Recruiting
Phase 1

Azer-cel

Sponsor:

Imugene Limited

Code:

NCT03666000

Conditions

Non-Hodgkin Lymphoma

B-cell Acute Lymphoblastic Leukemia

Chronic Lymphocytic Leukemia

Small Lymphocytic Lymphoma

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Interventions

Azer-cel

Fludarabine

Cyclophosphamide

IL-2

Study Details

Brief summary:

This is a Phase 1/1b, nonrandomized, open-label, parallel assignment, dose-escalation, and dose-expansion study to evaluate the safety and clinical activity of azer-cel, an allogeneic anti-CD19 CAR T, in adults with r/r B ALL, r/r B-cell NHL and CLL/SLL.

Conditions

Non-Hodgkin Lymphoma

B-cell Acute Lymphoblastic Leukemia

Chronic Lymphocytic Leukemia

Small Lymphocytic Lymphoma

Study ID

NCT03666000

Start date

Mar 11, 2019

Status verified date

Jan, 2026

Completion date

Jun, 2027

Anticipated

Primary completion date

Jun, 2027

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Key Inclusion Criteria

Criteria for B-ALL:

• Participant has confirmed unequivocal r/r CD19+ B-ALL.

Criteria for NHL and CLL/SLL:

• Participant has unequivocal aggressive CD19+ r/r B-cell NHL that is confirmed by tumor biopsy tissue from last relapse after CD19-directed therapy.

For Phase 1 Dose Escalation:

  • Diffuse large B-cell lymphoma (DLBCL) including Richter's transformation
  • Follicular lymphoma (FL) including Grade 3 or transformed FL
  • High-grade B-cell lymphoma (HGBCL)
  • Primary mediastinal lymphoma

For Phase 1b Dose Expansion (CAR T-relapsed cohort):

  • DLBCL not otherwise specified (NOS)
  • HGBCL
  • DLBCL transformed from the following indolent lymphoma subtypes (FL, Marginal Zone lymphoma \[MZL\], and Waldenstrom's Macroglobulinemia \[WM\])
  • Other large B-cell lymphoma (LBCL) subtypes may be enrolled with approval from the Medical Monitor.
  • Participants previously treated with CD19-directed autologous CAR T therapies have received no more than 2 lines of therapy after administration of their previous CAR T product.
  • For the expansion CAR T-relapsed cohort only: Participants must have received autologous CD19-directed CAR T therapy and demonstrated clinical response to the treatment at Day 28 or later, followed by relapse or progression.

For Phase 1b dose expansion (CAR T-naive cohort):

  • DLBCL NOS
  • DLBCL transformed from the following indolent lymphoma subtypes (FL, MZL, and WM)
  • HGBCL
  • FL (Grade 1-3a)
  • MZL that is fluorodeoxyglucose (FDG)-avid on positron emission tomography (PET) scan
  • WM
  • CLL/SLL
  • Primary central nervous system (CNS) lymphoma (PCNSL)
  • Other LBCL subtypes may be enrolled with approval from the Medical Monitor.
  • Participant must have received at least 1-2 prior lines of therapy, depending on histological subtype but no more than 7 systemic lines of anti-cancer therapy.

Criteria for both B-ALL, NHL, and CLL/SLL:

  • Eastern Cooperative Oncology Group performance status score of 0 or 1.
  • An estimated life expectancy of at least 12 weeks according to the investigator's judgment.
  • Seronegative for human immunodeficiency virus antibody.
  • Participant has adequate bone marrow, renal, hepatic, pulmonary, and cardiac function.

Key Exclusion Criteria

Criteria for B-ALL:

• Burkitt cell (L3 ALL) or mixed-lineage acute leukemia.

Criteria for NHL:

  • Requirement for urgent therapy due to tumor mass effects such as bowel obstruction or blood vessel compression.
  • Active hemolytic anemia.

Criteria for B-ALL and NHL:

  • No active CNS disease, excluding PCNSL
  • History of another primary malignancy
  • Any form of primary immunodeficiency (for example, severe combined immunodeficiency disease).
  • History of hepatitis B or hepatitis C currently receiving ongoing antiviral therapy.

Any known uncontrolled cardiovascular disease at the time of Screening that, in the investigator's opinion, renders the participant ineligible

  • History of hypertension crisis or hypertensive encephalopathy within 3 months prior to Screening.
  • History of severe immediate hypersensitivity reaction to any of the agents used in this study.
  • Presence of a CNS disorder that, in the opinion of the investigator, renders the participant ineligible for treatment.
  • History of concomitant genetic syndrome such as Fanconi anemia, Kostmann syndrome, Shwachman-Diamond syndrome, or any other known bone marrow failure syndrome.
  • Active uncontrolled autoimmune disease requiring active immunosuppression at the time of Screening (excluding participants needing steroids for physiologic replacement).
  • Participant has received stem cell transplant within 90 days before Screening.
  • Participant has active graft-versus-host disease (GvHD) symptoms.
  • Participant has received a systemic biologic agent for treatment of the disease under study within 28 days of LD, other systemic anti-cancer therapy within 10 days or 5 half-lives (whichever is shorter) of LD, and no pulse steroid for disease control within 3 days of LD.
  • Radiotherapy within 4 weeks before Screening.
  • Presence of pleural/peritoneal/pericardial catheter, as well as permeant biliary and ureteral stents (does not apply to intravenous lines).
  • Participant has received live vaccine within 4 weeks before Screening. Note: Non-live virus vaccines are not excluded.
  • Participant has received CD19-directed therapy other than autologous CD19-directed CAR T therapy within 90 days of the anticipated start date of LD.

Additional criteria apply.

Study Design

Enrollment

135 participants

Anticipated

Allocation

Non randomized

Intervention Model

Parallel Assignment

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: Phase 1 Dose Escalation: Azer-cel Dose Level 1

Azer-cel, 3 x 10\^5 CAR T cells per kilogram (kg) body weight.

Route of Administration: Intravenous infusion

experimental: Phase 1 Dose Escalation: Azer-cel Dose Level 2

Azer-cel, 1 x 10\^6 CAR T cells per kg body weight.

Route of Administration: Intravenous infusion

experimental: Phase 1 Dose Escalation: Azer-cel Dose Level 3a

Azer-cel, 3 x 10\^6 CAR T cells per kg body weight.

Route of Administration: Intravenous infusion

experimental: Phase 1 Dose Escalation: Azer-cel Dose Level 4

Azer-cel, 6 x 10\^6 CAR T cells per kg body weight as 2 administrations of 3 x 10\^6 CAR T cells per kg body weight on Day 0 and Day 10.

Route of Administration: Intravenous infusion

experimental: Phase 1 Dose Escalation: Azer-cel Dose Level 4b

Azer-cel, 500 x 10\^6 CAR T cells (flat dose).

Route of Administration: Intravenous infusion

experimental: Phase 1B Dose Expansion: Azer-cel

Azer-cel will be administered at a dose level established in Phase 1.

Route of Administration: Intravenous infusion

Interventions

Azer-cel

Infusion of Allogeneic Anti-CD19 CAR T cells

Fludarabine

Specified dose on specified days

Cyclophosphamide

Specified dose on specified days

IL-2

Specified dose on specified days

Primary outcome measure

  • Phase 1 Dose Escalation/Phase 1b Dose Expansion: Number of Participants with Azer-cel-related AEs Defined as Dose-limiting Toxicities (DLTs) [ Time Frame: Up to Day 720 ]
  • Phase 1b Dose Expansion: Objective Response Rate (ORR) B-ALL [ Time Frame: Up to Day 720 ]
  • Phase 1b Dose Expansion: ORR NHL [ Time Frame: Up to Day 720 ]

Central Contacts and Locations

Central contacts

Locations

H. Lee Moffitt Cancer Center

Recruiting

Tampa, Florida, United States, 33612

Principal Investigator:

Bijal Shah, MD

Winship Cancer Institute Emory University

Recruiting

Atlanta, Georgia, United States, 30322

Principal Investigator:

Edmund Waller, MD

Northside Hospital Cancer Institute

Recruiting

Atlanta, Georgia, United States, 30342

Principal Investigator:

Scott Solomon, MD

University of Maryland

Recruiting

Baltimore, Maryland, United States, 21201

Principal Investigator:

Jean Yared, MD

Tufts Medical Center

Recruiting

Boston, Massachusetts, United States, 02111

Principal Investigator:

Andreas Klein, MD

University of Minnesota

Recruiting

Minneapolis, Minnesota, United States, 55455

Principal Investigator:

Supriya Gupta, MD

Columbia University Irving Medical Center/New York Presbyterian Hospital

Recruiting

New York, New York, United States, 10032

Principal Investigator:

Ran Reshef, MD

Lifespan Cancer Institute at Rhode Island Hospital

Recruiting

Providence, Rhode Island, United States, 02903

Principal Investigator:

Adam Olszewski, MD

Baylor University Medical Center

Recruiting

Dallas, Texas, United States, 75246

Principal Investigator:

Houston Holmes III, MD

Medical College of Wisconsin

Recruiting

Milwaukee, Wisconsin, United States, 53226

Principal Investigator:

Nirav Shah, MD

More Information

Sponsor

Imugene Limited

Last update posted

Feb 2, 2026

Last verified

Jan, 2026

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-08. This information was provided to ClinicalTrials.gov by Imugene Limited on 2026-02-02.