RY_SW01 Cell Injection Therapy in Systemic Sclerosis

Last updated: January 15, 2024
Sponsor: Jiangsu Renocell Biotech Company
Overall Status: Active - Recruiting

Phase

1/2

Condition

Collagen Vascular Diseases

Scleroderma

Scar Tissue

Treatment

RY_SW01 cell injection

Basic treatment

Clinical Study ID

NCT06058091
RYSW202301
  • Ages 18-65
  • All Genders

Study Summary

Systemic sclerosis (SSc) tends to progress to involve multiple vital organs within 5 years of diagnosis, significantly impacting patient prognosis and survival. Clinical indications suggest that early intervention is more favorable for long-term outcomes in patients. Although guidelines recommend various drugs for symptomatic treatment, there is currently no standard therapy or effective medication to slow the progression of the disease. Therefore, for patients with diffuse SSc, as defined by a skin score of 10≤mRSS≤30 points, who have been treated with at least two therapies, including steroids, immunosuppressive agents, biologics, etc., within 5 years of diagnosis, the applicant intends to develop a drug that can both modulate the immune system and counteract fibrosis. The goal is to provide long-term benefits to patients through early intervention.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Voluntarily sign the informed consent form.
  2. Aged between 18 and 65 years (inclusive), regardless of gender.
  3. Diagnosed with systemic sclerosis (SSc) based on the 2013 American College ofRheumatology (ACR)/European League Against Rheumatism (EULAR) criteria for SSc.
  4. Screened as diffuse cutaneous SSc patients with a disease duration of ≤5 years (disease onset defined as the time of the initial diagnosis of SSc).
  5. Previously treated with at least two of the following therapies: corticosteroids,immunosuppressants, biologic agents, and others, and have a skin score of 10≤mRSS≤30points.

Exclusion

Exclusion Criteria:

  1. At screening, subjects with a forced vital capacity (FVC) predicted percentage <50%.
  2. Previously diagnosed with pulmonary arterial hypertension or, at rest, had a meanpulmonary arterial pressure >25mmHg measured by right heart catheterization or had asystolic pulmonary artery pressure >45mmHg measured by echocardiography at screening.
  3. Presence of clinical symptoms requiring hospitalization for one of the followingconditions at screening, whether newly occurring or worsening of pre-existing symptomswithin 6 months: myocardial infarction, stroke, renal crisis, severe uncontrolledhypertension (≥160/100mmHg); or within 3 months: unstable ischemic heart disease,uncontrolled arrhythmia, heart failure (New York Heart Association III/IV stage), leftventricular ejection fraction <50% as indicated by echocardiography, renalinsufficiency, or hypertensive crisis as judged by the investigator.
  4. Concurrent autoimmune connective tissue diseases other than systemic sclerosis, withthe exception of patients with secondary Sjögren's syndrome.
  5. Presence of any of the following laboratory abnormalities at screening:
  6. Hematology abnormalities: Hemoglobin <100g/L; White blood cell count <3.0×109/L;Neutrophil absolute count <1.5×109/L; Platelet count <100×109/L.
  7. Hepatic function abnormalities: ALT or AST >3 times the upper limit of normal (ULN); Total bilirubin >3 times ULN.
  8. Renal function abnormalities: Estimated glomerular filtration rate (eGFR) <60mL/min/1.73m2 or any clinically significant laboratory abnormalities that mayaffect the interpretation of study data or the subject's participation in thestudy as determined by the investigator.
  9. Positive testing for human immunodeficiency virus (HIV) antibody, active syphilis,active hepatitis C (positive HCV antibodies and positive HCV-RNA), HBsAg positive andHBV-DNA positive at screening; history of severe active bacterial, viral, fungal,parasitic, or other infections during the screening period.
  10. Receipt of live vaccines/attenuated vaccines within 2 months prior to enrollment.
  11. Occurrence of any of the following within 3 months prior to enrollment: a. Majortrauma or major surgery (including joint surgery) or anticipated major surgery duringthe study, which the investigator believes would pose an unacceptable risk to thesubject. b. Plasma exchange or extracorporeal photopheresis treatment. c.Participation in any other clinical trials.
  12. Prior treatment with stem cell-related drugs.
  13. History of any malignancy within the past 5 years prior to enrollment, except foradequately treated or excised basal cell carcinoma, squamous cell carcinoma of theskin, or in situ cervical carcinoma.
  14. Intolerance or contraindication to the study treatment, including any of thefollowing: a. Allergy to albumin contained in the investigational product excipient.b. Lack of suitable peripheral venous access.
  15. History of smoking, alcohol abuse, or drug abuse within the past 12 months or duringthe screening period:
  16. Smoking defined as an average daily consumption of ≥5 cigarettes within the 3months prior to screening.
  17. Alcohol abuse defined as consuming more than 14 units of alcohol per week (1 unitof alcohol = 350ml of beer, or 45ml of spirits, or 150ml of wine) within the 3months prior to screening.
  18. Drug abuse defined as having a history of drug abuse.
  19. Plans for conception during the trial period until at least 1 year after cellinfusion, unwillingness to use effective contraceptive measures with their partners,or plans for sperm or egg donation.
  20. Deemed unsuitable for participation in the study by the investigator.

Study Design

Total Participants: 81
Treatment Group(s): 2
Primary Treatment: RY_SW01 cell injection
Phase: 1/2
Study Start date:
September 22, 2023
Estimated Completion Date:
December 31, 2035

Study Description

This clinical trial is a multicenter Phase I/II clinical trial, which includes two stages: Phase I dose-escalation and Phase II dose-expansion. The Phase I dose-escalation stage adopts a single-arm trial design, aiming to explore the safety, tolerability, and preliminary efficacy of RY_SW01 cell injection in treating patients with systemic sclerosis. The Phase II dose-expansion stage adopts a randomized, double-blind controlled trial design, intending to explore the safety, efficacy, and changes in disease-related biomarkers of RY_SW01 cell injection in treating systemic sclerosis patients.

Based on the characteristics of this product and pre-clinical study data, as well as integrating the safety and efficacy data of similar types of drugs and clinical trials for the same or similar indications published domestically and internationally, the researchers and sponsors jointly selected the trial exploration doses as low dose 1.0×10^6 cells/kg and high dose 2.0×10^6 cells/kg.

The trial will enroll systemic sclerosis patients aged ≥18 and ≤65 years, who must meet all inclusion criteria and none of the exclusion criteria. Approximately 81-87 subjects are planned to be enrolled to undergo dose-escalation and dose-expansion trials with RY_SW01 cell injection. The dose-escalation stage plans to enroll 6-12 evaluable subjects, and the dose-expansion stage plans to enroll 75 subjects.

Connect with a study center

  • Department of Rheumatology and Immunology, Nanjing Drum Tower Hospital, the Affiliated Drum Tower Hospital of Nanjing University Medical School

    Nanjing, Jiangsu 210008
    China

    Active - Recruiting

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