Clinical trial Recruiting at 1 site Phase 1 Interventional Ages 18 to 75

A-CAR028 for relapsed or refractory acute myeloid leukemia

Official title: A Study of A-CAR028 Treatment in Subjects With Relapsed/ Refractory Acute Myeloid Leukemia

Run by First Affiliated Hospital of Zhejiang University · NCT07198867 · Data updated 2026-11-12

This study will try A-CAR028, a CAR-T cell therapy, in adults with relapsed or refractory AML to see if it is safe and helps control the leukemia.

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years to 75 Years
SexAll
Enrollment20 (estimated)
SponsorFirst Affiliated Hospital of Zhejiang University
Academic / other
Drugs / interventionsCAR-T
Locations1 site (Hangzhou, Zhejiang)
StatusRecruiting
StartedSeptember 30, 2025
Main results expectedDecember 30, 2026
Study endsDecember 31, 2027
Registry record updatedSeptember 30, 2025
Trial IDNCT07198867 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults aged 18–75 with relapsed or refractory AML, ECOG 0–1, adequate organ function, and expected survival beyond 12 weeks are the intended participants.

Probably not a fit

Patients with acute promyelocytic leukemia, mixed phenotype or undifferentiated leukemia, only extramedullary disease, CNS involvement, recent transplant, severe cardiac disease, or known allergies to the product components are unlikely to be eligible or benefit.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This is a single-center, open-label Phase 1 study testing A-CAR028 in adults with relapsed or refractory acute myeloid leukemia. Eligible participants undergo screening, leukapheresis for collection of their T cells, manufacturing of the A-CAR028 product, baseline testing, lymphodepleting chemotherapy, and a single A-CAR028 infusion followed by dose-limiting toxicity observation and scheduled follow-up visits. The primary focus is on safety and tolerability, with secondary measures of anti-leukemia activity and durability of response. The study is conducted at the First Affiliated Hospital, School of Medicine, Zhejiang University, with collaboration from Shanghai AbelZeta Ltd.

Why it matters

Potential benefit: If successful, A-CAR028 could produce remissions or longer disease control in some patients with relapsed or refractory AML who have limited treatment options.

How similar studies have gone: CAR-T approaches in AML are experimental and have shown only limited and early signals of benefit to date, so this approach remains largely unproven.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* 18 to 75 years old at the time of signing the Informed Consent Form (ICF)
* More than 12 weeks of expected survival
* ECOG score 0 or 1
* Relapsed or refractory AML
* Adequate organ function

Exclusion Criteria:

* Acute Promyelocytic Leukemia (APL)
* Mixed Phenotype Acute Leukemia (MPAL)
* Acute Undifferentiated Leukemia (AUL)
* Only extramedullary leukemia
* Known allergies to the components or excipients of the A-CAR028 cell product
* Severe heart diseases, including but not limited to, myocardial infarction, angioplasty or stent implantation within 12 months prior to signing the ICF, unstable angina pectoris, severe arrhythmia, history of severe non-ischemic cardiomyopathy, heart failure
* Autologous or allogeneic hematopoietic stem cell transplantation within 3 months prior to signing the ICF
* Central nervous system (CNS) involvement or symptoms of CNS involvement (including cranial nerve lesions and extensive lesions or spinal cord compression)
* A stroke or seizure occurred within 12 months prior to signing the ICF
* Malignancy history within 5 years prior to signing the ICF
* Uncontrolled active infection
* Hepatitis B Virus (HBV), Hepatitis C Virus (HCV), Human Immunodeficiency Virus (HIV), Treponema Pallidum (TP) positive, Cytomegalovirus (CMV) DNA positive
* Live vaccine injection within 4 weeks prior to signing the ICF
* Acute or chronic graft-versus-host disease (GVHD) was present at screening
* Inadequate washing time for previous treatment
* Previously treated with CAR-T cell products or genetically modified T cell therapies

Where it's running

  • Department of Hematology, The First Affiliated Hospital, School of Medicine, Zhejiang University
    Hangzhou, Zhejiang, China
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.