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CompletedNCT03144583CART19-BE-01Updated Aug 28, 2023

Pilot Study on the Infusion of ARI-0001 Cells in Patients With CD19+ Leukemia or Lymphoma Refractory to Therapy

A Phase 1 interventional study of Adult differentiated autologous T-cells in Leukemia and Lymphoma, sponsored by Sara V. Latorre. Completed at 2 sites in Spain. Open to participants aged 2 Years to 80 Years. Per ClinicalTrials.gov, last updated 2023-08-28.

Sponsored by Sara V. Latorre · Phase 1, Interventional, and Other

Phase
Phase 1
Study type
Interventional
Enrollment
50
Allocation
Not applicable
Ages
2 Years to 80 Years
Sex
All
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Study summary

To assess the infusion of ARI-0001 cells (Adult differentiated autologous T-cells from peripheral blood, expanded and transduced with a lentivirus to express a chimeric antigen receptor with anti-CD19 specificity [A3B1] conjugated with the co-stimulatory regions 4-1BB and CD3z ) safety on patients with leukemia or lymphoma CD19+ resistant or refractory to treatment and with a prognosis of less than 2 years.

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Conditions studied

  • Leukemia
  • Lymphoma

Keywords

  • CART19
03

In context

Leukemia

5,475 studies on the registry are indexed under Leukemia; 629 are open to participants now.

This study's enrollment of 50 is above the median of 38 across 4,268 interventional studies indexed under Leukemia.

Browse Leukemia studies →

Lead sponsor

Sara V. Latorre is the lead sponsor of 3 studies on the registry; none are open to participants now.

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

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Who can participate

Ages eligible
2 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Diagnosis of leukemia or CD19 + lymphoma, with a life expectancy less than 2 years that meet the following conditions:- Adult acute lymphoid leukemia in second or third response, not candidate for transplantation due to age, associated diseases or lack of donor, or in relapse post allogeneic transplant.- Pediatric acute lymphoid leukemia in second or third response, refractory or non-transplant candidate due to donor absence, or in relapse post allogeneic transplant, or with minimal residual residual disease (0.1% or greater) after two or more lines of treatment. - Symptomatic follicular lymphoma, which has received at least 2 treatment regimens (one of them including rituximab) and a progression-free interval of less than 2 years. Patients not candidates for transplantation or post-transplant relapse may be included.- Symptomatic chronic lymphocytic leukemia, which has received at least 2 treatment regimens (one of them including rituximab) and a progression-free survival of less than 2 years. Patients with a 17p deletion or TP53 mutation may be included after the first line of treatment. - Mantle cell lymphoma in the first relapse (or higher) when it is not a candidate for transplantation, or second post-transplant relapse (or higher). - Diffuse large cell lymphoma in first relapse (or higher) when it is not a candidate for transplantation, or second post-transplant relapse (or higher).
  • Age greater than 2 years and less than 80.
  • ECOG functional status from 0 to 2
  • Life expectancy of at least 3 months.
  • Appropriate venous access to perform an apheresis procedure. Absence of contraindications for it.
  • Signature of informed consent (patient or legal guardian).

Exclusion criteria

Exclusion Criteria:

  • Treatment with any experimental or non-marketed substance within four weeks prior to recruitment, or actively participating in another therapeutic clinical trial.
  • Diagnosis of another past or present neoplasm. Patients may be included in complete remission for more than 3 years, or with a history of non-melanoma skin cancer or completely resected in-situ carcinoma.
  • Central nervous system involvement (CNS-3) at inclusion. Inclusion will be permitted with patients with a lower grade (CNS-2) or with CNS-3 who have responded to intrathecal chemotherapy.
  • Early relapse after allogeneic transplantation (less than 3 months for apheresis of mononuclear cells, less than 6 months for infusion of ARI-0001) or patients on active immunosuppressive therapy for graft-versus-host disease (corticosteroids or other systemic immunosuppressants ).
  • Active infection requiring systemic medical treatment such as chronic kidney infection, chronic lung infection or tuberculosis.
  • HIV infection.
  • Concurrent and uncontrolled medical illnesses including cardiac, renal, hepatic, gastrointestinal, endocrine, pulmonary, neurological or psychiatric diseases which in the opinion of the researcher represent a risk to the patient.
  • Positive serology for hepatitis B, defined as a positive test for HBsAg. In addition, if the patient is HBsAg negative but has anti-HBc antibodies it will be necessary to perform a DNA test of the hepatitis B virus, and if the result is positive the patient will be excluded.
  • Positive serology for hepatitis C, defined as a positive test for anti-HCV antibodies confirmed by RIBA.
  • Severe organ failure, defined as a cardiac ejection fraction \<40%; DLCO \<40%; calculated glomerular filtrate rate \<30 ml / min; Or bilirubin> 3 times the upper limit of normal (unless it is due to CLL or Gilbert syndrome).
  • Pregnant or lactating women. Women of childbearing potential should have a negative pregnancy test in the screening phase.
  • Women of childbearing age, including those whose last menstrual cycle was in the year prior to screening, who are unable or unwilling to use highly effective contraceptive methods from the start of the study to the end of the study.
  • Men who are unable or unwilling to use highly effective contraceptive methods from the start of the study to the completion of the study.
  • The need to take glucocorticoids in a chronic manner at doses higher than 10 mg / day of prednisone (or equivalent) or other chronic immunosuppressants. Hormonal contraceptives, intrauterine device, intrauterine systems of hormonal release, sexual abstinence, vasectomy of the couple or bilateral tubal occlusion.
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Study design

Phase
Phase 1
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
50 participants (actual)

Study arms

  • Experimental
    Adult differentiated autologous T-cells

    Adult differentiated autologous T-cells from peripheral blood, expanded and transduced with a lentivirus to express a chimeric antigen receptor with anti-CD19 specificity (A3B1) conjugated with the co-stimulatory regions 4-1BB and CD3z. Such cells will be administered in a single infusion intravenously at a total ARI-0001 cell dose of 0.5-10 x 106 / kg body weight.

    Biological: Adult differentiated autologous T-cells

Interventions

  • BiologicalAdult differentiated autologous T-cells

    After pretreatment, adult differentiated autologous T-cells with a chimeric antigen receptor with anti-CD19 specificity will be transfused.

06

What researchers measure

Primary outcomes

  1. Procedure-related mortality (PRM)

    Any death not caused directly by leukemia / lymphoma. For the estimation of PRM, relapse or progression of the disease will be considered as a competitive event.

    Time frame: Year 1

  2. Procedure-related mortality (PRM)

    Any death not caused directly by leukemia / lymphoma. For the estimation of PRM, relapse or progression of the disease will be considered as a competitive event.

    Time frame: Year 3

  3. Assessment of toxicity

    number of adverse events grade III-IV using CTC (common toxicity criteria)

    Time frame: Month 3

  4. Assessment of toxicity

    number of adverse events grade III-IV using CTC (common toxicity criteria)

    Time frame: Year 1

Secondary outcomes

  1. Response rate (overall and complete)

    Defined differently for each disease: * On chronic lymphoid and acute lymphocytic leukemia, the usual criteria NCCN and IWCLL will be used. * On non-Hodgkin's lymphoma, the Lugano criteria will be used- * On patients with leukemia will be quantified the persistence of minimal residual disease, in bone marrow and peripheral blood, using multiparametric cytometry and new generation sequencing techniques.

    Time frame: Month 3 and Year 1

  2. Progression-free survival

    Time lag between infusion of ARI-0001 and the progression of disease or death. Patients alive and in complete remission will be censored at the last follow-up

    Time frame: Year 2 after procedure

  3. Overall survival (OS) at 2 years

    Time lag between the infusion of ARI-0001 and the death of the patient from any cause. Living patients will be censored at the the last follow-up.

    Time frame: 3 years

  4. In vivo survival of ARI-0001 cells in peripheral blood, bone marrow and cerebrospinal fluid

    Determined monthly during the first 6 months by flow cytometry and quantitative transgene PCR.

    Time frame: months 1,2,3,4,5,6

  5. In vivo survival of ARI-0001 cells in peripheral blood, bone marrow and cerebrospinal fluid

    Determined quarterly from month 6 until the 2 years after infusion, by flow cytometry and quantitative transgene PCR.

    Time frame: months 9,12,15,18,21,24

  6. Quality of life of included patients

    Evaluated by a questionnaire completed by patients or their legal guardians

    Time frame: Month 3, 6, 12

  7. Toxicity assessment

    defined as number of adverse events of any type occurring throughout the study using the common toxicity criteria

    Time frame: Month 3 and year 1

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Study locations

2 sites
  • Hospital Clínic of Barcelona
    Barcelona, 08036, Spain
  • Hospital Sant Joan de Deu
    Barcelona, 08950, Spain
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References and documents

Publications

  • Krawczyk M, Druzynska M, Bednarska E, Winiarska M. The race between 4-1BB- and CD28-based CD19 CAR-T products in the therapy of B-cell malignancies. Biochim Biophys Acta Rev Cancer. 2026 Feb;1881(1):189519. doi: 10.1016/j.bbcan.2025.189519. Epub 2025 Dec 20. PubMed 41429239 ↗
  • Bartolo-Ibars A, Aran A, Johansson AM, Ortiz-Maldonado V, Klein-Gonzalez N, Alonso-Saladrigues A, James E, Urbano-Ispizua A, Rives S, Delgado J, Gonzalez-Navarro EA, Kwok WW, Juan M. T-cell responses against CD19-targeted CAR T cells varnimcabtagene autoleucel (ARI-0001): implications for immune response and therapy outcomes. J Immunother Cancer. 2025 Sep 22;13(9):e010792. doi: 10.1136/jitc-2024-010792. PubMed 40987492 ↗
  • Martinez-Cibrian N, Ortiz-Maldonado V, Espanol-Rego M, Alserawan L, Navarro S, Albiol N, Lozano M, Charry P, Magnano L, Rivero A, Correa JG, Mozas P, Cortes-Bullich A, Jimenez-Vicente C, Gine E, Montoro-Lorite M, Ramos C, Ayora P, Calderon H, Sanchez-Castanon M, Benitez-Ribas D, Mata-Molanes JJ, Rojas K, Setoain X, Rodriguez S, Murias A, Alcubilla P, Varea S, Olesti E, Bachiller M, Calvo-Orteu M, Sans-Pola C, Saez-Penataro J, de Larrea CF, Lopez-Guillermo A, Gonzalez-Navarro EA, Juan M, Delgado J. Efficacy and safety of the academic anti-CD19 chimeric antigen receptor T-cell product varnimcabtagene autoleucel for the treatment of relapsed/refractory follicular lymphoma. Hemasphere. 2025 Sep 11;9(9):e70166. doi: 10.1002/hem3.70166. eCollection 2025 Sep. PubMed 40951523 ↗
  • Martinez-Cibrian N, Ortiz-Maldonado V, Espanol-Rego M, Blazquez A, Cid J, Lozano M, Magnano L, Gine E, Correa JG, Mozas P, Rodriguez-Lobato LG, Rivero A, Montoro-Lorite M, Ayora P, Navarro S, Alserawan L, Gonzalez-Navarro EA, Castella M, Sanchez-Castanon M, Cabezon R, Benitez-Ribas D, Setoain X, Rodriguez S, Brillembourg H, Varea S, Olesti E, Guillen E, Saez-Penataro J, de Larrea CF, Lopez-Guillermo A, Pascal M, Urbano-Ispizua A, Juan M, Delgado J. The academic point-of-care anti-CD19 chimeric antigen receptor T-cell product varnimcabtagene autoleucel (ARI-0001 cells) shows efficacy and safety in the treatment of relapsed/refractory B-cell non-Hodgkin lymphoma. Br J Haematol. 2024 Feb;204(2):525-533. doi: 10.1111/bjh.19170. Epub 2023 Oct 31. PubMed 37905734 ↗
  • Ortiz-Maldonado V, Rives S, Castella M, Alonso-Saladrigues A, Benitez-Ribas D, Caballero-Banos M, Baumann T, Cid J, Garcia-Rey E, Llanos C, Torrebadell M, Villamor N, Gine E, Diaz-Beya M, Guardia L, Montoro M, Catala A, Faura A, Gonzalez EA, Espanol-Rego M, Klein-Gonzalez N, Alsina L, Castro P, Jordan I, Fernandez S, Ramos F, Sune G, Perpina U, Canals JM, Lozano M, Trias E, Scalise A, Varea S, Saez-Penataro J, Torres F, Calvo G, Esteve J, Urbano-Ispizua A, Juan M, Delgado J. CART19-BE-01: A Multicenter Trial of ARI-0001 Cell Therapy in Patients with CD19+ Relapsed/Refractory Malignancies. Mol Ther. 2021 Feb 3;29(2):636-644. doi: 10.1016/j.ymthe.2020.09.027. Epub 2020 Sep 20. PubMed 33010231 ↗
  • Castella M, Caballero-Banos M, Ortiz-Maldonado V, Gonzalez-Navarro EA, Sune G, Antonana-Vidosola A, Boronat A, Marzal B, Millan L, Martin-Antonio B, Cid J, Lozano M, Garcia E, Tabera J, Trias E, Perpina U, Canals JM, Baumann T, Benitez-Ribas D, Campo E, Yague J, Urbano-Ispizua A, Rives S, Delgado J, Juan M. Point-Of-Care CAR T-Cell Production (ARI-0001) Using a Closed Semi-automatic Bioreactor: Experience From an Academic Phase I Clinical Trial. Front Immunol. 2020 Mar 20;11:482. doi: 10.3389/fimmu.2020.00482. eCollection 2020. PubMed 32528460 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Jun 2017 to primary completion in Sep 2022, 62 months.

Of 276 non-industry phase 1 interventional studies under Leukemia, half reached primary completion within 51 months of starting (the median), counting those still running; a quarter within 30 and three quarters within 80. This study's 62 months is above that.

Counting every sponsor, half of 452 studies reached it within 47 months; a quarter within 29 and three quarters within 72.

How these figures are worked out, and which studies are left out of them.

Registered
Apr 26, 2017
First posted
May 9, 2017
StartActual
Jun 15, 2017
Primary completionActual
Sep 13, 2022
CompletionActual
Sep 13, 2022
Last update
Aug 28, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 28, 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
NCT03144583
Lead sponsor
Sara V. Latorre
Collaborators
Instituto de Salud Carlos III
Responsible party
Sara V. Latorre (Clinical Research Manager, Institut d'Investigacions Biomèdiques August Pi i Sunyer) — Sponsor-investigator
First posted
May 9, 2017
Start date
Jun 15, 2017
Primary completion
Sep 13, 2022
Completion
Sep 13, 2022
Last update
Aug 28, 2023

Study contacts

Julio Delgado González, PhD MD
principal investigator · Hospital Clinic of Barcelona

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Aug 2023. You cannot join it, but the record below documents what was studied.

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