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RecruitingNCT04534634Updated Sep 1, 2020

Study of IFN-α Combined With CAR-T Cell Therapy in Relapsed and Refractory Acute Lymphoblastic Leukemia(R/R-ALL)

A Phase 2 interventional study of IFN-α combined with CAR-T cell therapy in B-cell Acute Lymphoblastic Leukemia, sponsored by The First Affiliated Hospital of Soochow University. Recruiting at 1 site in China. Open to participants aged 12 Years to 65 Years. Per ClinicalTrials.gov, last updated 2020-09-01.

Sponsored by The First Affiliated Hospital of Soochow University · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Jul 2023, 3 years 2 months ago, but the record still lists the study as recruiting.
  • Registered 1 year 4 months after the study started (first participant enrolled Apr 2019, registered Aug 2020).
  • Started Apr 2019; still recruiting 7 years 6 months later.
Phase
Phase 2
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
12 Years to 65 Years
Sex
All
01

Study summary

The purpose of this study is to evaluate the safety and efficacy of IFN-α combined with CAR-T cell therapy in relapsed and refractory acute lymphoblastic leukemia (R/R ALL).

Read the detailed description

This is a phase 2, single-center study. The patients will receive IFN-α combined with infusion of CAR T-cells in R/R B-ALL patients. The study participation will be 5 years including treatment and follow-up periods.

02

Conditions studied

  • B-cell Acute Lymphoblastic Leukemia

Keywords

  • IFN-α, CAR-T
03

In context

Leukemia

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

This study's planned enrollment of 60 is above the median of 38 across 4,247 interventional studies indexed under Leukemia.

Browse Leukemia studies →

Lead sponsor

The First Affiliated Hospital of Soochow University is the lead sponsor of 252 studies on the registry; 148 are open to participants now.

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

04

Who can participate

Ages eligible
12 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Diagnosed refractory and relapsed acute B-lymphoblastic leukemia.
  2. Age 12-65.
  3. Eastern Cooperative Oncology Group (ECOG) score 0-2.
  4. Target on leukemia is >20% positive detected with flowcytometry.
  5. Patients with left ventricular ejection fraction ≥ 0.5 by echocardiography or grade I/II cardiovascular dysfunction according to the New York Heart Association Classification.

5.Patients with aspartate aminotransferase or glutamic-pyruvic transaminase > 3x upper limit of normal or bilirubin > 2.0 mg/dL.

6.No other immunotherapy was received within 3 months.

Exclusion criteria

Exclusion Criteria:

  1. Patients are pregnant or lactating.
  2. Patients with congenital immunodeficiency.
  3. Patients with central nervous system leukemia.
  4. Patients with uncontrolled active infection.
  5. Patients with active hepatitis B or hepatitis C infection.
  6. Patients with HIV infection.
  7. Patients with atrial or venous thrombosis or embolism.
  8. Patients with myo-infarction or severe arrythmia in the recent 6 months.
  9. Other comorbidities that investigators considered not suitable for this study.
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
60 participants (estimated)

Study arms

  • Experimental
    Experimental group

    IFN-α combined with CAR T-cells therapy

    Combination Product: IFN-α combined with CAR-T cell therapy

  • No intervention
    Control group

    CAR T-cells therapy

Interventions

  • Combination productIFN-α combined with CAR-T cell therapy

    Adults: 14 daily intramuscular injections 300 million IU of Interferon-α for a 28-day cycle. Children: 14 daily intramuscular injections 200mg/m\^2 of Interferon-α for a 28-day cycle. CAR T cell: (1-2)×10\^7/kg, intravenously infusion.

    Also known as: CAR-T cell therapy

06

What researchers measure

Primary outcomes

  1. Overall response rate (ORR)

    ORR includes CR, CRi, MLFS and PR. Complete remission (CR):Bone marrow blasts \<5%; absence of circulating blasts and blasts with Auer rods; absence of extramedullary disease; absolute neutrophil count \>1.0x 10\^9/L; platelet count \>100x10\^9/L. CR with incomplete hematologic recovery (CRi):All CR criteria except for residual neutropenia (\<1.0x10\^9/L) or thrombocytopenia (\<100x10\^9/L). Morphologic leukemia-free state (MLFS): Bone marrow blasts \<5%; absence of blasts with Auer rods; absence of extramedullary disease; no hematologic recovery required. Partial remission (PR): All hematologic criteria of CR; decrease of bone marrow blast percentage to 5% to 25%; and decrease of pretreatment bone marrow blast percentage by at least 50%.

    Time frame: 2 years

Secondary outcomes

  1. Overall survival (OS)

    time from enrollment to the date of death from any cause

    Time frame: 2 years

  2. Leukemia-free survival (LFS)

    time from enrollment to the date of primary refractory disease, or relapse from CR, or death from any cause

    Time frame: 2 years

  3. Cumulative incidence of relapse(CIR)

    time from the date of achievement of a remission until the date of relapse

    Time frame: 2 years

  4. the duration of CAR-T cells in patients

    the time of CAR-T cells' persistence in blood and the copies of CAR-T cells

    Time frame: 2 years

  5. Number of adverse events

    adverse events are evaluated with CTCAE V5.0

    Time frame: 2 years

07

Study locations

1 of 1 sites recruiting
  • The First Affiliated Hospital of Soochow University
    Suzhou, Jiangsu 215000, China
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 1, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04534634
Lead sponsor
The First Affiliated Hospital of Soochow University
Responsible party
Xiaowen Tang (Chief Physician, The First Affiliated Hospital of Soochow University) — Principal investigator
First posted
Sep 1, 2020
Start date
Apr 1, 2019
Primary completion
Jul 31, 2023 (estimated)
Completion
Jul 31, 2025 (estimated)
Last update
Sep 1, 2020

Study contacts

xiaowen tang, Ph.D
Contact
xwtang1020@163.com
1391353826
depei wu, Ph.D
Contact
drwudepei@163.com
86-0512677801856
xiaowen tang, Ph.D
principal investigator · The First Affiliated Hospital of Soochow University

Oversight

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

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