Gene-Edited super cells take on childhood leukemia
NCT ID NCT05942599
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This early-stage trial tests a new treatment for children aged 6 months to 16 years whose acute myeloid leukemia has returned. The therapy uses donor immune cells that have been gene-edited with a technique called base editing to better target and kill leukemia cells. The main goal is to check safety and see if the cells can clear the cancer before a bone marrow transplant.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Base-edited CAR T cells (BE CAR-33) made from donor white blood cells
- What this could lead to
- If it works, this could offer a way to clear leukemia before a bone marrow transplant, potentially preventing the cancer from coming back.
- What could go wrong
- This is a very early, small phase 1 trial with only 10 children. The therapy may cause severe side effects like cytokine release syndrome or graft-versus-host disease, and it may not work for everyone.
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
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Phase 1
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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About 10 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2023
- Expected to finish
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Jun 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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6 months to 16 years
- Sex
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Anyone
- Healthy volunteers
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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 Hide 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: * Male or female patients * Age ranging between 6 months and \<16 years Medical and therapeutic criteria * Relapsed AML ahead of scheduled allogeneic haematopoietic stem cell transplantation (allo-SCT). * Morphologically confirmed with leukemic blasts in the bone marrow (\>5%) or a quantifiable MRD by multiparameter flow cytometry and/or quantitative polymerase chain reaction (\>10-4) * CD33+ leukaemia associated immunophenotype (LAIP) on \>95% of blasts * Eligible and fit for allogeneic hematopoietic stem cells transplantation with suitable donor available * Estimated life expectancy ≥ 12 weeks * Lansky (age \< 16 years at the time of assent/consent) or performance status ≥ 70; * Eastern Cooperative Oncology Group ECOG performance status \< 2. Exclusion Criteria: * Patients/parents unwilling to undergo follow-up for 15 years * Foreseeable poor compliance to the study procedures * Evidence of disease progression after cytoreduction * Uncontrollable CNS leukaemia or neurological symptoms defined as CNS grade 3 (per * National Comprehensive Cancer Network guidelines) * Absence of suitable HLA matched or mismatched donor * Weight \< 6kgs * Presence of donor-specific anti-HLA antibodies directed against BE-CAR33 * GvHD requiring systemic therapy * Systemic steroid therapy prednisolone \>0.5mg/kg/day * Known hypersensitivity to test materials or related compounds * Active bacterial, fungal or viral infections not controlled by standard of care anti- microbial or anti-viral treatment. Uncontrolled bacteraemia/ fungaemia is defined as the ongoing detection of bacteria/fungus on blood cultures despite antibiotic or anti-fungal therapy. Uncontrolled viraemia is defined as rising viral loads on two consecutive occasions despite antiviral therapy. * Risk of pregnancy or non-compliance with contraception (if applicable). Girls of childbearing potential must have been tested negative in a pregnancy test within 14 days prior to inclusion. * Lactating female participants unwilling to stop breastfeeding * Prior CAR T cell therapy known to be associated with ≥Grade 3 cytokine release syndrome (CRS) or ≥Grade 3 drug-related CNS toxicity
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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
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Great Ormond Street Hospital for Children
London, WC1N3JH, United Kingdom