CLL/SLLPhase 1NCT05665062
Autologous CD19 CAR-T Cell Therapy (SYNCAR-001) + Orthogonal IL-2 (STK-009) in Subjects With CD19+ Hematologic Malignancies
A Phase 1 study testing SYNCAR-001, STK-009 and Cyclophosphamide in people with CLL/SLL and NHL, run by Synthekine at 4 sites in United States.
Trial summary
This is a first-in-human phase 1 study of SYNCAR-001 + STK-009 in patients with CD19+ hematologic malignancies. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- CLL/SLL, NHL, Mantle Cell Lymphoma
- What is being tested?
- SYNCAR-001, STK-009 and Cyclophosphamide
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 36 participants
- Where
- 4 sitesUnited States
- Study dates
- 23 Apr 2023to Nov 2041
- Phase
- Phase 1
- Are there results?
- Not yet: the study is under way
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
Selected Inclusion Criteria:
- Histologically confirmed relapsed/refractory hematologic malignancies, including Chronic Lymphocytic Lymphoma (CLL/SLL) and selected Non-Hodgkin's Lymphoma (NHL)
- Prior or current documentation of CD19 expression or high likelihood of CD19 expression based on disease histology
- No signs of symptoms of central nervous system (CNS) disease or detectable evidence of CNS or meningeal disease on magnetic resonance imaging (MRI) at the time of screening
Selected Exclusion Criteria:
- Prior CD19 directed therapy including CD19 CARTs
- Prior allogeneic hematopoietic stem cell transplant within 6 months of enrollment
- Prior autologous hematopoietic stem cell transplant within 6 weeks of enrollment.
- Presence of GVHD
Trial locations and contacts
4 sites in 1 country.
United States4 sites
Roswell Park
Buffalo, New York, 14263
Cleveland Clinic
Cleveland, Ohio, 44195
City of Hope
Duarte, California, 91010
Memorial Sloan Kettering Cancer Center
New York, New York, 10065
About this study
Official title: A Phase 1 Study to Evaluate the Safety and Tolerability of a Combination Autologous CD19 CAR T Cell Therapy (SYNCAR-001 + STK-009) in Subjects With Relapsed or Refractory CD19+ Hematologic Malignancies
This is a first-in-human phase 1 study of SYNCAR-001 + STK-009 in patients with CD19+ hematologic malignancies.
Read the detailed description
SYNCAR-001 + STK-009 is a 2-component human orthogonal (ho) IL-2 receptor-ligand cell therapy consisting of (1) SYNCAR-001, a CD19-directed chimeric antigen receptor T cell (CAR-T) co-expressing an engineered IL-2 beta receptor (hoRb); and (2) STK-009, an engineered pegylated IL-2 cytokine (hoIL-2) selective for hoRb. The study will follow a 3+3 design during dose escalation. Cohort A will enroll subjects to SYNCAR-001 + STK-009 with lymphodepletion. At Dose Level 3, a separate dose escalation cohort will be introduced to enroll subjects to SYNCAR-001 + STK-009 without lymphodepletion (Cohort B). Subsequent dose expansions will enroll subjects at the RP2D for each cohort.
- Conditions
- CLL/SLL, NHL, Mantle Cell Lymphoma, Follicular Lymphoma, Large B-cell Lymphoma, Indolent B-Cell Non-Hodgkin Lymphoma
- Being tested
- SYNCAR-001, STK-009, Cyclophosphamide, Fludarabine
- Keywords
- CART, CD19-CART, Chimeric antigen receptor, IL-2
- Medical subject headings
- Lymphoma, Mantle-Cell, Lymphoma, Follicular, Lymphoma, Large B-Cell, Diffuse
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
SYNCAR-001Drug
SYNCAR-001 is an autologous CD19-targeted CAR-T with co-expression of hoRb
STK-009Drug
STK-009 is a human orthogonal IL-2 cytokine selective for SYNCAR-001 CAR-T cells expressing hoRb
CyclophosphamideDrug
lymphodepletion
FludarabineDrug
lymphodepletion
| Study group | Role | What they receive |
|---|---|---|
| SYNCAR-001 + STK-009 Cohort A | Experimental | Dose escalation: A single fixed dose of autologous SYNCAR-001 CAR-T intravenously (IV) will be administered in combination with repeated sequential ascending doses of STK-009 subcutaneously (SC)
Dose expansion: A single fixed dose of autologous SYNCAR-001 CAR-T IV will be administered in combination with repeated doses of STK-009 SC at the RP2D Receives: Drug: SYNCAR-001; Drug: STK-009; Drug: Cyclophosphamide; Drug: Fludarabine |
| SYNCAR-001 + STK-009 Cohort B | Experimental | Dose escalation: A single fixed dose of autologous SYNCAR-001 CAR-T intravenously (IV) will be administered in combination with repeated sequential ascending doses of STK-009 subcutaneously (SC)
Dose expansion: A single fixed dose of autologous SYNCAR-001 CAR-T IV will be administered in combination with repeated doses of STK-009 SC at the RP2D Receives: Drug: SYNCAR-001; Drug: STK-009 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Dose Limiting Toxicities (DLTs)
Incidence of adverse events (AEs) meeting protocol defined DLT criteria and determination of the maximum tolerated dose (MTD) and/or the recommended Phase 2 dose (RP2D) of STK-009 in combination with a fixed dose of SYNCAR-001
Measured: Up to 28 days post infusion (SYNCAR-001+STK-009)
Adverse events
Assess the safety and tolerability of STK-009 in combination with SYNCAR-001 by review of AEs
Measured: Up to 24 months post infusion (SYNCAR-001+STK-009)
Secondary outcomes (7)
Objective response rate (ORR)
The ORR to treatment with SYNCAR-001 + STK-009
Measured: Up to 24 months post infusion (SYNCAR-001+STK-009)
Duration of Response (DOR)
To evaluate the duration of anti-cancer response after SYNCAR-001 + STK-009 administration.
Measured: Up to 24 months post infusion (SYNCAR-001+STK-009)
Progression Free Survival (PFS)
The time from the SYNCAR-001 administration date to the date of disease progression per Lugano Classification or iwCLL or death from any cause, whichever occurs earlier.
Measured: Up to 24 months post infusion (SYNCAR-001+STK-009)
Area under the curve (AUC)
The quantification of the cumulative amount of drug over time.
Measured: Up to 24 months post infusion (SYNCAR-001+STK-009)
Maximum Concentration (Cmax)
To identify the maximum (peak) drug concentration dosing.
Measured: Up to 24 months post infusion (SYNCAR-001+STK-009)
Time of maximum concentration
The time to reach maximum (peak) drug concentration after dosing.
Measured: Up to 24 months post infusion (SYNCAR-001+STK-009)
Immunogenicity
Immunogenicity will be assessed by summarizing the number of patients who develop detectable anti-STK-009 and/or anti-SYNCAR-001 anti-drug antibodies (ADAs)
Measured: Up to 24 months post infusion (SYNCAR-001+STK-009)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Dec 2022
- Study start23 Apr 2023
- Primary completion24 Jun 2028 (estimated)
- Study completionNov 2041 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for CLL/SLLStudies 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
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 36 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Synthekine
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05665062
- Sponsor's protocol ID
- STK-009-101
- Status last verified
- Jun 2026
- First submitted
- 8 Dec 2022
- Last updated
- 10 Jul 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 10 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 1 Study to Evaluate the Safety and Tolerability of a Combination Autologous CD19 CAR T Cell Therapy (SYNCAR-001 + STK-009) in Subjects With Relapsed or Refractory CD19+ Hematologic Malignancies
- ClinicalTrials.gov ID
- NCT05665062
- Acronym / sponsor ID
- STK-009-101
- Conditions
- CLL/SLL, NHL, Mantle Cell Lymphoma, Follicular Lymphoma, Large B-cell Lymphoma, Indolent B-Cell Non-Hodgkin Lymphoma
- Keywords
- CART, CD19-CART, Chimeric antigen receptor, IL-2
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 36 participants (estimated)
- Lead sponsor
- SynthekineIndustry (pharma, biotech, devices)
- Study start
- 23 Apr 2023 (actual)
- Primary completion
- 24 Jun 2028 (estimated)
- Study completion
- Nov 2041 (estimated)
- First posted
- 27 Dec 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.
This is a first-in-human phase 1 study of SYNCAR-001 + STK-009 in patients with CD19+ hematologic malignancies.
Detailed description
SYNCAR-001 + STK-009 is a 2-component human orthogonal (ho) IL-2 receptor-ligand cell therapy consisting of (1) SYNCAR-001, a CD19-directed chimeric antigen receptor T cell (CAR-T) co-expressing an engineered IL-2 beta receptor (hoRb); and (2) STK-009, an engineered pegylated IL-2 cytokine (hoIL-2) selective for hoRb. The study will follow a 3+3 design during dose escalation. Cohort A will enroll subjects to SYNCAR-001 + STK-009 with lymphodepletion. At Dose Level 3, a separate dose escalation cohort will be introduced to enroll subjects to SYNCAR-001 + STK-009 without lymphodepletion (Cohort B). Subsequent dose expansions will enroll subjects at the RP2D for each cohort.
Study design
- Primary purpose
- Treatment
- Allocation
- Non-randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| SYNCAR-001 + STK-009 Cohort A | Experimental | Drug: SYNCAR-001, Drug: STK-009, Drug: Cyclophosphamide, Drug: FludarabineDose escalation: A single fixed dose of autologous SYNCAR-001 CAR-T intravenously (IV) will be administered in combination with repeated sequential ascending doses of STK-009 subcutaneously (SC) Dose expansion: A single fixed dose of autologous SYNCAR-001 CAR-T IV will be administered in combination with repeated doses of STK-009 SC at the RP2D |
| SYNCAR-001 + STK-009 Cohort B | Experimental | Drug: SYNCAR-001, Drug: STK-009Dose escalation: A single fixed dose of autologous SYNCAR-001 CAR-T intravenously (IV) will be administered in combination with repeated sequential ascending doses of STK-009 subcutaneously (SC) Dose expansion: A single fixed dose of autologous SYNCAR-001 CAR-T IV will be administered in combination with repeated doses of STK-009 SC at the RP2D |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
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 |
|---|---|---|
| SYNCAR-001SYNCAR-001 is an autologous CD19-targeted CAR-T with co-expression of hoRb | Drug | SYNCAR-001 + STK-009 Cohort A, SYNCAR-001 + STK-009 Cohort B |
| STK-009STK-009 is a human orthogonal IL-2 cytokine selective for SYNCAR-001 CAR-T cells expressing hoRb | Drug | SYNCAR-001 + STK-009 Cohort A, SYNCAR-001 + STK-009 Cohort B |
| Cyclophosphamidelymphodepletion | Drug | SYNCAR-001 + STK-009 Cohort A |
| Fludarabinelymphodepletion | Drug | SYNCAR-001 + STK-009 Cohort A |
Primary outcome
Dose Limiting Toxicities (DLTs)
Time frame: Up to 28 days post infusion (SYNCAR-001+STK-009)
Incidence of adverse events (AEs) meeting protocol defined DLT criteria and determination of the maximum tolerated dose (MTD) and/or the recommended Phase 2 dose (RP2D) of STK-009 in combination with a fixed dose of SYNCAR-001
Adverse events
Time frame: Up to 24 months post infusion (SYNCAR-001+STK-009)
Assess the safety and tolerability of STK-009 in combination with SYNCAR-001 by review of AEs
7 secondary outcomes
Objective response rate (ORR)
Time frame: Up to 24 months post infusion (SYNCAR-001+STK-009)
Duration of Response (DOR)
Time frame: Up to 24 months post infusion (SYNCAR-001+STK-009)
Progression Free Survival (PFS)
Time frame: Up to 24 months post infusion (SYNCAR-001+STK-009)
Area under the curve (AUC)
Time frame: Up to 24 months post infusion (SYNCAR-001+STK-009)
Maximum Concentration (Cmax)
Time frame: Up to 24 months post infusion (SYNCAR-001+STK-009)
Time of maximum concentration
Time frame: Up to 24 months post infusion (SYNCAR-001+STK-009)
Immunogenicity
Time frame: Up to 24 months post infusion (SYNCAR-001+STK-009)
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Jul 2026.
- 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.
4 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 SYNCAR-001, STK-009 and Cyclophosphamide in people with CLL/SLL and NHL, run by Synthekine at 4 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
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: under way, not looking for participants, as of the sponsor's last update on 10 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 4 sites in United States. 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?
This study is still under way. Results are not available in the source record yet.
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?
Dose Limiting Toxicities (DLTs) (time frame: Up to 28 days post infusion (SYNCAR-001+STK-009)). The study lists 2 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 10 Jul 2026.