Systemic Lupus Erythematosus, Systemic Sclerosis
Conditions
Brief summary
This is an investigator-initiated trial to evaluate the safety and efficacy of universal allogeneic anti-CD19/BCMA CAR T-cells in With Relapse/Refractory Autoimmune Diseases.
Detailed description
This is an investigator-initiated trial to evaluate the safety and efficacy ofuniversal allogeneic anti-CD19/BCMA CAR T-cells in Patients With Relapse/Refractory Autoimmune Diseases. Study intervention consists of a single infusion of universal allogeneic CART-cells administered intravenously after a lymphodepleting therapy regimen consisting of fludarabine and cyclophosphamide.
Interventions
UCAR-T cells will be administered intravenously as per the schedule specified in the protocol.
Cyclophosphamide will be administered intravenously.
Fludarabine will be administered intravenously.
Sponsors
Study design
Eligibility
Inclusion criteria
1. Age ≥ 18 years old (inclusive), regardless of gender. 2. Positive expression of CD19 on peripheral blood B cells confirmed by flow cytometry. 3. Adequate hepatic, renal and bone marrow function. 4. Participants with relapsed or refractory autoimmune diseases, Including SLE or SSc.
Exclusion criteria
1. Participants with a history of severe drug allergies or allergic constitutions. 2. Presence or suspicion of uncontrolled or treatment-required fungal, bacterial, viral, or other infections. 3. Participants with insufficient cardiac function. 4. Participants with congenital immunoglobulin deficiencies. 5. History of malignancy within five years.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| To evaluate the safety and tolerability of UCAR T-cell in participants with relapse/ refractory autoimmune diseases | 2 years | The incidence and severity of adverse events (AEs) |
| To evaluate the clinical responses and duration of UCAR-T cells in participants with relapse/ refractory autoimmune diseases | 2 years | Proportion of participants achieving SRI-4 response, change in the Systemic Lupus Erythematosus Disease Activity Index(SLEDAI) from baseline |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| To characterize the cellular kinetics of UCAR T-cell in participants with relapse/ refractory autoimmune diseases | 2 years | AUC0-28d |
| To characterize pharmacodynamics of of UCAR-T cells in participants. | 2 years | Changes in B-cell levels in the peripheral blood from baseline. |
Countries
China