ClinicalTrials.gg
Not yet recruitingNCT06777264JUVENTAS-ALL05Updated Jan 15, 2025

Inaticabtagene Autoleucel (Inati-cel; CNCT19) Treatment for Newly Diagnosed B-cell ALL Patients in CR1

A Phase 2 interventional study of Biological: single dose of Inaticabtagene autoleucel in Acute Lymphoblastic Leukemia and B Cell ALL, sponsored by First Affiliated Hospital of Zhejiang University. Not yet recruiting. Open to participants aged 14 Years to 70 Years. Per ClinicalTrials.gov, last updated 2025-01-15.

Sponsored by First Affiliated Hospital of Zhejiang University · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
20
Allocation
Not applicable
Ages
14 Years to 70 Years
Sex
All
01

Study summary

This investigator-initiated, prospective, single-arm, open-label, single-center phase II study aims to evaluate the long-term survival benefit and safety of a commercial CD19 CAR-T product in newly diagnosed Philadelphia chromosome-positive or negative (Ph-positive or Ph-negative) B-cell ALL patients who achieve CR1 after induction chemotherapy. A total of 20 patients will be enrolled in the study. The primary endpoints include disease-free survival (DFS) and overall survival (OS) rates after a median follow-up of 2 years, minimal residual disease (MRD) negativity rate, and the proportion of patients undergoing subsequent hematopoietic stem cell transplantation (HSCT). The frequency and severity of adverse events (AEs) and serious adverse events (SAEs) occurring after infusion will also be recorded.

02

Conditions studied

  • Acute Lymphoblastic Leukemia
  • B Cell ALL

Keywords

  • Chimeric Antigen Receptor T (CAR-T)Cell
  • Acute Lymphoblastic Leukemia
  • B-ALL
  • Inaticabtagene Autoleucel
03

In context

Precursor Cell Lymphoblastic Leukemia-Lymphoma

2,584 studies on the registry are indexed under Precursor Cell Lymphoblastic Leukemia-Lymphoma; 473 are open to participants now.

This study's planned enrollment of 20 is below the median of 40 across 1,952 interventional studies indexed under Precursor Cell Lymphoblastic Leukemia-Lymphoma.

Browse Precursor Cell Lymphoblastic Leukemia-Lymphoma studies →

Lead sponsor

First Affiliated Hospital of Zhejiang University is the lead sponsor of 263 studies on the registry; 144 are open to participants now.

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

04

Who can participate

Ages eligible
14 Years to 70 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 ≥14 years and ≤70 years at screening, with no restrictions on gender.
  2. performance status of 0 to 1.
  3. Newly diagnosed B-ALL within 12 months and achieving CR1 after standard induction chemotherapy. This includes B-ALL patients with \<5% bone marrow blasts, no blasts in peripheral blood, and no extramedullary leukemia. Diagnosis and chemotherapy regimen follow the Chinese Guidelines for Diagnosis and Treatment of Adult Acute Lymphoblastic Leukemia (2021 Edition).
  4. At the time of B-ALL diagnosis, leukemia cells in bone marrow or peripheral blood confirmed as CD19-positive via flow cytometry.
  5. Adequate organ function meeting the following criteria:

    1. (AST) ≤3× (ULN).
    2. Alanine aminotransferase (ALT) ≤3× ULN.
    3. Total ≤2× ULN (for patients with Gilbert's syndrome, total bilirubin ≤3.0× ULN and direct bilirubin ≤1.5× ULN).
    4. Serum creatinine ≤1.5× ULN, or ≥60 mL/min (calculated using the Cockcroft-Gault formula).
    5. (INR) ≤1.5× ULN and activated partial thromboplastin time (APTT) ≤1.5× ULN.
    6. Minimum pulmonary reserve defined as ≤Grade 1 dyspnea and oxygen saturation >91% on room air.
  6. No intent or eligibility for hematopoietic stem cell transplantation.
  7. Meets the leukapheresis standards of the study center, with no for apheresis.
  8. Women of must have a negative blood/urine pregnancy test during the Inati-cel screening period and before preconditioning (results within three days prior to preconditioning). All male and female patients of childbearing potential must agree to use effective throughout the study and for at least two years following study treatment. A female is considered of childbearing potential if biologically capable of having children and engaging in regular sexual activity. Women are considered not of childbearing potential if they meet at least one of the following:

    1. History of hysterectomy, bilateral oophorectomy, or bilateral tubal ligation.
    2. Medically confirmed ovarian failure.
    3. (absence of menstruation for at least 12 consecutive months).

Exclusion criteria

Exclusion Criteria:

  1. Diagnosis of Burkitt lymphoma/leukemia, heterozygous or double-hit leukemia, or chronic myeloid leukemia in blast crisis.
  2. Presence of ≥5% blasts in the bone marrow or peripheral blood, or evidence of extramedullary leukemia before screening or preconditioning.
  3. Prior treatment with CAR-T cell therapy or hematopoietic stem cell transplantation () before screening or preconditioning.
  4. Genetic syndromes associated with bone marrow failure, including Fanconi anemia, Kostmann syndrome, Shwachman syndrome, or other known bone marrow failure syndromes.
  5. Presence of any of the following conditions:

    1. Positive for and/or HBeAg.
    2. Positive for HBe-Ab and/or HBc-Ab with HBV-DNA levels above the detectable threshold.
    3. Positive for -Ab.
    4. Positive for TP-Ab.
    5. EBV-DNA or CMV-DNA levels above the detectable threshold.
    6. Positive for antibodies.
  6. Diagnosis of other within the past 5 years, unless the tumor was curatively treated, with a follow-up period exceeding 5 years, and a low risk of recurrence as assessed by the investigator.
  7. Presence of any of the following cardiac conditions:

    1. (LVEF) ≤45%.
    2. Congestive heart failure classified as class III or IV.
    3. Severe arrhythmias requiring treatment or conduction abnormalities on , including ≥480 ms (QTcB = QT/RR\^1/2).
    4. Uncontrolled hypertension (systolic blood pressure ≥150 mmHg and/or diastolic blood pressure ≥100 mmHg) or pulmonary hypertension despite standard treatment.
    5. Unstable angina.
    6. Myocardial infarction or coronary artery bypass/stent surgery within the past 6 months.
    7. Clinically significant valvular disease.
    8. Other cardiac conditions deemed unsuitable for study enrollment by the investigator.
  8. History of epilepsy, ischemic or hemorrhagic stroke, cerebellar disease, or other active central nervous system disorders.
  9. Clinically significant pleural effusion at the time of screening.
  10. History of deep vein thrombosis or pulmonary embolism within the past 6 months.
  11. Known to any components of the products used in the trial.
  12. Receipt of within 6 weeks prior to screening.
  13. Presence of active infections at the time of screening.
  14. An expected survival of less than 3 months.
  15. Participation in other interventional clinical studies involving investigational drugs:

    1. For investigational drugs not yet approved, the last dose administered less than 3 months before cell infusion.
    2. For approved drugs, the last dose administered less than 5 half-lives before cell infusion.
  16. Any other conditions deemed unsuitable for study participation by the investigator.
Terms in these criteria, in plain language(23)

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.

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.

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.

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.

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.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

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.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Allogeneic and autologous transplant

Stem cell (bone marrow) transplants. Allogeneic uses cells from a donor; autologous uses your own cells, collected earlier and given back.

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.

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.

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.

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.

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.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

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 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
20 participants (estimated)

Study arms

  • Experimental
    Biological: Inaticabtagene autoleucel

    Administration of Inaticabtagene Autoleucel (CD19 CAR-T cells) in newly diagnosed B-ALL patients aged 14 to 70 years in their first complete remission (CR1).

    Biological: Biological: single dose of Inaticabtagene autoleucel

Interventions

06

What researchers measure

Primary outcomes

  1. 2-year DFS rate (2yDFSR)

    The proportion of patients who remain free from bone marrow disease relapse or death from any cause, assessed after a median follow-up of 2 years

    Time frame: Up to 2 years

  2. 2-year OS rate (2yDFSR)

    The proportion of patients who remain alive after a median follow-up of 2 years

    Time frame: Up to 2 years

  3. DFS

    The time from Inati-cel infusion to morphological relapse of B-ALL in the bone marrow, or death from any cause (whichever occurs first).

    Time frame: Up to 2 years

  4. OS

    The time from Inati-cel infusion to death from any cause

    Time frame: Till the end of the study, up to 5 years

Secondary outcomes

  1. Proportion of patient underwent subsequent hematopoieticstem cell transplantation

    Proportion of patient underwent subsequent hematopoieticstem cell transplantation

    Time frame: Till the end of the study, up to 5 years

  2. MRD negativity rate

    the proportion of patients achieved undetectable levels of minimal residual disease at Day 28、Month 2,3,6 by flow cytometry and at Day 28 by NGS

    Time frame: 6 months

  3. Maximum observed concentration(Cmax)

    Time frame: 6 months

  4. Time of Cmax (Tmax)

    Time frame: 6 months

  5. Partial area under the concentration-time curve (from time zero to 28days after dosing , AUC 0-28 day)

    Time frame: 6 months

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: Undecided

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

Start is estimated for Jan 2025; primary completion for Dec 2026, 23 months later.

Of 209 non-industry phase 2 interventional studies under Precursor Cell Lymphoblastic Leukemia-Lymphoma, half reached primary completion within 79 months of starting (the median), counting those still running; a quarter within 43 and three quarters within 120. This study's planned 23 months is below that.

Counting every sponsor, half of 227 studies reached it within 74 months; a quarter within 42 and three quarters within 120.

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

Registered
Dec 31, 2024
First posted
Jan 15, 2025
StartEst.
Jan 15, 2025
Primary completionEst.
Dec 15, 2026
CompletionEst.
Jan 15, 2027
Last update
Jan 15, 2025
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 Jan 15, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT06777264
Responsible party
Sponsor
First posted
Jan 15, 2025
Start date
Jan 15, 2025 (estimated)
Primary completion
Dec 15, 2026 (estimated)
Completion
Jan 15, 2027 (estimated)
Last update
Jan 15, 2025

Study contacts

Jie Jin
Contact
jiej0503@163.com
0571-87236898

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Dec 2024. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Autologous Anti-CD19 CAR-4-1BB-CD3zeta-expressing T-cells CNCT19

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