ClinicalTrials.gg
TerminatedNCT06212154Updated Nov 4, 2026

CAR-T for Autoimmune Hemolytic Anemia Patients Who Have Failed Three or More Lines of Therapy

A Phase 1 interventional study of ThisCART19A in Autoimmune Hemolytic Anemia and CD19 CAR-T Cell Infusion, sponsored by Institute of Hematology & Blood Diseases Hospital, China. Terminated at 1 site in China. Open to participants aged 12 Years and older. Per ClinicalTrials.gov, last updated 2026-11-04.

Sponsored by Institute of Hematology & Blood Diseases Hospital, China · Phase 1, Interventional, and Treatment

Why this study was terminated
Suboptimal treatment response
Updated Nov 4, 2026Now TerminatedStudy completion moved+3 moreGo to Updates ↓
Phase
Phase 1
Study type
Interventional
Enrollment
1
Allocation
Not applicable
Ages
12 Years and older
Sex
All
01

Where this study stands

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

Among 15 studies in Anemia, Hemolytic, Autoimmune by Institute of Hematology & Blood Diseases Hospital, China — 8 open to participants now, 12 under way, none of them phase 3. Anemia, Hemolytic, Autoimmune · Institute of Hematology & Blood Diseases Hospital, China.

Enrollment
11th of 11
1 · median 12
Started
2024
with 2 others
Phase 1
8 of 15
3 open now
Registered
6th of 15
by date

Among the 15 studies in Anemia, Hemolytic, Autoimmune by Institute of Hematology & Blood Diseases Hospital, China, this one is the 11th largest by enrollment of the 11 interventional ones, is one of 3 that started in 2024, is one of 8 in phase 1, and was the 6th registered.

By phase

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

Phase 1this study8 · 3 open
Observational4 · 4 open
Phase 23 · 1 open

By the year they started

First in 2001; this study’s year is marked. 3 started in 2024.

Size and results

Median enrollment 12 across the 11 interventional studies, 1,312 across the 4 observational. Of the 2 that completed or were terminated, 0 (0%) have results posted.

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02

Study summary

To Evaluate the Safety and Efficacy of ThisCART19A for Relapsed/Refractory Autoimmune Hemolytic Anemia Patients After Receiving Three or More Lines of Therapy

Read the detailed description

This is a phase 1, single-arm, open-label, dose-escalation and dose-expansion study. The main purpose is to evaluate the safety and tolerability, efficacy, pharmacokinetics and pharmacodynamics of ThisCART19A in patients with autoimmune hemolytic anemia who have failed ≥3 lines of therapy, which include glucocorticoids, rituximab, cyclophosphamide, azathioprine, fludarabine, cyclosporine, mycophenolate mofetil, BTK inhibitors, splenectomy, etc. Participants will receive ThisCART19A cell infusion after preconditioning, and they need to be closely monitored for 28 days following CAR-T cell infusion.

03

Conditions studied

  • Autoimmune Hemolytic Anemia
  • CD19 CAR-T Cell Infusion

Keywords

  • ThisCART19A
  • Autoimmune Hemolytic Anemia
  • Relapsed/refractory after receiving three or more lines of therapy
04

Who can participate

Ages eligible
12 Years and older
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

  • Subject and/or subject's legal personal representative fully understand and voluntarily sign forms.
  • Male or female age ≥ 12 years.
  • performance status ≤2.
  • Diagnosis of warm antibody hemolytic anemia (AIHA), cold AIHA, mixed AIHA or Evans syndrome.
  • \<100g/L.
  • Failure or intolerance to at least 3 , including , rituximab, cyclophosphamide, azathioprine, fludarabine, cyclosporine, mycophenolate mofetil, Bruton's tyrosine kinase inhibitors, splenectomy.
  • Laboratory tests of adequate organ function: Serum (ALT) and aspartate aminotransferase (AST) ≤3×; (CrCl) (Cockcroft-Gault formula) ≥40ml/min; (ANC) ≥1.0×10\^9/L (growth factors such as granulocyte colony-stimulating factor [G-CSF] were not received within 7 days before the screening period); (LVEF) ≥45%; Blood oxygen saturation (SpO2) ≥92%.
  • Subjects of will be required to follow requirements from the time of enrollment until the end of the 6-month safety follow-up period. Female subjects of childbearing potential must have a negative Serum HCG test within 7 days before enrollment and not in the lactation period.

Exclusion criteria

Exclusion Criteria:

  • Clear diagnosis of lymphoproliferative tumor.
  • The count in peripheral blood during the screening period is \<20×10\^9/L.
  • Have a history of severe drug allergy or allergic constitution.
  • Have a history of any of the following diseases: craniocerebral trauma, consciousness disorder, epilepsy, cerebrovascular ischemia, cerebrovascular, and hemorrhagic diseases within 6 months before enrollment.
  • Have any of the following serious cardiovascular diseases: myocardial infarction within 6 months before enrollment, cardiac angioplasty or stent implantation); Unstable angina; Severe cardiac arrhythmias; History of severe nonischemic cardiomyopathy; Congestive heart failure ( [NYHA] Class III or IV)).
  • Have malignant tumors within 5 years before enrollment, unless any of the following conditions: fully treated cervical carcinoma in situ, fully treated basal cell or squamous epithelial cell skin cancer, localized prostate cancer after radical mastectomy, breast ductal carcinoma in situ after radical mastectomy, Carcinoma in situ in other locations one year after radical resection, and these diseases have no evidence of relapse.
  • Subjects with any serious active fungal, bacterial, viral, tuberculosis or other infections, including active (defined as serum HBV-DNA ≥ 2000 IU/mL), active virus (Hepatitis C virus (HCV) infection, (HIV) antibody-positive or active syphilis patients, etc. Subjects whose HBV-DNA \< 2000 IU/mL can be included on the condition that they receive antiviral drugs and monitor the related indicators during the study.
  • Have mental illness and severe cognitive impairment.
  • Have a history of within 4 weeks before enrollment.
  • Subjects considered to be ineligible for the study by the investigator for reasons other than the above.
Terms in these criteria, in plain language(18)

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.

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.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

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.

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.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

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.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

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.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

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.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

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.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

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.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
1 participant (actual)

Study arms

  • Experimental
    ThisCART19A

    ThisCART19A comprises of allogeneic T-cells, which are genetically engineered to express chimeric antigen receptor (CAR) and targets cells expressing CD19.

    Biological: ThisCART19A

Interventions

  • BiologicalThisCART19A

    Participants will receive ThisCART19A cell infusion after preconditioning, and they need to be closely monitored for 28 days following CAR-T cell infusion.

    Also known as: Allogeneic CAR-T targeting CD19

06

What researchers measure

Primary outcomes

  1. The incidence and frequency of treatment-emergent adverse events

    Time frame: Within 6 months

  2. Maximal Tolerable Dose(MTD)

    MTD is classified by the NCI CTCAE V5.0

    Time frame: Up to 28 days after infusion

Secondary outcomes

  1. Best response rate (BOR) of each dose group

    BOR is determined as the most favorable response observed after cell infusion, until either disease relapse or the completion of a specified observation period.

    Time frame: Within 12 weeks after infusion

  2. Objective response rate (ORR)

    Percentage of patients with hematological response

    Time frame: Within 4 weeks after infusion

  3. Time to response (TTR)

    TTR is defined as the duration from cell infusion to the achievement of a hematological response

    Time frame: Within 6 months

07

Study locations

1 site
  • Institute of Hematology & Blood Diseases Hospital
    Tianjin, Tianjin Municipality 300020, China
08

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it moved

Ran from Jan 2024 to primary completion in Dec 2024, 11 months.

Completion moved once since we started tracking on Sep 25, 2026: Jun 2025 → Dec 2024, on Nov 4, 2026.

Earlier changes are on the record history on ClinicalTrials.gov ↗

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

Registered
Jan 8, 2024
First posted
Jan 18, 2024
StartActual
Jan 20, 2024
Primary completionActual
Dec 31, 2024
CompletionActual
Dec 31, 2024was Jun 2025
Last update
Nov 4, 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.
Status
Recruiting→Terminated Suboptimal treatment response
changed Nov 4, 2026
Sites
1 site added, 1 site removed
Show site
  • Institute of Hematology & Blood Diseases Hospital · Tianjin, China
Show 1 removed
  • Institute of Hematology & Blood Diseases Hospital · Tianjin, China
Nov 4, 2026
Study completion
Jun 30, 2025→Dec 31, 2024 (actual)
Nov 4, 2026
Enrollment
13 (estimated)→1 (actual)
Nov 4, 2026
Show all 1 update
  1. Nov 4, 2026
    Recruiting→Terminated
    Why stopped Suboptimal treatment response
    1 site added, 1 site removed
    Show site
    • Institute of Hematology & Blood Diseases Hospital · Tianjin, China
    Show 1 removed
    • Institute of Hematology & Blood Diseases Hospital · Tianjin, China
    Study completion Jun 30, 2025→Dec 31, 2024 (now actual)
    Enrollment 13 (estimated)→1 (actual)
    + 4 other changes: index terms, identifiers, verification date and contact details

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 ↗

09

Registry details

Key details

Study ID
NCT06212154
Collaborators
Suzhou Fundamenta Therapeutics
Responsible party
Jun Shi (Director of Regenerative Medicine Center, Institute of Hematology & Blood Diseases Hospital, China) — Principal investigator
First posted
Jan 18, 2024
Start date
Jan 20, 2024
Primary completion
Dec 31, 2024
Completion
Dec 31, 2024
Last update
Nov 4, 2026

Oversight

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

Not currently enrolling

This study is terminated, as verified in Nov 2026. You cannot join it, but the record below documents what was studied.

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Studies of the drug tested here: Allogeneic Anti-CD19 T-cells ThisCART19A

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