ClinicalTrials.gg
Not yet recruitingNCT07113496Updated Aug 13, 2025

RN1201injection for Relapsed/Refractory CD19+/BCMA+ Hematologic Malignancies

A Phase 1 interventional study of Allogeneic CAR-T in Relapsed or Refractory B-cell Hematologic Malignancies, B-cell Acute Lymphoblastic Leukemia (B-ALL) and Multiple Myeloma (MM), sponsored by The First Affiliated Hospital with Nanjing Medical University. Not yet recruiting at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2025-08-13.

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 The First Affiliated Hospital with Nanjing Medical University · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
27
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This single-arm, dose-escalation exploratory trial evaluates the safety and efficacy of Allogeneic CAR-T (UCAR-T) cell therapy in patients with relapsed or refractory CD19+/BCMA+ hematologic malignancies, including those with minimal residual disease (MRD). Eligible patients will receive lymphodepletion followed by a single infusion of UCAR-T cells, either post-transplant or without transplantation depending on disease status. The trial assesses overall response and disease control rates, treatment-emergent adverse events, and in vivo behavior of UCAR-T cells.

Read the detailed description

This single-arm, dose-escalation exploratory trial evaluates the safety and efficacy of Allogeneic CAR-T (UCAR-T) cell therapy in patients with relapsed or refractory CD19+/BCMA+ hematologic malignancies, including those with minimal residual disease (MRD). Eligible patients will receive lymphodepletion followed by a single infusion of UCAR-T cells, either post-transplant or without transplantation depending on disease status.Primary endpoints include treatment-emergent adverse events (TEAEs) and dose-limiting toxicities (DLTs). Secondary endpoints include objective response rate (ORR), disease control rate (DCR), pharmacokinetics, and pharmacodynamics of UCAR-T. This study aims to provide initial evidence for the safety and anti-tumor activity of UCAR-T in CD19+/BCMA+ hematologic malignancies.

02

Conditions studied

  • Relapsed or Refractory B-cell Hematologic Malignancies
  • B-cell Acute Lymphoblastic Leukemia (B-ALL)
  • Multiple Myeloma (MM)
  • Plasmablastic Lymphoma
  • Relapsed or Refractory CD19+/BCMA+ Hematologic Malignancies
  • Mature B-Cell Lymphoma

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03

In context

Lead sponsor

The First Affiliated Hospital with Nanjing Medical University is the lead sponsor of 568 studies on the registry; 317 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

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. Voluntary participation with signed .
  2. confirmed CD19-positive and/or B-cell maturation antigen (BCMA)-positive hematologic according to the WHO 2017 classification, including but not limited to multiple myeloma, B-cell acute lymphoblastic leukemia (B-ALL), mature B-cell lymphomas, and plasmablastic lymphoma.
  3. disease defined as failure to achieve complete remission after standard therapy, or relapse after an initial response during treatment or follow-up.
  4. required:

    1. For B-ALL: persistent minimal residual disease (MRD) positivity despite hematologic remission.
    2. For lymphoma: at least one measurable lesion ≥1.5 cm in longest diameter per IWG revised criteria.
    3. For multiple myeloma: positive immunofixation electrophoresis or presence of extramedullary disease.
  5. Age ≥18 years; both sexes eligible.
  6. Expected survival ≥12 weeks.
  7. Adequate organ function (exceptions for disease-related impairment are at the investigator's discretion):

    1. Total \<2× (ULN); serum creatinine \<ULN; and AST \<3× ULN.
    2. ≥0.5×10⁹/L; ≥20×10⁹/L (no requirement if marrow involvement is documented).
    3. (ECOG) performance status 0-3.
    4. (LVEF) ≥50%.

Exclusion criteria

Exclusion Criteria

  1. Known , allergy, intolerance, or to CD19/BCMA-UCAR-T or any study drugs (fludarabine, cyclophosphamide, tocilizumab).
  2. Genetic syndromes: Fanconi, Kostmann, Shwachman, or any documented bone-marrow failure syndrome.
  3. Active or uncontrolled infection requiring IV antibiotics; evidence of severe active infection.
  4. Class III or IV heart failure (unless clearly secondary to the underlying ).
  5. Central Nervous System (CNS) disorders unrelated to the primary hematologic malignancy.
  6. Prior malignancy except adequately treated carcinoma in situ of skin, cervix, lung, or other non-active tumors.
  7. Significant bleeding diathesis (e.g., gastrointestinal (GI) bleeding, coagulopathy, hypersplenism).
  8. History of significant cardiac disease within the past 3 months that, in the investigator's judgment, renders the patient unable to tolerate study participation..
  9. Pregnancy, lactation, or planned pregnancy within 6 months.
  10. Any condition that, in the investigator's opinion, may increase risk or interfere with study results.
Terms in these criteria, in plain language(15)

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.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

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.

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.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

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.

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.

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.

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.

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.

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.

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.

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.

05

Study design

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

Study arms

  • Experimental
    Allogeneic CAR-T cell therapy

    RN1201 cells injection will be infused via intravenously

    Biological: Allogeneic CAR-T

Interventions

  • BiologicalAllogeneic CAR-T

    Patients will receive lymphodepletion chemotherapy followed by a single intravenous infusion of Allogeneic CAR-T cells. In select cases, CAR-T infusion may be administered post-autologous hematopoietic stem cell transplantation (auto-HSCT)

06

What researchers measure

Primary outcomes

  1. The incidence and severity of treatment-emergent adverse events (TEAEs) and dose-limiting toxicities (DLTs)

    TEAEs and DLTs will be graded according to CTCAE v5.0 and ASTCT consensus criteria

    Time frame: DLTs: Within 28 days after CAR-T cell infusion; TEAEs: From infusion up to 12 months post-treatment.

Secondary outcomes

  1. Objective Response Rate (ORR)

    Identify the number of patients with complete response (CR), Identify the number of patients with partial response (PR), and Calculate ORR=(CR+PR)/total patients

    Time frame: Week 4, Month 3, Month 6 and Month 12

  2. Disease control rate (DCR)

    Identify the number of patients with complete response (CR), partial response (PR), stable disease (SD) and calculate DCR=(CR+PR+SD)/total patients

    Time frame: Week 4, Month 3, Month 6 and Month 12

  3. Progression-free survival (PFS)

    PFS defned as the time from the date of RN1201 infusion to the frst assessment of confrmed disease progression or death

    Time frame: Week 4, Month 3, Month 6 and Month 12

  4. Overall survival (OS)

    OS defned as the time from the date of RN1201 infusion to death

    Time frame: Week 4, Month 3, Month 6 and Month 12

  5. Cmax of RN1201

    peak plasma concentration of CAR - T cells copy number and the positive rate

    Time frame: Up to 12 months

  6. Tmax of RN1201

    Time to maximum concentration of RN1201

    Time frame: Up to 12 months

  7. Cytokines in the peripheral blood after RN1201 infusion

    Serum concentrations of interleukin (IL)-2, IL-6, IL-8, IL-10, interferon-gamma (IFN-γ), and TNF-α

    Time frame: Up to 12 months

07

Study locations

1 site
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 13, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07113496
Responsible party
Lei Fan (Director of lymphoma center, The First Affiliated Hospital with Nanjing Medical University) — Principal investigator
First posted
Aug 8, 2025
Start date
Aug 2025 (estimated)
Primary completion
Aug 2027 (estimated)
Completion
Dec 2027 (estimated)
Last update
Aug 13, 2025

Study contacts

Lei Fan
Contact
fanlei@jsph.org.cn
086+025-68306124
Lei Fan
principal investigator · The First Affiliated Hospital with Nanjing Medical University

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 not yet recruiting, as verified in Aug 2025. You cannot join it, but the record below documents what was studied.

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