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OncoMatch/Clinical Trials/NCT05038696

ALaCART-B: Acute Leukemia and Chimeric Antigen Receptor-T Cell Therapy for B-lymphoblastic Leukemia.

Is NCT05038696 recruiting? Yes, currently enrolling (May 2026). This Phase 1 trial studies CAR T-cell therapy for lymphoblastic leukemia, acute, childhood.

Phase 1RecruitingNational University Hospital, SingaporeNCT05038696Data as of May 2026

Treatment: CAR T-cell therapyThe objective of this study is to assess the safety and efficacy of a immunophenotype-adapted approach using CAR T-cells in patients with high-risk, refractory or relapsed B-lineage acute lymphoblastic leukemia (B-ALL).

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Extracted eligibility criteria

Cancer type

Acute Lymphoblastic Leukemia

Biomarker criteria

Required: BCR BCR-ABL1

BCR-ABL1

Required: ABL1 BCR-ABL1-like

BCR-ABL1-like

Required: ABL1 ABL1-r

ABL1-r

Required: PDGFRB PDGFRB-r

PDGFRB-r

Required: TCF3 TCF3-HLF

TCF3-HLF

Required: KMT2A (MLL) MLL-r

MLL-r

Required: TP53 pathogenic mutation

p53 pathogenic mutation as defined by RNA Seq or other molecular methods

Required: CD19 expression >99.9% (>99.9%)

Patients with > 99.9% of CD19 expression on blast cells will be eligible for anti-CD19 CAR T-cell infusion.

Required: CD19 expression <99.9% (<99.9%)

Patients with partial or absent CD19 expression (< 99.9%) on blast cells will be eligible to receive combinations of other CAR T-cells depending on the pattern of antigen expression.

Prior therapy

Cannot have received: car-t cell therapy

Lab requirements

Kidney function

normal age-adjusted egfr creatinine clearance within 3 months of screening

Liver function

alanine aminotransferase ≤ 5 times the upper limit of normal for age

Cardiac function

left ventricular systolic function ≥ 28% confirmed by echocardiogram, or left ventricular ejection fraction ≥ 45% confirmed by echocardiogram within 3 months of screening

Structured fields extracted by AI. May contain errors — verify against the official protocol.

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