ClinicalTrials.gg
RecruitingNCT06866873Updated Mar 10, 2025

CD-19 CAR-T Cell for Pediatric ALL or Lymphoma

An interventional study of CAR-T in Lymphoma, B-Cell and Acute Lymphoblastic Leukemia, Pediatric, sponsored by Hong Kong Children's Hospital. Recruiting at 1 site in Hong Kong. Open to participants aged 1 Year to 17 Years. Per ClinicalTrials.gov, last updated 2025-03-10.

Sponsored by Hong Kong Children's Hospital · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 10 months after the study started (first participant enrolled May 2024, registered Mar 2025).
  • Started May 2024; still recruiting 2 years 6 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
18
Allocation
Not applicable
Ages
1 Year to 17 Years
Sex
All
01

Study summary

This study seeks to examine the efficacy and safety of the administration of autologous T cells that have been modified through the introduction of a chimeric antigen receptor (CAR) targeting the B cell surface antigen CD19 following administration of chemotherapy lymphodepletion regimen in children with relapsed or refractory acute lymphoblastic leukemia (ALL) or lymphoma. The overall goal of this study is to validate the safety profile of administration CD19-CAR T cells and describe the response rate in children with relapsed/refractory ALL or lymphoma.

02

Conditions studied

  • Lymphoma, B-Cell
  • Acute Lymphoblastic Leukemia, Pediatric

Keywords

  • CAR-T cell
  • Pediatric
03

In context

Lymphoma, B-Cell

885 studies on the registry are indexed under Lymphoma, B-Cell; 286 are open to participants now.

This study's planned enrollment of 18 is below the median of 34 across 773 interventional studies indexed under Lymphoma, B-Cell.

Browse Lymphoma, B-Cell studies →

Lead sponsor

Hong Kong Children's Hospital is the lead sponsor of 13 studies on the registry; 8 are open to participants now.

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

04

Who can participate

Ages eligible
1 Year to 17 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

  • Subjects must have ALL or lymphoma treated with at least two . Disease must have either progressed after the last regimen or presented failure to achieve partial or complete remission with the last regimen.
  • The patient's disease must be CD19 positive, either by immunohistochemistry or flow cytometry analysis on the last available.
  • Age 1-17 years.
  • Performance status: Subjects > 10 years of age: ≥ 50%; Subjects ≤ 10 years of age: Lansky scale ≥ 50%.
  • Normal organ function.

    • Total ≤ 3 times
    • (SGOT) ≤ 5 times upper limit of normal
    • ALT (SGPT) ≤ 5 times upper limit of normal
    • Serum Creatinine ≤ 2 times upper limit of normal
    • Subjects must have the following hematologic function parameters: (Hb) level > 8 g/dL; Absolute Lymphocyte Count > 0.1x10\^9/L; > 50x10\^9/L
  • Prior therapy wash-out. At least 2 weeks or 5 half lives, whichever is shorter, must have elapsed since any prior systemic therapy at the time the subject is planned for leukapheresis.
  • Subjects' parent or legal guardian must have the ability to understand and the willingness to sign a written document.

Exclusion criteria

Exclusion Criteria:

  • transplant within 6 weeks of planned CAR T cell infusion.
  • Recipient of CAR-T cell therapy outside of this protocol.
  • Active central nervous system (CNS) or meningeal involvement by tumor.
  • History of additional active other than non-melanoma skin cancer, carcinoma in situ (e.g. cervix, bladder, breast).
  • Active (HIV) infection.
  • Subjects with uncontrolled intercurrent illness including, but not limited to ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, pulmonary abnormalities or psychiatric illness/social situations that would limit compliance with study requirements.
  • Pregnant or breastfeeding women.
  • Evidence of myelodysplasia or cytogenetic abnormality indicative of myelodysplasia on any bone marrow prior to initiation of therapy.
  • Serologic status reflecting active or C infection.
Terms in these criteria, in plain language(14)

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.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

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.

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.

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.

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.

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.

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.

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).

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.

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.

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.

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.

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.

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.

05

Study design

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

Study arms

  • Experimental
    CAR-T cell therapy

    CAR-T cell infusion intravenously once

    Biological: CAR-T

Interventions

  • BiologicalCAR-T

    CAR-T cell (CHXCART01) infusion intravenously once at a dose of 0.2-2 million cells/kg recipient body weight

06

What researchers measure

Primary outcomes

  1. Complete response rate (CRR) for ALL and Overall response rate (ORR) for lymphoma

    Complete response for ALL was defined as leukemic cells \<5% in bone marrow. Overall response for lymphoma was defined as complete response plus partial response defined by Lugano criteria.

    Time frame: 1 month for subjects with ALL, and 3 months for subjects with lymphoma

  2. Incidence and severity of adverse events

    Severity of adverse events are graded according to CTCAEv5.0.

    Time frame: through study completion, an average of 6 months

Secondary outcomes

  1. Frequency of minimal residual disease for ALL

    Measurable residual disease in bone marrow by flow cytometry or PCR methods.

    Time frame: 1 month

  2. Overall survival

    survival as estimated by Kaplan-Meier method. Death from any cause is considered as event for analysis.

    Time frame: 1 year

  3. Event-free survival

    Event-free survival as estimated by Kaplan-Meier method. Events are death from any cause, or relapse or progression of underlying disease.

    Time frame: 1 year

  4. Proportion of products successfully manufactured

    Success defined as meeting product release criteria with at least 0.2 million cells/kg recipient body weight

    Time frame: at the time of CAR-T cell infusion

07

Study locations

1 of 1 sites recruiting
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started May 2024 (actual). Primary completion is estimated for Dec 2037, 163 months after the start.

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

Registered
Mar 3, 2025
First posted
Mar 10, 2025
StartActual
May 1, 2024
Primary completionEst.
Dec 31, 2037
CompletionEst.
Dec 31, 2037
Last update
Mar 10, 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 Mar 10, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT06866873
Lead sponsor
Hong Kong Children's Hospital
Responsible party
Cheuk Ka Leung Daniel (Consultant, Hong Kong Children's Hospital) — Principal investigator
First posted
Mar 10, 2025
Start date
May 1, 2024
Primary completion
Dec 31, 2037 (estimated)
Completion
Dec 31, 2037 (estimated)
Last update
Mar 10, 2025

Study contacts

Daniel Cheuk, MBBS
Contact
cheukkld@ha.org.hk
852-35136049
Pamela Lee, MD
principal investigator · The University of Hong Kong

Oversight

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

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