Engineered immune cells take aim at Hard-to-Treat myeloma
NCT ID NCT07760454
First seen Aug 12, 2026 · Last updated Sep 18, 2026 · Updated 3 times
Summary
This trial is testing an experimental therapy called CT0596, which uses a patient's own immune cells that are engineered to recognize and attack multiple myeloma cells. The study includes adults with relapsed or refractory multiple myeloma who have already tried at least three prior treatments. The goal is to see if this CAR-T cell therapy is safe, tolerable, and effective, and to understand how the cells behave in the body.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- CT0596 CAR-T cells (a type of engineered immune cell therapy)
- What this could lead to
- If successful, this could lead to a new treatment option that may achieve durable remission in patients with hard-to-treat multiple myeloma.
- What could go wrong
- This is an early-phase trial, so the treatment may not work for everyone and could cause severe side effects like cytokine release syndrome or neurological toxicity.
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 1/2
Runs two stages together: safety and dose first, then whether the treatment works.
- Participants
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About 68 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Sep 2026
- Expected to finish
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Apr 2031
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: * Voluntarily participate in the trial; fully understand and sign the informed consent form (ICF); willing and able to comply with all trial procedures. * Age ≥ 18 years, male or female. * Patients with relapsed/refractory multiple myeloma (R/R MM) who have received at least 3 prior lines of therapy, including at least one proteasome inhibitor (PI), at least one immunomodulatory agent (IMiD), and at least one anti-CD38 monoclonal antibody. * Relapsed/refractory disease defined per IMWG 2016 response criteria,. * Must have measurable disease: * Life expectancy ≥ 12 weeks. * Eastern Cooperative Oncology Group (ECOG) performance status of 0-1. * Must have Adequate organ function * Female participants of childbearing potential must have a negative pregnancy test at screening and prior to lymphodepletion, and must agree to use highly effective contraception for at least 1 year after CT0596 infusion, and absolutely refrain from oocyte donation. Male participants with active sexual life with WOCBP must agree to use highly effective contraception for at least 1 year after infusion and absolutely refrain from sperm donation。 Exclusion Criteria: * Pregnant or lactating women. * Positive for HIV, syphilis, active hepatitis B (HBV-DNA above LLoD), or active hepatitis C (positive for both HCV antibody and HCV-RNA). * Presence of any uncontrolled active infection, including but not limited to active tuberculosis (per investigator), active CMV and/or EBV infection, etc. * Toxicity from prior therapy not recovered to ≤ Grade 1 per Common Terminology Criteria for Adverse Events(CTCAE) V5.0 (except alopecia and other events deemed tolerable by the investigator). * Prior BCMA-targeted therapy (refer to the protocol for exceptions). * Prior allogeneic stem cell transplantation; or autologous SCT within 3 months prior to signing ICF; or planned Hematopoietic Stem Cell Transplantation(HSCT) during the trial. * Received disease-directed therapy within 14 days or 5 half-lives (whichever is shorter) prior to lymphodepletion. * Received any cell therapy within 6 months prior to ICF; or prior CAR-T with best response \< PR. * Received systemic corticosteroids equivalent to \> 15 mg/day of prednisone within 7 days prior to lymphodepletion (excluding topical use). * Received live-attenuated, inactivated, or RNA vaccines within 4 weeks prior to lymphodepletion. * Major surgery within 2 weeks prior to lymphodepletion, or planned major surgery during trial or within 4 weeks after treatment (excluding local anesthesia surgeries). * Allergy or intolerance to lymphodepletion agents, tocilizumab, or any component of infusion (e.g., DMSO); or history of severe allergy such as anaphylactic shock. * Diagnosed with secondary plasma cell leukemia, solitary extramedullary plasmacytoma, Waldenström macroglobulinemia, POEMS syndrome, or primary light chain amyloidosis at screening. * Severe cardiac diseases within 6 months prior to screening. * Severe pulmonary disease that may jeopardize the patient's life per investigator. * Inability to tolerate an adequate lymphodepletion regimen. * Secondary primary malignancy requiring treatment or not in complete remission within 2 years prior to screening, except for successfully treated non-metastatic basal/squamous cell skin carcinoma, non-metastatic prostate cancer, carcinoma in situ (breast/cervix), non-muscle-invasive bladder cancer, or low-grade thyroid cancer. * Known symptomatic central nervous system (CNS) disease or suspected CNS metastasis. * Patients assessed by the investigator as unable or unwilling to comply with protocol requirements, or otherwise unsuitable for participation.
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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
2 sites. 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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Renji Hospital,Shanghai Jiao Tong University School Of Medicine
RECRUITINGShanghai, China
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The First Affiliated Hospital of Soochow University
NOT_YET_RECRUITINGSuzhou, Jiangsu, China
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- Can a lower dose of a myeloma drug keep the disease in check with fewer side effects?
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- New antibody combo aims to stall multiple Myeloma's return