B-cell Acute Lymphoblastic LeukemiaPhase 1/2NCT06533579
Gene Therapy for CD19-Positive Hematologic Malignancies (SENTRY-CD19)
A Phase 1/2 study testing Dose Level 1, VNX-101, Dose Level 2, VNX-101 and Dose Level 3, VNX-101 in people with B-cell Acute Lymphoblastic Leukemia and Large B-cell Lymphoma, run by Vironexis Biotherapeutics Inc. at 11 sites in United States.
Trial summary
This is a Phase 1/2, first-in-human, open-label, dose-escalating trial designed to assess the safety and efficacy of VNX-101 in patients with relapsed or refractory CD19-positive hematologic malignancies. Read more about this study
- Who is it for?
- Ages 13 to 90 years
- Conditions the study is for
- B-cell Acute Lymphoblastic Leukemia, Large B-cell Lymphoma, Chronic Lymphocytic Leukemia
- What is being tested?
- Dose Level 1, VNX-101, Dose Level 2, VNX-101 and Dose Level 3, VNX-101
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 32 participants
- Where
- 11 sitesUnited States
- Study dates
- 30 May 2025to Sep 2031
- Phase
- Phase 1/2
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 13 to 90 years
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- Age: Part 1: 18-90 years of age, Part 2: 13-90 years of age
- Relapsed or refractory CD-19 positive leukemia or lymphoma as defined in the protocol
- CD19-positive expression
- AAV specified capsid total antibody per protocol requirement
- Protocol-specified ranges for renal, liver, cardiac and pulmonary function
- Protocol-specified ranges for hematology parameters
Who cannot join
- Hepatoxicity (AST or ALT > 2x upper limit of normal)
- History of thrombotic microangiopathy or cardiomyopathy, or evidence of sensory neuropathy
- Pregnant or nursing (lactating) women
- Acute Graft versus Host Disease (GvHD): Grade 2-4 or chronic GvHD of any grade
- History of hypersensitivity to corticosteroids or history of corticosteroid-related toxicity
- Chemotherapy given within the protocol-specified discontinuation timelines
- Other Inclusion/Exclusion criteria to be applied per protocol.
Trial locations and contacts
11 sites in 1 country. Contact the study team or a site near you to ask about taking part.
11 sites in 1 country
United States11 sites, 11 recruiting
- Recruiting
University of North Carolina at Chapel Hill/ University of North Carolina Medical Center
Chapel Hill, North Carolina, 27599
Lacey Williams, MD, 919-445-9676, Lacey_Williams@med.unc.edu
- Recruiting
The Ohio State University Wexner Medical Center
Columbus, Ohio, 43210
Gregory Behbehani, MD, PhD, 614-293-3316, gregory.behbehani@osumc.edu
- Recruiting
Colorado Blood Cancer Institute
Denver, Colorado, 80218
Clinical Trial Information Line, 720-754-4835
- Recruiting
City of Hope
Duarte, California, 91010
Anthony Stein, MD, 877-467-3411, AStein@coh.org
Anthony Stein, MD
- Recruiting
University of Texas MD Anderson Cancer Center
Houston, Texas, 77030
Nicholas J Short, MD, 713-563-4485, NShort@Mdanderson.org
- Recruiting
Mayo Clinic, Clinical Trials Referral Office
Jacksonville, Florida, 32224
855-776-0015
- Recruiting
Valkyrie Clinical Trials
Los Angeles, California, 90067
Myo Zaw, 424-535-1874, clinicaltrials@vctcare.com
- Recruiting
TriStar BMT
Nashville, Tennessee, 37203
Stephen Strickland, MD, 615-329-7274, stephen.strickland@hcahealthcare.com
- Recruiting
Oregon Health & Science University
Portland, Oregon, 97239
Knight Cancer Institute Clinical Trials, 503-949-1080, trials@ohsu.edu
- Recruiting
Mayo Clinic, Clinical Trials Referral Office
Rochester, Minnesota, 55905
855-776-0015
- Recruiting
New York Medical College
Valhalla, New York, 10595
Mitchell Cairo, MD, (914) 594-2150, mitchell_cairo@nymc.edu
Lauren Harrison, lauren_harrison@nymc.edu
About this study
Official title: A Phase 1/2 Safety, Dose-finding, and Pharmacokinetics Study of VNX-101 Gene Therapy in Patients With Relapsed or Refractory CD19-Positive Hematologic Malignancies (SENTRY-CD19)
This is a Phase 1/2, first-in-human, open-label, dose-escalating trial designed to assess the safety and efficacy of VNX-101 in patients with relapsed or refractory CD19-positive hematologic malignancies.
Read the detailed description
VNX-101 is an investigational adeno-associated virus (AAV) gene therapy developed to express a secreted anti-CD19/anti-CD3 scFv diabody (termed GP101). GP101 binds both cluster of differentiation (CD)19 and CD3, inducing T-cells to kill both benign and malignant B-cells. Following a single intravenous (IV) infusion, the vector induces the liver and key tissues to continuously secrete GP101 into the bloodstream, resulting in long-term, consistent serum levels of GP101. Potential advantages of VNX-101 over autologous CAR-T therapy include it is off-the-shelf, provides a gentle onset of action, does not require lymphodepletion chemotherapy, engages all T-cells continuously (including those freshly produced from the bone marrow), and utilizes highly efficient signaling through the native T-cell receptor.
In this 2-part study, dose-finding data from Part 1 of the study (n=~12 patients) will be used determine the dose for Part 2 in patients. Part 1 is a dose-finding PK study in adults ≥18 years old designed to determine the minimal dose that achieves target PK serum levels of GP101 at steady state (8-week timepoint) without dose-limited toxicities, defined as the recommended Part 2 dose (RP2D). Prior to VNX-101 dosing, subjects may undergo standard of care chemotherapy to meet dosing criteria. Part 2 (n=~20) will be opened following data safety monitoring board review of Part 1 data and is designed to determine the safety and pharmacokinetics (PK) of VNX-101 at the RP2D in a broader array of subjects. The age range for Part 2 will be expanded to include subjects ≥13 years old. Patients will be followed for safety and efficacy up to 5 years post VNX-101 dosing. Long-term follow-up assessments for safety will be conducted for 6 to 15 years post VNX-101 dosing.
- Conditions
- B-cell Acute Lymphoblastic Leukemia, Large B-cell Lymphoma, Chronic Lymphocytic Leukemia, Small Lymphocytic Lymphoma, Marginal Zone Lymphoma, Follicular Lymphoma
- Being tested
- Dose Level 1, VNX-101, Dose Level 2, VNX-101, Dose Level 3, VNX-101, Dose Level 4, VNX-101
- Keywords
- CD19-positive, Leukemia, Lymphoma
- Medical subject headings
- Burkitt Lymphoma, Leukemia, Lymphocytic, Chronic, B-Cell, Lymphoma, B-Cell, Marginal Zone, Lymphoma, Follicular, Lymphoma, Mantle-Cell, Lymphoma, Large B-Cell, Diffuse, Lymphoma, Non-Hodgkin, Leukemia, Biphenotypic, Acute
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Dose Level 1, VNX-101Genetic
Adeno-associated viral vector encoding the CD3/CD19 Bi-Specific T-Cell Engager (AAV.CD3/CD19), Single IV infusion
Dose Level 2, VNX-101Genetic
Adeno-associated viral vector encoding the CD3/CD19 Bi-Specific T-Cell Engager (AAV.CD3/CD19), Single IV infusion
Dose Level 3, VNX-101Genetic
Adeno-associated viral vector encoding the CD3/CD19 Bi-Specific T-Cell Engager (AAV.CD3/CD19), Single IV infusion
Dose Level 4, VNX-101Genetic
Adeno-associated viral vector encoding the CD3/CD19 Bi-Specific T-Cell Engager (AAV.CD3/CD19), Single IV infusion
| Study group | Role | What they receive |
|---|---|---|
| Group 1/Group 2/Group 3/Group 4 | Experimental | Not described Receives: Genetic: Dose Level 1, VNX-101; Genetic: Dose Level 2, VNX-101; Genetic: Dose Level 3, VNX-101; Genetic: Dose Level 4, VNX-101 |
What is being measured
The primary outcome is the main question the study is designed to answer.
Treatment emergent adverse events (TEAEs) and treatment-emergent serious events (TESAEs)
Measured: Change from Baseline to Year 5 post dosing
Secondary outcomes (4)
Change from baseline in B-cell counts
Measured: Change from baseline to year 5 post dosing
Change baseline in immunoglobulin levels
Measured: Change from baseline to year 5 post dosing
Change baseline in antitumor activity
Measured: Change from baseline to year 5 post dosing
Proportion/duration of subjects achieving response, progression free survival, and disease free survival.
Measured: Change from baseline to year 5 post dosing
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted1 Aug 2024
- Study start30 May 2025
- Primary completionJun 2027 (estimated)
- Study completionSep 2031 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for B-cell Acute Lymphoblastic LeukemiaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1/2
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 32 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Vironexis Biotherapeutics Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Vironexis Clinical Trials, Study director, Vironexis Biotherapeutics Inc.
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06533579
- Sponsor's protocol ID
- VNX-101-01
- Status last verified
- Aug 2026
- First submitted
- 24 Jul 2024
- Last updated
- 26 Oct 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- Yes
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 26 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 1/2 Safety, Dose-finding, and Pharmacokinetics Study of VNX-101 Gene Therapy in Patients With Relapsed or Refractory CD19-Positive Hematologic Malignancies (SENTRY-CD19)
- ClinicalTrials.gov ID
- NCT06533579
- Acronym / sponsor ID
- VNX-101-01
- Conditions
- B-cell Acute Lymphoblastic Leukemia, Large B-cell Lymphoma, Chronic Lymphocytic Leukemia, Small Lymphocytic Lymphoma, Marginal Zone Lymphoma, Follicular Lymphoma
- Keywords
- CD19-positive, Leukemia, Lymphoma
- Phase
- Phase 1/2
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 32 participants (estimated)
- Lead sponsor
- Vironexis Biotherapeutics Inc.Industry (pharma, biotech, devices)
- Study start
- 30 May 2025 (actual)
- Primary completion
- Jun 2027 (estimated)
- Study completion
- Sep 2031 (estimated)
- First posted
- 1 Aug 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a Phase 1/2, first-in-human, open-label, dose-escalating trial designed to assess the safety and efficacy of VNX-101 in patients with relapsed or refractory CD19-positive hematologic malignancies.
Detailed description
VNX-101 is an investigational adeno-associated virus (AAV) gene therapy developed to express a secreted anti-CD19/anti-CD3 scFv diabody (termed GP101). GP101 binds both cluster of differentiation (CD)19 and CD3, inducing T-cells to kill both benign and malignant B-cells. Following a single intravenous (IV) infusion, the vector induces the liver and key tissues to continuously secrete GP101 into the bloodstream, resulting in long-term, consistent serum levels of GP101. Potential advantages of VNX-101 over autologous CAR-T therapy include it is off-the-shelf, provides a gentle onset of action, does not require lymphodepletion chemotherapy, engages all T-cells continuously (including those freshly produced from the bone marrow), and utilizes highly efficient signaling through the native T-cell receptor.
In this 2-part study, dose-finding data from Part 1 of the study (n=~12 patients) will be used determine the dose for Part 2 in patients. Part 1 is a dose-finding PK study in adults ≥18 years old designed to determine the minimal dose that achieves target PK serum levels of GP101 at steady state (8-week timepoint) without dose-limited toxicities, defined as the recommended Part 2 dose (RP2D). Prior to VNX-101 dosing, subjects may undergo standard of care chemotherapy to meet dosing criteria. Part 2 (n=~20) will be opened following data safety monitoring board review of Part 1 data and is designed to determine the safety and pharmacokinetics (PK) of VNX-101 at the RP2D in a broader array of subjects. The age range for Part 2 will be expanded to include subjects ≥13 years old. Patients will be followed for safety and efficacy up to 5 years post VNX-101 dosing. Long-term follow-up assessments for safety will be conducted for 6 to 15 years post VNX-101 dosing.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Group 1/Group 2/Group 3/Group 4 | Experimental | Genetic: Dose Level 1, VNX-101, Genetic: Dose Level 2, VNX-101, Genetic: Dose Level 3, VNX-101, Genetic: Dose Level 4, VNX-101 |
Who may qualify
- Ages
- 13 to 90 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (6 listed)
- Age: Part 1: 18-90 years of age, Part 2: 13-90 years of age
- Relapsed or refractory CD-19 positive leukemia or lymphoma as defined in the protocol
- CD19-positive expression
- AAV specified capsid total antibody per protocol requirement
- Protocol-specified ranges for renal, liver, cardiac and pulmonary function
Key exclusion criteria (7 listed)
- Hepatoxicity (AST or ALT > 2x upper limit of normal)
- History of thrombotic microangiopathy or cardiomyopathy, or evidence of sensory neuropathy
- Pregnant or nursing (lactating) women
- Acute Graft versus Host Disease (GvHD): Grade 2-4 or chronic GvHD of any grade
- History of hypersensitivity to corticosteroids or history of corticosteroid-related toxicity
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Dose Level 1, VNX-101Adeno-associated viral vector encoding the CD3/CD19 Bi-Specific T-Cell Engager (AAV.CD3/CD19), Single IV infusion | Genetic | Group 1/Group 2/Group 3/Group 4 |
| Dose Level 2, VNX-101Adeno-associated viral vector encoding the CD3/CD19 Bi-Specific T-Cell Engager (AAV.CD3/CD19), Single IV infusion | Genetic | Group 1/Group 2/Group 3/Group 4 |
| Dose Level 3, VNX-101Adeno-associated viral vector encoding the CD3/CD19 Bi-Specific T-Cell Engager (AAV.CD3/CD19), Single IV infusion | Genetic | Group 1/Group 2/Group 3/Group 4 |
| Dose Level 4, VNX-101Adeno-associated viral vector encoding the CD3/CD19 Bi-Specific T-Cell Engager (AAV.CD3/CD19), Single IV infusion | Genetic | Group 1/Group 2/Group 3/Group 4 |
Primary outcome
Treatment emergent adverse events (TEAEs) and treatment-emergent serious events (TESAEs)
Time frame: Change from Baseline to Year 5 post dosing
4 secondary outcomes
Change from baseline in B-cell counts
Time frame: Change from baseline to year 5 post dosing
Change baseline in immunoglobulin levels
Time frame: Change from baseline to year 5 post dosing
Change baseline in antitumor activity
Time frame: Change from baseline to year 5 post dosing
Proportion/duration of subjects achieving response, progression free survival, and disease free survival.
Time frame: Change from baseline to year 5 post dosing
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 26 Oct 2026.
- Study WebsiteLink provided by the sponsor.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Vironexis Clinical Trials study director
Vironexis Biotherapeutics Inc.
11 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1/2 study testing Dose Level 1, VNX-101, Dose Level 2, VNX-101 and Dose Level 3, VNX-101 in people with B-cell Acute Lymphoblastic Leukemia and Large B-cell Lymphoma, run by Vironexis Biotherapeutics Inc. at 11 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: looking for participants now, as of the sponsor's last update on 26 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 11 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this combined phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Allen Reha (908-938-6019, allen.reha@vironexis.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Treatment emergent adverse events (TEAEs) and treatment-emergent serious events (TESAEs) (time frame: Change from Baseline to Year 5 post dosing). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Oct 2026.