ClinicalTrials.gg
RecruitingNCT07371403Updated Aug 5, 2026

MB-CART19.1 in Relapsed/Refractory Acute Lymphoblastic Leukemia

An interventional study of MB-CART19.1 in Acute Lymphoblastic Leukemia, Acute Lymphoblastic Leukemia Recurrent and Acute Lymphoblastic Leukemia Refractory, sponsored by King Hussein Cancer Center. Recruiting at 1 site in Jordan. Open to participants aged 1 Year and older. Per ClinicalTrials.gov, last updated 2026-08-05.

Sponsored by King Hussein Cancer Center · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Feb 2026; still recruiting 8 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
12
Allocation
Not applicable
Ages
1 Year and older
Sex
All
01

Study summary

Single-arm, prospective, open-label feasibility study evaluating the technical and operational feasibility of manufacturing autologous CD19-directed CAR-T cells (MB-CART19.1) at the point of care for the treatment of relapsed or refractory B-ALL in pediatric and adult patients.

02

Conditions studied

  • Acute Lymphoblastic Leukemia
  • Acute Lymphoblastic Leukemia Recurrent
  • Acute Lymphoblastic Leukemia Refractory
  • Acute Lymphoblastic Leukemia Not Having Achieved Remission
  • Acute Lymphoblastic Leukemia With Failed Remission

Keywords

  • CAR-T
  • MB-CART19.1
  • ALL
  • acute lymphoblastic leukemia
  • relapsed acute lymphoblastic leukemia
  • refractory acute lymphoblastic leukemia
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 12 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

King Hussein Cancer Center is the lead sponsor of 23 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
1 Year 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

  • Age ≥ 1 year as long as if deemed fit by treating investigator
  • CD19 expression must be detected (≥20%) on the malignant cells by flow cytometry.
  • Patients with disease with 0.01% or higher blasts in the bone marrow, or patients with confirmed disease progression as demonstrated by FDG PET-CT or CT/MRI of the affected lymph node or spleen after at least 2 cycles/ are eligible for enrollment. For patients with Philadelphia-positive disease, a second-generation or higher TKI must have been utilized in one of the treatment lines.
  • Patients who have relapsed post alloSCT at least 100 days post-transplant, with no evidence of active graft vs host disease, and no longer taking agents for at least 30 days prior to enrollment.
  • Estimated > 12 weeks
  • or Lansky (age dependent) performance score ≥ 60
  • Patients and/or parents must give their written /assent.
  • CNS and/or testicular involvement are allowed, only if cleared and in the presence of systemic involvement.

Exclusion criteria

Exclusion Criteria:

  • Rapidly progressive, uncontrolled disease as assessed by the treating physician and/or principal investigator.
  • Persistent extramedullary disease.
  • Isolated CNS and/or testicular disease.
  • Current disease, or history of autoimmune disease with potential CNS involvement
  • Active , C or
  • Active CNS dysfunction (including but not limited to uncontrolled seizure disorders, cerebrovascular ischemia or hemorrhage, dementia, paralysis)
  • History of an additional (≤ 3 years) other than non-melanoma skin cancer or carcinoma in situ.
  • Pulmonary function: Patients with pre-existing severe lung disease ( or FVC \< 65%) or an oxygen requirement of >28% O2 FiO2 or active pulmonary infection.
  • Cardiac function: \<50% by echocardiography
  • Renal function: \<50 mL/min/1.73 m2
  • Liver function: patients with serum ≥3 times upper limit of or or ALT > 5 times , unless due to leukemic liver infiltration as determined by the investigators.
  • Pregnant or breast-feeding females
  • Medications: systemic chemotherapies, with the exception of physiologic replacement dosing (\<0.5 mg/kg/day of methylprednicone), tyrosine kinase inhibitors (TKI) within 7 days prior to leukapheresis, Fludarabine/clofarabine or drugs and antibodies (e.g. rituximab, blinatumomab) or drugs or donor lymphocyte
Terms in these criteria, in plain language(19)

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.

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.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

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.

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.

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.

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.

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.

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.

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.

FEV1

From a breathing test (spirometry): how much air you can blow out in the first second. Often given as a percentage of what is expected for your age, height and sex.

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.

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.

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.

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.

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.

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.

05

Study design

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

Study arms

  • Experimental
    MB-CART19.1

    Genetic: MB-CART19.1

Interventions

  • GeneticMB-CART19.1

    All participants will undergo leukapheresis for collection of autologous T cells, which will then be manufactured into MB-CART19.1 on-site using CliniMACS Prodigy platform. Successfully manufactured MB-CART19.1 products will be infused back to the patient following a lymphodepleting chemotherapy regimen.

06

What researchers measure

Primary outcomes

  1. Proportion of enrolled patients for whom MB-CART19.1 product is successfully manufactured on-site and meets release criteria.

    Assessment of the feasibility and success rate of on-site manufacturing of MB-CART19.1, defined as the proportion of enrolled patients whose cell product is produced and meets established release specifications.

    Time frame: From patient enrollment through completion of manufacturing and release testing; estimated 2-4 weeks per patient and up to 12 months for the full cohort.

Secondary outcomes

  1. Overall response rate (ORR) (CR, CR with incomplete hematologic recovery (CRh)) on day 28.

    Evaluation of overall response rate (ORR) at Day 28, measured as the percentage of patients who achieve complete remission (CR) or complete remission with incomplete hematologic recovery (CRh) following MB-CART19.1 infusion.

    Time frame: Up to approximately 28 days after the last patient infusion.

  2. Duration of response time from first documented response to progression or death up to 12 months post-infusion

    Duration of response time from first documented response to progression or death up to 12 months post-infusion

    Time frame: Up to 12 months post-infusion

  3. Rate of measurable residual disease (MRD) negativity at 1-, 3-, 6- and 12-month intervals

    Evaluation of rate of measurable residual disease (MRD) negativity at scheduled follow-up visits to monitor clinical status and response post-infusion.

    Time frame: at 1-, 3-, 6- and 12-month intervals

  4. MB-CART19.1 manufacturing turnaround time

    Time required to complete on-site manufacturing of MB-CART19.1 from leukapheresis to product release.

    Time frame: From leukapheresis to product release (estimated 2 weeks per patient).

  5. Overall incidence and severity of adverse events

    Assessment of the overall incidence and severity of adverse events (AEs) in patients receiving MB-CART19.1, including all treatment-related and non-treatment-related events, graded according to standard toxicity criteria.

    Time frame: From infusion through 12 months post-infusion per patient.

  6. Overall incidence and severity of MB-CART19.1- specific adverse events (cytokine release syndrome (CRS))

    Assessment of the overall incidence and severity of cytokine release syndrome (CRS) in patients receiving MB-CART19.1, graded according to the American Society for Transplantation and Cellular Therapy (ASTCT) consensus criteria.

    Time frame: From infusion through 12 months post-infusion per patient.

  7. Overall incidence and severity MB-CART19.1-specific adverse events (Immune effector cell associated neurotoxicity syndrome (ICANS))

    Assessment of the overall incidence and severity of Immune effector cell associated neurotoxicity syndrome (ICANS) in patients receiving MB-CART19.1, graded according to the American Society for Transplantation and Cellular Therapy (ASTCT) consensus criteria.

    Time frame: From infusion through 12 months post-infusion per patient.

07

Study locations

1 of 1 sites recruiting
  • King Hussein Cancer Center
    Amman, 11941, Jordan
    Recruiting
    • Zaid Abdel Rahman, MD · Contactza.11040@khcc.jo · 00962796420055
    • Farah Zahran, MSc Clinical Pharmacy · Contactfzahran@khcc.jo · 00962796420055
    • Zaid Abdel Rahman, Consultant,Hematology/Oncology · Principal investigator
    • Hasan Hashem, MD · Principal investigator
08

References and documents

Individual participant data

Plan to share: Undecided

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
NCT07371403
Lead sponsor
King Hussein Cancer Center
Responsible party
Zaid Abdel Rahman, MD (Consultant Hematology, Stem Cell Transplantation and Cellular Therapies, King Hussein Cancer Center) — Principal investigator
First posted
Jan 27, 2026
Start date
Feb 20, 2026
Primary completion
Jan 2029 (estimated)
Completion
Jan 2029 (estimated)
Last update
Aug 5, 2026

Study contacts

Dr. Zaid Abdel Rahman, Consultant,Hematology/Oncology
Contact
ZA.11040@KHCC.JO
+962797101838
Dr. Hasan Hashem, Consultant,Hematology/Oncology
Contact
hh.08847@khcc.jo
00962797207439
Dr Zaid Abdel Rahman, Consultant,Hematology/Oncology
principal investigator · King Hussein Cancer Center
Dr. Hasan Hashem, Consultant,Hematology/Oncology
principal investigator · King Hussein Cancer Center

Oversight

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

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