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NCT04990323 · ClinicalTrials.gov registry record · Phase 1

US Study of ECT-001-CB in Pediatric and Young Adult Patients With High-Risk Myeloid Malignancies

A Phase 1 study of High Risk Myeloid Malignancies and Cord Blood Transplant, sponsored by ExCellThera.

Recruiting
Registry status
Phase 1
Development phase
12
Enrollment target
1
Study location

NCT04990323: Recruiting Phase 1 study of High Risk Myeloid Malignancies and Cord Blood Transplant, sponsored by ExCellThera.

NCT04990323 is a Phase 1 study of High Risk Myeloid Malignancies and Cord Blood Transplant that is actively recruiting participants, run by ExCellThera. The registered enrollment target is 12 participants, below the 60-participant average among 29,502 other Phase 1 trials with a reported enrollment target (80% lower). The trial reports 1 study location across 1 state. According to ClinicalTrials.gov, the official US trial registry.

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The verdict

NCT04990323, a Phase 1 study of High Risk Myeloid Malignancies and Cord Blood Transplant, is actively recruiting participants, sponsored by ExCellThera.

RECRUITING
Registry status
Phase 1
Development phase
12 participants
Enrollment target
1
Study location

Study Summary

Cord blood (CB) transplants are an option for patients lacking an HLA identical donor but are hampered by low cell dose, prolonged aplasia and high transplant related mortality. UM171, a novel and potent agonist of hematopoietic stem cell self renewal could solve this major limitation, allowing for CB's important qualities as lower risk of chronic GVHD and relapse to prevail. In previous trials (NCT02668315, NCT03913026, NCT04103879, and NCT03441958), the CB expansion protocol using the ECT-001-CB technology (UM171 molecule) has proven to be technically feasible and safe in adults. UM171 expanded CB was associated with a prompt (D+17), robust (98%) and durable neutrophil recovery. Amongst patients who received a single UM171 CB transplant with a median follow-up of 18 months, risk of TRM (10%), grade 3-4 acute GVHD (13%) and moderate-severe chronic GVHD (2%) was low at 1 year post-transplant. Incidence of severe viral and bacterial infections was reduced and immunosuppression could be discontinued in 77% of patients at 1 year. Thus, PFS and GRFS were very promising, 72% and 59% at 12 months, 69% and 53% at 24 months, respectively, in particular accounting for a large proportion of very high-risk patients. By a 10-fold increase of CB accessibility, ECT-001-CB allowed access to smaller, better HLA matched CBs. This new study seeks to test a similar strategy in a group of pediatric and young adult patients with high risk myeloid malignancies. 12 patients will be enrolled in the first stage of this 2-stage design protocol. If intervention is considered promising (\<= 3 relapses in the first 12 patients), this study will open multicenter and be extended to a second stage (16 additional patients for a total accrual 28).

Primary Outcome

Incidence and severity of AEs according to the modified (for HSCT) CTCAE (v. 5.0)

Interventions

  • BIOLOGICAL ECT-001-CB (UM171-Expanded Cord Blood Transplant)

Study Locations (1)

New York

  • Memorial Sloan Kettering Cancer Center - New York

Trial Details

FieldValue
Enrollment Target 12 participants
Start Date 2021-12-01
Est. Completion 2027-06-01
Phase Phase 1
ExCellThera

2 total trials

What NCT04990323 shows while recruiting

NCT04990323 is an interventional study that assigns participants to a tested intervention. The registry caps enrollment at 12 participants, a relatively small participant target, below the 60-participant average among 29,502 other Phase 1 trials with a reported enrollment target (80% lower).

The record links to 2 conditions, with High Risk Myeloid Malignancies appearing as the primary indexed condition, and to 1 intervention - of which ECT-001-CB (UM171-Expanded Cord Blood Transplant) is the first listed.

NCT04990323 reports a single indexed study location in New York.

Frequently Asked Questions

What is clinical trial NCT04990323 about?

NCT04990323 is a clinical study titled "US Study of ECT-001-CB in Pediatric and Young Adult Patients With High-Risk Myeloid Malignancies". Cord blood (CB) transplants are an option for patients lacking an HLA identical donor but are hampered by low cell dose, prolonged aplasia and high transplant related mortality. UM171, a novel and potent agonist of hematopoietic stem cell self renewal could solve this major limitation, allowing for ...

What is the current status of trial NCT04990323?

This trial is currently recruiting. It is a Phase 1 study. The enrollment target is 12 participants. The study started on 2021-12-01. Estimated completion is 2027-06-01.

What conditions does trial NCT04990323 study?

This clinical trial studies the following conditions: High Risk Myeloid Malignancies, Cord Blood Transplant.

What interventions are being tested in trial NCT04990323?

The interventions under investigation include: ECT-001-CB (UM171-Expanded Cord Blood Transplant) (BIOLOGICAL).

Who is sponsoring clinical trial NCT04990323?

This trial is sponsored by ExCellThera, which has 2 total clinical trials registered on ClinicalTrials.gov.

Where is trial NCT04990323 being conducted?

This trial has 1 study location across New York. Contact the study sites directly through ClinicalTrials.gov for enrollment availability.

How this trial's enrollment target compares

Where NCT04990323's enrollment target sits among peer trials

12 1853rd of 2000 higher than 90 of 2,000 other Phase 1 trials

participants (enrollment target), bucketed by value

Each bar is a band; taller bars hold more other Phase 1 trials. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count and share, and where it sits relative to this entry.

Source ClinicalTrials.gov registry export · 2026-08-08

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Source: ClinicalTrials.gov NCT04990323, the US trial registry maintained by the National Library of Medicine. NCT04990323 (small enrollment · single site footprint · recruiting) retrieved and formatted by PlainTrial, see methodology.