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Active, not recruitingNCT05665062Updated Jul 10, 2026

Autologous CD19 CAR-T Cell Therapy (SYNCAR-001) + Orthogonal IL-2 (STK-009) in Subjects With CD19+ Hematologic Malignancies

A Phase 1 interventional study of SYNCAR-001 and STK-009 in CLL/SLL, NHL and Mantle Cell Lymphoma, sponsored by Synthekine. Active, not recruiting at 4 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-07-10.

Sponsored by Synthekine · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
36
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a first-in-human phase 1 study of SYNCAR-001 + STK-009 in patients with CD19+ hematologic malignancies.

Read the detailed description

SYNCAR-001 + STK-009 is a 2-component human orthogonal (ho) IL-2 receptor-ligand cell therapy consisting of (1) SYNCAR-001, a CD19-directed chimeric antigen receptor T cell (CAR-T) co-expressing an engineered IL-2 beta receptor (hoRb); and (2) STK-009, an engineered pegylated IL-2 cytokine (hoIL-2) selective for hoRb. The study will follow a 3+3 design during dose escalation. Cohort A will enroll subjects to SYNCAR-001 + STK-009 with lymphodepletion. At Dose Level 3, a separate dose escalation cohort will be introduced to enroll subjects to SYNCAR-001 + STK-009 without lymphodepletion (Cohort B). Subsequent dose expansions will enroll subjects at the RP2D for each cohort.

02

Conditions studied

  • CLL/SLL
  • NHL
  • Mantle Cell Lymphoma
  • Follicular Lymphoma
  • Large B-cell Lymphoma
  • Indolent B-Cell Non-Hodgkin Lymphoma
  • Diffuse Large B Cell Lymphoma

Keywords

  • CART
  • CD19-CART
  • Chimeric antigen receptor
  • IL-2
03

In context

Lymphoma, Mantle-Cell

783 studies on the registry are indexed under Lymphoma, Mantle-Cell; 146 are open to participants now.

This study's planned enrollment of 36 is close to the median of 39 across 699 interventional studies indexed under Lymphoma, Mantle-Cell.

Browse Lymphoma, Mantle-Cell studies →

Lead sponsor

Synthekine is the lead sponsor of 3 studies on the registry; 1 is open to participants now.

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

04

Who can participate

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

Eligibility criteria

Selected Inclusion Criteria:

  1. Histologically confirmed relapsed/refractory hematologic malignancies, including Chronic Lymphocytic Lymphoma (CLL/SLL) and selected Non-Hodgkin's Lymphoma (NHL)
  2. Prior or current documentation of CD19 expression or high likelihood of CD19 expression based on disease histology
  3. No signs of symptoms of central nervous system (CNS) disease or detectable evidence of CNS or meningeal disease on magnetic resonance imaging (MRI) at the time of screening

Selected Exclusion Criteria:

  1. Prior CD19 directed therapy including CD19 CARTs
  2. Prior allogeneic hematopoietic stem cell transplant within 6 months of enrollment
  3. Prior autologous hematopoietic stem cell transplant within 6 weeks of enrollment.
  4. Presence of GVHD
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
36 participants (estimated)

Study arms

  • Experimental
    SYNCAR-001 + STK-009 Cohort A

    Dose escalation: A single fixed dose of autologous SYNCAR-001 CAR-T intravenously (IV) will be administered in combination with repeated sequential ascending doses of STK-009 subcutaneously (SC) Dose expansion: A single fixed dose of autologous SYNCAR-001 CAR-T IV will be administered in combination with repeated doses of STK-009 SC at the RP2D

    Drug: SYNCAR-001 · Drug: STK-009 · Drug: Cyclophosphamide · Drug: Fludarabine

  • Experimental
    SYNCAR-001 + STK-009 Cohort B

    Dose escalation: A single fixed dose of autologous SYNCAR-001 CAR-T intravenously (IV) will be administered in combination with repeated sequential ascending doses of STK-009 subcutaneously (SC) Dose expansion: A single fixed dose of autologous SYNCAR-001 CAR-T IV will be administered in combination with repeated doses of STK-009 SC at the RP2D

    Drug: SYNCAR-001 · Drug: STK-009

Interventions

  • DrugSYNCAR-001

    SYNCAR-001 is an autologous CD19-targeted CAR-T with co-expression of hoRb

  • DrugSTK-009

    STK-009 is a human orthogonal IL-2 cytokine selective for SYNCAR-001 CAR-T cells expressing hoRb

  • DrugCyclophosphamide

    lymphodepletion

  • DrugFludarabine

    lymphodepletion

06

What researchers measure

Primary outcomes

  1. Dose Limiting Toxicities (DLTs)

    Incidence of adverse events (AEs) meeting protocol defined DLT criteria and determination of the maximum tolerated dose (MTD) and/or the recommended Phase 2 dose (RP2D) of STK-009 in combination with a fixed dose of SYNCAR-001

    Time frame: Up to 28 days post infusion (SYNCAR-001+STK-009)

  2. Adverse events

    Assess the safety and tolerability of STK-009 in combination with SYNCAR-001 by review of AEs

    Time frame: Up to 24 months post infusion (SYNCAR-001+STK-009)

Secondary outcomes

  1. Objective response rate (ORR)

    The ORR to treatment with SYNCAR-001 + STK-009

    Time frame: Up to 24 months post infusion (SYNCAR-001+STK-009)

  2. Duration of Response (DOR)

    To evaluate the duration of anti-cancer response after SYNCAR-001 + STK-009 administration.

    Time frame: Up to 24 months post infusion (SYNCAR-001+STK-009)

  3. Progression Free Survival (PFS)

    The time from the SYNCAR-001 administration date to the date of disease progression per Lugano Classification or iwCLL or death from any cause, whichever occurs earlier.

    Time frame: Up to 24 months post infusion (SYNCAR-001+STK-009)

  4. Area under the curve (AUC)

    The quantification of the cumulative amount of drug over time.

    Time frame: Up to 24 months post infusion (SYNCAR-001+STK-009)

  5. Maximum Concentration (Cmax)

    To identify the maximum (peak) drug concentration dosing.

    Time frame: Up to 24 months post infusion (SYNCAR-001+STK-009)

  6. Time of maximum concentration

    The time to reach maximum (peak) drug concentration after dosing.

    Time frame: Up to 24 months post infusion (SYNCAR-001+STK-009)

  7. Immunogenicity

    Immunogenicity will be assessed by summarizing the number of patients who develop detectable anti-STK-009 and/or anti-SYNCAR-001 anti-drug antibodies (ADAs)

    Time frame: Up to 24 months post infusion (SYNCAR-001+STK-009)

07

Study locations

4 sites
  • City of Hope
    Duarte, California 91010, United States
  • Roswell Park
    Buffalo, New York 14263, United States
  • Memorial Sloan Kettering Cancer Center
    New York, New York 10065, United States
  • Cleveland Clinic
    Cleveland, Ohio 44195, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 10, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05665062
Lead sponsor
Synthekine
Responsible party
Sponsor
First posted
Dec 27, 2022
Start date
Apr 23, 2023
Primary completion
Jun 24, 2028 (estimated)
Completion
Nov 2041 (estimated)
Last update
Jul 10, 2026

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Jun 2026. You cannot join it, but the record below documents what was studied.

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