RecruitingEarly Phase 1NCT06785519

CD19/BCMA CAR-T Cell Therapy for Refractory/Relapsed Lupus Nephritis

A Clinical Study of the Safety and Efficacy of CD19/BCMA CAR-T Cell Therapy for Refractory/Relapsed Lupus Nephritis


Sponsor

He Huang

Enrollment

9 participants

Start Date

Jan 31, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

A Clinical Study of the Safety and Efficacy of CD19/BCMA CAR-T Cell Therapy for Refractory/Relapsed Lupus Nephritis.


Eligibility

Min Age: 18 Years

Inclusion Criteria7

  • \. Age ≥18 years old;
  • \. A clinical diagnosis of systemic lupus erythematosus (SLE) according to the 2019 American College of Rheumatology (ACR) and European Federation of Rheumatology Societies (EULAR) /ACR classification criteria. Grade III, IV, or V lupus nephritis was confirmed by biopsy according to the 2003 ISN/RPS standard.
  • \. SLEDAI-2K ≥8 during screening
  • \. failure to respond to two or more standard immunosuppressive therapies, or relapse (increased disease activity index and need to adjust drug dose or type);
  • \. Expected survival >12 weeks;
  • \. Fertile women and men agree to use appropriate contraceptive methods before entering the study, during study participation, and for 6 months after transfusion (the safety of this therapy for the unborn child is not known);
  • \. Volunteer to participate in this experiment and sign the informed consent.

Exclusion Criteria11

  • \. History of craniocerebral trauma, conscious disturbance, epilepsy, cerebrovascular ischemia, and cerebrovascular hemorrhagic diseases;
  • \. Electrocardiogram shows prolonged QT interval, severe heart diseases such as severe arrhythmia in the past;
  • \. Active infected persons who are not cured:
  • \. Active hepatitis B or C virus infection;
  • \. Patients who have taken more than 20mg/d of prednisone or equivalent systemic steroid drugs within 1 week prior to treatment (except those who have recently or currently taken inhaled steroids);
  • \. Have used any gene therapy products before;
  • \. Insufficient amplification ability (<5 times) in response to CD3 / CD28 costimulation signals;
  • \. ALT/AST>3 times the normal amount or bilirubin >2.0 mg/dl;
  • \. Those who have other uncontrolled diseases that the researcher deems unsuitable for enrollment;
  • \. HIV-infected people;
  • \. Any situation that the investigator believes may increase the risk to the subject or interfere with the test results.

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Interventions

BIOLOGICALCD19/BCMA Lupus Nephritis Targeted CAR T-cells injection

Each subject receive CD19/BCMA Lupus Nephritis Targeted CAR T-cells by intravenous infusion


Locations(1)

The first affiliated hospital of medical college of zhejiang university

Hangzhou, Zhejiang, China

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NCT06785519


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