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RecruitingNCT05846347Updated May 11, 2023

Phase I Clinical Study of GC012F Injection in Treatment of Refractory Systemic Lupus Erythematosus

A Phase 1 interventional study of GC012F injection in CAR-T, sponsored by Zhejiang University. Recruiting at 1 site in China. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2023-05-11.

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

From the registry’s dates

  • Primary completion was expected by Oct 2023, 2 years 11 months ago, but the record still lists the study as recruiting.
Phase
Phase 1
Study type
Interventional
Enrollment
15
Allocation
Not applicable
Ages
18 Years to 70 Years
Sex
All
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Study summary

This is a phase I, single arm, non-randomized, open label, treatment study trial to determine the recommended phase II dose of GC012F injection (CD19-BCMA CAR-T cells) in patients with refractory systemic lupus erythematosus.

Read the detailed description

Systemic lupus erythematosus (SLE) is a kind of autoimmune diseases mediated by autoantibody-forming immune complexes, which involving multiple systems and organs.

Autoreactive B cells can self-activate and differentiate into plasma cells releasing large amounts of autoantibodies, while they can also present their own antigens to autoimmune T cells, thus activating T cells and promoting the release of inflammatory factors.

Traditional SLE treatment aims at long-term remission, while, CD19- BCMA CAR-T cells can theoretically completely deplete abnormal antibody-producing B cells, allowing immune rebuilding and restoring the patient's normal immune function, achieving drug-free survival, which fully reflects the application prospects of CAR-T therapy in SLE.

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Conditions studied

03

In context

Lupus Erythematosus, Systemic

1,202 studies on the registry are indexed under Lupus Erythematosus, Systemic; 399 are open to participants now.

This study's planned enrollment of 15 is below the median of 50 across 867 interventional studies indexed under Lupus Erythematosus, Systemic.

Browse Lupus Erythematosus, Systemic studies →

Lead sponsor

Zhejiang University is the lead sponsor of 351 studies on the registry; 165 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. 18-70 years old;
  2. Total score ≥ 10 on the EULAR/ACR 2019 SLE classification criteria;
  3. SELENA-SLEDAI≥8;
  4. Patients with CD19+ B-cell;
  5. Active organ involvement;
  6. Hemoglobin≥85 g/L;
  7. WBC≥2.5×10\^9/L
  8. NEUT≥1×10\^9/L;
  9. PLT≥50×10\^9/L;
  10. AST/ALT below 2 times the upper limit of normal; Creatinine clearance ≥30 mL/min; blood bilirubin ≤2.0 mg/dl; echocardiography indicates that the ejection fraction is ≥50%;
  11. Adequate venous access for apheresis, and no other contraindications for leukapheresis;
  12. Women of childbearing age should have a negative serum or urine pregnancy test at screening and baseline. Subjects agree to take effective contraceptive measures during the trial until at least 1 year after CAR-T cells infusion.
  13. Agree to attend follow-up visits as required;
  14. Voluntary participation and informed consent signed by the patient or his/her legal/authorized representative;

Exclusion criteria

Exclusion Criteria:

  1. Renal disease: severe lupus nephritis (serum creatinine > 2.5 mg/dL or 221 μmol/L) within 8 weeks prior to leukapheresis, or subjects who need prohibited drugs to treat active nephritis or subjects who need hemodialysis;
  2. CNS disease: including epilepsy, psychosis, organic encephalopathy syndrome, cerebrovascular accident [CVA], encephalitis or CNS vasculitis, psychiatric patients with depression or suicidal thoughts;
  3. Patients with serious lesions and history of present illness of vital organs such as heart, liver, kidney and blood and endocrine system;
  4. Patients with immunodeficiency, uncontrolled active infections and active or recurrent peptic ulcers;
  5. Received immunosuppressive therapy within 1 week prior to leukapheresis;
  6. Patients with HIV infection; Active infection of hepatitis B virus or hepatitis C virus; Patients with syphilis infection;
  7. The presence or suspicion of an active fungal, bacterial, viral or other infection that cannot be controlled during screening;
  8. Received live vaccine treatment within 4 weeks prior to screening;
  9. Severe allergies or hypersensitivity;
  10. Contraindication to cyclophosphamide in combination with fludarabine;
  11. Subjects who have undergone major surgery within 2 weeks prior to signing the informed consent form, or who are scheduled to have surgery (other than local anesthetic surgery) during the trial or within 2 weeks of the infusion;
  12. cannula or drainage tubes other than central venous catheters;
  13. Pregnant or lactating women, or subjects who plan to have children within 1 year of treatment;
  14. Subjects with prior CD19 or BCMA-targeted therapy
  15. Participated in any clinical study within 3 months prior to enrollment
  16. Any situations that the investigator believes the patients are not suitable for the study.
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Study design

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

Study arms

  • Experimental
    GC012F injection (CD19-BCMA CAR-T cells)

    Dose level: DL1:1±20%×10\^5/kg, DL2:2±20%×10\^5/kg DL3:3±20%×10\^5/kg

    Drug: GC012F injection

Interventions

  • DrugGC012F injection

    Each subject will receive GC012F injection (CD19-BCMA CAR-T cells) once by intravenous infusion on Day 0.

    Also known as: CD19-BCMA CAR-T cells

06

What researchers measure

Primary outcomes

  1. The proportion of subjects with DLT

    DLT definition is dose-limiting toxicity

    Time frame: Within 28 days after GC012F injection infusion

  2. The proportion of subjects with adverse events

    All adverse events were evaluated according to NCI-CTCAE v5.0 criteria

    Time frame: Within 12 weeks after GC012F injection infusion

Secondary outcomes

  1. Proportion of subjects achieving SRI-4

    SELEAN-SLEDAI,BILAG,PGA

    Time frame: 4, 8, 12 and 24 weeks after GC012F injection infusion

  2. Number of CAR-T cells and CAR gene copies in subjects'blood and bone marrow (if applicable)

    Test method: flow cytometry and qPCR

    Time frame: After GC012F injection infusion [day 4, 7, 10, 14 and week 4, 8, 12, 24]

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Study locations

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

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 11, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05846347
Lead sponsor
Zhejiang University
Collaborators
Gracell Biotechnologies (Shanghai) Co., Ltd.
Responsible party
He Huang (Professor, Zhejiang University) — Principal investigator
First posted
May 6, 2023
Start date
May 15, 2023 (estimated)
Primary completion
Oct 19, 2023 (estimated)
Completion
Apr 19, 2025 (estimated)
Last update
May 11, 2023

Study contacts

He Huang, PhD
Contact
hehuangyu@126.com
86-13605714822
Yongxian Hu, MD
Contact
huyongxian2000@aliyun.com
+8615957162012
He Huang
principal investigator · Zhejiang University
Zhihong Liu
principal investigator · Zhejiang university school of medicine
Jin Lin
principal investigator · Zhejiang University

Oversight

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

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