New treatment for patients with relapsed acute myeloid leukemia
Official title: Phase 1/1b First-in-human Study of Autologous Chimeric Engulfment Receptor T-Cell CER-1236 in Patients With Acute Myeloid Leukemia, Myelodysplastic Syndrome, and Myelofibrosis (CertainT-1)
Run by CERo Therapeutics Holdings, Inc. · NCT06834282 · Data updated 2026-11-12
This study is testing a new treatment called CER-1236 to see if it can help people with relapsed acute myeloid leukemia feel better and improve their chances of recovery.
Quick facts
| Phase | Phase 1 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 85 Years |
| Sex | All |
| Enrollment | 18 (estimated) |
| Sponsor | CERo Therapeutics Holdings, Inc. Industry-sponsored |
| Drugs / interventions | cyclophosphamide, fludarabine |
| Locations | 5 sites (Sacramento, California and 4 other locations) |
| Status | Recruiting |
| Started | April 7, 2025 |
| Main results expected | December 31, 2026 |
| Study ends | December 31, 2029 |
| Registry record updated | October 21, 2026 |
| Trial ID | NCT06834282 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates include patients with relapsed or refractory acute myeloid leukemia who have measurable residual disease or TP53 mutations.
✕Probably not a fit
Patients with active autoimmune diseases or those who have previously received genetically modified cell therapies may not benefit from this study.
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, multi-center, open-label phase 1/1b study evaluating the safety and preliminary efficacy of CER-1236, a novel chimeric engulfment receptor T-cell therapy, in patients with relapsed or refractory acute myeloid leukemia (AML) or TP53 mutated disease. The study consists of two parts: the first part focuses on determining the safety and recommended dose of CER-1236, while the second part assesses its efficacy in a larger cohort of patients. Participants will receive CER-1236 along with other treatments such as cyclophosphamide and fludarabine.
Why it matters
Potential benefit: If successful, this treatment could provide a new therapeutic option for patients with difficult-to-treat forms of acute myeloid leukemia.
How similar studies have gone: While this approach is novel, similar therapies targeting specific receptors have shown promise in other hematological malignancies.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients need to have a confirmed diagnosis of de novo or secondary AML, or myelodysplastic syndrome (MDS)/AML with 10% to 19% blasts, per the International Consensus Classification 2022 or the WHO 2022 classification. * Absolute lymphocyte count \>0.3 x 109/L prior to apheresis. * Eastern cooperative oncology group (ECOG) performance status 0 to 1. Exclusion Criteria: * Prior therapy with a permanently integrated, genetically modified cell product. * No measurable leukemia on the screening bone marrow evaluation prior to any bridging therapy. * Active autoimmune disease or history of autoimmune disease requiring treatment within the prior 2 years. Patients with history of autoimmune thyroiditis or type 1 diabetes well controlled on replacement regimen are eligible. * A known hypersensitivity or severe allergy to fludarabine, cyclophosphamide, or study drug components or diluents. * Any other medical, psychological, or social condition that may interfere with study participation or compliance, or compromise patient safety in the opinion of the physician. * Primary immunodeficiency disorder.
Where it's running
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University of California, Davis Comprehensive Cancer Center
Sacramento, California, United States Recruiting -
Colorado Blood Cancer Institute
Denver, Colorado, United States Recruiting -
Sarah Cannon Research Insitute
Nashville, Tennessee, United States Recruiting -
The University of Texas MD Anderson Cancer Center
Houston, Texas, United States Recruiting -
Fred Hutchinson Cancer Center
Seattle, Washington, United States Recruiting
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.