ClinicalTrials.gg
Not yet recruitingNCT07917923Updated Nov 5, 2026

A Clinical Study to Evaluate the Safety and Efficacy of GT802 Injection in the Treatment of Refractory Generalized Myasthenia Gravis

An Early Phase 1 interventional study of GT802 Injection in Generalized Myasthenia Gravis (gMG), sponsored by Daishi Tian. Not yet recruiting at 1 site in China. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-11-05.

Sponsored by Daishi Tian · Early Phase 1, Interventional, and Treatment

Updated Nov 5, 2026Newly registeredGo to Updates ↓
Phase
Early Phase 1
Study type
Interventional
Enrollment
12
Allocation
Not applicable
Ages
18 Years to 65 Years
Sex
All
01

Study summary

This is a single-arm, open-label, dose-escalating clinical trial designed to evaluate the safety, efficacy and cellular pharmacokinetics of GT802 in the treatment of refractory generalized myasthenia gravis.

Read the detailed description

The study includes 3 planned dose cohorts as follows: Dose 1: total of 8.5 mg, administered as 4 infusions at 1.0 mg, 1.5 mg, 3.0 mg, and 3.0 mg; Dose 2: total of 13.5 mg, administered as 4 infusions at 1.5 mg, 3.0 mg, 4.5 mg, and 4.5 mg; De-escalation dose: total of 4.5 mg, administered as 4 infusions at 0.5 mg, 1.0 mg, 1.5 mg, and 1.5 mg.

Each participant will receive treatment from one dose cohort. It is planned to enroll 4-12 participants in total, with the number of participants per dose cohort as follows: Dose 1: 1-6 participants; Dose 2: 3-6 participants; De-escalation dose: 0-6 participants.

02

Conditions studied

  • Generalized Myasthenia Gravis (gMG)

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03

In context

Myasthenia Gravis

330 studies on the registry are indexed under Myasthenia Gravis; 144 are open to participants now.

This study's planned enrollment of 12 is below the median of 44 across 217 interventional studies indexed under Myasthenia Gravis.

Browse Myasthenia Gravis studies →

Lead sponsor

Daishi Tian is the lead sponsor of 7 studies on the registry; 7 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. The participant or their legally authorized representative voluntarily signs the written form and is willing and able to comply with the study procedures.
  • 2. Aged 18-65 years (inclusive) at the time of informed consent, without gender restriction.
  • 3. Expected survival > 12 weeks.
  • 4. Any prior systemic therapy for the indication must have a of at least 4 weeks or 5 half-lives, whichever is shorter, before the participant is scheduled to receive study treatment.
  • 5. Toxicities attributable to prior treatment must have stabilized and recovered to Grade ≤1.
  • 6. generalized myasthenia gravis, as defined in the protocol.
  • 7. Screening laboratory results meet the criteria specified in the protocol.
  • 8. Pregnancy requirements:

    1. At screening, serum beta human chorionic gonadotropin (β-hCG) pregnancy test is negative as confirmed by the investigator.
    2. Agrees to refrain from breastfeeding during study participation until at least 1 year after infusion of GT802 Injection or until GT802 cells are no longer detectable by 2 consecutive flow cytometry assays, whichever occurs later.
    3. Male participants with female partners and female participants of agree to use highly effective (e.g., oral contraceptives, intrauterine device or condoms) starting at screening and continuing until at least 1 year after infusion of GT802 Injection or until GT802 cells are no longer detectable by 2 consecutive flow cytometry assays, whichever occurs later. Male participants must agree to use condoms during sexual contact with pregnant females or females of childbearing potential for at least 1 year after GT802 Injection infusion, even after successful vasectomy.

Exclusion criteria

Exclusion Criteria:

  • 1. or to any component of the product.
  • 2. Presence of conditions specified in the protocol within 6 months prior to signing the form.[沈9.1]
  • 3. History of active or any malignancy within 5 years prior to screening.
  • 4. Presence of any active or untreated thymoma, or history of thymic carcinoma or other early pseudotumors of thymic malignancy.
  • 5. diseases other than the study disease that require systemic or .
  • 6. Requirement for long-term administration of medications affecting coagulation function.
  • 7. Participants with clinically obvious bleeding symptoms or definite bleeding tendency within 6 months before screening.
  • 8. Presence of severe underlying medical conditions at screening.
  • 9. Positive result for any of the following tests: a) Positive (HIV) antibody; b) Positive surface antigen (HBsAg) and/or positive hepatitis B core antibody (HBcAb), with HBV-DNA above the lower limit of quantitation of the assay; c) Positive virus (HCV) antibody, with HCV-RNA above the lower limit of quantitation of the assay; d) Positive syphilis antibody (excluding false-positive results caused by underlying diseases).
  • 10. Positive cytomegalovirus (CMV)-DNA and Epstein Barr virus (EBV)-DNA in peripheral blood.
  • 11. Active tuberculosis prior to screening.
  • 12. Received any other investigational medicinal product within 4 weeks before signing the informed consent form (ICF).
  • 13. Received intravenous immunoglobulin, plasma exchange or immunoadsorption therapy within 4 weeks prior to study treatment.
  • 14. Received B-cell targeted therapy within 1 month prior to study treatment.
  • 15. Received tacrolimus, cyclosporine, azathioprine, mycophenolate mofetil, mycophenolic acid, methotrexate, etc., within 2 weeks prior to study treatment.
  • 16. Received neonatal Fc receptor (FcRn) antagonist therapy within 2 weeks prior to study treatment.
  • 17. Received complement inhibition therapy within 2 weeks prior to study treatment.
  • 18. Received systemic glucocorticoids at a dose >10 mg/day prednisone equivalent within 7 days prior to study treatment.
  • 19. Received or mRNA vaccines within 8 weeks before enrollment, or inactivated vaccines within 4 weeks before enrollment.
  • 20. Underwent major surgery within 8 weeks before screening, or planned to undergo surgery during the study period.
  • 21. History of organ transplantation, splenectomy, or autologous stem cell transplantation.
  • 22. Presence of non-removable, long-term indwelling catheters or drainage devices.
  • 23. Uncontrolled large-volume serous cavity effusion despite treatment.
  • 24. Prior receipt of CAR-T products targeting any antigen or other gene-edited cell biotherapies.
  • 25. The investigator judges that any condition exists that would prevent the participant from completing the entire trial, confound the trial results, or make trial participation not in the participant's best interest.
Terms in these criteria, in plain language(18)

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.

Washout period

A planned gap after a treatment, so that its effects can lessen before the study treatment or a study assessment. Ask the study team and the doctor who prescribed it before changing any medicine.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

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.

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.

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.

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.

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.

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.

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.

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.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

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.

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.

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.

Allogeneic and autologous transplant

Stem cell (bone marrow) transplants. Allogeneic uses cells from a donor; autologous uses your own cells, collected earlier and given back.

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.

05

Study design

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

Study arms

  • Experimental
    GT802 Injection treatment group

    Participants with MG administered GT802 Injection

    Biological: GT802 Injection

Interventions

  • BiologicalGT802 Injection

    Injection

06

What researchers measure

Primary outcomes

  1. Adverse Events (AEs) occurring after infusion and their proportions

    Adverse Events (AEs) occurring after infusion and their proportions

    Time frame: From infusion to at least 1 year

Secondary outcomes

  1. Quantitative Myasthenia Gravis (QMG) score

    To assess the preliminary efficacy of GT802 Injection in participants with refractory generalized myasthenia gravis per QMG score.

    Time frame: From infusion to 12 months

  2. Myasthenia Gravis Activities of Daily Living (MG-ADL) score

    To assess the preliminary efficacy of GT802 Injection in participants with refractory generalized myasthenia gravis per MG-ADL score.

    Time frame: From infusion to 12 months

  3. Time to maximum amplification (Tmax)

    Time to maximum amplification (Tmax) of cells following GT802 infusion

    Time frame: From infusion to 12 months

  4. Maximum amplification (Cmax)

    The maximum observed concentration of the circulating GT802 CAR-T cells

    Time frame: From infusion to 12 months

  5. Area under the curve (AUC)

    Area under the curve (AUC) of cellular expansion following GT802 infusion

    Time frame: From infusion to 12 months

  6. Duration of Detectable Concentration (Tlast)

    Duration of Detectable Concentration (Tlast) refers to the time period from the infusion of GT802 cells to the last time point at which the target cells can be detected in the peripheral blood or target tissues.

    Time frame: From infusion to 12 months

  7. Chimeric Antigen Receptor T cell (CAR-T)-associated serum cytokines

    Monitor serum cytokine levels after infusion

    Time frame: From infusion to 2 months

  8. Anti-drug antibodies (ADA) Response to GT802 Measured by Immunoassay.

    Changes in anti-drug antibodies (ADA) before and after treatment. Serum anti-drug antibody (ADA) response to GT802, including anti-CAR and anti-PEG antibodies, measured by immunoassay. Samples collected at pre-screening (PEG only), Day 14, Day 28, Month 3, Month 6, and Month 12 post-first infusion. Positive results trigger titer confirmation and continued monitoring until negative or below lower limit of detection.

    Time frame: From infusion to 12 months

07

Study locations

1 site
  • Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology
    Wuhan, Hubei 430000, China
    • Daishi Tian · Contacttiands@tjh.tjmu.edu.cn · +86 13607178809
    • Daishi Tian · Principal investigator
    • Chuan Qin · Principal investigator
08

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Dec 2026; primary completion for Dec 2031, 60 months later.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 27, 2026
First posted
Nov 5, 2026
StartEst.
Dec 2026
Primary completionEst.
Dec 30, 2031
CompletionEst.
Dec 30, 2031
Last update
Nov 5, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Registered
First appeared on the registry. No changes since
Nov 5, 2026
Show all 1 update
  1. Nov 5, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

09

Registry details

Key details

Study ID
NCT07917923
Lead sponsor
Daishi Tian
Collaborators
Vivacta Biotechnology (Shanghai) Co., Ltd.
Responsible party
Daishi Tian (Chief Physician, Department of Neurology, Tongji Hospital) — Sponsor-investigator
First posted
Nov 5, 2026
Start date
Dec 2026 (estimated)
Primary completion
Dec 30, 2031 (estimated)
Completion
Dec 30, 2031 (estimated)
Last update
Nov 5, 2026

Study contacts

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

Oversight

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

Not currently enrolling

This study is not yet recruiting, as verified in Nov 2026. You cannot join it, but the record below documents what was studied.

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