CClinicalTrials.gg
Status unknownNCT05085444Updated Oct 20, 2021

A Study of CD19/BCMA Chimeric Antigen Receptor T Cells Therapy for Patients With Refractory Scleroderma

An Early Phase 1 interventional study of Assigned Interventions CD19/BCMA CAR T-cells in Scleroderma and Autoimmune Diseases, sponsored by Zhejiang University. Status unknown at 1 site in China. Per ClinicalTrials.gov, last updated 2021-10-20.

Sponsored by Zhejiang University · Early Phase 1, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Oct 2021), so the status shown — last known as Recruiting — may be out of date.
Phase
Early Phase 1
Study type
Interventional
Enrollment
9
Allocation
Not applicable
Sex
All
01

Study summary

A Study of CD19/BCMA Chimeric Antigen Receptor T Cells Therapy for Patients With Refractory Scleroderma

Read the detailed description

Autoimmune diseases only show local pathological damage, but more often systemic lesions. If not diagnosed and treated in time or poorly controlled, a risk of disability or even death as the course of the disease progresses. Studies have shown that B cells can present their own antigens to autoimmune T cells to promote the release of inflammatory factors, or they can differentiate into plasma cells to release autoantibodies, and play an important role in the occurrence and progression of autoimmune diseases. In recent years, it has become a major research focus to deplete B cells in patients or inhibit B cell function. This research focuses on CAR-T cells killing B cells. This fully reflects the application prospects of CAR-T cells in autoimmune diseases.

Based on the current research progress, our center intends to conduct research on the safety and effectiveness of CD19/BCMA CAR-T cells in the treatment of refractory scleroderma

02

Conditions studied

  • Scleroderma
  • Autoimmune Diseases

Keywords

  • Scleroderma
  • CD19 CAR T-cell therapy
  • BCMA CAR T-cell therapy
03

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Scleroderma with positive CD19/BCMA expression , and the conventional treatment is not effective and (or) no effective treatment
  2. Estimated survival time> 12 weeks;
  3. Patients had a negative urine pregnancy test before the start of administration and agreed to take effective contraceptive measures during the test period until the last follow-up;
  4. Patients or their legal guardians volunteer to participate in the study and sign the informed consent.

Exclusion criteria

Exclusion Criteria:

  • Subjects with any of the following exclusion criteria were not eligible for this trial:

    1. History of craniocerebral trauma, conscious disturbance, epilepsy, cerebrovascular ischemia, and cerebrovascular, hemorrhagic diseases;
    2. Electrocardiogram shows prolonged QT interval, severe heart diseases such as severe arrhythmia in the past;
    3. Pregnant (or lactating) women;
    4. Patients with severe active infections (excluding simple urinary tract infection and bacterial pharyngitis);
    5. Active infection of hepatitis B virus or hepatitis C virus;
    6. Concurrent therapy with systemic steroids within 2 weeks prior to screening, except for the patients recently or currently receiving in haled steroids;
    7. Creatinine>2.5mg/dl, or ALT / AST > 3 times of normal amounts, or bilirubin>2.0 mg/dl;
    8. Other uncontrolled diseases that were not suitable for this trial;
    9. Patients with HIV infection;
    10. Any situations that the investigator believes may increase the risk of patients or interfere with the results of study
    11. Platelets ≥30×10E9/L, and absolute lymphocyte count ≥1.0×10E9/L
    12. Methylprednisolone (maximum dose 1mg/kg) or prednisone (maximum dose 1.25mg/kg) instead of immunosuppressive agents to control the disease.
04

Study design

Phase
Early Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
9 participants (estimated)

Study arms

  • Experimental
    Treatment of Scleroderma

    Experimental:Administration of CD19/BCMA CAR T-cells A dose levels of 1-4\*10E6/kg are administrated for each subject.

    Biological: Assigned Interventions CD19/BCMA CAR T-cells

Interventions

  • BiologicalAssigned Interventions CD19/BCMA CAR T-cells

    Drug: CD19/BCMA CAR T-cells Each subject receive CD19/BCMA CAR T-cells by intravenous infusion Other Name: CD19/BCMA CAR T-cells injection

05

What researchers measure

Primary outcomes

  1. Dose-limiting toxicity (DLT)

    Adverse events assessed according to NCI-CTCAE v5.0 criteria

    Time frame: Baseline up to 28 days after CD19/BCMA CAR T-cells infusion

  2. Incidence of treatment-emergent adverse events (TEAEs)

    Incidence of treatment-emergent adverse events \[Safety and Tolerability\]

    Time frame: Up to 90 days after CD19/BCMA CAR T-cells infusion

Secondary outcomes

  1. Concentration of CAR-T cells

    In peripheral blood

    Time frame: From admission to the end of the follow-up, up to 2 years

  2. Objective Response Rate, ORR

    Proportion of subjects with complete or partial remission

    Time frame: In 3 months of CD19/BCMA CAR-T cell infusion

  3. Disease control rate, DCR

    The percentage of patients with remission and stable disease after treatment in the total evaluable cases.

    Time frame: From Day 28 CD19/BCMA CAR-T infusion up to 2 years

  4. Duration of remission, DOR

    The time from the first assessment of remission or partial remission of the disease to the first assessment of disease progression or death from any cause

    Time frame: 24 months post CD19/BCMA CAR-T cells infusion

  5. Progression-free survival, PFS

    The time from cell reinfusion to the first assessment of disease progression or death from any cause

    Time frame: 24 months post CD19/BCMA CAR-Tcells infusion

  6. Overall survival, OS

    The time from the cell reinfusion to death due to any cause

    Time frame: From CD19/BCMA CAR-T infusion to death,up to 2 years

06

Study locations

1 of 1 sites recruiting
  • The First Affiliated Hospital, College of Medicine, Zhejiang University
    Hangzhou, Zhejiang 310003, China
    Recruiting
07

Registry details

Key details

Study ID
NCT05085444
Lead sponsor
Zhejiang University
Collaborators
Yake Biotechnology Ltd.
Responsible party
He Huang (Clinical Professor, Zhejiang University) — Principal investigator
First posted
Oct 20, 2021
Start date
Oct 8, 2021
Primary completion
Oct 8, 2024 (estimated)
Completion
Oct 8, 2024 (estimated)
Last update
Oct 20, 2021

Study contacts

He Huang, PhD
Contact
hehuangyu@126.com
86-13605714822
Yongxian Hu, PhD
Contact
huyongxian2000@aliyun.com
86-15957162012
He Huang, PhD
principal investigator · First Affiliated Hospital of Zhejiang University

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is status unknown, as verified in Oct 2021. You cannot join it, but the record below documents what was studied.

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