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Experimental CAR T-Cell therapy targets tough lymphoma

NCT ID NCT03590574

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed
The trial has finished. Results may not be published yet.
Stopped early This study
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Jun 27, 2026 · Last updated Jun 27, 2026

Summary

This early-phase trial tested a new treatment called AUTO4 for people with a type of T-cell lymphoma that had come back or not responded to prior therapy. AUTO4 is a CAR T-cell therapy designed to recognize and attack cancer cells carrying a specific marker called TRBC1. The study aimed to check safety and find the right dose, but it was stopped early after enrolling only 20 participants.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

Active substance
AUTO4 (a CAR T-cell therapy targeting TRBC1)
What this could lead to
If successful, this approach could offer a new treatment option for people with certain types of T-cell lymphoma that have not responded to standard therapies.
What could go wrong
This was a very early (Phase 1/2) trial with only 20 participants, and it was terminated, so results are limited. CAR T-cell therapies can cause severe side effects like cytokine release syndrome.

This is an AI summary of the original study and may miss details. Read our disclaimer.

Study facts

What this study's own registry entry says, in plain language.

Phase

Phase 1/2

Runs two stages together: safety and dose first, then whether the treatment works.

Participants

20 people

The number who actually took part.

Started

Aug 2018

Finished

Dec 2024

Lead sponsor

A company

The lead sponsor is a pharmaceutical, biotech, or medical-device company.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Ages

18 years and older

Sex

Anyone

Healthy volunteers

Not accepted

This study is not open to healthy volunteers. The entry requirements below say who it is open to.

Show the full entry requirements

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: 1. Male or female, aged ≥ 18 years. 2. Willing and able to give written, informed consent to be screened for TRBC1 positive T-NHL and to enter the main study. 3. Confirmed diagnosis of selected T-NHL, including: 1. Peripheral T cell lymphoma not otherwise specified, or 2. Angioimmunoblastic T cell lymphoma, or 3. Anaplastic large cell lymphoma 4. Confirmed TRBC1 positive tumour. 5. Relapsed or refractory disease and have had ≥1 prior lines of therapy. 6. Positron emission tomography (PET)-positive measurable disease per Lugano classification. 7. Eastern Cooperative Oncology Group (ECOG) Performance Status 0 or 1. 8. Adequate bone marrow function without the requirement for ongoing blood products. 9. Adequate renal, hepatic, pulmonary, and cardiac function. 10. For females of childbearing potential (defined as \< 2 years after last menstruation or not surgically sterile), a negative serum or urine pregnancy test must be documented at screening, prior to pre-conditioning and confirmed before receiving the first dose of study treatment. For females who are not postmenopausal (\< 24 months of amenorrhea) or who are not surgically sterile (absence of ovaries and/or uterus), a highly effective method of contraception together with a barrier method must be used from the start of the pre-conditioning stage and for at least 12 months after the last dose of AUTO4 (study treatment). They must agree not to donate eggs (ova, oocytes) for the purposes of assisted reproduction during the study and for 12 months after receiving the last dose of study drug 11. For males, it must be agreed that 2 acceptable methods of contraception are used. 12. No contra-indications for leukapheresis, or the pre-conditioning regimen. Exclusion Criteria: Patients meeting any of the following exclusion criteria must not be enrolled into the study: 1. Patients with T cell leukaemia. 2. Females who are pregnant or lactating. 3. Prior treatment with investigational gene therapy or approved gene therapy or genetically engineered cell therapy product or allogeneic stem cell transplant. 4. Known history or presence of clinically relevant central nervous system (CNS) pathology. Patients with a known history or prior diagnosis of optic neuritis or other immunologic or inflammatory disease affecting the CNS. 5. Current or history of CNS involvement by malignancy. 6. Clinically significant, uncontrolled heart disease. 7. Patients with evidence of uncontrolled hypertension or with a history of hypertension crisis or hypertensive encephalopathy. 8. Patients with a history (within 3 months) or evidence of deep vein thrombosis or pulmonary embolism requiring ongoing therapeutic anticoagulation at the time of pre-conditioning. 9. Patients with active gastrointestinal bleeding. 10. Active infectious bacterial, viral disease or fungal disease (hepatitis B virus, hepatitis C virus, human immunodeficiency virus, human T cell lymphotropic virus or syphilis) requiring treatment. 11. Active autoimmune disease requiring immunosuppression. 12. History of other neoplasms unless disease free for at least 2 years (adequately treated carcinoma in situ, curatively treated non-melanoma skin cancer, breast or prostate cancer on hormonal therapy are allowed). 13. Prior treatment with programmed cell death protein 1, programmed death ligand 1, or cytotoxic T lymphocyte-associated protein 4 targeted therapy, or tumour necrosis factor (TNF) receptor superfamily agonists including cluster of differentiation (CD)134 (OX40), CD27, CD137 (41BB), and CD357 (glucocorticoid induced TNF receptor family related protein) within 6 weeks prior to AUTO4 infusion. 14. Research participants receiving any other investigational agents, or concurrent biological, chemotherapy, or radiation therapy. 15. Use of rituximab (or rituximab biosimilar) within the last 6 months prior to AUTO4 infusion. 16. Patients, who in the opinion of the Investigator, may not be able to understand or comply with the safety monitoring requirements of the study.

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Freeman Hospital, The Newcastle upon Tyne Hospitals NHS Foundation Trust

    Newcastle upon Tyne, United Kingdom

  • Manchester Royal Infirmary Hospital

    Manchester, United Kingdom

  • Queen Elizabeth University Hospital

    Glasgow, United Kingdom

  • University College London Hospitals NHS Foundation Trust

    London, United Kingdom

  • Vall d'Hebron Institute of Oncology

    Barcelona, Spain

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