A Clinical Study to Evaluate the Safety and Efficacy of GT801 Injection in the Treatment of Moderate-to-Severe Refractory Autoimmune Diseases

Trial statusRecruiting
Trial phaseEarly Phase 1
Trial typeInterventional
Biological sexAll
Age18-65
SponsorGrit Biotechnology

About this trial

This is a single-arm, open-label, dose-escalation and dose-expansion clinical trial designed to evaluate the safety, efficacy, and cellular metabolism kinetics of GT801 in the treatment of moderate-to-severe refractory autoimmune diseases. Interim analysis will be conducted when 5 patients complete primary endpoint measurement.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

1. The participant or their legal representative voluntarily signs a written informed consent form and is willing and able to comply with the study procedures.

2. Aged 18 to 65 years old (inclusive) at the time of signing the informed consent, regardless of gender.

a) Fulfill the 2019 European League Against Rheumatism/American College of Rheumatology (EULAR/ACR) classification criteria for SLE.

b) Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2000) score ≥ 6, with at least one British Isles Lupus Assessment Group Index (BILAG-2004) Grade A (severe manifestation) or two Grade B (moderate manifestation) organ scores, or both; or SLEDAI-2000 score ≥ 8.

Disqualifiers

1. Participants with SLE

a. Drug-induced systemic lupus erythematosus.

b. Participants with lupus crisis; or those with concurrent diseases requiring the use of protocol-prohibited drugs, who are deemed ineligible for enrollment by the investigator.

2. Participants with IIM

Trial design

Design model

Single group

Treatments tested in this trial

  • GT801 Injection

    Biological/Vaccine

    GT801 Injection

Treatment groups

22 Participants
are divided into 1 treatment group
Group A: GT801 Injection treatment groupExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Proportion of participants experiencing dose limiting toxicity

The proportion of participants with dose-limiting toxicity (DLT) occurring within 28 days after infusion

Time frame
28 days post GT801 infusion
2

Adverse Events (AEs) occurring after infusion and their proportions

Adverse Events (AEs) occurring after infusion and their proportions

Time frame
3 months post GT801 infusion

Secondary outcomes

1

Efficacy outcomes for Systemic Lupus Erythematosus (SLE)

SLE Response index 4(SRI-4) response: Min/Max Value: Not specified; a decrease in score indicates improvement, higher scores indicate worse outcome

Time frame
1, 2, 3 and 6 Months post GT801 infusion, with an interim analysis at 3 months.
2

Efficacy outcomes for Idiopathic Inflammatory Myopathies (IIM)

Total lmprovement Score (TlS): Min/Max Value: Not specified; an increase in score indicates improvement, higher scores indicate better outcome.

Time frame
1, 2, 3 and 6 Months post GT801 infusion, with an interim analysis at 3 months.
3

Efficacy outcomes for Systemic Sclerosis (SSc)

Combined Response Index in Systemic Sclerosis (CRISS): the score ranges from 0 to 1 point; a score ≥ 0.6 indicates treatment improvement, while a score \< 0.6 indicates no disease improvement.

Time frame
1, 2, 3 and 6 Months post GT801 infusion, with an interim analysis at 3 months.
4

Efficacy Outcomes for ANCA-Associated Vasculitis (AAV)

The proportion of subjects achieving complete remission and partial remission

Time frame
1, 2, 3 and 6 Months post GT801 infusion, with an interim analysis at 3 months.

Other outcomes

1

Exploration of Peripheral Blood Lymphocyte Subsets and B Lymphocyte Subsets: Changes in T Cells and NK Cells

Determination of the counts of T cells and NK cells

Time frame
1, 3, 6, 9 Months post GT801 infusion
2

Exploration of Peripheral Blood Lymphocyte Subsets and B Lymphocyte Subsets: Duration of B-Cell Depletion

Determination of B-cell counts and calculation of the duration of B-cell count reduction

Time frame
3, 6, 9 Months post GT801 infusion, with an interim analysis at 3 months.
3

Exploration and analysis of BCR repertoire diversity via BCR sequencing

Detection of BCR diversity on B cells via sequencing

Time frame
1, 3, 6, 9 Months post GT801 infusion, with an interim analysis at 3 months.
4

Pathological changes of involved organs before and after treatment

Pathological examination of lesion tissue biopsies was performed to observe the changes in histopathological characteristics after treatment compared with those before treatment, such as fibrosis, vascular lesions, and inflammatory cell infiltration.

Time frame
From GT801 infusion to 3 months

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Grit Biotechnology

Lead sponsor

Shanghai Changzheng Hospital

Collaborator