An Early Phase 1 interventional study of V001-BCMA in Recurrent or Refractory Systemic Lupus Erythematosus, Recurrent or Refractory IgG4 Related Diseases and Recurrent or Refractory Systemic Sclerosis, sponsored by Tongji Hospital. Active, not recruiting at 1 site in China. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-09-17.
Sponsored by Tongji Hospital · Early Phase 1, Interventional, and Treatment
This study is designed as a single arm, open label, single center clinical trial to evaluate the safety, tolerability, efficacy, pharmacokinetic or pharmacodynamic characteristics of the investigational drug V001-BCMA in autoimmune disease.
4,278 studies on the registry are indexed under Recurrence; 987 are open to participants now.
This study's planned enrollment of 45 is close to the median of 50 across 3,373 interventional studies indexed under Recurrence.
Browse Recurrence studies →Tongji Hospital is the lead sponsor of 373 studies on the registry; 204 are open to participants now.
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2. For cohort 1: recurrent or refractory systemic lupus erythematosus (all of the following four items must be met simultaneously)
3. For cohort 2: recurrent or refractory IgG4-related disease (all three of the following criteria must be met simultaneously)
4. For cohort 3: relapsed or refractory systemic sclerosis (all of the following 5 items must be met simultaneously)
5. For cohort 4: relapsed or refractory idiopathic inflammatory myopathies (all of the following 5 criteria must be met)
6. For cohort 5: relapsed or refractory AAV (all three of the following conditions must be met simultaneously)
Exclusion Criteria:
1. For cohort 1: relapsed or refractory systemic lupus erythematosus
Kyphoplasty or vertebroplasty are not considered major surgery;
Drug: V001-BCMA
Targeted BCMA In-vivo LV Injection (Code: V001-BCMA) is a third-generation non-replicating self-inactivating lentiviral vector. Its envelope protein has been engineered to express targeting molecules on the lentiviral surface for specific recognition of T cells, while its nucleic acid contains a T cell-specific promoter and a CAR gene. After specifically targeting and binding to T cells, V001-BCMA enables the expression of CAR on the surface of T cells, forming CAR-T cells. These CAR-T cells can then specifically kill target cells.
The incidence of adverse events of V001-BCMA single infusion.
For all participants
Time frame: At Month 1, Month 2, Month 3, Month 6, Month 9, Month 12, Month 18, and Month 24 after infusion
BILAG-2004 Scale Score
The BILAG-2004 index assesses disease activity in systemic lupus erythematosus (SLE) to guide treatment. It evaluates nine organ systems separately, grading each from A to E based on clinical features: A (severe, requiring aggressive therapy), B (moderate), C (mild), D (previous involvement), and E (no involvement). Its focus is on tracking changes per system for targeted management.
Time frame: At baseline, Month 1, Month 2, Month 3, Month 6, Month 9, Month 12, Month 18, and Month 24 after infusion
PGA
Physician Global Assessment. PGA score is used to assess the disease activity status of patient by physician. PGA min-max(0-3, the higher score represents the worse result)
Time frame: At baseline, Month 1, Month 2, Month 3, Month 6, Month 9, Month 12, Month 18, and Month 24 after infusion
SF-36
The 36-Item Short Form Health Survey. For SLE and AAV. SF-36 score min-max(0-100,the higher score represents the better result)
Time frame: At baseline, Month 1, Month 2, Month 3, Month 6, Month 9, Month 12, Month 18, and Month 24 after infusion
DORIS score
The DORIS score defines remission criteria in systemic lupus erythematosus (SLE), guiding treatment goals and trial endpoints. Its core assessment includes: 1) clinical SLEDAI=0; 2) Physician Global Assessment (PGA)\<0.5; 3) prednisone ≤5mg/day; 4) stable immunosuppressive/biologic therapy. It also requires stable/improved serology and sustained duration of remission.
Time frame: At Month 1, Month 2, Month 3, Month 6, Month 9, Month 12, Month 18, and Month 24 after infusion
LLDAS
The LLDAS defines a "low disease activity state" in SLE, a key treatment target linked to better long-term outcomes. Core criteria include: 1) SLEDAI-2K ≤4; 2) no new disease activity; 3) Physician Global Assessment (PGA) ≤1.0; 4) prednisone ≤7.5mg/day; 5) stable immunosuppressive/biologic doses.
Time frame: At Month 1, Month 2, Month 3, Month 6, Month 9, Month 12, Month 18, and Month 24 after infusion
Renal function response
Only for LN patients
Time frame: At Month 1, Month 2, Month 3, Month 6, Month 9, Month 12, Month 18, and Month 24 after infusion
Cmax
For all subjects. Parameters of CAR copy number
Time frame: Baseline, Day 2, Day 6, Day 10, Day 14, Day 21, Day 28, Month 2, Month 3, Month 6, Month 9, Month 12, Month 18, Month 24
Tmax
For all subjects
Time frame: Baseline, Day 2, Day 6, Day 10, Day 14, Day 21, Day 28, Month 2, Month 3, Month 6, Month 9, Month 12, Month 18, Month 24
AUC0-28d
For all subjects
Time frame: Baseline, Day 2, Day 6, Day 10, Day 14, Day 21, Day 28, Month 2, Month 3, Month 6, Month 9, Month 12, Month 18, Month 24
AUC0-90d
For all subjects
Time frame: Baseline, Day 2, Day 6, Day 10, Day 14, Day 21, Day 28, Month 2, Month 3, Month 6, Month 9, Month 12, Month 18, Month 24
Tlast
For all subjects
Time frame: Baseline, Day 2, Day 6, Day 10, Day 14, Day 21, Day 28, Month 2, Month 3, Month 6, Month 9, Month 12, Month 18, Month 24
24-hour urine protein
Only for LN
Time frame: Baseline, Day 2, Day 6, Day 10, Day 14, Day 21, Day 28, Month 2, Month 3, Month 6, Month 9, Month 12, Month 18, Month 24
UPCR
UPCR (Urine Protein-to-Creatinine Ratio) is a key index to measure assessing treatment response in lupus nephritis.
Time frame: Baseline, Day 2, Day 6, Day 10, Day 14, Day 21, Day 28, Month 2, Month 3, Month 6, Month 9, Month 12, Month 18, Month 24
Proportion of CAR-T cells in T cells
For all subjects
Time frame: baseline、Day 2、Day 6、Day 10、Day 14、Day 21、Day 28 after infusion
serum sBCMA level
BCMA expression levels of memory B cells and plasma blast cells in peripheral blood
Time frame: Screening period, baseline, Day 14, Day 28, Month 2, Month 3, Month 6, Month 9, Month 12, Month 18, and Month 24 post-infusion.
Time to disease recurrence
For IgG4-RD. Defined as the number of days between the day of infusion and the date of first treatment for IgG4-RD recurrence, as determined by a clinical professional, during the follow-up period
Time frame: through study completion (at most 52 weeks)
Changes in lymphocyte subpopulations
For all subjects
Time frame: Screening period, Day 14, Day 28, Month 2, Month 3, Month 6, Month 9, Month 12, Month 18, and Month 24 after infusion, and at recurrence
Proportion of patients with improved disease activity (IgG4-RD RI)
For IgG4-RD. Improvement is defined as a decrease of ≥2 from the baseline disease activity score
Time frame: Month 1, Month 2, Month 3, Month 6, Month 9, Month 12, Month 18, and Month 24 after infusion
annualized recurrence rate
For IgG4-RD
Time frame: through study completion, an average of 1 year
The proportion of subjects who achieved complete remission without relapse at week 52
For IgG4-RD
Time frame: at week 52
Change in CRISS-25 score from baseline
For systemic sclerosis. The score of CRISS-25 min-max(0-1.0, the higher score represents the better result)
Time frame: At Baseline, Month 1, Month 2, Month 3, Month 6, Month 9, Month 12, Month 18, and Month 24 after infusion
Change in forced vital capacity (FVC) (mL) from baseline
For systemic sclerosis
Time frame: At Baseline, Month 1, Month 2, Month 3, Month 6, Month 9, Month 12, Month 18, and Month 24 after infusion
Change in mRSS from baseline
For systemic sclerosis. The score of mRSS min-max(0-51, the higher score represents the worse result)
Time frame: At Baseline, Month 1, Month 2, Month 3, Month 6, Month 9, Month 12, Month 18, and Month 24 after infusion
Change from baseline in Quantitative Interstitial Lung Disease (QILD) imaging score
For systemic sclerosis. The min-max score (0-100%, the higher score represents the worse result)
Time frame: At Baseline, Month 1, Month 2, Month 3, Month 6, Month 9, Month 12, Month 18, and Month 24 after infusion
Change from baseline in Quantitative Lung Fibrosis (QLF) imaging score
For systemic sclerosis. The min-max score (0-100%, the higher score represents the worse result)
Time frame: At Baseline, Month 1, Month 2, Month 3, Month 6, Month 9, Month 12, Month 18, and Month 24 after infusion
Changes in Scleroderma Patient Skin Report (SSPRO) compared to baseline
For systemic sclerosis.The min-max score (0-108, the higher score represents the worse result)
Time frame: At Baseline, Month 1, Month 2, Month 3, Month 6, Month 9, Month 12, Month 18, and Month 24 after infusion
Changes in Scleroderma Clinical Trial Consortium Damage Index (SCTC-DI) compared to baseline
For systemic sclerosis. The min-max score (0-55, the higher score represents the worse result)
Time frame: At Baseline, Month 1, Month 2, Month 3, Month 6, Month 9, Month 12, Month 18, and Month 24 after infusion
Changes in EUSTAR activity index scores compared to baseline
For systemic sclerosis The min-max score (0-10, the higher score represents the worse result)
Time frame: At Baseline, Month 1, Month 2, Month 3, Month 6, Month 9, Month 12, Month 18, and Month 24 after infusion
Changes in Capillaroscopic skin ulcer risk index (CSURI) compared to baseline
For systemic sclerosis. CSURI is a continuous variable; the higher the score, the greater the ulcer risk.
Time frame: At Baseline, Month 1, Month 2, Month 3, Month 6, Month 9, Month 12, Month 18, and Month 24 after infusion
Changes in Gastrointestinal questionnaire scores of the University of California, Los Angeles Scleroderma Clinical Trial Alliance compared to baseline
For systemic sclerosis.The min-max score (0-3, the higher score represents the worse result)
Time frame: At Baseline, Month 1, Month 2, Month 3, Month 6, Month 9, Month 12, Month 18, and Month 24 after infusion
Changes in serum SSc-related antibodies compared to baseline
For systemic sclerosis
Time frame: At Baseline, Month 1, Month 2, Month 3, Month 6, Month 9, Month 12, Month 18, and Month 24 after infusion
Changes in Muscle Strength Score (MRC) compared to baseline
For idiopathic inflammatory myopathies. The min-max score (0-60, the higher score represents the better result)
Time frame: At Baseline, Month 1, Month 2, Month 3, Month 6, Month 9, Month 12, Month 18, and Month 24 after infusion
The changes in total improvement score (TIS) compared to baseline
For idiopathic inflammatory myopathies. The min-max score (0-100, the higher score represents the better result)
Time frame: At Baseline, Month 1, Month 2, Month 3, Month 6, Month 9, Month 12, Month 18, and Month 24 after infusion
Changes in lesion size and severity index (CDASI) compared to baseline
For idiopathic inflammatory myopathies. The CDASI is a core instrument for assessing the severity of cutaneous dermatomyositis. It consists of two independent subscales: Activity (scored 0-100, with higher scores indicating worse status) and Damage (scored 0-32, with higher scores indicating worse status).
Time frame: At Baseline, Month 1, Month 2, Month 3, Month 6, Month 9, Month 12, Month 18, and Month 24 after infusion
Physician's overall disease activity score
For idiopathic inflammatory myopathies. The min-max score (0-10, the higher score represents the worse result)
Time frame: At Baseline, Month 1, Month 2, Month 3, Month 6, Month 9, Month 12, Month 18, and Month 24 after infusion
Changes in Manual Muscle Testing 8 (MMT8) compared to baseline
For idiopathic inflammatory myopathies. The min-max score (0-150, the higher score represents the better result)
Time frame: At Baseline, Month 1, Month 2, Month 3, Month 6, Month 9, Month 12, Month 18, and Month 24 after infusion
Changes in Expanded Myositis Disease Activity Index (EMDA) compared to baseline
For idiopathic inflammatory myopathies. The min-max score (0-10, the higher score represents the worse result)
Time frame: At Baseline, Month 1, Month 2, Month 3, Month 6, Month 9, Month 12, Month 18, and Month 24 after infusion
Changes in MDAAT score compared to baseline
For idiopathic inflammatory myopathies. the overall score of extramuscular disease activity was assessed using the MDAAT scoring tool. The min-max score (0-60, the higher score represents the worse result)
Time frame: At Baseline, Month 1, Month 2, Month 3, Month 6, Month 9, Month 12, Month 18, and Month 24 after infusion
Myositis Core Set Measures
For idiopathic inflammatory myopathies
Time frame: At Baseline, Month 1, Month 2, Month 3, Month 6, Month 9, Month 12, Month 18, and Month 24 after infusion
the remission rate of myositis (defined as an increase in TIS of ≥20, ≥40, and ≥60 points) was assessed according to the 2016 ACR/EULAR criteria for myositis remission
For idiopathic inflammatory myopathies
Time frame: Month 1, Month 2, Month 3, Month 6, Month 9, Month 12, Month 18, and Month 24 after infusion
Time to improvement (TIS≥20, ≥40 and ≥60)
For idiopathic inflammatory myopathies
Time frame: up to 52 weeks
Duration of remission (time from clinical remission to deterioration/time from remission to first recurrence)
For idiopathic inflammatory myopathies
Time frame: up to 52 weeks
Changes in myositis specific antibodies and myositis associated antibodies in serum compared to baseline after injection
For idiopathic inflammatory myopathies
Time frame: At Baseline, Month 1, Month 2, Month 3, Month 6, Month 9, Month 12, Month 18, and Month 24 after infusion
Changes in ILD on CT imaging compared to baseline (only for patients with ILD at baseline)
For idiopathic inflammatory myopathy patients with ILD in the baseline period
Time frame: At Baseline, Month 1, Month 2, Month 3, Month 6, Month 9, Month 12, Month 18, and Month 24 after infusion
Pulmonary function examination evaluates changes in ventilation and diffusion function compared to baseline
For idiopathic inflammatory myopathies. Pulmonary function examination can comprehensively evaluate the ventilation function, air exchange function, and airway responsiveness of the lungs, which is of great significance for the diagnosis, condition evaluation, and efficacy judgment of respiratory diseases
Time frame: At Baseline, Month 1, Month 2, Month 3, Month 6, Month 9, Month 12, Month 18, and Month 24 after infusion
Myositis specific antibody levels
For idiopathic inflammatory myopathies
Time frame: Screening period, baseline, Day 14, Day 28, Month 2, Month 3, Month 6, Month 9, Month 12, Month 18, and Month 24 post-infusion.
Myositis related antibody levels
For idiopathic inflammatory myopathies
Time frame: Screening period, baseline, Day 14, Day 28, Month 2, Month 3, Month 6, Month 9, Month 12, Month 18, and Month 24 post-infusion.
The proportion of subjects who maintained remission
For AAV
Time frame: Month 1, Month 2, Month 3, Month 6, Month 9, Month 12, Month 18, and Month 24 after infusion
duration of response
For AAV
Time frame: Month 1, Month 2, Month 3, Month 6, Month 9, Month 12, Month 18, and Month 24 after infusion
Changes in Vasculitis Damage Index (VDI) scores compared to baseline
For AAV
Time frame: At Baseline, Month 1, Month 2, Month 3, Month 6, Month 9, Month 12, Month 18, and Month 24 after infusion
Changes in quality of life (SF-36 V2 scale) scores compared to baseline
For AAV. The min-max score (0-100, the higher score represents the better result)
Time frame: At Baseline, Month 1, Month 2, Month 3, Month 6, Month 9, Month 12, Month 18, and Month 24 after infusion
Changes in Disease Scope Index (DEI) compared to baseline
For AAV. The min-max score (0-21, the higher score represents the worse result)
Time frame: At Baseline, Month 1, Month 2, Month 3, Month 6, Month 9, Month 12, Month 18, and Month 24 after infusion
Changes in Five Factor Score (FFS) compared to baseline
For AAV. The min-max score (0-5, the higher score represents the worse result)
Time frame: At Baseline, Month 1, Month 2, Month 3, Month 6, Month 9, Month 12, Month 18, and Month 24 after infusion
Virus Leak Detection
For all subjects. Collect blood, saliva, urine, and fecal samples for cryogenic storage and detect any potential leaks. Collect blood, saliva, urine, and fecal samples to detect virus levels and determine if there is a carrier virus leak
Time frame: baseline、Day2、Day4、Day6、Day8、Day10、Day14、Day21、Day28
immunogenicity
For all subjects. Detecting anti CAR antibodies in patient serum using bridging ELISA or flow cytometry
Time frame: baseline、Day28、Month3,Month6,Month9,Month12,Month18,Month24 post infusion
Single-cell sequencing
For all subjects. Collect peripheral blood from patients and perform single-cell sequencing. Droplet platforms (such as 10 × Genomics) are the most commonly used scRNA seq platforms. The platform places single cells into water in oil droplets containing gel beads through the microfluidic chamber. gel beads have mRNA capture primers, unique molecular barcodes, and enzyme/reagent mixtures required for cell lysis and reverse transcription. After reverse transcription of transcription information to obtain cDNA, high-throughput sequencing can be performed through PCR amplification and library preparation.
Time frame: During the screening period, at either 3 months or 6 months, the specific timing of the test will be determined by the researcher
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Tongji Hospital