ClinicalTrials.gg
RecruitingNCT05391490KCAT19Updated Aug 11, 2026

Allogeneic T Cells Expressing T Cell Receptor-KDEL and the Chimeric Antigen Receptor CAT19 for the Treatment of Advanced CD19+ Malignancies

A Phase 1 interventional study of KCAT19 T cells in Blood Cancer, sponsored by University College, London. Recruiting at 1 site in United Kingdom. Open to participants aged 16 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-08-11.

Sponsored by University College, London · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Started Feb 2023; still recruiting 3 years 9 months later.
Phase
Phase 1
Study type
Interventional
Enrollment
12
Allocation
Not applicable
Ages
16 Years to 65 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 70 studies in Hematologic Neoplasms with a site in United Kingdom — 22 open to participants now, 28 under way, 11 of them phase 3. Hematologic Neoplasms · United Kingdom.

Planned enrollment
58th of 61
12 · median 77
Started
2023
with 6 others
Phase 1
15 of 70
2 open now
Primary completion
2027-02
later than 4 of 27 live
Registered
50th of 70
by date

Among the 70 studies in Hematologic Neoplasms with a site in United Kingdom, this one is the 58th largest by planned enrollment of the 61 interventional ones, is one of 7 that started in 2023, is one of 15 in phase 1, reaches primary completion later than 4 of the 27 other live ones, and was the 50th registered.

By phase

70 studies; the count open now beside each. This study's row is marked.

Phase 1this study15 · 2 open
Phase 1/213 · 2 open
Phase 213 · 3 open
Phase 310 · 4 open
Observational9 · 4 open
Phase 2/38 · 7 open
No phase2 · 0 open

By the year they started

First in 2002; this study’s year is marked. 7 started in 2023.

Size and results

Median enrollment 77 across the 61 interventional studies, 200 across the 9 observational. Of the 37 that completed or were terminated, 18 (49%) have results posted.

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02

Study summary

KCAT19 is a single-centre, non-randomised, open-label Phase I clinical trial of an Advanced Therapy Investigational Medicinal Product (ATIMP) in adults (age 16-65 years) with high risk, relapsed/refractory (r/r) B cell malignancies.

Read the detailed description

The aims of this study are to make sure these KCAT19 T cells can be made in the lab, assess if these therapies are safe and also obtain some initial information that these CAR T cells work in patients with B-cell malignancies.

Following patent's informed consent and registration into the trial, allogeneic HLA-matched cord blood donor T cells will be couriered to the Centre for Cell, Gene \& Tissue Therapeutics (CCGTT) at the Royal Free Hospital (RFH) where the KCAT19 T cells will be manufactured. The first 3 patients treated on KCAT19 will be HLA matched 4-6/6 with a cord-blood donor and the remaining patients registered will be HLA matched 0-6/6 if confirmed by the IDMC.

KCAT19 T cells are classified as advanced therapy investigational medicinal products (ATIMPs) and manufacture will take approximately 15 days.

Briefly, the allogeneic cord-blood derived T cells are grown in the presence of a lentivirus which transfers specific genes into the T cells (part of the white blood cells). The genes enable the T cells to express a protein which can recognise a target protein (CD19) present on the surface of the malignant B-cells and attack them. The genetically modified cells are tested to ensure they comply with the specified quality release criteria and frozen at RFH. The ATIMPs are couriered to the trial site with a special shipper (maintaining temperature below -130C) to be administered to the patient when needed. During the ATIMP manufacturing period, patients may receive "holding" chemotherapy or immunotherapy as per institutional practice to maintain disease control. Prior to infusion of the KCAT19 T cells, patients will be admitted to hospital to have pre-conditioning therapy with 2 anticancer drugs: cyclophosphamide and fludarabine.

Patients will then receive the KCAT19 T cell infusion on day 0. The KCAT19 T cells are given as an intravenous infusion. Patients will be closely monitored at the participating trial site for a minimum of 14 days after the KCAT19 T cells infusion with regular observations and blood tests (detailed in the protocol) to assess for potential toxicities. Disease assessment will take place at; baseline, month 1, month 6 and month 12 post-KCAT19 T cell infusion.

Following discharge, patients will be followed up monthly for the first 6 months, then 6 weekly until 12 months post KCAT19 T infusion, followed by quarterly visits for a further year before annual visits until the end of the trial is declared (Year 3 - Year 10).

03

Conditions studied

  • Blood Cancer

Keywords

  • CAR T cells
  • leukemia
  • lymphoma
04

Who can participate

Ages eligible
16 Years to 65 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

  1. Age 16-65 years
  2. B cell following at least 2 :

    B-ALL: relapsed or refractory B-ALL following standard therapy, requiring salvage, in whom alternative therapies are deemed inappropriate by their treating physician Or LBCL: relapsed/refractory DLBCL (incl. transformed FL but not Richter's transformation) or PMBCL following ≥2 prior lines of therapy which must include Rituximab, anthracycline and autologous CD19 CAR, (unless CD19 CAR cannot be manufactured) Or MCL: relapsed/ refractory disease following ≥2 lines of therapy which must include Rituximab, Bruton's tyrosine kinase inhibitor and autologous CD19CAR therapy (unless CD19 CAR cannot be manufactured) Or Indolent B-NHL (either Follicular Lymphoma, Marginal Zone Lymphoma or other low-grade lymphoma) which is relapsed / refractory following ≥2 prior lines of therapy which must include anti-CD20 therapy and chemotherapy with anthracycline or bendamustine.

  3. CD19+ disease
  4. Agreement to have a pregnancy test, use adequate (if applicable)
  5. Written

Exclusion criteria

Exclusion Criteria:

  1. CD19 negative disease
  2. Active CNS involvement of disease
  3. Diagnosis of chronic lymphocytic leukaemia/ small lymphocytic lymphoma or Burkitt lymphoma
  4. Active , C or infection
  5. Oxygen saturation ≤ 90% on air
  6. >2 x
  7. \<30ml/min
  8. Women who are pregnant or breast feeding
  9. Stem Cell Transplant patients only: active significant acute GvHD (overall Grade ≥ II, Modified Glucksberg criteria) or moderate/severe chronic GvHD (NIH consensus criteria) requiring therapy and/or systemic
  10. score \<60%
  11. Known allergy to albumin or DMSO
  12. Patients receiving corticosteroids at a dose of >5 mg prednisolone per day (or equivalent) that cannot be discontinued
  13. \<3 months
  14. Cardiac dysrhythmias (excluding well-controlled AF or other supraventricular tachycardia) or significant cardiac disease and \<40%
  15. Patients who can reasonably access autologous CD19 CAR treatment as part of standard of care or a clinical trial*

    • These patients will be initially considered for autologous treatment in preference to enrolling on KCAT19
Terms in these criteria, in plain language(15)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Line of therapy

A line of therapy is one course of treatment, which may combine several drugs. First-line is the first course given; second-line follows when that stops working or is not tolerated.

“Two prior lines” means two courses that count separately under the study’s rules — not simply two drugs. Ask the study team if you are unsure how yours are counted.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Karnofsky performance status (KPS)

A 0–100 scale of how well someone can carry out everyday activities. 100 is no complaints and no signs of illness; 70 is able to look after yourself but not to work or keep up normal activity; 50 is needing considerable help and frequent medical care.

Studies often ask for 60 or 70 and above. Your doctor gives the score.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
12 participants (estimated)

Study arms

  • Experimental
    Single Arm Trial

    Treatment with Lymphodepletion followed by a dose of KCAT19 T cells.

    Genetic: KCAT19 T cells

Interventions

  • GeneticKCAT19 T cells

    Allogeneic, cord unit derived KCAT19 T cells

06

What researchers measure

Primary outcomes

  1. KCAT 19 T cell generation feasibility

    Feasibility of generation of T cell receptor-negative KCAT19 T cells as evaluated by the number of therapeutic products generated.

    Time frame: Up to 28 days after last patient is recruited

  2. KCAT19 T cell Toxicity

    Toxicity following KCAT19 T cell administration as evaluated by the incidence of grade 3-5 toxicity causally related to the ATIMP

    Time frame: Up to 28 days after last patient treated

Secondary outcomes

  1. Response rate

    Proportion of responders and depth of response at 1 and 6 months post ATIMP infusion

    Time frame: 6 months after last patient treated with ATIMP

  2. KCAT19 T cell persistence

    Persistence and frequency of circulating KCAT19 T cells in peripheral blood as assessed by flow cytometry

    Time frame: After last treated patient completes the 2 year follow up visit

  3. KCAT19 T cell persistence

    Persistence and frequency of circulating KCAT19 T cells in peripheral blood as assessed by qPCR

    Time frame: After last treated patient completes the 2 year follow up visit

  4. Hypogammaglobulinaemia and B cell aplasia

    Incidence and duration of hypogammaglobulinaemia and B cell aplasia

    Time frame: 2 years after last patient treated

  5. Time to Disease Progression

    Time to Disease Progression

    Time frame: 2 years after last patient treated

  6. Event-Free survival

    Event-Free Survival at 1 and 2 years after immunotherapy with KCAT19 T cells

    Time frame: 2 years after last patient treated

  7. Overall Survival

    Overall survival at 1 and 2 years after immunotherapy with KCAT19 T cells

    Time frame: 2 years after last patient treated

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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

Started Feb 2023 (actual). Primary completion is estimated for Feb 2027, 48 months after the start.

Of 64 non-industry phase 1 interventional studies under Hematologic Neoplasms, half reached primary completion within 56 months of starting (the median), counting those still running; a quarter within 28 and three quarters within 88. This study's planned 48 months is below that.

Counting every sponsor, half of 159 studies reached it within 51 months; a quarter within 28 and three quarters within 78.

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

Registered
May 16, 2022
First posted
May 26, 2022
StartActual
Feb 6, 2023
Primary completionEst.
Feb 2027
CompletionEst.
Feb 2040
Last update
Aug 11, 2026
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 11, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05391490
Responsible party
Sponsor
First posted
May 26, 2022
Start date
Feb 6, 2023
Primary completion
Feb 2027 (estimated)
Completion
Feb 2040 (estimated)
Last update
Aug 11, 2026

Study contacts

David Gear
Contact
ctc.kcat19@ucl.ac.uk
0207 670 5748
Alex Day
Contact
ctc.kcat19@ucl.ac.uk

Oversight

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

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