Clinical trial Recruiting at 1 site Phase 1 Interventional Ages 18 and up

Autologous CD45 base-edited stem cells plus CART-45 cells for relapsed or refractory hematologic cancers

Official title: Phase 1 Study of Autologous Anti-CD45 CAR T Cells in Combination With CD45 Base Edited HSPCs in Patients With Relapsed or Refractory Hematologic Malignancies

Run by University of Pennsylvania · NCT07451054 · Data updated 2026-11-12

This phase 1 study tests whether a patient’s own edited stem cells and CART-45 cells can be given safely to treat relapsed or refractory B-cell and T-cell lymphomas and Hodgkin lymphoma.

More Hodgkin Lymphoma trials

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment42 (estimated)
SponsorUniversity of Pennsylvania
Academic / other
Drugs / interventionsBrentuximab, CAR T, prednisone, CART
Locations1 site (Philadelphia, Pennsylvania)
StatusRecruiting
StartedAugust 5, 2026
Main results expectedJuly 2051
Study endsJuly 2051
Registry record updatedAugust 10, 2026
Trial IDNCT07451054 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (18+) with relapsed or refractory B-cell or T-cell non-Hodgkin lymphomas or Hodgkin lymphoma who have failed or are ineligible for prior commercial CAR T therapy and have had at least two prior lines of therapy.

Probably not a fit

Patients with rapidly progressing disease, contraindications to transplant or gene-edited products, or those unlikely to mount a cellular therapy response may not 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 first-in-human, open-label, dose-finding trial evaluating safety, feasibility, pharmacokinetics, and preliminary efficacy of autologous CD45 base-edited hematopoietic stem and progenitor cells (CD45BE-HSPC) followed by autologous base-edited anti-CD45 CAR T cells (CART-45). The study targets patients with relapsed or refractory hematologic malignancies, including various B-cell and T-cell lymphomas and Hodgkin lymphoma. Participants receive CART-45 cells after receiving CD45BE-HSPC, with the aim to determine tolerable dose levels and gather early signals of activity. Primary outcomes focus on safety and dose finding, while secondary measures assess pharmacokinetics and preliminary efficacy. The trial is sponsored by the University of Pennsylvania with collaboration from Kite, A Gilead Company, and is conducted at the Penn site.

Why it matters

Potential benefit: If successful, participants may experience disease control or regression and a potential path to longer-term remission with a novel cell therapy approach.

How similar studies have gone: Prior studies with CAR T and gene-edited approaches have shown signals of activity in similar lymphomas, but this exact CD45 base-editing strategy is investigational and early-stage.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1\. Signed informed consent form 2. Male or females age ≥ 18 years 3. Disease-Specific Criteria

a. B-cell Non-Hodgkin Lymphoma (B-cell NHL)- including the following sub-types:

i. Patients with any of the following large B-cell lymphoma diagnoses who meet the prior treatment criteria outlined below: Diffuse Large B-cell Lymphoma not otherwise specified (DLBCL NOS); Primary Cutaneous DLBCL; Primary Mediastinal (thymic) Large B-cell Lymphoma; ALK+ Anaplastic Large B-cell Lymphoma; High-Grade B-cell Lymphoma with MYC and BCL2 and/or BCL6 rearrangements (i.e., "Double or Triple Hit"); High-grade B-cell Lymphoma, NOS; T-cell Rich B-cell Lymphoma; Transformed Follicular Lymphoma; or any aggressive B-cell lymphoma arising from indolent lymphoma.

1\. Patients must have either failed/relapsed after, or be ineligible for, prior commercial CAR T cell therapy; AND 2. Relapsed/refractory disease after at least 2 prior lines of appropriate therapy.

ii. Follicular Lymphoma

1. Patients must have either failed/relapsed after, or be ineligible for, prior commercial CAR T cell therapy; AND
2. Relapsed/refractory disease after at least 2 prior lines of systemic therapy (not including a single agent monoclonal antibody therapy).

iii. Mantle Cell Lymphoma

1. Patients must have either failed/relapsed after, or be ineligible for, prior commercial CAR T cell therapy; AND
2. Relapsed/refractory disease after at least 2 prior lines of systemic therapy, including a Bruton tyrosine kinase (TKI) inhibitor. Single-agent monoclonal antibody therapy does not count towards prior lines of therapy.

   iv. Marginal Zone Lymphoma- relapsed/refractory disease after at least 2 prior lines of appropriate therapy, including a Bruton tyrosine kinase (TKI) inhibitor. Note: Single-agent monoclonal antibody therapy does not count towards prior lines of therapy.

   b. T-cell Non-Hodgkin Lymphoma (T-cell NHL)

   i. Histologically or cytologically confirmed relapsed or refractory (r/r) mature aggressive T- and NK-cell neoplasms as defined in the 5th edition of the WHO Classification of Hematolymphoid tumors, which includes any of the following diagnoses:

   • Peripheral T-cell Lymphoma, NOS (PTCL-NOS);

   • Nodal T-cell Lymphomas with T Follicular Helper \[TFH\] Phenotype, including Follicular T cell Lymphoma, Angioimmunoblastic Lymphoma, or Anaplastic Large Cell Lymphoma (ALCL);

   • ALK+ or ALK-, Enteropathy-Associated T-cell Lymphoma (EATL);

   • Monomorphic Epitheliotropic Intestinal T-cell Lymphoma (MEITL);

   • Extranodal NK/T-cell Lymphoma;

   • Primary Cutaneous T-cell Lymphoma (CTCL);

   • Transformed Mycosis Fungoides (tMF) without blood involvement;

   • Primary Cutaneous Aggressive Epidermotropic CD8+ Cytotoxic T-Cell Lymphoma;

   • Subcutaneous Panniculitis-like T-cell Lymphoma.

   ii. Must have received at least one prior line of systemic therapy for their lymphoma. Additional prior treatment provisions required for the following indications:

1\. Participants with Anaplastic Large Cell Lymphoma (ALCL) must have received prior Brentuximab vedotin, unless contraindicated.

2\. Participants with Subcutaneous Panniculitis-like T-cell Lymphoma or Transformed Mycosis Fungoides (tMF) must have received at least 2 prior lines of systemic therapy.

c. Hodgkin Lymphoma (HL)

i. Patients with histologically proven classical Hodgkin Lymphoma that is CD45 positive by IHC or flow cytometry by a CLIA certified laboratory; AND

ii. Relapsed/refractory disease after at least 2 prior lines of therapy which must include the following:

1. Brentuximab vedotin and immune checkpoint inhibitors (unless contraindicated); AND
2. Autologous stem cell transplant (unless patient has chemorefractory disease to salvage treatment) d. Large Cell Transformation of CLL (Richter's Transformation) i. Patients must be primary refractory or received at least 1 prior line of treatment for Richter's Transformation.

4\. Patients are appropriate candidates for autologous HSCT as per physician-investigator clinical discretion

5\. Patients with relapsed disease after prior allogeneic SCT must meet the following criteria:

a. Have no active GVHD and require no immunosuppression

b. Are more than 6 months from transplant at the time of physician-investigator confirmation of eligibility

6\. Adequate organ function defined as:

1. Serum creatinine ≤ 1.5x ULN or estimated creatinine clearance ≥ 35 mL/min and not on dialysis
2. ALT/AST ≤ 3 x ULN
3. Direct bilirubin ≤ 2.0 mg/dl; for patients with Gilbert's syndrome direct bilirubin must be ≤ 3.0 mg/dl
4. Left Ventricular Ejection Fraction (LVEF) ≥ 40% confirmed by ECHO/MUGA
5. DLCO \> 45% predicted value; adjusted for level of hemoglobin
6. Must have minimum level of pulmonary reserve defined as ≤ Grade 1 dyspnea and pulse oxygen \> 92% on room air 7. ECOG Performance Status 0-1

Exclusion Criteria:

1. Active hepatitis B or hepatitis C infection
2. Any active, uncontrolled infection.
3. Class III/IV cardiovascular disability according to the New York Heart Association Classification.
4. Clinically apparent arrhythmia or arrhythmias that are not stable on medical management within two weeks of physician-investigator confirmation of eligibility.
5. Severe, active co-morbidity that, in the opinion of the physician-investigator, would preclude participation in this study.
6. Prior or concurrent malignancy whose natural history or treatment has the potential to interfere with the safety or efficacy assessment of the investigational regimen.
7. Active acute or chronic GVHD requiring systemic therapy.
8. Dependence on systemic steroids or immunosuppressant medications. For additional details regarding use of steroid and immunosuppressant medications.
9. Active CNS involvement. Patients with a history of CNS involvement that was successfully treated are eligible. A CNS evaluation is only required for eligibility if a subject is experiencing signs/symptoms of CNS involvement.
10. Patients with evidence of a circulating T-cell malignancy as measured by flow cytometry.
11. History of allergy or hypersensitivity to study product excipients (human serum albumin, DMSO, and Dextran 40).
12. Active autoimmune disease requiring systemic immunosuppressive treatment equivalent to ≥ 10mg of prednisone. Patients with autoimmune neurologic diseases (such as MS) will be excluded.
13. Pregnant or nursing (lactating) patients. Participants of reproductive potential must agree to use acceptable birth control methods.

Where it's running

  • University of Pennsylvania
    Philadelphia, Pennsylvania, United States
    Recruiting

Study contacts

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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.