Experimental CAR-T therapy shows early promise in Tough-to-Treat myeloma
NCT ID NCT04322292
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This early-phase trial tested a new CAR-T cell therapy called C-CAR088 in 9 patients with multiple myeloma that had returned or stopped responding to treatment. The therapy uses a patient's own immune cells, modified to target a protein called BCMA on myeloma cells. The main goals were to check safety and see if the treatment could shrink tumors.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- C-CAR088 (a type of CAR-T cell therapy targeting BCMA)
- What this could lead to
- If successful, this could point toward a new treatment option for patients with multiple myeloma that has stopped responding to standard therapies.
- What could go wrong
- This is a very early phase 1 trial with only 9 participants, so results may not apply broadly. CAR-T therapies can cause serious 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
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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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9 people
The number who actually took part.
- Started
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Sep 2019
- Finished
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Sep 2022
- 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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18 to 75 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: 1. Age 18-75 years old, male or female; 2. The patient volunteered to participate in the study, and he or his legal guardian signed the Informed Consent; 3. Meet the internationally accepted Criteria for the diagnosis of multiple myeloma (IMWG diagnostic criteria 2014); 4. Patients with a clear diagnosis of relapsed or refractory multiple myeloma; 5. The patient have one or more measurable multiple myeloma lesion, must include one of the following conditions: * Serum M protein≥1.0 g/dL(10g/L) * Urine M protein≥200 mg/24h * Serum free light chain(sFLC): κ/λ FLC ratio is abnormal and affected FLC ≥10mg / dL 6. Bone marrow sample is confirmed as BCMA-positive by flow cytometry or pathological examination; 7. ECOG scores 0 - 1; 8. Echocardiography showed normal diastolic function, left ventricular ejection fraction (LVEF) ≥50%, and no severe arrhythmia; 9. No active pulmonary infections, normal pulmonary function and oxygen saturation ≥ 92% on room air. 10. Absolute neutrophil count ≥1.0 × 109 / L, platelet count ≥50 × 109 / L; total serum bilirubin ≤1.5mg / dl; serum ALT or AST less than 2.5 times the upper limit of normal; serum creatinine ≤2.0mg / dl; 11. No contraindications of peripheral blood apheresis; 12. Expected survival time \> 12 weeks;. 13. Female subjects of childbearing age must have a negative urine / blood pregnancy test within 7 days before cell therapy and not be in lactation; female or male subjects of childbearing age need to take effective contraception throughout the study. Exclusion Criteria: 1. Have a history of allergy to cellular products; 2. Presence of clinically significant cardiovascular disease; 3. A history of craniocerebral trauma, consciousness disorder, epilepsy, severe cerebral ischemia or hemorrhagic disease; 4. Need to use any anticoagulant (except aspirin); 5. Patients requiring urgent treatment due to tumor progression or spinal cord compression; 6. Patients with CNS metastasis or symptoms of CNS involvement; 7. After allogeneic hematopoietic stem cell transplantation; 8. Plasma cell leukemia; 9. Received systemic anti-tumor treatment within 2 weeks before apheresis, and within 1 week before apheresis, prednisone (or equivalent amount of other corticosteroids) was applied in excess of 5 mg/d ; 10. Patients with autoimmune diseases, immunodeficiency, or other immunosuppressive agents; 11. Uncontrolled active infection; 12. Have used any CAR T cell products or other genetically modified T cell therapy before; 13. Hepatitis B or hepatitis C virus infection (including carriers), syphilis, as well as acquired, congenital immune deficiency diseases, including but not limited to HIV infected persons; 14. Have a history of alcoholism, drug addiction and mental illness; 15. Participated in any other clinical trial within 1 months; 16. The investigators believe that there are other circumstances that are not suitable for the trial.
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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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InstituteHBDH
Tianjin, 300000, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Bispecific antibody combo aims to deepen myeloma responses
- Can a stronger drug cocktail give older myeloma patients a better start?
- Cheap blood count ratios eyed as window into Myeloma's inflammatory grip
- Can a t-cell engager rescue myeloma that outsmarted CAR-T?
- Can myeloma treatment work without steroids?
- Double-Drug attack on Hard-to-Treat lymphomas