Actively Recruiting
MB-dNPM1-TCR.1 in Relapsed/Refractory AML
Led by Miltenyi Biomedicine GmbH · Updated on 2026-04-16
29
Participants Needed
1
Research Sites
200 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
The goal of this Phase I/II, single arm, prospective, open label, dose escalation trial is to assess safety, feasibility and efficacy of ex vivo expanded autologous T cells genetically modified to express a T cell receptor (TCR) specific for dNPM1 peptides restricted to human leukocyte antigen (HLA) A\*02:01 in patients with relapsed or refractory AML.
CONDITIONS
Official Title
MB-dNPM1-TCR.1 in Relapsed/Refractory AML
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Age 18 years or older
- Ability to understand and provide signed informed consent
- Relapsed or refractory acute myeloid leukemia without standard treatment options, defined as no complete remission or residual disease after at least two courses of standard therapy, or relapse after first-line treatment, or relapse/non-response after allogeneic stem cell transplant without eligibility for further transplantation or donor lymphocyte infusion
- Positive for HLA-A*02:01 by genotyping
- Presence of NPM1 mutation recognized by the therapy and measurable by specific Q-PCR
- Circulating white blood cell count above 1x10^9/L with less than 50% leukemic blasts and at least 0.03 x 10^9 CD8+ T cells/L
- Life expectancy of at least 3 months
- ECOG performance status between 0 and 3
- Negative pregnancy test for women of childbearing potential
- Agreement to use effective contraception during the trial for fertile men and women
You will not qualify if you...
- Pregnant or breastfeeding women
- Active infection with HIV-1, HIV-2, HBV, HCV, HTLV-I, HTLV-II, SARS-CoV-2, or Treponema Pallidum
- Clinically significant, advanced or unstable disease or inadequate organ function increasing risk for severe complications
- Use of systemic immunosuppressive drugs such as cyclosporine or corticosteroids above specified doses; inhaled steroids and adrenal insufficiency replacement allowed
- Unwillingness or inability to comply with trial procedures
- Uncontrolled life-threatening infections or disseminated intravascular coagulation unless resolved before treatment
- Current or recent use (within 30 days) of other investigational medicinal products
- High-dose immunosuppression for immune disorders interfering with T cell function
- Known allergy to any drugs used in mandatory trial procedures
- Serum creatinine ≥ 2.0 x upper limit of normal or estimated glomerular filtration rate below 30 mL/min
- Body mass index 40 or higher
- Vaccination with live vaccines within 6 weeks before treatment
- Major surgery within 30 days before treatment
- Institutionalization by judicial or official order
AI-Screening
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Trial Site Locations
Total: 1 location
1
Leiden University Medical Center
Leiden, Netherlands, 2333
Actively Recruiting
Research Team
J
Jörg Liebmann
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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