphocytic leukemia
Read the detailed description
This is an open-label, dose escalation/expansion study to assess the safety, tolerability, and efficacy of LCAR-AIO in patients ≥ 18 years of age with relapsed or refractory B-cell acute lymphocytic leukemia. Patients who meet the eligibility criteria will receive a single dose of LCAR-AIO infusion. The study will include the following sequential phases: screening, pre-treatment (cell product preparation; lymphodepleting chemotherapy), treatment and follow up.
- Conditions
- Acute Lymphocytic Leukemia
- Being tested
- LCAR-AIO Cells
- Medical subject headings
- Precursor Cell Lymphoblastic Leukemia-Lymphoma
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
LCAR-AIO CellsBiological
LCAR-AIO Cells before treatment with LCAR-AIO cells, subjects will receive a conditioning regimen (IV infusion of cyclophosphamide 300 mg/m^2 and fludarabine 30mg/m^2 once daily (QD) for 3 days.
| Study group | Role | What they receive |
|---|---|---|
| LCAR-AIO Cells | Experimental | Each subject will be treated with LCAR-AIO Cells Receives: Biological: LCAR-AIO Cells |
What is being measured
The primary outcome is the main question the study is designed to answer.
Incidence, severity, and type of treatment-emergent adverse events (TEAEs)
An adverse event refers to any untoward medical occurrence in a clinical investigation subject administered a pharmaceutical product (investigational or non-investigational), which does not necessarily have a causal relationship with the treatment
Measured: [Time Frame: Minimum 2 years after LCAR-AIO infusion (Day 1)]
Recommended Phase 2 dose (RP2D) finding
RP2D established through ATD+BOIN design
Measured: [Time Frame: 30 days after LCAR-AIO infusion (Day 1)]
CAR positive T cells and CAR transgene levels in peripheral blood and bone marrow
CAR positive T cells and CAR transgene levels in peripheral blood and bone marrow after LCAR-AIO infusion
Measured: [Time Frame: 2 years after LCAR-AIO infusion (Day 1)]
Secondary outcomes (6)
Overall response rate (ORR)
Objective Response Rate (ORR) is defined as the proportion of subjects who achieve CR or CRi after treatment via LCAR-AIO cell infusion
Measured: [Time Frame: 90 days after LCAR-AIO infusion (Day 1)]
Time to Response (TTR)
Time to Response (TTR) is defined as the time from the date of first infusion of LCAR-AIO to the date of the first response evaluation of the subject who has met all criteria for CR or CRi.
Measured: [Time Frame: 90 days after LCAR-AIO infusion (Day 1)]
Duration of Response (DoR)
Duration of Remission (DoR) is defined as the time from the first documentation of remission (CR or CRi) to the first documented relapse evidence of the responders
Measured: [Time Frame: Minimum 2 years after LCAR-AIO infusion (Day 1)]
Relapse-free survival (RFS)
Relapse-free survival (RFS) is defined as the time from the date of first infusion of the LCAR-AIO to the first documented disease relapse or death (due to any cause), whichever occurs first
Measured: [Time Frame: Minimum 2 years after LCAR-AIO infusion (Day 1)]
Overall Survival (OS)
Overall Survival (OS) is defined as the time from the date of first infusion of LCAR-AIO to death of the subject
Measured: [Time Frame: Minimum 2 years after LCAR-AIO infusion (Day 1)]
Incidence of anti-LCAR-AIO antibody and positive sample titer
Venous blood samples will be collected to measure LCAR-AIO positive cell concentrations and the transgenic level of LCAR-H93T, at the time points when anti-LCAR-AIO antibody serum samples are evaluated
Measured: [Time Frame: Minimum 2 years after LCAR-H93T infusion (Day 1)]
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 Mar 2022
- Study start14 Mar 2022
- Primary completion10 Jan 2025
- Study completion31 Mar 2025
Why it stopped: Achieve the proof of concept
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Acute Lymphocytic LeukemiaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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 1
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 10 participants (actual)
Sponsor and investigators
- Lead sponsor
- Institute of Hematology & Blood Diseases Hospital, China
- Sponsor type
- University, hospital or other
- Collaborators
- Nanjing Legend Biotech Co.
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05292898
- Sponsor's protocol ID
- IIT2021065
- Status last verified
- Dec 2024
- First submitted
- 14 Mar 2022
- Last updated
- 3 Jun 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 3 Jun 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase I, Open-label Clinical Study to Evaluate the Safety, Tolerability, and Efficacy of LCAR-AIO, a Triple-targeted Cell Preparation Targeting CD19/CD20/CD22, in Patients With Relapsed/Refractory B-cell Acute Lymphocytic Leukemia
- ClinicalTrials.gov ID
- NCT05292898
- Acronym / sponsor ID
- IIT2021065
- Conditions
- Acute Lymphocytic Leukemia
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Achieve the proof of concept
- Enrolment
- 10 participants (actual)
- Lead sponsor
- Institute of Hematology & Blood Diseases Hospital, ChinaUniversity, hospital or other
- Collaborators
- Nanjing Legend Biotech Co.
- Study start
- 14 Mar 2022 (actual)
- Primary completion
- 10 Jan 2025 (actual)
- Study completion
- 31 Mar 2025 (actual)
- First posted
- 23 Mar 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
A phase I, open-label clinical study to evaluate the safety, tolerability, and efficacy of LCAR-AIO, a triple-targeted cell preparation targeting CD19/CD20/CD22, in patients with relapsed/refractory B-cell acute lymphocytic leukemia
Detailed description
This is an open-label, dose escalation/expansion study to assess the safety, tolerability, and efficacy of LCAR-AIO in patients ≥ 18 years of age with relapsed or refractory B-cell acute lymphocytic leukemia. Patients who meet the eligibility criteria will receive a single dose of LCAR-AIO infusion. The study will include the following sequential phases: screening, pre-treatment (cell product preparation; lymphodepleting chemotherapy), treatment and follow up.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| LCAR-AIO Cells | Experimental | Biological: LCAR-AIO CellsEach subject will be treated with LCAR-AIO Cells |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (12 listed)
- Subjects have fully understood the possible risks and benefits of participating in this study, are willing to follow and able to complete all trial procedures, and have signed informed consent;
- Age 18-75 years;
- ECOG score: 0-1;
- Detect the expression of at least one of CD19/CD20/CD22 in leukemic cells by Flow cytometry in peripheral blood or bone marrow
- Leukemia cells in the bone marrow >5%
Key exclusion criteria (2 listed)
- 1.Prior antitumor therapy with insufficient washout period; 2.CNS infiltration; Except for patients with prior CNS infiltration who are currently in remission; 3.Have received two or more targets (CD19/CD20/CD22) CAR-T cell therapy (including but not limited to sequential infusion) at any previous time, or have received CAR-T cell therapy from Camel family origin; 4.With acute or chronic graft-versus-host disease; 5.Isolated extramedullary relapse, but hepatic, spleen, or lymph node-isolated extramedullary relapse is acceptable; 6.HBsAg, HBV DNA, HCV-Ab, HCV RNA or HIV-Ab positive; 7.Pregnant or lactating women;
- -
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| LCAR-AIO CellsLCAR-AIO Cells before treatment with LCAR-AIO cells, subjects will receive a conditioning regimen (IV infusion of cyclophosphamide 300 mg/m^2 and fludarabine 30mg/m^2 once daily (QD) for 3 days. | Biological | LCAR-AIO Cells |
Primary outcome
Incidence, severity, and type of treatment-emergent adverse events (TEAEs)
Time frame: [Time Frame: Minimum 2 years after LCAR-AIO infusion (Day 1)]
An adverse event refers to any untoward medical occurrence in a clinical investigation subject administered a pharmaceutical product (investigational or non-investigational), which does not necessarily have a causal relationship with the treatment
Recommended Phase 2 dose (RP2D) finding
Time frame: [Time Frame: 30 days after LCAR-AIO infusion (Day 1)]
RP2D established through ATD+BOIN design
CAR positive T cells and CAR transgene levels in peripheral blood and bone marrow
Time frame: [Time Frame: 2 years after LCAR-AIO infusion (Day 1)]
CAR positive T cells and CAR transgene levels in peripheral blood and bone marrow after LCAR-AIO infusion
6 secondary outcomes
Overall response rate (ORR)
Time frame: [Time Frame: 90 days after LCAR-AIO infusion (Day 1)]
Time to Response (TTR)
Time frame: [Time Frame: 90 days after LCAR-AIO infusion (Day 1)]
Duration of Response (DoR)
Time frame: [Time Frame: Minimum 2 years after LCAR-AIO infusion (Day 1)]
Relapse-free survival (RFS)
Time frame: [Time Frame: Minimum 2 years after LCAR-AIO infusion (Day 1)]
Overall Survival (OS)
Time frame: [Time Frame: Minimum 2 years after LCAR-AIO infusion (Day 1)]
Incidence of anti-LCAR-AIO antibody and positive sample titer
Time frame: [Time Frame: Minimum 2 years after LCAR-H93T infusion (Day 1)]
Results and safety
The study was stopped early (reason given: Achieve the proof of concept). Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Jun 2025.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing LCAR-AIO Cells in people with Acute Lymphocytic Leukemia, run by Institute of Hematology & Blood Diseases Hospital, China at 2 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 12 inclusion and 2 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 3 Jun 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
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: Achieve the proof of concept). 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?
Incidence, severity, and type of treatment-emergent adverse events (TEAEs) (time frame: [Time Frame: Minimum 2 years after LCAR-AIO infusion (Day 1)]). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 3 Jun 2025.