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RecruitingInterventionalPhase 1/Phase 2

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

NCT ID: NCT06680752Sponsor: ARCE Therapeutics, Inc.Last updated: 2025-12-10

Summary

This is a phase I/2, interventional, open-label, multicenter study to assess the safety and efficacy of ARD103 in patients with relapsed or refractory acute myeloid leukemia or myelodysplastic syndrome.

Detailed description

The investigational product (IP) for this study is ARD103, a C-type lectin-like molecule-1 (CLL-1) autologous chimeric antigen receptor T-cells (CAR-T). CLL-1 is highly expressed on both myeloid blasts and leukemia stem cells (LSCs) but is absent on normal hematopoietic stem cells (HSCs), suggesting CLL-1 as an excellent therapeutic target for AML and hence other potential myeloid malignancies.

Arms & interventions

  • BiologicalARD103

    ARD103 autologous CAR-T cell therapy targeting CLL-1, single iv. infusion

  • DrugCyclophosphamide

    iv administration for lymphodepletion

  • DrugFludarabine

    iv administration for lymphodepletion

Outcome measures

Primary

  • Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]

    The records of AEs and severity following the first infusion of ARD103.

    Time frame: 28 days post ARD103 infusion

  • To determine the RP2D of ARD103

    RP2D of ARD103 following a 3+3 dose escalation schema (Phase 1)

    Time frame: 28 days post ARD103 infusion

  • To evaluate overall response rate (ORR)

    The ORR will be evaluated by European Leukemia Net (ELN) criteria

    Time frame: Up to 24 months

Secondary

  • Overall Survival (OS)

    Time frame: First infusion date of ARD103 up to 15 years

  • Progression-free survival (PFS)

    Time frame: Up to 24 months

  • Time to best response

    Time frame: First infusion date of ARD103 up to 24 months

Eligibility criteria

Sex: AllAge: 18 Years and olderHealthy volunteers: No
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

Study locations (3)

Novant Health Cancer Institute

Charlotte, North Carolina, 28204

Recruiting

Novant Health Cancer Institute

Winston-Salem, North Carolina, 27201

Recruiting

MD Anderson Cancer Center

Houston, Texas, 77030

Recruiting
Dr. Abhishek Maiti · Contact
Clinical Study of ARD103 CAR-T Therapy for Patients With R/R AML or MDS | Cancerify