Actively Recruiting

Early Phase 1
Age: 18Years - 75Years
All Genders
NCT07429461

Clinical Study of SYNCAR-100 in the Treatment of Relapsed/Refractory Acute B-Lymphoblastic Leukemia

Led by Zhejiang University · Updated on 2026-02-24

16

Participants Needed

1

Research Sites

826 weeks

Total Duration

On this page

Sponsors

Z

Zhejiang University

Lead Sponsor

B

Bisheng (Beijing) Biotechnology Co., Ltd.

Collaborating Sponsor

AI-Summary

What this Trial Is About

The purpose of this study is to assess the safety, tolerability, and preliminary efficacy of SYNCAR-100 in patients with CD19-positive relapsed or refractory B-cell acute lymphoblastic leukemia (R/R B-ALL). Participants who have signed the informed consent form will undergo screening against the inclusion and exclusion criteria. Eligible participants will receive study drug administration once weekly for a total of four doses, followed by a 1-year safety and efficacy follow-up observation period. After the completion of the study, long-term follow-up may be required for participants to monitor their health and survival status until 15 years post-treatment, or until the occurrence of patient death, loss to follow-up, or withdrawal of consent.

CONDITIONS

Official Title

Clinical Study of SYNCAR-100 in the Treatment of Relapsed/Refractory Acute B-Lymphoblastic Leukemia

Who Can Participate

Age: 18Years - 75Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Aged 18 to 75 years (inclusive), any gender
  • Karnofsky Performance Status score of 70 or higher
  • Estimated life expectancy of at least 12 weeks
  • Positive CD19 expression on tumor cells confirmed by flow cytometry in bone marrow or peripheral blood
  • Confirmed diagnosis of B-cell acute lymphoblastic leukemia (B-ALL) meeting one of the following: refractory B-ALL after 2 induction chemotherapy courses or salvage therapy failure; relapsed B-ALL within 12 months after first remission or after salvage therapy; relapse after autologous or allogeneic hematopoietic stem cell transplantation
  • For Philadelphia chromosome-positive patients: failure or intolerance to at least 2 lines of tyrosine kinase inhibitor therapy, or resistance due to T315I mutation
  • Bone marrow blasts and immature lymphocytes proportion greater than 5%
  • No hematopoietic stem cell transplantation within 6 months before enrollment
  • Adequate organ function including creatinine clearance above 60 mL/min, liver enzymes below specified limits, total bilirubin below specified limits, absolute lymphocyte count above 0.1 x 10^9/L, left ventricular ejection fraction above 50%, no significant pleural effusion, and oxygen saturation above 92% on room air
  • For women of childbearing potential: non-lactating, negative pregnancy test at screening, and use of contraception during treatment and for 2 years after
  • For men of childbearing potential: sperm donation prohibited during treatment and for 2 years after
  • Ability to communicate effectively and willingness to comply with the study protocol and provide informed consent
Not Eligible

You will not qualify if you...

  • Isolated extramedullary leukemia or isolated extramedullary relapse
  • Central nervous system involvement of leukemia at CNS2 stage
  • History of other malignant tumors except cured non-melanoma skin cancer, carcinoma in situ of uterine cervix, localized prostate cancer, superficial bladder cancer, ductal carcinoma in situ, or other cancers with disease-free survival over 5 years
  • Positive tests for HIV, HCV, hepatitis B surface antigen, positive HBcAb with HBV DNA, or TPPA
  • Live or attenuated live vaccines within 4 weeks before enrollment
  • Philadelphia chromosome-positive ALL with tyrosine kinase inhibitor therapy within 1 week before enrollment
  • Prior CD19-targeted therapy, CAR-T cell therapy, or gene-edited T cell therapy
  • Grade 2 or higher acute graft-versus-host disease requiring treatment, or extensive chronic graft-versus-host disease within 4 weeks prior to enrollment
  • Comorbidities requiring systemic corticosteroid or immunosuppressive therapy during study, or recent allogeneic cellular therapy within 4 weeks
  • Recent CNS-directed radiotherapy within 4 weeks before enrollment
  • Unresolved acute toxicities from prior therapy (except hematologic toxicity and alopecia) not recovered to Grade 1 or lower
  • Known life-threatening hypersensitivity or intolerance to study drug, or severe atopy history
  • Active autoimmune diseases, excluding controllable hypothyroidism
  • Major surgery requiring general anesthesia within 4 weeks before enrollment or anticipated during study without recovery
  • Use of other investigational drugs within 28 days before enrollment
  • History of unstable cardiovascular disease within 6 months prior to enrollment
  • History of CNS disease or autoimmune disease involving CNS
  • Uncontrolled active infection at screening
  • Any other condition making the patient unsuitable for the study

AI-Screening

AI-Powered Screening

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Trial Site Locations

Total: 1 location

1

The first affiliated hospital of medical college of zhejiang university

Hangzhou, Zhejiang, China, 310003

Actively Recruiting

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Research Team

H

He Huang, MD

CONTACT

Y

Yongxian Hu, MD

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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