Non-hodgkin LymphomaPhase 1/2NCT06005649
Clinical Trial of HY004 Cell Injection in the Treatment of Relapsed or Refractory B-Cell Non-Hodgkin's Lymphoma
A Phase 1/2 study testing HY004 in people with Non-hodgkin Lymphoma, run by Juventas Cell Therapy Ltd..
Trial summary
This is a multi-center, open-label, single-arm, phase I/II trial to evaluate the safety and efficacy of HY004 treatment in Adult patients with relapsed or refractory B-cell Non-Hodgkin's Lymphoma (r/r B-NHL). Read more about this study
- Who is it for?
- Ages 18 to 75 years
- Conditions the study is for
- Non-hodgkin Lymphoma
- What is being tested?
- HY004
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 0 participants
- Where
- No sites listed yet
- Study dates
- Sep 2025to Jun 2027
- Phase
- Phase 1/2
- 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 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Patients who are willing to sign the informed consent form;
- Aged 18-75 years, male or female;
- Previously received≥2nd-line adequate therapy or hematopoietic stem cell transplantation (HSCT), and patients with CD19+/CD22+ relapsed/refractory B-NHL according to the WHO classification 2017, which are provided specifically as follows:
- Diffuse large B cell lymphoma (DLBCL), not otherwise specified (NOS);
- Primary mediastinal large B cell lymphoma (PMBCL);
- Grade 3b follicular lymphoma;
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- Transformed follicular lymphoma;
- High grade B cell lymphoma with MYC and BCL2 and/or BCL6 rearrangements, and high grade B cell lymphoma - not otherwise specified.
- Measurable imaging lesion at screening: Intranodal lesion must have a long diameter of more than 1.5 cm, and extranodal lesion must have a long diameter of more than 1.0 cm with PET-positive disease by Lugano classification .
- PET-positive disease BY Lugano classification
- Adequate bone marrow, renal, hepatic, pulmonary and cardiac function.
- Adequate vascular access for leukapheresis procedure
- Subjects who have received previous CD19-targeted therapy must have CD19-positive lymphoma confirmed on a biopsy since completing the prior CD19-targeted therapy.
Who cannot join
- Active Central Nervous System (CNS) involvement by malignancy.
- Patients with existing central nervous system disease or with a history of central nervous system disease.
- Patients receiving any of the following drugs or therapies within the specified period prior to apheresis:
- Alemtuzumab and Bendamustine within 6 months prior to apheresis;
- Cladribine within 3 months prior to apheresis;
- Lenalidomide within 1 mouth prior to apheresis;
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- Lymphocytotoxic chemotherapy within 2 weeks prior to apheresis - use in more than 3 half-lives prior to apheresis is eligible;
- Anti-CD20 monoclonal antibody and therapeutic dose of hormones within 7 d prior to apheresis;
- Non-lymphocytotoxic chemotherapy within 7 d prior to apheresis - use in more than 3 half-lives prior to apheresis is eligible;
- Venetoclax (BCL-2 inhibitor) within 4 d prior to apheresis;
- Idelalisib (PI3Kδ kinase inhibitor) within 2 d prior to apheresis;
- DLI within 6 weeks prior to apheresis;
- Radiotherapy within 6 weeks prior to apheresis - progressive disease at radiotherapy site, or PET positive lesion at other non-radiotherapy site is eligible;
- Patients previously received CAR-T cell therapy, the products that have same indication and have beenlisted in China are eligible;
- Patients who have previously received allogeneic hematopoietic stem cell transplantation (allo-HSCT) within 3 mouths.
- Patients with acute graft-versus-host disease (GVHD) or moderate-tosevere chronic GVHD within 4 weeks before screening.
- Active systemic autoimmune disease.
- Known infection with human immunodeficiency virus (HIV) or chronic infection with hepatitis B virus (HbsAg positive) or hepatitis C virus (anti- HCV positive).
- Patients with active infections at screening.
- History of cardiovascular disease.
- Pregnant or nursing women.
About this study
Official title: A Multi-center, Open Label, Single-arm, Phase I/II Clinical Trial of HY004 Cell Injection in the Treatment of Relapsed or Refractory B-Cell Non-Hodgkin's Lymphoma
This is a multi-center, open-label, single-arm, phase I/II trial to evaluate the safety and efficacy of HY004 treatment in Adult patients with relapsed or refractory B-cell Non-Hodgkin's Lymphoma (r/r B-NHL).
Read the detailed description
This trial is a multi-center, open label, single-arm, phase I/II trial to evaluate the safety and efficacy of HY004 in Adult(aged 18~75 years old) patients with r/r B-NHL.
The phase I part of the trial is to evaluate the safety, optimal dose of HY004, Pharmacokinetics/Pharmacodynamics(PK/PD)and preliminary efficacy in the treatment of Adult patients with r/r B-NHL. The phase II part of the trial is to evaluate the efficacy and safety of HY004 in in the treatment of Adult patients with r/r B-NHL. The study includes screening, pre-treatment (Cell Product manufacture \& lymphodepletion), HY004 infusion , safety and efficacy follow-up, and survival follow-up. All subjects who have received HY004 infusion will be followed for up to 2 years.
- Conditions
- Non-hodgkin Lymphoma
- Being tested
- HY004
- Keywords
- HY004, CD22/CD19 Chimeric Antigen Receptor T-cells
- Medical subject headings
- Lymphoma, Non-Hodgkin
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
HY004Biological
Autologous 2nd generation bispecific CAR-T cells targeting both CD22 and CD19, single infusion intravenously.
Start Dose level: 2.00 x 10^6/kg CAR+T-cells
| Study group | Role | What they receive |
|---|---|---|
| Single dose of HY004 | Experimental | Patients received a single dose of anti-CD22/CD19 CAR T cells after receiving a conditioning regimen of cyclophosphamide and fludarabine. Receives: Biological: HY004 |
What is being measured
The primary outcome is the main question the study is designed to answer.
【Phase I】Maximum Tolerated Dose (MTD), Dose Limiting Toxicity (DLT) and Recommended Phase II Dose (RP2D)
Determine the MTD and DLT of HY004 in the Treatment and recommend the dose for Phase II study.
Measured: 28 days
【Phase II】Overall Remission Rate (ORR), which includes Complete Remission (CR) and Partial Remission (PR)
Efficacy of HY004 as measured by ORR at 3 months after HY004 Cell Injection infusion, which includes CR and PR.
Measured: 3 months
Secondary outcomes (10)
【Phase I】Overall Remission Rate (ORR), which includes Complete Remission (CR) and Partial Remission (PR)
Efficacy of HY004 as measured by ORR at 3 months after HY004 Cell Injection infusion, which includes CR and PR.
Measured: 3 months
Safety of CNCT19 therapy: CTCAE v5.0
Safety measures include adverse events as assessed by CTCAE v5.0.
Measured: 24 months
Complete Remission Rate (CRR)
Efficacy of HY004 as measured by CR at 3 months after HY004 Cell Injection infusion.
Measured: 3 months
ORR(CR+PR)/CRR
Efficacy of HY004 as measured by ORR/CRR at 28 days after cell infusion.
Measured: 28 days
ORR(CR+PR)/CRR
Efficacy of HY004 as measured by ORR/CRR at 6 months after cell infusion.
Measured: 6 months
Best Overall Response (BOR)
The best overall response after HY004 infusion.
Measured: 24 mouths
Duration of Remission (DOR)
DOR means the duration from reaching the response (e.g., CR or PR) criteria of the therapy to the first, clearly defined progressive disease, or death for disease under investigation.
Measured: 24 mouths
Progression-free survival (PFS)
PFS means duration from the HY004 Cell Injection infusion to progression of lymphoma, or death for any reason.
Measured: 24 mouths
Event-free survival (EFS)
EFS means duration from the HY004 Cell Injection infusion to progression of lymphoma, start of new anti-cancer treatment, relapse, death of any cause or discontinued due to any adverse events.
Measured: 24 mouths
Overall survival (OS)
OS is defined as the time from the signing of informed consent form to the date of the last survival follow-up or death due to any cause.
Measured: 24 mouths
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted22 Aug 2023
- Study startSep 2025 (estimated)
- Primary completionJun 2026 (estimated)
- Study completionJun 2027 (estimated)
Why it stopped: Sponsor changed product development plan
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Non-hodgkin LymphomaStudies of the same condition, open and under way.
- More trials run by Juventas Cell Therapy Ltd.The sponsor's other registered studies.
- 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 1/2
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 0 participants (actual)
Sponsor and investigators
- Lead sponsor
- Juventas Cell Therapy Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06005649
- Sponsor's protocol ID
- HY004102
- Status last verified
- Aug 2025
- First submitted
- 17 Aug 2023
- Last updated
- 8 Aug 2025
- Results posted
- No
- Data monitoring committee
- Yes
- 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 8 Aug 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Multi-center, Open Label, Single-arm, Phase I/II Clinical Trial of HY004 Cell Injection in the Treatment of Relapsed or Refractory B-Cell Non-Hodgkin's Lymphoma
- ClinicalTrials.gov ID
- NCT06005649
- Acronym / sponsor ID
- HY004102
- Conditions
- Non-hodgkin Lymphoma
- Keywords
- HY004, CD22/CD19 Chimeric Antigen Receptor T-cells
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- WithdrawnReason stopped: Sponsor changed product development plan
- Enrolment
- 0 participants (actual)
- Lead sponsor
- Juventas Cell Therapy Ltd.Industry (pharma, biotech, devices)
- Study start
- Sep 2025 (estimated)
- Primary completion
- Jun 2026 (estimated)
- Study completion
- Jun 2027 (estimated)
- First posted
- 22 Aug 2023 (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 multi-center, open-label, single-arm, phase I/II trial to evaluate the safety and efficacy of HY004 treatment in Adult patients with relapsed or refractory B-cell Non-Hodgkin's Lymphoma (r/r B-NHL).
Detailed description
This trial is a multi-center, open label, single-arm, phase I/II trial to evaluate the safety and efficacy of HY004 in Adult(aged 18~75 years old) patients with r/r B-NHL.
The phase I part of the trial is to evaluate the safety, optimal dose of HY004, Pharmacokinetics/Pharmacodynamics(PK/PD)and preliminary efficacy in the treatment of Adult patients with r/r B-NHL. The phase II part of the trial is to evaluate the efficacy and safety of HY004 in in the treatment of Adult patients with r/r B-NHL. The study includes screening, pre-treatment (Cell Product manufacture \& lymphodepletion), HY004 infusion , safety and efficacy follow-up, and survival follow-up. All subjects who have received HY004 infusion will be followed for up to 2 years.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Single dose of HY004 | Experimental | Biological: HY004Patients received a single dose of anti-CD22/CD19 CAR T cells after receiving a conditioning regimen of cyclophosphamide and fludarabine. |
Who may qualify
- Ages
- 18 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (13 listed)
- Patients who are willing to sign the informed consent form;
- Aged 18-75 years, male or female;
- Previously received≥2nd-line adequate therapy or hematopoietic stem cell transplantation (HSCT), and patients with CD19+/CD22+ relapsed/refractory B-NHL according to the WHO classification 2017, which are provided specifically as follows:
- Measurable imaging lesion at screening: Intranodal lesion must have a long diameter of more than 1.5 cm, and extranodal lesion must have a long diameter of more than 1.0 cm with PET-positive disease by Lugano classification .
- PET-positive disease BY Lugano classification
Key exclusion criteria (21 listed)
- Active Central Nervous System (CNS) involvement by malignancy.
- Patients with existing central nervous system disease or with a history of central nervous system disease.
- Patients receiving any of the following drugs or therapies within the specified period prior to apheresis:
- Patients previously received CAR-T cell therapy, the products that have same indication and have beenlisted in China are eligible;
- Patients who have previously received allogeneic hematopoietic stem cell transplantation (allo-HSCT) within 3 mouths.
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 |
|---|---|---|
| HY004Autologous 2nd generation bispecific CAR-T cells targeting both CD22 and CD19, single infusion intravenously. Start Dose level: 2.00 x 10^6/kg CAR+T-cells | Biological | Single dose of HY004 |
Primary outcome
【Phase I】Maximum Tolerated Dose (MTD), Dose Limiting Toxicity (DLT) and Recommended Phase II Dose (RP2D)
Time frame: 28 days
Determine the MTD and DLT of HY004 in the Treatment and recommend the dose for Phase II study.
【Phase II】Overall Remission Rate (ORR), which includes Complete Remission (CR) and Partial Remission (PR)
Time frame: 3 months
Efficacy of HY004 as measured by ORR at 3 months after HY004 Cell Injection infusion, which includes CR and PR.
10 secondary outcomes
【Phase I】Overall Remission Rate (ORR), which includes Complete Remission (CR) and Partial Remission (PR)
Time frame: 3 months
Safety of CNCT19 therapy: CTCAE v5.0
Time frame: 24 months
Complete Remission Rate (CRR)
Time frame: 3 months
ORR(CR+PR)/CRR
Time frame: 28 days
ORR(CR+PR)/CRR
Time frame: 6 months
Best Overall Response (BOR)
Time frame: 24 mouths
Duration of Remission (DOR)
Time frame: 24 mouths
Progression-free survival (PFS)
Time frame: 24 mouths
Event-free survival (EFS)
Time frame: 24 mouths
Overall survival (OS)
Time frame: 24 mouths
Results and safety
The study was withdrawn before enrolling participants, so there are no results.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Aug 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.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing HY004 in people with Non-hodgkin Lymphoma, run by Juventas Cell Therapy Ltd..
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 13 inclusion and 21 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: withdrawn, as of the sponsor's last update on 8 Aug 2025. Status can change between updates, so confirm with the study contact before making plans.
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 combined 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.
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 withdrawn before enrolling participants, so there are no results.
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?
【Phase I】Maximum Tolerated Dose (MTD), Dose Limiting Toxicity (DLT) and Recommended Phase II Dose (RP2D) (time frame: 28 days). 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 8 Aug 2025.