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RecruitingNCT06641648Updated Aug 5, 2026

A Phase I Single-arm Clinical Study of Donor NK Cells Infusion Combined With Low-dose Interleukin-2 in the Treatment of Acute Myeloid Leukemia Relapse After Allogeneic Hematopoietic Stem Cell Transplantation.

A Phase 1 interventional study of NK cell in Acute Myeloid Leukemia (AML), Acute Myeloid Leukemia (AML) Relapse and NK Cell, sponsored by Peking University First Hospital. Recruiting at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-05.

Sponsored by Peking University First Hospital · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Started Nov 2025; still recruiting 11 months later.
Phase
Phase 1
Study type
Interventional
Enrollment
12
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This is a single-centre, single-arm, open-label, early clinical study to evaluate the safety, tolerability and preliminary efficacy of donor NK cells injection combined with low-dose interleukin-2 in the treatment of acute myeloid leukemia (AML) relapse after allogeneic hematopoietic stem cell transplantation (allo-HSCT).

Read the detailed description

This is a dose-escalation study of non-genetically modified natural killer cells derived from a healthy donor. The relapsed AML patients after allo-HSCT will receive donor NK cells injection s followed by low-dose interleukin-2. No graft-versus-host disease (GVHD) prevention will be conducted before or after infusion. Dose-limiting toxicity, incidence of adverse events, disease response and PK/PD will be detected post-infusion.

02

Conditions studied

  • Acute Myeloid Leukemia (AML)
  • Acute Myeloid Leukemia (AML) Relapse
  • NK Cell

Keywords

  • AML
  • relapse
  • allogeneic hematopoietic stem cell transplantation.
  • NK cell
03

In context

Leukemia, Myeloid, Acute

2,971 studies on the registry are indexed under Leukemia, Myeloid, Acute; 745 are open to participants now.

This study's planned enrollment of 12 is below the median of 41 across 2,509 interventional studies indexed under Leukemia, Myeloid, Acute.

Browse Leukemia, Myeloid, Acute studies →

Lead sponsor

Peking University First Hospital is the lead sponsor of 378 studies on the registry; 178 are 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

Inclusion criteria

  • Age ≥ 18 years old,;
  • Expected survival period ≥ 3 months;
  • Eastern Cooperative Oncology Group (ECOG) performance status score of 0 to 2;
  • The diagnosis of AML who received allo-HSCT, and met the following criteria:

A. Diagnostic criteria for relapsed AML: after complete remission (CR), leukemia cells reappeared in peripheral blood or blast cells in bone marrow ≥ 5% (except for other reasons such as bone marrow regeneration after consolidation chemotherapy) or extramedullary leukemia cell infiltration; B. Minimal Residual Disease (MRD) positive only or relapse: Patient is minimal residual disease (MRD) positive, as assessed on bone marrow aspirate (BMA) by Multiparameter Flow Cytometry (MFC) at time of Treatment Eligibility assessment; C. Degree II and above acute graft-versus-host disease did not occur after transplantation; D. Available allogeneic hematopoietic stem cell transplant donors.

-Adequate organ function: A. Liver function: ALT≤3×ULN, AST≤3×ULN, total bilirubin≤2×ULN; B. Coagulation function: international normalized ratio (INR) or activated partial thromboplastin time (APTT) ≤ 1.5×ULN; C. Renal function: serum creatinine≤1.5×ULN or creatinine clearance rate ≥30mL/min; D. Cardiac function: Left ventricular ejection fraction (LVEF) ≥ 45%;

  • Women of child-bearing potential and all male participants must use effective methods of contraception for at least 12 months after infusion.;
  • Informed Consent/Assent: All subjects must have the ability to understand and the willingness to sign a written informed consent.

Exclusion criteria

Exclusion Criteria:

  • Central nervous system involved;
  • Patients who received the following anti-tumor therapies prior to infusion:

A. Systemic use of hormones within 3 days prior to infusion (except for patients with inhaled corticosteroids); B. Systemic anti-tumor therapy within 2 weeks or within 5 drug half-lives (whichever is shorter); C. Radiotherapy within 4 weeks; D. DLI within 6 weeks; E. Intrathecal injection within 1 week; F. Received CAR-T, CAR-NK or other modified cell therapy within 6 months;

  • Any active infection requiring systemic therapy by intravenous infusion within 14 days prior to the first dose of study drug, including: HBV, HCV, HIV, syphilis infection, or active pulmonary tuberculosis.
  • History of hypersensitivity reactions to murine protein-containing products, or macromolecular biopharmaceuticals such as antibodies or cytokines;
  • Patients cannot guarantee effective contraception (condom or contraceptives, etc.) within 1 years after enrollment;
  • Women who are pregnant (urine/blood pregnancy test positive) or lactating;
  • Suffering from a serious autoimmune disease or immunodeficiency disease;
  • Known alcohol dependence or drug dependence;
  • According to the investigator\'s judgment, the patient has other unsuitable grouping conditions.
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
    NK cell treatment in AML replase after HSCT

    The relapsed AML patients will receive donor NK cells injections for a total dose of twice per 2 weeks up to 3 dose levels (1.0×108 cells/dose,5.0×108 cells/dose,2.0×109 cells/dose), followed by low-dose interleukin-2 (1mIU ih, Qd) for 28 days.

    Drug: NK cell

Interventions

  • DrugNK cell

    Drug: Donor NK cells injection is a non-genetically modified natural killer cells therapy derived from a healthy donor.

06

What researchers measure

Primary outcomes

  1. Dose limiting toxicities (DLTs)

    Dose limiting toxicities (DLTs)

    Time frame: 1 month

  2. Treatment-related adverse events

    Treatment-related adverse events

    Time frame: 1 month

Secondary outcomes

  1. Complete response (CR)

    Complete response (CR)

    Time frame: 3 months

  2. Proportion of subjects with minimal-residual disease (MRD) negative response

    Time frame: 3 months

  3. Peak levels of donor NK cells (maximum concentration or Cmax)

    Time frame: 3 months

07

Study locations

1 of 1 sites recruiting
  • Peking University First Hospital
    Beijing, Beijing Municipality 100034, China
    Recruiting
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 Aug 5, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06641648
Lead sponsor
Peking University First Hospital
Responsible party
Yujun DONG (chief of department of hematology, Peking University First Hospital) — Principal investigator
First posted
Oct 15, 2024
Start date
Nov 1, 2025
Primary completion
Dec 31, 2026 (estimated)
Completion
Jun 30, 2027 (estimated)
Last update
Aug 5, 2026

Study contacts

Yujun Dong, Docter
Contact
dongy@hsc.pku.edu.cn
8683575680
Bingjie Wang
Contact
wbj880202@163.com
Yujun Dong, Docter
principal investigator · Peking University First Hospital

Oversight

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

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