Actively Recruiting

Phase 1
Age: 0 - 21Years
All Genders
NCT06326463

CAR T-cell Therapy Directed to CD70 for Pediatric Patients With Hematological Malignancies

Led by St. Jude Children's Research Hospital · Updated on 2026-01-23

18

Participants Needed

1

Research Sites

349 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

The study participant has one of the following blood cancers: acute myelogenous leukemia (AML)/myelodysplastic syndrome (MDS), acute lymphoblastic leukemia (B-ALL, T-ALL) or Lymphoma. Your cancer has been difficult to treat (refractory) or has come back after treatment (relapse). Primary Objective To determine the safety and maximum tolerated dose of intravenous infusions of escalating doses of CD70-CAR T cells in patients (≤21 years) with recurrent/refractory CD70+ hematological malignancies after lymphodepleting chemotherapy. Secondary Objectives To evaluate the antileukemic activity of CD70-CAR T cells. We will determine the anti- leukemic activity of the CD70-CAR T cells in the bone marrow and in the treatment of extramedullary disease.

CONDITIONS

Official Title

CAR T-cell Therapy Directed to CD70 for Pediatric Patients With Hematological Malignancies

Who Can Participate

Age: 0 - 21Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • 21 years old or younger
  • Diagnosed with relapsed or refractory CD70-positive hematological malignancy
  • Relapsed disease means cancer returned after a prior complete remission
  • Refractory disease means persistent disease despite 3 cycles of induction chemotherapy
  • For AML or MDS: relapsed or refractory CD70-positive disease
  • For B-cell ALL: relapsed CD70-positive and CD19 negative/dim or ineligible for CD19 therapies, including 2nd or greater relapse or relapse after allogeneic hematopoietic stem cell transplant (HSCT)
  • For T-cell ALL: relapsed/refractory CD70-positive disease
  • For mixed phenotype acute leukemia (MPAL): relapsed/refractory CD70-positive disease
  • For lymphoma: relapsed CD70-positive and CD19 negative/dim or ineligible for CD19 therapies, including 2nd or greater relapse or relapse after allogeneic HSCT
  • Estimated life expectancy greater than 12 weeks
  • Karnofsky or Lansky performance score of 50 or higher
  • Patients with prior allogeneic HSCT must be recovered, have no active graft-versus-host disease (GVHD), and no donor lymphocyte infusion within 28 days before apheresis
  • Have an identified hematopoietic cell transplantation donor
  • For females of childbearing potential: not breastfeeding and negative pregnancy test within 7 days prior to enrollment
Not Eligible

You will not qualify if you...

  • Known primary immunodeficiency
  • Known history of HIV positivity
  • Severe active bacterial, viral, or fungal infection
  • History of allergy to cornstarch or hydroxyethyl starch
  • Diagnosis of acute promyelocytic leukemia (APL)
  • Contraindication to lymphodepleting chemotherapy with fludarabine and cyclophosphamide

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 1 location

1

St. Jude Children's Research Hospital

Memphis, Tennessee, United States, 38105

Actively Recruiting

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Research Team

S

Swati Naik, MBBS

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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