Actively Recruiting
Clinical Study on the Safety and Efficacy of BCMA-CART with or without Autologous Stem Cell Transplant in Treating Young Multiple Myeloma Patients
Led by Institute of Hematology & Blood Diseases Hospital, China · Updated on 2026-03-02
50
Participants Needed
1
Research Sites
104 weeks
Total Duration
On this page
Sponsors
I
Institute of Hematology & Blood Diseases Hospital, China
Lead Sponsor
H
Hebei Taihe Chunyu Biotechnology Co., Ltd
Collaborating Sponsor
AI-Summary
What this Trial Is About
Researchers are evaluating the safety and effectiveness of BCMA-CART treatment with or without autologous stem cell transplant ASCT in young patients newly diagnosed with multiple myeloma. This prospective, open-label study divides participants into transplant and non-transplant groups based on their medical condition to compare these treatment approaches. The study focuses on young adults with multiple myeloma to assess differences in outcomes between those receiving ASCT alongside BCMA-CART and those receiving BCMA-CART alone. Participants suitable for transplant will receive ASCT before undergoing BCMA-CART therapy, while those not suitable for transplant will proceed directly to BCMA-CART treatment. The treatment assignment is non-randomized and based on disease status before starting therapy. BCMA-CART involves genetically engineered immune cells designed to target the cancer, and the study aims to analyze the safety and efficacy of these treatment methods in young multiple myeloma patients. During the study, researchers will assess minimal residual disease MRD negativity rates three months after treatment and monitor progression-free survival, overall response, duration and timing of response, overall survival, and pharmacokinetics over two years following CAR-T infusion. Participants will undergo regular laboratory tests and clinical evaluations to track safety and treatment effects. The total study period includes follow-up assessments up to two years to comprehensively evaluate outcomes and treatment impact.
CONDITIONS
Brief Title
Clinical Study on the Safety and Efficacy of BCMA-CART±ASCT in Treating Young Multiple Myeloma Patients
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Female, 18 to 55 years old
- Voluntary participation with signed informed consent
- Confirmed multiple myeloma diagnosis by flow cytometry or immunohistochemistry
- Adequate organ function with specific laboratory values: total bilirubin ≤1.5x ULN, ALT and AST ≤2.5x ULN, creatinine clearance ≥40 ml/min, coagulation tests within set limits, hemoglobin ≥60 g/L, ANC ≥1.0 x 10^9/L, ALC ≥0.5 x 10^9/L, platelets ≥50 x 10^9/L, LVEF ≥45%, blood oxygen saturation ≥92%
- ECOG performance status of 0-1
- Expected survival of at least 3 months
- Female participants of childbearing potential must have negative pregnancy test and not be breastfeeding
- Use of effective contraception for 24 months after cell infusion for males and females of childbearing potential
You will not qualify if you...
- Allergy to any component of the cellular product
- Severe heart disease including recent myocardial infarction, unstable angina, severe arrhythmia, severe cardiomyopathy, or congestive heart failure NYHA class III or IV
- Stroke or seizure within 6 months prior to consent
- Autoimmune diseases, immunodeficiency, or need for immunosuppressive therapy
- Other malignancies within 3 years except certain treated in situ cancers without recurrence
- Active uncontrolled infection
- Unstable systemic diseases including severe liver, kidney, or metabolic conditions
- Positive tests for HBV DNA, HCV antibody and RNA, HIV antibody, syphilis, or CMV DNA within one week before lymphocyte collection
- Use of prednisone over 5 mg/day or equivalent corticosteroids within one week before lymphocyte collection
- Prior CAR-T or genetically modified T cell therapies
- Prior BCMA-targeted therapy
- Vaccination with live vaccine within 4 weeks before consent
- History of alcoholism, drug abuse, psychiatric disorders, or other conditions deemed unsuitable by investigator
Research Team
Y
Yan Xu, MD
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