Phase I Clinical Study of GC012F Injection in Treatment of Refractory Systemic Lupus Erythematosus

Last updated: May 10, 2023
Sponsor: Zhejiang University
Overall Status: Active - Recruiting

Phase

1

Condition

Systemic Lupus Erythematosus

Cutaneous Lupus Erythematosus

Lupus

Treatment

GC012F injection

Clinical Study ID

NCT05846347
GC012F-614
  • Ages 18-70
  • All Genders

Study Summary

This is a phase I, single arm, non-randomized, open label, treatment study trial to determine the recommended phase II dose of GC012F injection (CD19-BCMA CAR-T cells) in patients with refractory systemic lupus erythematosus.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. 18-70 years old;
  2. Total score ≥ 10 on the EULAR/ACR 2019 SLE classification criteria;
  3. SELENA-SLEDAI≥8;
  4. Patients with CD19+ B-cell;
  5. Active organ involvement;
  6. Hemoglobin≥85 g/L;
  7. WBC≥2.5×10^9/L
  8. NEUT≥1×10^9/L;
  9. PLT≥50×10^9/L;
  10. AST/ALT below 2 times the upper limit of normal; Creatinine clearance ≥30 mL/min;blood bilirubin ≤2.0 mg/dl; echocardiography indicates that the ejection fraction is ≥50%;
  11. Adequate venous access for apheresis, and no other contraindications forleukapheresis;
  12. Women of childbearing age should have a negative serum or urine pregnancy test atscreening and baseline. Subjects agree to take effective contraceptive measures duringthe trial until at least 1 year after CAR-T cells infusion.
  13. Agree to attend follow-up visits as required;
  14. Voluntary participation and informed consent signed by the patient or his/herlegal/authorized representative;

Exclusion

Exclusion Criteria:

  1. Renal disease: severe lupus nephritis (serum creatinine > 2.5 mg/dL or 221 μmol/L)within 8 weeks prior to leukapheresis, or subjects who need prohibited drugs to treatactive nephritis or subjects who need hemodialysis;
  2. CNS disease: including epilepsy, psychosis, organic encephalopathy syndrome,cerebrovascular accident [CVA], encephalitis or CNS vasculitis, psychiatric patientswith depression or suicidal thoughts;
  3. Patients with serious lesions and history of present illness of vital organs such asheart, liver, kidney and blood and endocrine system;
  4. Patients with immunodeficiency, uncontrolled active infections and active or recurrentpeptic ulcers;
  5. Received immunosuppressive therapy within 1 week prior to leukapheresis;
  6. Patients with HIV infection; Active infection of hepatitis B virus or hepatitis Cvirus; Patients with syphilis infection;
  7. The presence or suspicion of an active fungal, bacterial, viral or other infectionthat cannot be controlled during screening;
  8. Received live vaccine treatment within 4 weeks prior to screening;
  9. Severe allergies or hypersensitivity;
  10. Contraindication to cyclophosphamide in combination with fludarabine;
  11. Subjects who have undergone major surgery within 2 weeks prior to signing the informedconsent form, or who are scheduled to have surgery (other than local anestheticsurgery) during the trial or within 2 weeks of the infusion;
  12. cannula or drainage tubes other than central venous catheters;
  13. Pregnant or lactating women, or subjects who plan to have children within 1 year oftreatment;
  14. Subjects with prior CD19 or BCMA-targeted therapy
  15. Participated in any clinical study within 3 months prior to enrollment
  16. Any situations that the investigator believes the patients are not suitable for thestudy.

Study Design

Total Participants: 15
Treatment Group(s): 1
Primary Treatment: GC012F injection
Phase: 1
Study Start date:
May 15, 2023
Estimated Completion Date:
April 19, 2025

Study Description

Systemic lupus erythematosus (SLE) is a kind of autoimmune diseases mediated by autoantibody-forming immune complexes, which involving multiple systems and organs.

Autoreactive B cells can self-activate and differentiate into plasma cells releasing large amounts of autoantibodies, while they can also present their own antigens to autoimmune T cells, thus activating T cells and promoting the release of inflammatory factors.

Traditional SLE treatment aims at long-term remission, while, CD19- BCMA CAR-T cells can theoretically completely deplete abnormal antibody-producing B cells, allowing immune rebuilding and restoring the patient's normal immune function, achieving drug-free survival, which fully reflects the application prospects of CAR-T therapy in SLE.

Connect with a study center

  • The First Affiliated Hospital,College of Medicine, Zhejiang University

    Hangzhou, Zhejiang 310003
    China

    Active - Recruiting

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