Senl_B19 (S1904) CD19 CAR-T for relapsed or refractory CD19+ B-ALL in children and young adults
Official title: A Phase II, Open-Label, Multicenter Clinical Study to Evaluate the Efficacy and Safety of Senl_B19 Autologous Anti-CD19 CAR-T Cells in Subjects With Relapsed or Refractory CD19-Positive B-Cell Acute Lymphoblastic Leukemia
Run by Hebei Senlang Biotechnology Inc., Ltd. · NCT07244406 · Data updated 2026-11-12
This trial will test S1904 (Senl_B19) CD19 CAR-T cells in children and young adults aged 3–25 with relapsed or refractory CD19-positive B-cell acute lymphoblastic leukemia.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 3 Years to 25 Years |
| Sex | All |
| Enrollment | 59 (estimated) |
| Sponsor | Hebei Senlang Biotechnology Inc., Ltd. Industry-sponsored |
| Drugs / interventions | CAR-T |
| Locations | 1 site (Beijing) |
| Status | Recruiting |
| Started | January 10, 2025 |
| Main results expected | March 31, 2027 |
| Study ends | December 31, 2028 |
| Registry record updated | November 24, 2025 |
| Trial ID | NCT07244406 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are patients aged 3–25 with relapsed or refractory CD19-positive B-ALL, marrow blasts >5%, reasonable performance status and an expected survival beyond three months, with Ph+ patients eligible only after meeting specific TKI-failure or intolerance criteria.
✕Probably not a fit
Patients with isolated extramedullary relapse, Burkitt lymphoma/leukemia, active moderate-to-severe graft-versus-host disease, or CD19-negative disease are unlikely to benefit from this CD19-targeted therapy.
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 Phase 2, single-arm interventional trial of S1904 (Senl_B19) CD19-directed CAR-T cells in pediatric and young adult patients with relapsed or refractory CD19+ B-ALL. Eligible participants are 3–25 years old with confirmed relapsed/refractory disease, >5% blasts on bone marrow and CD19 expression by flow cytometry, and an estimated survival >3 months. The primary objective is to measure the efficacy (remission rates) of S1904, with secondary objectives to further characterize safety and durability of response. Treatment, monitoring for cytokine release syndrome and neurotoxicity, and follow-up occur at the trial site under sponsor oversight.
Why it matters
Potential benefit: If successful, S1904 could induce remissions and offer a new treatment option for children and young adults whose CD19+ B-ALL has returned or not responded to prior therapies.
How similar studies have gone: Other CD19-directed CAR-T therapies have produced high remission rates in relapsed/refractory B-ALL, so the overall approach is established though this specific product is new.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * 1.Sign the informed consent and be willing and able to comply with the visit, treatment regimen, laboratory examination and other requirements of the study as stipulated in the trial flow chart; 2.Male or female subjects. Age between 3 and 25 years (inclusive) at the time of ICF signing; 3.Confirmed diagnosis of relapsed/refractory B-ALL at ICF signing; 4.\>5% blasts on screening bone marrow biopsy/aspirate; 5.CD19+ malignant cells by flow cytometry (bone marrow or peripheral blood) at screening; 6.Patients with Ph+ ALL are eligible if they meet the relapsed/refractory criteria and have either: failed ≥2 TKI regimens (unless they have a T315I mutation), demonstrated TKI intolerance, or have a contraindication to TKIs; 7.Estimated survival time\>3 months. Exclusion Criteria: * 1.Relapse of isolated extramedullary disease; 2.Burkitt lymphoma/leukemia; 3.Active acute or moderate-to-severe chronic GVHD within 4 weeks prior to ICF signing. Or, any systemic GVHD treatment within 4 weeks prior to infusion; 4.No uncontrolled active infection at the time of ICF signing or apheresis.; 5.Prior receipt of any CAR-T therapy or other cellular/gene therapy before screening; 6.Received investigational drugs or systemic anti-tumor therapy within 4 weeks or 5 half-lives (whichever longer) prior to apheresis; 7.Active interstitial lung disease/pneumonitis at the time of ICF signing; 8.Subjects whom the Investigator considers unable to comply with the study protocol or who are otherwise not an appropriate candidate for the study for any reason;
Where it's running
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Peking University People's Hospital
Beijing, China Recruiting
Study contacts
- Principal investigator: Xiaojun Huang — Peking University People's Hospital
- Study coordinator: Xiaojun Huang
- Email: xjhrm@medmail.com.cn
- Phone: 010-88325229
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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This will try giving CD22-targeted CAR T-cells to people aged 3–65 who are in remission after CD19 CAR T-cell therapy to see if it helps keep their B-ALL from coming back longer.
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This trial tries CD5 CAR T-cell therapy, using either the patient's own cells or donor cells, and may bridge to stem-cell transplant for people 14–70 with relapsed or refractory T-cell lymphoma.
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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.