About this trial
This study is an investigator-initiated single center, single arm clinical study with a target population of patients with refractory autoimmune diseases. It is an early exploratory clinical study of the safety, tolerability and initial efficacy of CD19/BCMA CAR-T in the treatment of refractory autoimmune diseases.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age: 18~70 years old, male or female; provided written informed consent form (ICF).
Systemic lupus erythematosus (SLE), diagnosed according to the European League Against Rheumatism (EULAR)/American College of Rheumatology (ACR) 2019 criteria, with Antinuclear Antibody (ANA) > 1:80 or positive anti-dsDNA antibody;
Sjögren's syndrome (SS), diagnosed according to the 2016 ACR/EULAR criteria, with at least positive anti-Sjögren's-syndrome-related antigen A antibody (SSA) antibody;
Systemic sclerosis (SSc), diagnosed according to the 2013 ACR/EULAR criteria, with ANA > 1:80 or positive anti-Scleroderma (SCL)-70 antibody;
Disqualifiers
Prior treatment with CAR-T cell therapy;
Suffering from severe cardiac, hepatic, pulmonary, hematological, or endocrine diseases, for whom the investigator determines that the risks of participation outweigh the benefits;
Active infection requiring systemic therapy or uncontrolled infection within 1 week prior to screening;
Prior hematopoietic stem cell transplantation or solid organ transplantation (excluding corneal and hair transplantation), or acute graft-versus-host disease (GVHD) of Grade 2 or higher within 2 weeks prior to screening;
Trial design
Single group
Treatments tested in this trial
CD19/BCMA-targeted CAR-T lentiviral vector drug
DrugThe CD19/BCMA-targeted CAR-T lentiviral vector drug is administered intravenously, and autologous CD19/BCMA-targeted CAR-T cells are produced in the patient's body following infusion.
Treatment groups
Trial outcomes
Primary outcomes
Incidence of adverse events(AE) after infusion
The frequency, severity, and laboratory findings of all adverse events/serious adverse events are included.
Maximal Tolerated Dose(MTD)
MTD will be determined based on Dose-Limiting Toxicity(DLTs) observed during the first 28 days of study treatment.
Sponsors and contacts
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Liang Zou
Lead sponsor
Wuhan Integrated Traditional Chinese and Western Medicine Hospital
Sponsor institution