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OncoMatch/Clinical Trials/NCT07361029

CD19 Chimeric Antigen Receptor (CAR) T Cells in Adults With Relapsed/Refractory CD19 Positive Acute Lymphoblastic Leukemia

Is NCT07361029 recruiting? Yes, currently enrolling (Jun 2026). This Phase 1 trial studies non-drug interventions for relapsed refractory acute lymphoblastic leukemia.

Phase 1RecruitingKing Faisal Specialist Hospital & Research CenterNCT07361029Data as of Jun 2026Location: Saudi Arabia

This is a Phase Ia, open label, dose finding single center trial designed to evaluate the maximum tolerated dose, safety, tolerability, pharmacokinetics (PK) and pharmacodynamics (PD) of CD19 CAR T cells targeting the B cell surface antigen CD19 following administration of chemotherapy lymphodepletion regimen in adults (age 18 - 75) with relapsed/refractory acute lymphoblastic leukemia (ALL).

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Extracted eligibility criteria

Cancer type

Acute Lymphoblastic Leukemia

Biomarker criteria

Required: CD19 positive expression

documentation of CD19 tumor expression in BM or peripheral blood by flow cytometry or immunohistochemistry within 1 month of study entry

Demographics

Ages ≤ 75

Prior therapy

Must have received: chemotherapy — refractory or relapsed

Primary refractory, defined as not achieving complete remission (CR) after 2 cycles of a standard chemotherapy regimen, or Chemo-refractory, defined as not achieving CR after 1 cycle of standard chemotherapy for relapsed leukemia

Must have received: tyrosine kinase inhibitor — Philadelphia chromosome-positive ALL

Philadelphia chromosome-positive ALL intolerant of or with 2 failed lines of tyrosine kinase inhibitor (TKI) therapy

Must have received: allogeneic stem cell transplant — relapsed after AlloSCT

Relapsed after AlloSCT. at least 12 weeks after alloSCT or relapse happened after withdrawing the post-transplant immunosuppression

Must have received: CAR-T cell therapy — relapsed after prior CAR T cell and still CD19 positive

Relapsed after prior CAR T cell and still CD19 positive

Cannot have received: gene therapy

Exception: except prior CAR-T cell therapy

Treatment with any prior gene therapy product (except prior CAR-T cell therapy)

Cannot have received: autologous transplant

Autologous transplant within 6 weeks of planned CAR-T cell infusion

Lab requirements

Blood counts

ANC ≥ 1.0 x 10^9/L without growth factors; Platelet count ≥ 50 x 10^9/L without transfusion support within 7 days of screening; Absolute lymphocyte count ≥ 0.5 x 10^9/L

Kidney function

Creatinine clearance ≥ 60 cc/min; GFR > 60mL/min

Liver function

ALT ≤5x ULN; AST/ALT ≤ 5 x ULN and bilirubin ≤ 2 x ULN. Total bilirubin 1.5 ULN (except Gilbert's syndrome)

Cardiac function

Left ventricular ejection fraction (LVEF) ≥ 45% by echocardiogram or MUGA scan and QTcF ≤ 480 ms

Alanine aminotransferase (ALT) ≤5 times the upper limit of normal for age; Bilirubin ≤2 x ULN; Creatinine clearance (as estimated by Cockcroft Gault) ≥ 60 cc/min; Glomerular Filtration Rate (GFR) > 60mL/min; AST/ALT ≤ 5 x ULN and bilirubin ≤ 2 x ULN. Total bilirubin 1.5 ULN (except Gilbert's syndrome); ANC ≥ 1.0 x 10^9/L without the use of growth factors; Platelet count ≥ 50 x 10^9/L without transfusion support within 7 days of screening; Absolute lymphocyte count ≥ 0.5 x 10^9/L; Left ventricular ejection fraction (LVEF) ≥ 45% by echocardiogram or MUGA scan and QTcF ≤ 480 ms

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

Frequently asked questions

Is NCT07361029 currently recruiting?

Yes, this trial is currently recruiting patients.

Are there prior therapy exclusions?

Yes. Prior gene therapy, autologous transplant disqualifies patients from enrollment.

Does this trial require CD19?

Yes, CD19 positive expression is a required biomarker for enrollment.

Is there an age limit?

Yes. Patients must be 75 years or younger.

Could you qualify for this trial?

Enter your biomarker results to see how this trial's eligibility criteria match your specific cancer profile.

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