ClinicalTrials.gg
RecruitingNCT07139509UCAR-T_MM-XAUpdated Nov 25, 2025

Allogeneic UCB-derived, Dual-targeting BCMA/CD19 CAR-T for Relapsed/Refractory Multiple Myeloma

A Phase 1 interventional study of allogeneic cord blood-derived, dual-targeting CD19/BCMA CAR-T cells in Relapsed/Refractory Multiple Myeloma(MM), sponsored by Xi'an No.3 Hospital. Recruiting at 1 site in China. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2025-11-25.

Sponsored by Xi'an No.3 Hospital · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Registered 9 months after the study started (first participant enrolled Oct 2024, registered Jul 2025).
  • Started Oct 2024; still recruiting 2 years 1 month later.
Phase
Phase 1
Study type
Interventional
Enrollment
18
Allocation
Not applicable
Ages
18 Years to 75 Years
Sex
All
01

Study summary

The purpose of this clinical trial is to learn if allogeneic cord blood-derived CAR-T cell drug works to treat Multiple Myeloma (MM) including Bone-related extramedullary (EMB) disease and extramedullary extraosseous disease(EME) in adults. It will also learn about the safety of the allogeneic cord blood-derived CAR-T cell drug. The main questions it aims to answer are:

  1. What adverse events occur and the incidence rate of DLTs within 28 days and UCAR-T-related AEs within 28 days after the allogeneic cord blood-derived CAR-T cell injection for multiple myeloma (MM)?
  2. Which dose level is the optimal biological dose (OBD)?
  3. What is the overall responserate (ORR), including stringent complete response (sCR), completeresponse (CR),very good partial response (VGPR), partial response (PR), minimal Response (MR) and DOR, PFS, RFS, OS?

Participants will:

  1. be pretreated with FC regimen, fludarabine (30mg/m²/d, days -5, -4, and -3) and cyclophosphamide (300\~500 mg/m²/d, day -5,-4, and -3).
  2. rest for 2 days on Day-2 and Day-1. Tumor burden should be re-evaluated and chemotherapy side effects assessment.
  3. receive allogeneic cord blood-derived CAR-T cells infusion
  4. Visit the clinic at D28, 1 month, 2 months, 3 months, 4 months, 6 months, 9 months and 1 year after CAR-T cells infusion.
02

Conditions studied

  • Relapsed/Refractory Multiple Myeloma(MM)

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Keywords

  • allogeneic CAR-T
  • umbilical cord blood-derived
  • relapsed/refractory multiple myeloma
03

In context

Multiple Myeloma

3,760 studies on the registry are indexed under Multiple Myeloma; 769 are open to participants now.

This study's planned enrollment of 18 is below the median of 41 across 3,005 interventional studies indexed under Multiple Myeloma.

Browse Multiple Myeloma studies →

Lead sponsor

Xi'an No.3 Hospital is the lead sponsor of 7 studies on the registry; 7 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 75 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.Aged 18 to 75 years (inclusive of boundary values), with no limitation on gender;
  • 2.Diagnosed with multiple myeloma in accordance with the "Guidelines for the Diagnosis and Treatment of Multiple Myeloma in China (2022 Revision)" :

    1. Bone marrow monoclonal plasma cell percentage ≥10% and/or histopathological evidence of plasmacytoma; and presence of at least one of the following SLiM CRAB features:

      SLiM refers to:

      • S: Bone marrow monoclonal plasma cell percentage ≥60%;
      • Li: Ratio of involved to uninvolved serum free light chain ≥100 (with the involved light chain value being at least ≥100 mg/L);
      • M: MRI detection of >1 focal bone lesion larger than 5 mm.

      CRAB refers to:

      • C: Corrected serum calcium >2.75 mmol/L [Corrected serum calcium (mmol/L) = serum total calcium (mmol/L) - 0.025×serum albumin concentration (g/L) + 1.0 (mmol/L), or corrected serum calcium (mg/dl) = serum total calcium (mg/dl) - serum albumin concentration (g/L) + 4.0 (mg/dl)];
      • R: Renal insufficiency ( \<40 ml/min or serum creatinine >177 μmol/L);
      • A: Anemia ( \< lower limit of normal by 20 g/L or \<100 g/L);
      • B: Lytic bone lesions, demonstrated by radiographic imaging (X-ray, CT, MRI, or PET-CT) showing one or more lytic bone lesions.
    2. Definition of multiple myeloma:

      • Must have received at least three therapeutic regimens (The induction and maintenance therapies associated with hematopoietic stem cell transplantation, whether one or both were performed, are considered as one therapeutic regimen);
      • Must have been treated with a proteasome inhibitor, an immunomodulatory agent, or an anti-CD38 antibody;
      • Must be refractory to the last therapeutic regimen [refractory is defined as disease progression documented during or within 60 days after completion of the last anti-multiple myeloma therapeutic regimen (based on the last dose of the drug)].
  • 3.Presence of at least one , meeting at least one of the following criteria:

    • Serum M protein ≥0.5 g/dL;
    • Urine M protein ≥200 mg/24 hours;
    • Serum free light chain (FLC) assay: involved FLC level ≥10 mg/dL (100 mg/L), provided that the serum FLC ratio is abnormal;
    • -proven evaluable plasmacytoma;
    • Bone marrow plasma cells constituting >30% of total bone marrow cells;
  • 4.Negative for Donor Specific Antibody (DSA);
  • 5.The most recent assessment during the screening period indicates sufficient organ function, including renal and hepatic function, defined as:

    • Creatinine clearance rate ≥60 mL/min (calculated according to the Cockcroft-Gault formula);
    • (ALT) and aspartate aminotransferase (AST) ≤3× (upper limit of normal);
    • Total ≤1.5×ULN (for participants with a history of Gilbert's syndrome, total bilirubin ≤2.5×ULN).
  • 6.Women of must have a negative serum pregnancy test within 7 days before enrollment. In this study, women of childbearing potential, their male partners with , and their partners must use effective from the screening period until 12 months after UC503 administration. Women who are not of childbearing potential are defined as those who are at least 1 year or have documented infertility (congenital or acquired);
  • 7.Written obtained before the initiation of any study-specific procedures.

Exclusion criteria

Exclusion Criteria:

  • 1.Participants meeting any of the following criteria are not eligible for enrollment in this study:
  • 2.Lactating women;
  • 3.Unwillingness to undergo follow-up for 15 years;
  • 4.Poor compliance with the study procedures;
  • 5.Individuals under legal guardianship or conservatorship;
  • 6.with a history of ≥Grade 4 CRS or neurotoxicity in previous CAR-T therapy ;
  • 7.Within 5 half-lives of prior anti-MM therapies (including approved therapies and other drugs) before enrollment;
  • 8.Disease progression after debulking therapy;
  • 9.Active central nervous system (CNS) abnormalities or history of irreversible severe CNS toxicity from prior MM treatment leading to CNS organic lesions or CNS dysfunction;
  • 10.Radioimmunotherapy or radiotherapy within 8 weeks before enrollment;
  • 11.Hematopoietic stem cell transplantation () within 3 months before screening, donor lymphocyte infusion within 6 weeks before screening; patients who have undergone autologous stem cell transplantation within 100 days; patients who have undergone solid organ transplantation;
  • 12.Active acute or chronic (GvHD) requiring systemic therapy within 4 weeks before UC503 cells infusion;
  • 13.Patients with diseases who are unable to discontinue systemic therapy;
  • 14.Patients currently receiving or having received high-dose (total dose of 60 mg dexamethasone or equivalent other ) systemic corticosteroid therapy within 4 weeks before lymphodepletion;
  • 15.Known to UCAR-T or any of its components;
  • 16.Any known uncontrolled cardiovascular disease within 6 months before enrollment, or any of the following conditions: ≥Grade 2 ventricular or atrial arrhythmias, ≥Grade 2 bradycardia, myocardial infarction, severe/unstable angina, symptomatic congestive heart failure, cerebrovascular accident or , pulmonary embolism, deep vein thrombosis, poorly controlled hypertension with standard medications. Or (LVEF) \< 45% as assessed by echocardiogram or multigated acquisition scan (MUGA) at screening;
  • 17.Any known uncontrolled pulmonary disease within 6 months before enrollment, or any of the following conditions: pulmonary embolism, , history of idiopathic pulmonary fibrosis, organizing pneumonia (e.g., bronchiolitis obliterans), drug-induced pneumonia, idiopathic pneumonia, or evidence of active pneumonia on chest CT scan at screening. A history of radiation pneumonitis/fibrosis within the radiation field is allowed, as well as symptomatic or poorly controlled interstitial lung disease, pulmonary function abnormalities;
  • 18.History of hypertensive crisis or hypertensive encephalopathy within 3 months before screening;
  • 19.At enrollment, active bacterial, fungal, protozoal, or viral infections that are not effectively controlled despite adequate treatment, and positive blood cultures within 7 days before enrollment;
  • 20.Undergone any major surgery within 3 months before screening;
  • 21.Received any within 4 weeks before screening;
  • 22.Any abnormal findings, medical conditions, or laboratory test results during the screening period that the investigator deems may jeopardize patient safety;
  • 23.Any planned medical or surgical treatment that may interfere with the normal conduct of the study;
  • 24.Presence of another within 2 years before screening (excluding in situ basal or squamous cervical cancer or cutaneous basal cell carcinoma);
  • 25.Patient's psychiatric condition that prevents understanding of the nature, scope, and potential consequences of the study, and/or unwillingness to cooperate;
  • 26.At enrollment, positive for surface antigen (HBsAg) or hepatitis B core antibody (HBcAb) with peripheral blood hepatitis B virus (HBV) DNA titer greater than the normal range; positive for virus (HCV) antibody with peripheral blood HCV RNA titer greater than the normal range; positive for (HIV) antibody; positive for human T-cell leukemia virus (HTLV) antibody; positive for Treponema pallidum antibody; positive for cytomegalovirus (CMV) DNA;
  • 27. to any drugs that may be used, including lymphodepleting agents such as fludarabine and cyclophosphamide, or agents maybe used for managing adverse events such as tocilizumab.
Terms in these criteria, in plain language(30)

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.

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.

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).

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.

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.

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.

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.

Reproductive potential

Able to have children. For women this usually means from the first period until menopause, unless permanently unable to through surgery; for men, unless permanently sterile. Read who the line is about — participants, women, men, or their partners.

Criteria about it usually ask 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).

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.

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.

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.

GVHD (graft-versus-host disease)

After a transplant from a donor, the donor’s immune cells attack the recipient’s body, often the skin, gut or liver.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

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.

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.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

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.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

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.

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.

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.

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.

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.

05

Study design

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

Study arms

  • Experimental
    UCAR-T cells treatment

    Drug: allogeneic cord blood-derived, dual-targeting CD19/BCMA CAR-T cells

Interventions

  • Drugallogeneic cord blood-derived, dual-targeting CD19/BCMA CAR-T cells

    dosage form: UCAR-T cell injection Route of Administration: Single intravenous injection Participants will receive lymphodepletion with fludarabine (30 mg/m²/day) and cyclophosphamide (500 mg/m²/day) from Day -5 to -3, prior to UCAR-T cell infusion on Day 0.

06

What researchers measure

Primary outcomes

  1. the incidence rate of UCAR-T-related adverse events

    Incidence of adverse events(AEs) after infusion, The number, frequency, severity, and laboratory findings of all treatment-related adverse events/serious adverse events are included. Description, time, classification, and outcome of AE events resulted from the investigational medical product, delivery method, or emergency measures will be recorded in the case report form., Up to 28 days after infusion. UCAR-T therapy-Related Adverse Events will be Assessed by CTCAE v4.0.

    Time frame: from lymphodepletion (D-6) through day 28 post-infusion (D+28).

  2. The incidence rate of Dose limited toxicity (DLTs)

    Dose limited toxicity(DLT) was defined as the occurrence of any of the following adverse events within 28 days of the infusion of CAR-T cells after optimal supportive treatment, which were discussed with the investigator and determined to be associated or likely to be associated with the infusion. Any DTLs within 28 days after UCAR-T infusion will be recorded in time, including severity, occurrence time, duration, treatment methods and prognosis. Specific syndromes will be graded using the following dedicated criteria: 1. Cytokine Release Syndrome (CRS) and Immune Effector Cell-Associated Neurotoxicity Syndrome (ICANS): 2018 American Society for Transplantation and Cellular Therapy (ASTCT) Consensus Grading 2. Acute Graft-versus-Host Disease (aGvHD): MAGIC (Mount Sinai Acute GVHD International Consortium) Criteria 3. Tumor Lysis Syndrome (TLS): Cairo-Bishop Definition 4. Immune Effector Cell-Associated Hemophagocytic Lymphohistiocytosis (IEC-HS): 2018 ASTCT Panel Guidelines

    Time frame: within 28 days after UCAR-T infusion

Secondary outcomes

  1. Overall response rate (ORR) of Multiple Myeloma (MM)

    Anti-multiple myeloma response will be assessed according to the International Myeloma Working Group (IMWG) Uniform Response Criteria, including: Stringent Complete Response (sCR), Complete Response (CR), Very Good Partial Response (VGPR), Partial Response (PR), Minimal Response (MR), Stable Disease (SD), Progressive Disease (PD). Overall Response Rate (ORR) =sCR+CR+VGPR+PR+MR. Assessment of ORR at month 1, 2, 3, 6, 12, 18 and 24.

    Time frame: from the UCAR-T infusion to death from any cause (censored), up to 2 years.

  2. Overall survival (OS) of MM

    the time interval from the date of UCAR-T cells infusion to the date of death from any cause.

    Time frame: up to 2 years after UCAR-T cells infusion

  3. Progression-free survival (PFS) of MM

    The time interval from the date of UCAR-T infusion to the date of first documented disease progression per International Myeloma Working Group (IMWG) criteria, or death from any cause, whichever occurs earlier.

    Time frame: up to 2 years after UCAR-T cells infusion

  4. Duration of Response (DOR) of MM

    The time interval from the date of first documented confirmed response (≥ partial response per IMWG 2016 criteria) after UCAR-T infusion to the date of MM progression or death from any cause, whichever occurs earlier.

    Time frame: up to 2 years after UCAR-T cells infusion

  5. Quality of Life (QoL)

    Assessment using European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire Core 30 (EORTC QLQ-C30) scale (For item1-28: max score: 112, min score: 28, higher scores mean a better outcome; for item 28-29: max score: 14, min score: 2, higher scores mean a worse outcome) to measure Quality of life at Baseline, Month 1, 3, 6, 9,12, 18 and 24.

    Time frame: at Baseline, Month 1, 3, 6, 9,12, 18 and 24.

07

Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: Yes — The IPD will be shared in a publication.

Supporting information: Study protocol

Time frame: Beginning 3 months and ending 2 years after the publication of results

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

Started Oct 2024 (actual). Primary completion is estimated for Jul 2028, 45 months after the start.

Of 201 non-industry phase 1 interventional studies under Multiple Myeloma, half reached primary completion within 57 months of starting (the median), counting those still running; a quarter within 39 and three quarters within 99. This study's planned 45 months is below that.

Counting every sponsor, half of 413 studies reached it within 50 months; a quarter within 33 and three quarters within 75.

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

Registered
Jul 20, 2025
First posted
Aug 24, 2025
StartActual
Oct 3, 2024
Primary completionEst.
Jul 30, 2028
CompletionEst.
Dec 30, 2028
Last update
Nov 25, 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 Nov 25, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07139509
Lead sponsor
Xi'an No.3 Hospital
Collaborators
Ucello Therapeutics Co., Limited
Responsible party
XieQun CHEN (Director of Hematology & Principal Investigator, Xi'an No.3 Hospital) — Principal investigator
First posted
Aug 24, 2025
Start date
Oct 3, 2024
Primary completion
Jul 30, 2028 (estimated)
Completion
Dec 30, 2028 (estimated)
Last update
Nov 25, 2025

Study contacts

Xiequn Chen, M.D.
Contact
cxq@nwu.edu.cn
+86 29 6130 6285
Qiang Zou, Ph.D. & M.D.
Contact
zouqiang@ucellotx.com
86-18908237461
Xiequn Chen, M.D.
principal investigator · Xi'an No.3 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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