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OncoMatch/Clinical Trials/NCT07009002

BCOR and ZC3H12 Genes Knock-out CD19-targeting CAR-T Cell Therapy in r/r B Cell Lymphoma

Is NCT07009002 recruiting? Yes, currently enrolling (May 2026). This Phase 1/2 trial studies multiple treatments including CAR19TIF cells and Fludarabine for b cell lymphoma.

Phase 1/2RecruitingChinese PLA General HospitalNCT07009002Data as of May 2026

Treatment: CAR19TIF cells · Fludarabine · CyclophosphamideIn this single-center, single-arm, prospective, Phase 1/2 study, the safety and efficacy of autologous BCOR and ZC3H12 genes knock-out CD19-targeting chimeric antigen receptor (CAR) T-cell therapy will be evaluated in patients with refractory/relapsed (r/r) B-cell Lymphoma. For simplicity, we have termed these CD19 CAR T cells lacking ZC3H12A and BCOR as CAR19TIF( immortal-like and functional CD19 CAR T ) cells, reflecting their immortal-like and functional characteristics. In phase 1, 3 eligible patients will be enrolled and receive CAR19TIF cells at a initial dose of 5×10\^5 cells/kg. Based on the results, subsequently an additional 3-15 patients will be enrolled in a "3+3" dose-escalation/decline design to adjust the dose of CAR19TIF cells to achieve optimal safety and efficacy. The recommended Phase 2 dose (RP2D) will then be established. 10 to 12 subjects will be enrolled and receive CAR19TIF cells infusion at dose of RP2D.

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Extracted eligibility criteria

Cancer type

Non-Hodgkin Lymphoma

Biomarker criteria

Required: CD19 positive (detected by immunohistochemistry [IHC])

CD19 positive (detected by immunohistochemistry [IHC])

Allowed: BCL2 rearrangement

High-grade B-cell lymphoma with MYC and BCL2 and/or BCL6 rearrangements (HGBCL)

Allowed: BCL6 rearrangement

High-grade B-cell lymphoma with MYC and BCL2 and/or BCL6 rearrangements (HGBCL)

Allowed: MYC rearrangement

High-grade B-cell lymphoma with MYC and BCL2 and/or BCL6 rearrangements (HGBCL)

Allowed: CCND1 overexpression

Mantle cell lymphoma (MCL) ... overexpress cyclin D1

Allowed: IGH t(11;14)(q13;q32) translocation

Mantle cell lymphoma (MCL) ... chromosome translocation t(11;14)(q13;q32)

Performance status

ECOG 0–2(Ambulatory, capable of self-care)

Prior therapy

Must have received: anthracycline or bendamustine-containing chemotherapy — MCL

For MCL, prior therapy must have included: Anthracycline or bendamustine-containing chemotherapy

Must have received: anti-CD20 monoclonal antibody — MCL

For MCL, prior therapy must have included: Anti-CD20 monoclonal antibody (unless investigator determines that tumor is CD20-negative)

Must have received: Bruton's tyrosine kinase inhibitor — MCL

For MCL, prior therapy must have included: Bruton's tyrosine kinase inhibitor (BTKi)

Must have received: anti-CD20 monoclonal antibody — other types

For other types, prior therapy must have included: Anti-CD20 monoclonal antibody (unless investigator determines that tumor is CD20-negative)

Must have received: anthracycline-containing chemotherapy — other types

For other types, prior therapy must have included: Anthracycline containing chemotherapy regimen

Cannot have received: CD19 targeted therapy

Prior CD19 targeted therapy

Cannot have received: CAR-T therapy or other genetically modified T cell therapy

Prior CAR-T therapy or other genetically modified T cell therapy

Lab requirements

Blood counts

Absolute neutrophil count (ANC) ≥ 1 x 10^9/L, Platelet count ≥50 x 10^9/ L, hemoglobin (Hgb) ≥ 80g/L (hemocytopenia caused by lymphoma invasion of bone marrow is not subject to conditions above).

Kidney function

Serum creatinine≤1.5 upper limit of normal (ULN) or creatinine clearance (as estimated by Cockcroft Gault) ≥ 60 mL/min.

Liver function

Serum alanine aminotransferase / aspartate aminotransferase (ALT/ AST) ≤ 3 upper limit of normal (ULN); Total bilirubin ≤ 1.5 ULN, except in subjects with Gilbert's syndrome.

Cardiac function

Cardiac ejection fraction ≥ 50%, no evidence of pericardial effusion as determined by an echocardiogram (ECHO), and no clinically significant electrocardiogram (ECG) findings.

Adequate renal, hepatic, pulmonary and cardiac function defined as: ... (see details above)

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

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