A Clinical Study of CD19 Universal CAR-γδT Cells in Active Systemic Lupus Erythematosus

Last updated: January 7, 2025
Sponsor: Wuhan Union Hospital, China
Overall Status: Active - Recruiting

Phase

1/2

Condition

Cutaneous Lupus Erythematosus

Systemic Lupus Erythematosus

Lupus

Treatment

CD19 Universal CAR-γδ T Cells

Clinical Study ID

NCT06106893
UHCT230443
  • Ages 18-70
  • All Genders

Study Summary

The purpose of the study is to explore the safety and efficacy of CD19 Universal CAR-γδT cells in active severe systemic lupus erythematosus.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Participants or their guardians understand and voluntarily sign the informed consentform, and be able to complete all the documents, procedures, follow-up examinationsand treatments specified in the study protocol, with good compliance;

  2. Age range from 18 to 70 years old, regardless of gender;

  3. Body weight ≥ 40kg;

  4. Participants diagnosed with SLE according to the American College of Rheumatology (ACR) 1997 revised criteria for SLE at least 24 weeks prior to signing the informedconsent form;

  5. active SLE needs to meet the following criteria at screening: SELENA-SLEDAI score ≥ 6 points; PGA ≥ 1 points;

  6. Have received at least 8 weeks of standardized treatment for SLE prior to screening;

  7. Female participants need to have a negative pregnancy test, and participants agreeto take effective contraceptive measures throughout the study.

Exclusion

Exclusion Criteria:

  1. Known hypersensitivity to prednisone, immunosuppressive agents;

  2. Diagnosis of active severe lupus nephritis within 8 weeks prior to screening,requiring medications prohibited by the research protocol for active nephritis,hemodialysis or prednisone ≥ 100 mg/d, or equivalent glucocorticoid therapy for ≥14days;

  3. Suicidal ideation within the past 6 months based on assessment by Columbia-SuicideSeverity Rating Scale (C-SSRS) at screening; or any suicidal behaviors within thepast 12 months or recurrent suicidal behaviors during the subject's lifetime;

  4. Presence of SLE or non-SLE related central nervous system diseases or pathologicalchanges within 8 weeks prior to screening;

  5. Existence of other lupus crisis within 8 weeks prior to screening;

  6. Previous or current diagnosis of non-SLE-related inflammatory arthropathy or skindiseases;

  7. Previous or current diagnosis of severe vasculitis due to other diseases excludingSLE;

  8. History of vital organ transplantation or hematopoietic stem cell/or bone marrowtransplantation;

  9. Have received plasmapheresis, hemodialysis, intravenous immunoglobulin within 14days prior to screening;

  10. Other autoimmune diseases requiring systemic therapy;

  11. Active or latent tuberculosis at screening (can be enrolled if appropriatelytreated);

  12. Any of severe laboratory abnormalities in liver function, renal function, bonemarrow function, coagulation function, pulmonary function, cardiac function atscreening;

  13. History of severe allergy or known hypersensitivity to any of the active ingredientsof the drugs, excipients, or rodent-derived products, xenoproteins included in thistrial, or subjects with allergic constitution;

  14. Severe heart diseases;

  15. Severe hepatobiliary disease;

  16. Presence of medical conditions that are obviously unstable or not effectivelytreated;

  17. Presence of uncontrollable bacterial, fungal, viral or other infections, requiringantibiotic therapy;

  18. Have received live/attenuated vaccination within 4 weeks prior to screening or planto receive live/attenuated vaccination throughout the study;

  19. Have received any commercially available Janus kinase inhibitor or Bruton tyrosinekinase inhibitor within 3 half-lives prior to screening;

  20. Have received B-cell targeted therapy prior to screening;

  21. Have received a biologic agent other than B-cell targeted therapy within 5half-lives prior to screening;

  22. Previous received therapies with CAR-T cells or other genetically modified T cells;

  23. Have received therapeutic dose of corticosteroids within 7 days prior toleukapheresis or within 72 hours prior to infusion;

  24. Subjects that have undergone major surgery within 4 weeks prior to lymph depletionor those who are scheduled to undergo major surgery during the study period, orwhose surgical wounds have not fully healed prior to enrollment;

  25. Subjects that have donated blood for ≥ 400mL or had significant blood lossequivalent to at least 400mL within 4 weeks prior to screening, or have received ablood transfusion within 8 weeks, or plan to donate blood during the study period;

  26. History of ≥ grade 2 bleeding within 4 weeks prior to screening or need forlong-term continuous anticoagulant therapy;

  27. Subjects with severe mental illness;

  28. Alcoholics or subjects with a history of drug abuse;

  29. Female subjects who are pregnant or lactating, or intend to pursue pregnancy within 2 years after the cell infusion; male patients whose female sexual partners intendto conceive within 2 years after the cell infusion;

  30. History of malignancy;

  31. Patients that have contraindications to any of the study procedures or have othermedical conditions that may expose them to unacceptable risk, in the judgment of theinvestigators and/or clinical criteria.

Study Design

Total Participants: 15
Treatment Group(s): 1
Primary Treatment: CD19 Universal CAR-γδ T Cells
Phase: 1/2
Study Start date:
January 12, 2024
Estimated Completion Date:
December 31, 2027

Study Description

The prognosis of patients with active systemic lupus erythematosus (SLE) remains poor, due to two major therapeutic obstacles: (1) current treatment strategies including glucocorticoids, immunosuppressive agents, biological agents, are still difficult to achieve disease control, making the disease condition of some patients continue to be active or even worse; (2) some patients are unable to wean themselves off glucocorticoid and face the risk of numerous adverse effects caused by long-term glucocorticoid dependence, such as glucocorticoid-related diabetes, femoral head necrosis, hypertension, stress ulcers, and infection, etc. Therefore, there is a strong unmet clinical need for more effective treatment for patients suffering from active SLE. Several preclinical studies have shown the efficacy of CAR-T cell treatment in SLE. The aim of this study is to investigate the safety, tolerability, preliminary efficacy, pharmacokinetics (PK), and pharmacodynamics (PD) of CD19 Universal CAR-γδT cells therapy in active SLE. Patients with active SLE will be invited to participate in the study, to receive CD19 Universal CAR-γδT cells intravenous infusion and follow-up visits of up to 2 years after enrollment.

Connect with a study center

  • Wuhan Union Hospital

    Wuhan, Hubei 430022
    China

    Active - Recruiting

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