Actively Recruiting

Phase 1
Age: 18Years +
All Genders
NCT06071624

Chimeric Antigen Receptor T Cell Therapy Redirected to CD4 (CD4CAR)as a Second Line Treatment for Chronic Myelomonocytic Leukemia, CMML.

Led by Huda Salman · Updated on 2026-03-18

30

Participants Needed

4

Research Sites

1031 weeks

Total Duration

On this page

Sponsors

H

Huda Salman

Lead Sponsor

I

iCell Gene Therapeutics

Collaborating Sponsor

AI-Summary

What this Trial Is About

This study is designed as a single arm open label traditional Phase I, 3+3, study of CD4-directed chimeric antigen receptor engineered T-cells (CD4CAR) in subjects with relapsed or refractory CMML. Specifically, the study will evaluate the safety and feasibility of CD4CAR T-cells.

CONDITIONS

Official Title

Chimeric Antigen Receptor T Cell Therapy Redirected to CD4 (CD4CAR)as a Second Line Treatment for Chronic Myelomonocytic Leukemia, CMML.

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • 18 years or older at the time of consent
  • Able to provide written informed consent and HIPAA authorization
  • Diagnosed with CD4-positive chronic myelomonocytic leukemia (CMML) that is relapsed or refractory to first-line treatment
  • Creatinine clearance of 60 ml/min or higher (or judged non-significant by investigator)
  • ALT and AST less than 3 times the upper limit of normal
  • Bilirubin less than 2 times the upper limit of normal
  • No need for supplemental oxygen at rest
  • Adequate cardiac function with ejection fraction of 50% or higher
  • Adequate venous access for leukapheresis and no contraindications to the procedure
Not Eligible

You will not qualify if you...

  • CMML that is CD4 negative
  • Pregnant or breastfeeding women
  • Uncontrolled active infection requiring systemic therapy
  • Active hepatitis B or C infection, except treated and controlled cases as specified
  • Use of systemic glucocorticoids above replacement doses or steroid dependency as defined
  • Any uncontrolled active medical condition that prevents participation as judged by investigator
  • HIV infection
  • Receipt of live vaccines within 30 days before treatment; inactivated flu vaccine allowed
  • Active autoimmune diseases needing systemic treatment in the past year, except specified exceptions
  • History of mental disorders or drug abuse affecting treatment compliance
  • Active malignancy unrelated to CMML needing recent therapy or not in remission, with some exceptions
  • Treatment with investigational cell or gene therapy within past 6 months
  • Treatment with investigational anticancer agents within 14 days or 5 half-lives before study entry
  • Requirement for supplemental oxygen or progressive lung abnormalities at infusion time
  • New uncontrolled cardiac arrhythmia
  • Hypotension requiring pressor support
  • Positive blood cultures within 48 hours before infusion
  • Female participants of reproductive potential must have negative pregnancy test and agree to contraception during and after study as specified

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 4 locations

1

University of Miami Sylvester Comprehensive Cancer Center, Miami, Florida 33136

Miami, Florida, United States, 33136

Actively Recruiting

2

Indiana University Melvin and Bren Simon Comprehensive Cancer Center

Indianapolis, Indiana, United States, 46202

Actively Recruiting

3

Albert Einstein Health Network

The Bronx, New York, United States, 10467

Not Yet Recruiting

4

The University of Texas MD Anderson Cancer Center

Houston, Texas, United States, 77030

Actively Recruiting

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Research Team

C

Cristina Roach, RN

CONTACT

J

Jennifer Schwartz, MD, PhD

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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