CClinicalTrials.gg
TerminatedNCT02935543Updated Jun 22, 2023Results posted

CART19 in Adult Patients With Minimal Residual Disease During Upfront Treatment for ALL

A Phase 2 interventional study of CART 19 in Leukemia, Acute Lymphoblastic, sponsored by University of Pennsylvania. Terminated at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-06-22.

Sponsored by University of Pennsylvania · Phase 2, Interventional, and Treatment

Why this study was terminated
Study is terminated because of administrative reasons.
Phase
Phase 2
Study type
Interventional
Enrollment
1
Allocation
Not applicable
Ages
18 Years and older
Sex
All
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Study summary

This is a single center, single arm, open-label phase 2 study to determine the efficacy of autologous T cells expressing CD19 chimeric antigen receptors expressing tandem TCRζ and 4-1BB (TCRζ/4-1BB) co-stimulatory domains (referred to as "CART19" cells) in adults with minimal residual disease (MRD) during upfront treatment for CD19+ acute lymphoblastic leukemia.

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Conditions studied

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In context

Leukemia

5,441 studies on the registry are indexed under Leukemia; 636 are open to participants now.

This study's enrollment of 1 is below the median of 38 across 4,247 interventional studies indexed under Leukemia.

Browse Leukemia studies →

Lead sponsor

University of Pennsylvania is the lead sponsor of 1,635 studies on the registry; 239 are open to participants now.

Of its 154 completed or terminated interventional studies of FDA-regulated products, 104 (68%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Patients with CD19+, B cell Acute Lymphoblastic Leukemia (B-ALL) who have 0.01%≤MRD\<10% during upfront treatment
  2. Patients must be within 18 months of initial ALL diagnosis
  3. Age ≥18 years
  4. Adequate organ function defined as:

    1. Creatinine ≤ grade 2
    2. ALT/AST ≤3x upper limit of normal range for age
    3. Direct bilirubin ≤2.0 mg/dl
    4. Adequate pulmonary function defined as ≤ grade 2 dyspnea and ≤ grade 2 hypoxia
    5. Cardiac Left Ventricle Ejection Fraction (LVEF) ≥ 40% confirmed by ECHO/MUGA
  5. Patients with CNS3 disease will be eligible if CNS disease is responsive to therapy.
  6. Expression of CD19 on leukemic blasts demonstrated by flow cytometry or immunohistochemistry of bone marrow or peripheral blood
  7. Adequate performance status defined as ECOG Performance Status 0 or 1
  8. Provides written informed consent
  9. Subjects of reproductive potential must agree to use acceptable birth control methods, as described in protocol

Exclusion criteria

Exclusion Criteria:

  1. Active, uncontrolled infection
  2. Active hepatitis B or hepatitis C
  3. HIV Infection
  4. Class III/IV cardiovascular disability according to the New York Heart Association Classification (see Appendix 2)
  5. Subjects with clinically apparent arrhythmia or arrhythmias who are not stable on medical management within two weeks of enrollment.
  6. Pregnant or nursing (lactating) women
  7. Patients with a known history or prior diagnosis of optic neuritis or other immunologic or inflammatory disease affecting the central nervous system, and unrelated to leukemia or previous leukemia treatment.
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Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
1 participant (actual)

Study arms

  • Experimental
    CART19

    CART19 cells transduced with a lentiviral vector to express anti-CD19 scFv TCRz:41BB administered by IV infusion.

    Biological: CART 19

Interventions

  • BiologicalCART 19

    CART19 cells transduced with a lentiviral vector to express anti-CD19 scFv TCRz:41BB administered by IV infusion. Subjects will receive 1-5 x 10\^8 transduced CAR T cells as a split dose over three days as follows:Day 1, 10% fraction: 1-5x10\^7 CART19 cells, Day 2, 30% fraction: 3x10\^7-1.5x10\^8 CART19 cells, Day 3, 60% fraction: 6x10\^7-3x10\^8 CART19 cells

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What researchers measure

Primary outcomes

  1. The Incidence of Conversion of Minimal Residual Disease (MRD) to <0.01%

    The incidence of conversion of minimal residual disease (MRD) to \<0.01% after CART19 therapy in patients with MRD+ ALL during upfront treatment

    Time frame: Day 28

Secondary outcomes

  1. Best Overall Survival (OS)

    Overall survival (OS) is defined as the time from the date of the first CART19 infusion to the date of death due to any reason.

    Time frame: one year

  2. Duration of Remission (DOR)

    Duration of remission (DOR) is defined as the duration from the date when the response criteria of CR or CRi is first met to the date of relapse or death due to ALL.

    Time frame: one year

  3. Relapse Free Survival (RFS)

    Relapse free survival (RFS) is defined as the duration between the date when the response criteria of CR or CRi is first met to the date of relapse or death due to any cause.

    Time frame: one year

  4. Event Free Survival (EFS)

    Event free survival (EFS) is defined as the time from start of the first CART19 infusion to the earliest of the following: Death from any cause Relapse Treatment failure: Defined as no response in the study and discontinuation from the study due to any of the following reasons: * Adverse event(s) * Abnormal laboratory value(s) * Abnormal test procedure results * New cancer therapy (excluding HSCT when performed in CR or CRi)

    Time frame: one year

  5. Percentage of Manufacturing Products That do Not Meet Release Criteria for Vector Transduction Efficiency, T Cell Product Purity, Viability, Sterility or Due to Tumor Contamination.

    Percentage of manufacturing products that do not meet release criteria for vector transduction efficiency, T cell product purity, viability, sterility or due to tumor contamination.

    Time frame: prior to day 1

  6. Safety and Tolerability of CART19: Frequency and Severity of Adverse Events, Including, But Not Limited to, Cytokine Release Syndrome (CRS) and Macrophage Activation Syndrome (MAS).

    Frequency and severity of adverse events, including, but not limited to, cytokine release syndrome (CRS) and macrophage activation syndrome (MAS).

    Time frame: one year

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Results

Posted Feb 5, 2020

Participant flow

Participant flow — Overall Study
MilestoneCART19
Started1
Completed1
Not completed0

Outcome measures

PrimaryThe Incidence of Conversion of Minimal Residual Disease (MRD) to <0.01%

The incidence of conversion of minimal residual disease (MRD) to \<0.01% after CART19 therapy in patients with MRD+ ALL during upfront treatment

Time frame:
Day 28
Reported as:
Count of participants · Participants
The Incidence of Conversion of Minimal Residual Disease (MRD) to <0.01%
ParticipantsCART19
The Incidence of Conversion of Minimal Residual Disease (MRD) to <0.01%0
SecondaryBest Overall Survival (OS)

Overall survival (OS) is defined as the time from the date of the first CART19 infusion to the date of death due to any reason.

Time frame:
one year

No measurements were reported for this outcome.

SecondaryDuration of Remission (DOR)

Duration of remission (DOR) is defined as the duration from the date when the response criteria of CR or CRi is first met to the date of relapse or death due to ALL.

Time frame:
one year

No measurements were reported for this outcome.

SecondaryRelapse Free Survival (RFS)

Relapse free survival (RFS) is defined as the duration between the date when the response criteria of CR or CRi is first met to the date of relapse or death due to any cause.

Time frame:
one year

No measurements were reported for this outcome.

SecondaryEvent Free Survival (EFS)

Event free survival (EFS) is defined as the time from start of the first CART19 infusion to the earliest of the following: Death from any cause Relapse Treatment failure: Defined as no response in the study and discontinuation from the study due to any of the following reasons: * Adverse event(s) * Abnormal laboratory value(s) * Abnormal test procedure results * New cancer therapy (excluding HSCT when performed in CR or CRi)

Time frame:
one year

No measurements were reported for this outcome.

SecondaryPercentage of Manufacturing Products That do Not Meet Release Criteria for Vector Transduction Efficiency, T Cell Product Purity, Viability, Sterility or Due to Tumor Contamination.

Percentage of manufacturing products that do not meet release criteria for vector transduction efficiency, T cell product purity, viability, sterility or due to tumor contamination.

Time frame:
prior to day 1
Reported as:
Number · percentage of products
Percentage of Manufacturing Products That do Not Meet Release Criteria for Vector Transduction Efficiency, T Cell Product Purity, Viability, Sterility or Due to Tumor Contamination.
percentage of productsCART19
Percentage of Manufacturing Products That do Not Meet Release Criteria for Vector Transduction Efficiency, T Cell Product Purity, Viability, Sterility or Due to Tumor Contamination.0
SecondarySafety and Tolerability of CART19: Frequency and Severity of Adverse Events, Including, But Not Limited to, Cytokine Release Syndrome (CRS) and Macrophage Activation Syndrome (MAS).

Frequency and severity of adverse events, including, but not limited to, cytokine release syndrome (CRS) and macrophage activation syndrome (MAS).

Time frame:
one year
Reported as:
Number · percentage of participants
Safety and Tolerability of CART19: Frequency and Severity of Adverse Events, Including, But Not Limited to, Cytokine Release Syndrome (CRS) and Macrophage Activation Syndrome (MAS).
percentage of participantsCART19
Safety and Tolerability of CART19: Frequency and Severity of Adverse Events, Including, But Not Limited to, Cytokine Release Syndrome (CRS) and Macrophage Activation Syndrome (MAS).100

Adverse events

Collected over 3 months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
CART191/1 (100%)1/1 (100%)0/1 (0%)
Most frequent serious events
Most frequent serious events
EventCART19
gastric necrosisGastrointestinal disorders1/1
parathesiasNervous system disorders1/1
encephalopathyNervous system disorders1/1

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)CART19
<=18 years0
Between 18 and 65 years1
>=65 years0
Sex: Female, Male
Sex: Female, Male(Participants)CART19
Female1
Male0
Race (NIH/OMB)
Race (NIH/OMB)(Participants)CART19
American Indian or Alaska Native0
Asian0
Native Hawaiian or Other Pacific Islander0
Black or African American1
White0
More than one race0
Unknown or Not Reported0
Region of Enrollment
Region of Enrollment(participants)CART19
United States1
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Study locations

1 site
  • University of Pennsylvania
    Philadelphia, Pennsylvania 19104, United States
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References and documents

Study documents

  • Protocol and statistical analysis plan · Mar 15, 2017

Documents are hosted by the registry — open the source record to download them.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 22, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02935543
Lead sponsor
University of Pennsylvania
Responsible party
Sponsor
First posted
Oct 17, 2016
Start date
Oct 2016
Primary completion
Dec 12, 2018
Completion
Dec 12, 2018
Results posted
Feb 5, 2020
Last update
Jun 22, 2023

Study contacts

Noelle Frey, MD
principal investigator · University of Pennsylvania

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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