Clinical trial Recruiting at 3 sites Phase1; Phase2 Interventional Ages 18 and up

Treatment with ARD103 CAR-T therapy for patients with relapsed or refractory AML or MDS

Official title: A Phase 1/2, Open-label, Multicenter Trial to Assess the Safety and Efficacy of ARD103 in Patients With Relapsed or Refractory Acute Myeloid Leukemia or Myelodysplastic Syndrome

Run by ARCE Therapeutics, Inc. · NCT06680752 · Data updated 2026-11-12

This study is testing a new CAR-T therapy called ARD103 to see if it can help people with relapsed or hard-to-treat acute myeloid leukemia or myelodysplastic syndrome.

More Acute Myeloid Leukemia, in Relapse trials

Quick facts

PhasePhase1; Phase2
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment49 (estimated)
SponsorARCE Therapeutics, Inc.
Industry-sponsored
Drugs / interventionschemotherapy, prednisone, CAR-T, chimeric antigen receptor
Locations3 sites (Charlotte, North Carolina and 2 other locations)
StatusRecruiting
StartedMay 20, 2025
Main results expectedOctober 2028
Study endsDecember 2028
Registry record updatedDecember 10, 2025
Trial IDNCT06680752 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates include individuals with documented relapsed or refractory AML or MDS with a certain level of bone marrow blasts.

Probably not a fit

Patients with acute promyelocytic leukemia or significant central nervous system disorders may not benefit from this treatment.

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

What this trial studies

This clinical study evaluates the safety and efficacy of ARD103, an autologous CAR-T therapy targeting CLL-1, in patients suffering from relapsed or refractory acute myeloid leukemia (AML) or myelodysplastic syndrome (MDS). The study is designed as a phase I/II, open-label, multicenter trial, which means it will assess both the initial safety and the effectiveness of the treatment across multiple sites. Participants will receive ARD103 along with preparatory chemotherapy agents, Cyclophosphamide and Fludarabine, to enhance the CAR-T cell response. The focus is on patients with a specific expression of CLL-1, which is prevalent in myeloid malignancies but absent in normal stem cells.

Why it matters

Potential benefit: If successful, this therapy could provide a new treatment option for patients with difficult-to-treat forms of AML and MDS.

How similar studies have gone: Other studies using CAR-T therapies targeting similar markers have shown promising results, indicating potential for success in this approach.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Documented diagnosis of AML with either refractory or relapsed disease or diagnosis of MDS and ≥ 5% BM blasts
* Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1
* Adequate hematologic status:

  * Absolute lymphocyte count (ALC) \> 100/mm3
* Adequate renal, hepatic, cardiac and pulmonary function:

  * ALT and AST \< 3.0 × the ULN
  * Creatinine clearance ≥ 45.0 mL/min as estimated by Cockcroft-Gault and independent dialysis
  * Total bilirubin ≤ 2.0 mg/dL
* Pregnancy testing: females of childbearing potential must have a negative serum or urine pregnancy test
* Contraception: males and females of childbearing potential must agree to use an effective method of contraception
* Participant is capable of giving signed informed consent

Exclusion Criteria:

* Participants with acute promyelocytic leukemia
* Presence of active and clinically relevant central nervous system (CNS) disorder
* Autoimmune disease requiring immunosuppressive treatment
* Participants with known hepatic bridging cirrhosis
* Currently active infection with hepatitis B or C
* Previous treatment with investigational gene or cell therapy (including CAR therapy)
* Any active acute GvHD or systemic treatment of more than 10 mg prednisone daily (or equivalent)
* Previous chemotherapy including biologic/targeted therapy or immunological agents directed to the pathology within 14 days prior to screening and all along the study duration

Where it's running

  • Novant Health Cancer Institute
    Charlotte, North Carolina, United States
    Recruiting
  • Novant Health Cancer Institute
    Winston-Salem, North Carolina, United States
    Recruiting
  • MD Anderson Cancer Center
    Houston, Texas, United States
    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.