ClinicalTrials.gg
Not yet recruitingNCT07756268Updated Aug 10, 2026

Phase Ib/II Study of SYS6020 in Relapsing/Refractory Multiple Sclerosis

A Phase 1/2 interventional study of SYS6020 injection in Multiple Sclerosis, sponsored by Tongji Hospital. Not yet recruiting at 1 site in China. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-08-10.

Sponsored by Tongji Hospital · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
25
Allocation
Not applicable
Ages
18 Years to 65 Years
Sex
All
01

Study summary

This trial is an investigator-initiated, single-arm, open-label Phase Ib/II study to observe the safety, tolerability, PK/PD characteristics, immunogenicity, and the efficacy of SYS6020 injection in participants with relapsed/refractory multiple sclerosis. The study plans to enroll participants with progressive or relapsing multiple sclerosis.

The recommended dosing regimen is as follows: a single administration dose of 45×10\^6 CAR-T cells/kg (allowing a fluctuation of ±20%), administered once a week for 6 consecutive doses.

To ensure participant safety, this study will establish a Safety Monitoring Committee (SMC). A staggered enrollment and dosing strategy will be adopted in the early stage. Two early safety evaluation will be established (after the first 3 enrolled participants complete their first 3 infusions of SYS6020, and after the first 3 enrolled participants complete their first 6 infusions of SYS6020) for comprehensive assessment.

The study plans to enroll 10-15 participants. Once the enrollment of 10-15 participants is complete, a comprehensive assessment may be conducted based on the actual progress of the study and combined with existing data. This will fully evaluate the safety, preliminary efficacy, and PK/PD/ADA data of the enrolled participants. If the overall safety of the participants is manageable, preliminary efficacy shows a positive trend, and there are value and necessity for further exploration, expanding the number of participants may be considered (up to a maximum of 25 participants in total).

02

Conditions studied

  • Multiple Sclerosis

Keywords

  • SYS6020, BCMA, Autologous CAR-T Cell Therapy, mRNA CAR-T, Multiple Sclerosis, Primary Progressive Multiple Sclerosis, Secondary Progressive Multiple Sclerosis
03

In context

Multiple Sclerosis

3,264 studies on the registry are indexed under Multiple Sclerosis; 659 are open to participants now.

This study's planned enrollment of 25 is below the median of 50 across 2,201 interventional studies indexed under Multiple Sclerosis.

Browse Multiple Sclerosis studies →

Lead sponsor

Tongji Hospital is the lead sponsor of 386 studies on the registry; 209 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • 1. Male or female participants aged 18-65 years at the time of signing .

    2. Diagnosis of progressive multiple sclerosis (primary progressive MS [PPMS] or secondary progressive MS [SPMS]) or relapsing multiple sclerosis (RMS) according to the 2024 McDonald criteria.

    3. Inadequate response to at least one disease-modifying therapy (DMT) administered for ≥6 months:

    1. For progressive MS: evidence of worsening disability, such as an increased Expanded Disability Status Scale (EDSS) score.
    2. For RMS: at least one of the following:

    i. ≥2 relapses within 2 years before screening; ii. ≥1 relapse within 1 year before screening; or iii. Gadolinium-enhancing lesions on MRI within 1 year before screening. 4. Positive cerebrospinal fluid oligoclonal bands or an elevated immunoglobulin G index, documented previously or during screening.

    5. Typical MS lesions on brain and/or spinal cord MRI, documented previously or during screening.

    6. Screening EDSS score of 3.0-7.0. 7. Adequate baseline organ function, including:

    1. Absolute lymphocyte count ≥0.3 × 10⁹/L, ≥1.0 × 10⁹/L, count ≥50 × 10⁹/L, and ≥80 g/L, without red blood cell or platelet transfusion or colony-stimulating factor within 7 days before testing;
    2. Total ≤2 × (ULN), and and aspartate aminotransferase ≤3 × ULN;
    3. Serum creatinine ≤1.5 × ULN and ≥40 mL/min by the Cockcroft-Gault formula;
    4. and international normalized ratio ≤1.5 × ULN;
    5. Oxygen saturation ≥90% on room air;
    6. Serum potassium ≥3.0 mmol/L and calcium ≥2.0 mmol/L. 8. Participants of must use reliable during the study and for at least 2 years after the last SYS6020 infusion. Women must not donate oocytes and men must not donate sperm for assisted reproduction during this period. Women of must have a negative serum pregnancy test at screening and a negative serum or urine pregnancy test before leukapheresis.

Exclusion criteria

Exclusion Criteria:

  • 1. Uncontrolled significant chronic disease that, in the investigator's opinion, may increase the participant's risk.

    2. Another disease requiring systemic treatment, except adequately treated autoimmune thyroid disease with stable treatment and normal thyroid function.

    3. History of primary immunodeficiency, organ transplantation, or hematopoietic stem cell/bone marrow transplantation, or planned transplantation during the study.

    4. Current psychotic disorder. 5. Suicidal ideation within 6 months before , suicidal behavior within 12 months before informed consent, or a significant suicide risk in the investigator's opinion.

    6. Alcohol or drug abuse/dependence likely to impair study compliance. 7. Stroke, , or another active central nervous system disorder unrelated to neuroimmunological disease within 6 months before enrollment.

    8. Significant cardiovascular disease, including:

    1. ventricular arrhythmia, second- or third-degree atrioventricular block, or another serious rhythm/conduction disorder;
    2. Resting corrected using Fridericia's formula >450 msec for men or >470 msec for women;
    3. Acute coronary syndrome, congestive heart failure, or another Grade ≥3 cardiovascular event within 6 months before first administration;
    4. \<50%;
    5. Risk factors for QT prolongation or arrhythmia, including heart failure, hypokalemia, congenital long QT syndrome, family history of long QT syndrome, or use of QT-prolonging medications;
    6. Poorly controlled hypertension, defined as systolic blood pressure ≥160 mmHg and/or diastolic blood pressure ≥100 mmHg.

      9. Major surgery or invasive intervention within 4 weeks before leukapheresis, or planned systemic or local tumor resection during the study.

      10. Grade ≥2 bleeding within 30 days before screening or a need for continuous long-term anticoagulant therapy.

      11. Active or history of malignancy, except:

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    1. Curatively treated basal cell carcinoma, localized cutaneous squamous cell carcinoma, or cervical carcinoma in situ completed >12 months before screening; or
    2. Other malignancies with curative treatment completed ≥5 years before screening. 12. Severe recurrent infections or any active infection that may interfere with study participation.

      13. Any of the following viral hepatitis findings:

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    1. Positive surface antigen;
    2. Positive hepatitis B core antibody with hepatitis B virus DNA above the lower limit of quantification or 1000 copies/mL (500 IU/mL), whichever is lower;
    3. Positive virus antibody with hepatitis C virus RNA above the lower limit of quantification or 1000 copies/mL, whichever is lower.

      (Participants with detectable hepatitis B virus DNA or hepatitis C virus RNA within 6 months before screening who subsequently became undetectable after antiviral treatment are also excluded.) 14. History of infection or positive HIV test at screening.

      15. Inability or unwillingness to receive investigator-required prophylaxis against Pneumocystis jirovecii, herpes simplex virus, or herpes zoster; or a positive confirmatory syphilis test.

      16. Positive human T-cell lymphotropic virus type 1/2 antibody, cytomegalovirus immunoglobulin M, or Epstein-Barr virus immunoglobulin M.

      17. Active bacterial, fungal, or viral infection requiring intravenous antimicrobial therapy within 2 weeks before leukapheresis, or another infection considered clinically relevant by the investigator. Prophylactic antimicrobial treatment without clinical evidence of active infection is permitted.

      18. Receipt of a within 4 weeks before leukapheresis or planned live vaccination during the study. Messenger RNA vaccines are not considered live vaccines.

      19. Previous or active tuberculosis infection or a positive T-SPOT test. 20. Previous CAR-T-cell therapy other than SYS6020 or previous gene therapy. 21. Renal replacement therapy within 3 months before screening or anticipated need for renal replacement therapy during the study.

      22. Intravenous immunoglobulin, plasma exchange, plasmapheresis, or hemodialysis within 1 month before leukapheresis.

      23. Prednisone ≥20 mg/day, or equivalent dose, within 7 days before leukapheresis.

      24. Calcineurin inhibitors, such as tacrolimus or cyclosporine, or cyclophosphamide within 3 weeks before leukapheresis.

      25. Receipt of an product within 4 weeks before screening, unless at least 5 half-lives have passed since last dose, or concurrent participation in another interventional clinical study. Observational studies and follow-up periods of completed interventional studies are permitted.

      26. Known allergy, , intolerance, or to SYS6020 or its components, including dextran 40; to study-related medications such as acetaminophen or tocilizumab; to beta-lactam antibiotics; or a history of severe allergic reactions.

      27. Other drug allergies suggesting an allergic predisposition in the investigator's opinion, or a positive dextran 40 skin test at screening.

      28. Any other condition that, in the investigator's opinion, makes the participant unsuitable for the study.

Terms in these criteria, in plain language(26)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

Reproductive potential

Able to have children. For women this usually means from the first period until menopause, unless permanently unable to through surgery; for men, unless permanently sterile. Read who the line is about — participants, women, men, or their partners.

Criteria about it usually ask for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
25 participants (estimated)

Study arms

  • Experimental
    SYS6020 injection

    Use this field to provide additional information about the arm, including a description of the intervention(s) administered. Participants will receive a single administration dose of 45×10\^6 CAR-T cells/kg (allowing a fluctuation of ±20%), administered once a week for 6 consecutive doses

    Biological: SYS6020 injection

Interventions

  • SYS6020 injection is an injection of autologous CAR-T cells that have been temporarily transfected with LNP-mRNA targeting BCMA. The eligible participants will receive a single administration dose of 45×10\^6 CAR-T cells/kg (allowing a fluctuation of ±20%), administered once a week for 6 consecutive doses

06

What researchers measure

Primary outcomes

  1. Safety and tolerability

    Incidence, severity, and relationship of adverse events and serious adverse events, and incidence of clinically significant laboratory abnormalities.

    Time frame: From informed consent through Month 24

Secondary outcomes

  1. Time to 12-Week Confirmed Disability Progression (CDP) in Participants with Progressive Multiple Sclerosis

    Time to protocol-defined worsening in Expanded Disability Status Scale (EDSS) score sustained for at least 12 weeks in participants with SPMS or PPMS

    Time frame: Month 24

  2. Annualized Relapse Rate (ARR) in Participants with Relapsing Multiple Sclerosis

    Number of protocol-defined relapses divided by total participant-years of follow-up

    Time frame: Time Frame: Month 24

  3. Change from Baseline in EDSS(Expanded Disability Status Scale) Score

    The EDSS ranges from 0 to 10, with higher scores indicating greater neurological disability.

    Time frame: Baseline and Months 1, 3, 6, 9, 12, 18, and 24

  4. Proportion of Participants with an Improvement of at Least 1.0 Point in EDSS(Expanded Disability Status Scale) Score

    The EDSS ranges from 0 to 10, with higher scores indicating greater neurological disability.

    Time frame: Baseline and Months 1, 3, 6, 9, 12, 18, and 24

  5. Proportion of Participants Without Confirmed Disability Progression

    Time frame: Baseline and Months 1, 3, 6, 9, 12, 18, and 24

  6. RMS: Proportion of Participants Who Remain Relapse-Free

    Time frame: Baseline and Months 1, 3, 6, 9, 12, 18, and 24

  7. Change from Baseline in Timed 25-Foot Walk(T25FW)

    Measured in seconds. A longer completion time indicates worse walking performance.

    Time frame: Baseline and Months 1, 3, 6, 9, 12, 18, and 24

  8. Change from Baseline in Nine-Hole Peg Test(9HPT)

    Measured in seconds. A longer completion time indicates worse upper-extremity and manual dexterity performance.

    Time frame: Baseline and Months 1, 3, 6, 9, 12, 18, and 24

  9. Change from Baseline in Multiple Sclerosis Functional Composite (MSFC) Score Description

    The MSFC score has no fixed minimum or maximum value, and higher scores indicate better neurological function.

    Time frame: Baseline and Months 1, 3, 6, 9, 12, 18, and 24

  10. Change from Baseline in Modified Fatigue Impact Scale (MFIS) Score

    The 21-item MFIS total score ranges from 0 to 84, with higher scores indicating a greater impact of fatigue on daily functioning.

    Time frame: Baseline and Months 1, 3, 6, 9, 12, 18, and 24

  11. Change from Baseline in VAS (Visual Analog Scale) Score

    Scores range from 0 to 10. Higher scores indicate greater pain severity.

    Time frame: Baseline and Months 1, 3, 6, 9, 12, 18, and 24

  12. Change from Baseline in Multiple Sclerosis Quality of Life-54 (MSQOL-54) Score

    Scores range from 0 to 100, with higher scores indicating better quality of life.

    Time frame: Baseline and Months 1, 3, 6, 9, 12, 18, and 24

  13. Change from Baseline in 36-Item Short Form Health Survey Score (SF-36)

    The SF-36 includes eight domains. Each domain score ranges from 0 to 100, with higher scores indicating better health status.

    Time frame: Baseline and Months 1, 3, 6, 9, 12, 18, and 24

  14. Change from Baseline in T2-Weighted Lesion Volume

    Time frame: Baseline and Months 3, 6, 12, 18, and 24

  15. PMS: Brain Volume Loss from Baseline

    Time frame: Baseline and Months 3, 6, 12, 18, and 24

  16. Number of New or Enlarging T2-Weighted Lesions

    Time frame: Baseline and Months 3, 6, 12, 18, and 24

  17. RMS: Gadolinium-Enhancing Lesion Outcomes

    Time frame: Baseline and Months 3, 6, 12, 18, and 24

  18. PK: BCMA CAR Transgene Copy Number in Peripheral Blood

    Quantified using quantitative polymerase chain reaction (qPCR)

    Time frame: Before and immediately after the first, second, third, and fifth infusions; at 1, 2, 6, 24, 48, and 72 hours after the first and second infusions; and at 1 and 2 hours after the third and fifth infusions, as protocol specified.

  19. PK:BCMA CAR-Positive Cells in Peripheral Blood

    The absolute count and percentage of circulating BCMA CAR-positive cells in peripheral blood will be measured using flow cytometry

    Time frame: Before and immediately after, and at 1 and 2 hours after the first, second, third, and fifth infusions.

  20. PK: BCMA CAR Transgene Copy Number in Cerebrospinal Fluid

    Quantified using qPCR

    Time frame: At screening and within 1 to 3 hours after the fifth infusion

  21. Change from Baseline in Peripheral Blood B-Cell Subsets

    Time frame: Baseline and Day 15, Months 1, 3, 9, 18, and 24

  22. Change from Baseline in Immunoglobulin Levels

    Time frame: Baseline and Months 1, 3, 6, 9, 12, 18, and 24

  23. Incidence of Anti-CAR Antibodies

    Time frame: Baseline and Day 15, Months 1, 3, 6, 9, 12, 18, and 24

07

Study locations

1 site
  • Tongji Hospital, Tongji Medical College of Hust
    Wuhan, Hubei 430000, China
    • Yuhang Cheng · Contactchengyh_tj@163.com · +86-13125197960
    • Daishi Tian, MD · Principal investigator
    • Chuan Qin, MD · Principal investigator
    • Zhouping Tang, MD · Principal investigator
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 10, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07756268
Lead sponsor
Tongji Hospital
Collaborators
CSPC Baike (Shandong) Bio-Pharmaceutical Co., Ltd.
Responsible party
Daishi Tian (Professor, Tongji Hospital) — Principal investigator
First posted
Aug 10, 2026
Start date
Sep 16, 2026 (estimated)
Primary completion
Feb 7, 2029 (estimated)
Completion
Feb 7, 2029 (estimated)
Last update
Aug 10, 2026

Study contacts

Yuhang Cheng
Contact
chengyh_tj@163.com
+86-13125197960
Daishi Tian, MD
principal investigator · Tongji Hospital
Chuan Qin, MD
principal investigator · Tongji Hospital
Zhouping Tang, MD
principal investigator · Tongji Hospital

Oversight

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

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Studies of the drug tested here: Autologous mRNA-transfected Anti-BCMA-CAR T-lymphocytes SYS6020

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