Engineered immune cells take aim at rare Organ-Damaging disease
NCT ID NCT07626476
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This early-phase trial tests a personalized cell therapy called BCMA-targeted CAR-T cells in 30 adults with relapsed or refractory light chain amyloidosis, a rare disease where abnormal proteins build up in organs. The treatment uses the patient's own immune cells, modified to attack the cells producing those proteins. The main goals are to check safety and see if it can reduce disease activity.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- BCMA-targeted CAR-T cells (a personalized immune cell therapy made from the patient's own blood)
- What this could lead to
- If successful, this could offer a new treatment option for people with hard-to-treat light chain amyloidosis, potentially reducing harmful protein buildup in organs.
- What could go wrong
- This is a very early, small trial (30 people) focused on safety. CAR-T therapy can cause serious side effects like cytokine release syndrome and infections. 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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Early phase 1
The earliest testing in people: a first look at safety, in a very small group.
- Participants
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About 30 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2024
- Expected to finish
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Dec 2029
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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18 years and older
- 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: * The participant must personally sign an ethics-committee-approved informed consent form before study start. * Age ≥18 years. * Pathologically confirmed light chain amyloidosis. * Relapsed/refractory light chain amyloidosis previously treated with 2 or more lines of therapy. * dFLC \>50 mg/L. * Expected survival ≥12 weeks. * ECOG score ≤2. * Diagnosis of AL amyloidosis must meet the following conditions: (1) clinical manifestations, physical examination, laboratory or imaging examinations confirm tissue or organ involvement; (2) tissue biopsy pathology confirms amyloid deposition, and the precursor protein of amyloid protein is immunoglobulin light chain or heavy and light chain; and the participant is relapsed/refractory. * Female participants of childbearing potential should agree to use effective contraception from the date of signing informed consent until 365 days after infusion. Effective contraception is defined as abstinence or contraception using methods specified in the protocol with an annual failure rate \<1%. * Adequate organ function before enrollment, meeting all of the following: * Absolute neutrophil count ≥1.0×10\^9/L; granulocyte colony-stimulating factor (G-CSF) support is permitted. * Platelet count ≥50×10\^9/L. * Hemoglobin ≥8 g/dL. * Bilirubin ≤1.5×upper limit of normal (ULN), except biliary obstruction caused by tumor compression. * ALT or AST ≤2.5×ULN; for participants with liver involvement, ≤5×ULN. * Mayo 2004 stage I-IIIa. * Stable coagulation function: INR ≤1.5 and APTT ≤1.2×ULN, except tumor-related anticoagulant therapy. * Baseline oxygen saturation on room air \>92%. Exclusion Criteria: * Participants who have received the following prior treatments: * Prior gene therapy before enrollment. * Live vaccine injection within 4 weeks before enrollment. * Other interventional clinical study drug treatment within 12 weeks before leukapheresis. * Central nervous system involvement or complete intestinal obstruction. * Moderate or higher pleural effusion or ascites that is difficult to control with conventional treatment and requires continuous catheter drainage. * Active malignancy within the past 5 years, unless it is a curable tumor and has been clearly cured. * HBsAg positivity with abnormal peripheral blood HBV DNA testing; HCV antibody positivity with peripheral blood HCV RNA positivity; HIV antibody positivity; CMV DNA positivity; or positive syphilis RPR test. * Uncontrolled active infection, except CTCAE grade \<2 urogenital infection and upper respiratory tract infection. * Severe heart disease, including but not limited to unstable angina, myocardial infarction within 6 months before screening, congestive heart failure (New York Heart Association \[NYHA\] class ≥III), positive six-minute walk test, interventricular septum and left ventricular posterior wall thickness \>1.5 cm, or ventricular arrhythmia and atrioventricular block indicated by ambulatory electrocardiography. * Hypertension that cannot be controlled by medication. * Toxicity from prior treatment not recovered to baseline or ≤grade 1 according to NCI CTCAE v5.0, except alopecia and clinically insignificant laboratory abnormalities. * Major surgery within 2 weeks before enrollment, or planned surgery during the waiting period before infusion or within 12 weeks after study treatment, except planned local anesthesia surgery. * Solid organ transplantation. * Pregnant or breastfeeding women. * History of central nervous system disease, such as cerebral aneurysm, epilepsy, stroke, senile dementia or psychiatric disease, or disturbance of consciousness. * Other systemic disease judged unstable by the investigator, including but not limited to severe hepatic, renal or metabolic disease requiring medication. * Known life-threatening allergic reaction, hypersensitivity or intolerance to the CAR-T cell product or its components. * Bleeding or severe thrombosis as judged by the investigator, hereditary/acquired bleeding or severe thrombosis, including hemophilia, coagulopathy, thrombocytopenia and hypersplenism, or current thrombolytic or anticoagulant therapy. * Other conditions that the investigator considers unsuitable for enrollment.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Beijing GoBroad Boren Hospital
RECRUITINGBeijing, Fengtai District, 100070, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can a Dual-Targeting antibody stop amyloid buildup in its tracks?
- Can a radioactive peptide spot hidden amyloid in the heart?
- Real-world data on multiple myeloma immunotherapies could reshape monitoring and improve survival
- Nationwide registry aims to crack the code of a rare protein-clogging disease
- Gene-Guided Chemo-Free strategy targets AL amyloidosis
- New scan spots hidden organ damage before symptoms start