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OncoMatch/Clinical Trials/NCT07139509

Allogeneic UCB-derived, Dual-targeting BCMA/CD19 CAR-T for Relapsed/Refractory Multiple Myeloma

Is NCT07139509 recruiting? Yes, currently enrolling (May 2026). This Phase 1 trial studies allogeneic cord blood-derived, dual-targeting CD19/BCMA CAR-T cells for relapsed/refractory multiple myeloma(mm).

Phase 1RecruitingXi'an No.3 HospitalNCT07139509Data as of May 2026

Treatment: allogeneic cord blood-derived, dual-targeting CD19/BCMA CAR-T cellsThe purpose of this clinical trial is to learn if allogeneic cord blood-derived CAR-T cell drug works to treat Multiple Myeloma (MM) including Bone-related extramedullary (EMB) disease and extramedullary extraosseous disease(EME) in adults. It will also learn about the safety of the allogeneic cord blood-derived CAR-T cell drug. The main questions it aims to answer are: 1. What adverse events occur and the incidence rate of DLTs within 28 days and UCAR-T-related AEs within 28 days after the allogeneic cord blood-derived CAR-T cell injection for multiple myeloma (MM)? 2. Which dose level is the optimal biological dose (OBD)? 3. What is the overall responserate (ORR), including stringent complete response (sCR), completeresponse (CR),very good partial response (VGPR), partial response (PR), minimal Response (MR) and DOR, PFS, RFS, OS? Participants will: 1. be pretreated with FC regimen, fludarabine (30mg/m²/d, days -5, -4, and -3) and cyclophosphamide (300\~500 mg/m²/d, day -5,-4, and -3). 2. rest for 2 days on Day-2 and Day-1. Tumor burden should be re-evaluated and chemotherapy side effects assessment. 3. receive allogeneic cord blood-derived CAR-T cells infusion 4. Visit the clinic at D28, 1 month, 2 months, 3 months, 4 months, 6 months, 9 months and 1 year after CAR-T cells infusion.

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Extracted eligibility criteria

Cancer type

Multiple Myeloma

Prior therapy

Min 3 prior lines

Must have received: proteasome inhibitor

Must have been treated with a proteasome inhibitor

Must have received: immunomodulatory agent

Must have been treated with an immunomodulatory agent

Must have received: anti-CD38 antibody

Must have been treated with an anti-CD38 antibody

Cannot have received: hematopoietic stem cell transplantation

Exception: within 3 months before screening

Hematopoietic stem cell transplantation (HSCT) within 3 months before screening

Cannot have received: autologous stem cell transplantation

Exception: within 100 days

patients who have undergone autologous stem cell transplantation within 100 days

Cannot have received: solid organ transplantation

patients who have undergone solid organ transplantation

Cannot have received: radioimmunotherapy or radiotherapy

Exception: within 8 weeks before enrollment

Radioimmunotherapy or radiotherapy within 8 weeks before enrollment

Cannot have received: donor lymphocyte infusion

Exception: within 6 weeks before screening

donor lymphocyte infusion within 6 weeks before screening

Cannot have received: anti-multiple myeloma therapies (including approved therapies and other investigational drugs)

Exception: within 5 half-lives before enrollment

Within 5 half-lives of prior anti-MM therapies (including approved therapies and other investigational drugs) before enrollment

Lab requirements

Kidney function

Creatinine clearance rate ≥60 mL/min (Cockcroft-Gault formula)

Liver function

ALT and AST ≤3×ULN; total bilirubin ≤1.5×ULN (≤2.5×ULN for Gilbert's syndrome)

Cardiac function

No uncontrolled cardiovascular disease within 6 months before enrollment, no ≥Grade 2 ventricular or atrial arrhythmias, ≥Grade 2 bradycardia, myocardial infarction, severe/unstable angina, symptomatic congestive heart failure, cerebrovascular accident or transient ischemic attack, pulmonary embolism, deep vein thrombosis, poorly controlled hypertension with standard medications. LVEF ≥45% by echocardiogram or MUGA at screening.

The most recent assessment during the screening period indicates sufficient organ function, including renal and hepatic function, defined as: Creatinine clearance rate ≥60 mL/min (Cockcroft-Gault formula); ALT and AST ≤3×ULN; total bilirubin ≤1.5×ULN (≤2.5×ULN for Gilbert's syndrome). Cardiac: see exclusion criteria for details.

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

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