RecruitingPhase 1NCT07361094

Autologous CD19/BCMA Dual-Target CAR-T for Relapsed/Refractory Autoimmune Diseases

An Exploratory Clinical Study to Evaluate the Safety and Efficacy of Autologous CD19-BCMA Dual-Target Chimeric Antigen Receptor T-Cell Therapy in Patients With Relapsed or Refractory Autoimmune Diseases


Sponsor

Beijing Boren Hospital

Enrollment

12 participants

Start Date

Nov 6, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

Autoimmune diseases occur when the immune system mistakenly attacks the body's own tissues, leading to chronic inflammation and damage to organs such as the kidneys, lungs, muscles, nerves, or blood cells. Although many treatments are available, some patients do not respond adequately or experience repeated disease flares despite long-term therapy. New treatment approaches are therefore needed for patients with relapsed or refractory autoimmune diseases. This study is an exploratory clinical trial designed to evaluate the safety and potential benefits of a novel cell-based therapy called autologous CD19-BCMA dual-target CAR T-cell therapy. This treatment uses a patient's own immune cells, which are collected from the blood, modified in the laboratory to recognize specific immune cells involved in autoimmune disease, and then infused back into the patient. The study includes adult patients with certain relapsed or refractory autoimmune diseases, such as systemic lupus erythematosus, systemic sclerosis, inflammatory muscle diseases, Sjögren's syndrome, autoimmune hemolytic anemia, and multiple sclerosis. After cell collection and preparative treatment, participants will receive a single infusion of the investigational CAR T-cell therapy and will be closely monitored for safety. The main purpose of this study is to better understand the safety of this treatment, including possible side effects. The study will also explore how the disease responds to treatment over time. Participants will be followed for up to two years after treatment to assess safety and clinical outcomes. The results of this study may help researchers better understand whether this type of cell therapy could be a feasible treatment option for patients with difficult-to-treat autoimmune diseases in the future.


Eligibility

Min Age: 18 YearsMax Age: 70 Years

Plain Language Summary

Simplified for easier understanding

This study tests a CAR-T cell therapy that targets two proteins at once — CD19 and BCMA — for people with hard-to-treat autoimmune diseases like lupus, myositis, or systemic sclerosis that have not responded to single-target therapies. **You may be eligible if...** - You are 18–70 years old - You have been diagnosed with relapsed or refractory systemic lupus erythematosus (SLE), inflammatory myopathy, or systemic sclerosis - For SLE: you have significant disease activity (SLEDAI score of 8 or higher) despite at least 6 months of standard-of-care therapy - You previously received single-target CD19 or BCMA therapy that either failed or you relapsed from, at least 6 months ago **You may NOT be eligible if...** - Your disease is well-controlled on current medications - You have a serious active infection including HIV, active hepatitis, or tuberculosis - You are pregnant or breastfeeding - Your organ function (heart, liver, kidneys) is significantly impaired - You have active or serious neurological involvement from your disease Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

DRUGAutologous CD19-BCMA Dual-Target CAR T-Cell Therapy

Autologous CD19-BCMA dual-target CAR T-cell therapy is a personalized cell-based immunotherapy manufactured from each participant's own peripheral blood T lymphocytes. Following leukapheresis, autologous T cells are genetically modified ex vivo to express a chimeric antigen receptor targeting both CD19 and B-cell maturation antigen (BCMA), enabling recognition and elimination of B-lineage cells and antibody-producing plasma cells implicated in autoimmune disease pathogenesis. The modified T cells are expanded under controlled conditions and administered as a single intravenous infusion after lymphodepleting conditioning. This dual-target CAR-T approach is intended to provide broad and sustained depletion of pathogenic B-cell populations and to promote immune system rebalancing in patients with relapsed or refractory autoimmune diseases.


Locations(1)

Beijing GoBroad Boren Hospital

Beijing, China

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NCT07361094