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New injection could train your body to fight cancer from within

NCT ID NCT07240974

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now This study
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 Results may not be published yet.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
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This status has not been confirmed recently, so it may be out of date.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 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This early-phase trial tests a new drug called ZZSW-01 in 6 people with B-cell blood cancers that have come back or not responded to other treatments. The drug is a special particle that carries instructions for the body to make its own cancer-fighting cells. The main goal is to check safety and find the right dose.

What this could mean

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

Active substance
ZZSW-01 injection (a type of CAR mRNA therapy delivered via extracellular vesicles to create CAR-T cells inside the body)
What this could lead to
If successful, this could lead to a new, simpler way to treat certain blood cancers without needing to extract and modify a patient's own cells.
What could go wrong
This is a very early, tiny study with only 6 participants, so results may not apply broadly. There are risks of serious side effects like cytokine release syndrome and nerve 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

Early phase 1

The earliest testing in people: a first look at safety, in a very small group.

Participants

About 6 people

The number the study aims to enrol. It can still change while the study runs.

Started

Oct 2025

Expected to finish

Sep 2028

An estimate. End dates often move.

Lead sponsor

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

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: Participants must meet all of the following inclusion criteria: 1. Age ≥18 years, no restriction on sex. 2. ECOG (Eastern Cooperative Oncology Group) performance status score of 0-2. 3. Expected survival ≥3 months. 4. Histologically or cytologically confirmed CD19-positive relapsed or refractory B-cell malignancies according to the WHO classification of lymphoid neoplasms, including: Relapsed/refractory B-NHL: patients who have failed at least two prior lines of therapy, are intolerant to the toxicity of second-line regimens, or are not eligible for autologous stem cell transplantation, including but not limited to diffuse large B-cell lymphoma (DLBCL) not otherwise specified, DLBCL/high-grade B-cell lymphoma with MYC and BCL2 rearrangements, high-grade B-cell lymphoma not otherwise specified, primary mediastinal B-cell lymphoma, mantle cell lymphoma, grade 3b follicular lymphoma, and transformed large B-cell lymphoma from indolent B-NHL. Relapsed/refractory precursor B-ALL: patients who relapse after achieving CR following second-line therapy, or who fail to achieve CR/CRi after completion of second-line therapy. 5. For relapsed/refractory B-NHL: at least one measurable lesion as assessed by the investigator (e.g., lymph node with long axis \>15 mm, or extranodal lesion with long axis \>10 mm). For relapsed/refractory precursor B-ALL: baseline bone marrow blasts ≥5%. 6. Adequate organ function as defined below (no administration of blood components or hematopoietic growth factors within 14 days prior to first dosing): Hematology: Relapsed/refractory B-NHL: ANC ≥1.5×10\^9/L, platelets ≥75×10\^9/L, hemoglobin ≥70 g/L, absolute CD8+ T-cell count ≥0.3×10\^9/L; if bone marrow involvement is present: ANC ≥1.0×10\^9/L, platelets ≥50×10\^9/L, hemoglobin ≥70 g/L. Relapsed/refractory precursor B-ALL: ANC ≥1.0×10\^9/L (G-CSF support permitted), platelets ≥50×10\^9/L (no platelet transfusion within 7 days), hemoglobin ≥80 g/L (no RBC transfusion within 7 days); if bone marrow involvement or not in remission: ANC ≥0.5×10\^9/L (G-CSF support permitted), platelets ≥30×10\^9/L (no platelet transfusion within 7 days), hemoglobin ≥70 g/L (no RBC transfusion within 7 days). Additionally, absolute CD8+ T-cell count ≥0.2×10\^9/L and CD19+ B-cell percentage ≤5%. Liver function: TBIL ≤1.5×ULN; ALT and AST ≤2.5×ULN (≤5×ULN if liver metastases are present). Renal function: Serum creatinine ≤1.5×ULN (if \>1.5×ULN, creatinine clearance must be ≥50 mL/min). Coagulation: INR ≤1.5×ULN and APTT ≤1.5×ULN; patients on anticoagulation may be included if INR ≤2.5×ULN. Oxygenation: Oxygen saturation \>92% on room air. 7. Non-hematologic toxicities from prior therapies (except disease-related) have resolved to ≤grade 1 before enrollment (excluding alopecia and ≤grade 2 neurotoxicity from chemotherapy). 8. Women of childbearing potential must have a negative serum pregnancy test within 7 days prior to ZZSW-01 infusion. All fertile male and female participants must agree to use effective contraception during the study and for at least 6 months after the last dose. (Definition of women of childbearing potential and contraceptive methods are detailed in Appendix 1.) 9. Ability and willingness to provide written informed consent and to comply with study procedures, follow-up assessments, and treatment. Exclusion Criteria Participants meeting any of the following conditions will be excluded from this study: 1. Patients with CNS involvement of B-cell malignancies confirmed by lumbar puncture and/or MRI with CNS-related symptoms. 2. Patients with isolated extramedullary relapse of B-ALL. 3. Patients with severe hereditary diseases or congenital hematopoietic dysfunction. 4. Patients with Burkitt's lymphoma/leukemia or blast phase chronic myeloid leukemia (p210 BCR-ABL+). 5. Current or past history of central nervous system disorders, including: seizures, ischemic/hemorrhagic cerebrovascular disease, paralysis, aphasia, stroke, severe brain injury, dementia, Parkinson's disease, cerebellar disease, organic brain syndrome, psychiatric illness, or any autoimmune disease involving the CNS. 6. Receipt of chemotherapy within 2 weeks prior to ZZSW-01 infusion (except intrathecal chemotherapy for prevention of CNS leukemia, which must be stopped ≥1 week prior to infusion). 7. Prior systemic immune checkpoint inhibitor therapy (e.g., anti-PD-1/PD-L1 mAbs) within fewer than 3 half-lives before ZZSW-01 infusion; or other systemic antitumor therapy within fewer than 2 weeks or 5 half-lives (whichever is shorter) before infusion. 8. Use of systemic therapeutic corticosteroids within 72 hours prior to ZZSW-01 infusion (physiologic replacement doses are allowed, e.g., prednisone \<10 mg/day or equivalent). 9. Receipt of targeted therapies or antibody drugs (including BiTEs, antibody-drug conjugates) within 2 weeks, or cytotoxic therapy within 1 week prior to ZZSW-01 infusion. 10. Autologous stem cell transplantation (ASCT) within 6 weeks prior to ZZSW-01 infusion. 11. Any prior allogeneic hematopoietic stem cell transplantation (allo-HSCT). 12. Known history of the following diseases: 1. . Systemic vasculitis (e.g., Wegener's granulomatosis, polyarteritis nodosa) 2. Systemic lupus erythematosus (SLE) 3. . Active or uncontrolled autoimmune diseases (e.g., Crohn's disease, rheumatoid arthritis, autoimmune hemolytic anemia) 4. . Primary or secondary immunodeficiency (e.g., HIV infection or severe infectious diseases) 13. Evidence of any of the following infections: 1. . Chronic or active hepatitis B (HBV) infection (except HBcAb-positive with HBV DNA \<500 IU/mL) 2. . Hepatitis C virus (HCV) infection 3. . Human immunodeficiency virus (HIV) infection 4. . Syphilis infection 14. Major surgery within 4 weeks prior to screening, if deemed unsuitable for enrollment by the investigator. 15. Concurrent active malignancy. (Patients with prior malignancies cured ≥2 years may be eligible). 16. Any of the following cardiac conditions: 1. . Left ventricular ejection fraction (LVEF) ≤45% (by echocardiography) 2. . NYHA class III or IV congestive heart failure 3. . Severe arrhythmia requiring treatment, including QTc ≥450 ms in males or ≥470 ms in females (QTcB=QT/RR1/2) 4. . Uncontrolled hypertension (systolic ≥140 mmHg and/or diastolic ≥90 mmHg), pulmonary hypertension, or unstable angina 5. . Myocardial infarction, bypass surgery, or stent placement within 12 months prior to dosing 6. . Clinically significant valvular heart disease 7. . Any other cardiac disease deemed unsuitable by the investigator 17. Lymphoma involving the atrium or ventricle. 18. Clinical emergencies caused by obstruction or compression from lymphoma masses at screening (e.g., bowel obstruction, vascular compression). 19. History of deep vein thrombosis or pulmonary embolism within 6 months prior to screening. 20. Hypersensitivity (allergy to ≥2 drugs or foods), or known hypersensitivity to components of the investigational product (compound electrolyte injection, 5% human serum albumin). 21. Receipt of live vaccines within 6 weeks prior to screening. 22. Uncontrolled active infection at screening (e.g., sepsis, bacteremia, fungemia, viremia). 23. Participation in another interventional clinical trial with investigational drugs within 3 months prior to ZZSW-01 infusion, or intent to participate in another clinical trial or receive non-protocol antitumor therapy during the study. 24. Any other condition that, in the judgment of the investigator, renders the patient 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.

  1. The places running it

    1 site. The list below names each one and where it is.

  2. The official record

    ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.

    Open the record ↗

  3. 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

  • Union Hospital, Tongji Medical College, Huazhong University of Science and Technology

    RECRUITING

    Wuhan, 430022, China

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