ClinicalTrials.gg
RecruitingNCT06173518Updated Oct 9, 2026

A Study of CD19 Targeted CAR T Cell Therapy in Pediatric Patients With Relapsed or Refractory B Cell Acute Lymphoblastic Leukemia (B ALL) and Aggressive Mature B-cell Non-Hodgkin Lymphoma (B NHL)

A Phase 1 interventional study of AUTO1 in Relapsed or Refractory B Cell Acute Lymphoblastic Leukemia and Relapsed or Refractory B Cell Non-Hodgkin Lymphoma, sponsored by Autolus Limited. Recruiting at 14 sites in 3 countries. Open to participants aged 0 Years to 18 Years. Per ClinicalTrials.gov, last updated 2026-10-09.

Primary conditionnone(registry's first term: Recurrence)No conditionIs this wrong?Recurrence describes something many studies share rather than a condition a study is about. The study names no condition we can place it under, so it is not compared with other studies by condition.

Sponsored by Autolus Limited · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Started Nov 2023; still recruiting 2 years 11 months later.
Updated Oct 9, 20266 sites added1 site removedGo to Updates ↓
Phase
Phase 1
Study type
Interventional
Enrollment
30
Allocation
Not applicable
Ages
0 Years to 18 Years
Sex
All
01

Study summary

This is a Phase 1b/2 study to evaluate the safety and efficacy of autologous T cells engineered with a chimeric antigen receptor (CAR) targeting cluster of differentiation (CD)19 in pediatric patients with relapsed or refractory (r/r) B cell acute lymphoblastic leukemia (B ALL) and r/r B cell Non-Hodgkin lymphoma (B NHL).

Read the detailed description

This is a single-arm, open-label, multi-center, Phase 1b/2 study to determine the safety and efficacy of obe-cel administered intravenously in pediatric patients \< 18 years old with r/r B ALL and with r/r aggressive mature B NHL.

The safety and tolerability of obe cel in pediatric patients will be continually monitored by the Sponsor. Efficacy endpoints will be determined by an Independent Response Review Committee (IRRC).

The study will involve consented patients going through the following sequential study periods: screening, leukapheresis, bridging as necessary, lymphodepletion, treatment evaluation, and follow-up.

02

Conditions studied

  • Relapsed or Refractory B Cell Acute Lymphoblastic Leukemia
  • Relapsed or Refractory B Cell Non-Hodgkin Lymphoma

Keywords

  • B cell acute lymphoblastic leukemia
  • B cell Non-Hodgkin lymphoma
  • Relapsed B cell acute lymphoblastic leukemia
  • Relapsed B cell Non-Hodgkin lymphoma
  • Refractory B cell acute lymphoblastic leukemia
  • Refractory B cell Non-Hodgkin lymphoma
  • Aggressive mature B cell Non-Hodgkin lymphoma
  • Pediatric ALL
  • Pediatric NHL
  • Obecabtagene autoleucel
  • CD19-positive CAR T cell
  • Obe-cel
03

In context

Lead sponsor

Autolus Limited is the lead sponsor of 11 studies on the registry; 5 are open to participants now.

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

04

Who can participate

Ages eligible
0 Years to 18 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

  • \< 18 years old at screening
  • ≥ 6 kg body weight at screening

Pediatric patients with r/r B ALL

r/r CD19-positive aggressive mature B including the B NHL subtypes: i) diffuse large B cell lymphoma, ii) Burkitt's lymphoma, iii) primary mediastinal large B cell lymphoma, iv) high-grade B cell lymphoma (not otherwise specified).

  • (age ≥ 10 years) or Lansky (age \< 10 year) performance status score ≥ 50%.
  • In participants with B ALL, local documentation of CD19 expression on leukemic blasts in the BM, peripheral blood, or cerebrospinal fluid or done no more than 30 days prior to consent.
  • Adequate renal, hepatic, pulmonary, and cardiac function.

Exclusion criteria

EXCLUSION CRITERIA:

  • Diagnosis of chronic myelogenous leukemia in lymphoid blast crisis.
  • History or presence of central nervous system (CNS) pathology unrelated to CNS leukemia.
  • Presence of active or uncontrolled fungal, bacterial, viral, or other infection requiring systemic antimicrobials for management.
  • Received prior (\< 3 months before obe cel infusion) stem cell transplantation.
  • Prior CD19 targeted therapy other than blinatumomab.
  • Experienced Grade ≥ 3 neurotoxicity following blinatumomab.
Terms in these criteria, in plain language(3)

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.

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.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

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

Study arms

  • Experimental
    AUTO1

    Biological: AUTO1

Interventions

  • BiologicalAUTO1

    Following lymphodepletion with chemotherapy (cyclophosphamide and fludarabine) patients will be treated with anti-CD19 chimeric antigen receptor (CAR) T cells

    Also known as: Obecabtagene autoleucel (obe-cel)

06

What researchers measure

Primary outcomes

  1. Frequency and severity of adverse events (AEs) and serious adverse events (SAEs)

    Time frame: Up to 24 months

  2. Incidence and duration of severe hypogammaglobulinemia

    Time frame: Up to 24 months

  3. Proportion of pediatric participants with r/r B ALL at screening who achieve complete remission (CR) within 3 months of obe-cel infusion per Independent Response Review Committee (IRRC) assessment

    Time frame: 3 months

Secondary outcomes

  1. CR per IRRC assessment at any time in B ALL

    Time frame: Up to 24 months

  2. Overall remission rate (ORR) (CR + complete remission with incomplete recovery of counts [CRi]) per IRRC assessment at any time in B ALL

    Time frame: Up to 24 months

  3. Minimal residual disease (MRD)-negative ORR per IRRC assessment at any time in B ALL

    Time frame: Up to 24 months

  4. Event-free survival in B ALL

    Time frame: Up to 24 months

  5. Overall survival (OS) in B ALL

    Time frame: Up to 24 months

  6. ORR (CR or partial response [PR]) per Investigator assessment occurring at any time in B NHL

    Time frame: Up to 24 months

  7. Duration of response in B NHL

    Time frame: Up to 24 months

  8. Progression-free survival in B NHL

    Time frame: Up to 24 months

  9. OS in B NHL

    Time frame: Up to 24 months

  10. Incidence of CD19-negative relapse at any time in B NHL

    Time frame: Up to 24 months

07

Study locations

14 of 14 sites recruiting
08

References and documents

Publications

  • Davis KL, Yao CC, Zimmerman JAO, Rau RE. Immunotherapy in B-Cell Acute Lymphoblastic Leukemia. J Natl Compr Canc Netw. 2025 Dec;23(12):e257067. doi: 10.6004/jnccn.2025.7067. PubMed 41671463 ↗
09

Updates

2 registry updates since Sep 25, 2026
Sites
6 sites added, 1 site removed
Show 6 added (6 United States)
  • Children's Hospital Colorado · Aurora, United States
  • Lurie Children's Hospital · Chicago, United States
  • Cincinnati Children's Hospital · Cincinnati, United States
  • Children's Hospital Los Angeles · Los Angeles, United States
  • Lucile Packard Children's Hospital, Stanford University · Palo Alto, United States
  • Seattle Children's Hospital · Seattle, United States
Show 1 removed
  • The Mount Sinai Hospital · New York, United States
across 2 updates, Oct 5, 2026 – Oct 9, 2026
Show all 2 updates
  1. Oct 9, 2026
    3 sites added
    Show 3 added (3 United States)
    • Children's Hospital Los Angeles · Los Angeles, United States
    • Lucile Packard Children's Hospital, Stanford University · Palo Alto, United States
    • Seattle Children's Hospital · Seattle, United States
  2. Oct 5, 2026
    3 sites added, 1 site removed
    Show 3 added (3 United States)
    • Children's Hospital Colorado · Aurora, United States
    • Lurie Children's Hospital · Chicago, United States
    • Cincinnati Children's Hospital · Cincinnati, United States
    Show 1 removed
    • The Mount Sinai Hospital · New York, United States
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06173518
Lead sponsor
Autolus Limited
Responsible party
Sponsor
First posted
Dec 15, 2023
Start date
Nov 16, 2023
Primary completion
Nov 2027 (estimated)
Completion
Nov 2027 (estimated)
Last update
Oct 9, 2026

Study contacts

Autolus Ltd
Contact
clinicaltrials@autolus.com
+44 (0) 203 911 4385

Oversight

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

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Studies of the drug tested here: Obecabtagene autoleucel

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