Clinical Study on the Targeted CD19 Universal CAR-T Cell Injection (RD06-04) for the Treatment of IIM and AAV

Trial statusNot yet recruiting
Trial phaseEarly Phase 1
Trial typeInterventional
Biological sexAll
Age18-70
SponsorPeking University People's Hospital

About this trial

This is an open-label, investigator-initiated clinical trial (IIT) designed to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics, and efficacy of RD06-04 in patients with refractory IIM and AAV. The study plans to enroll a total of 12 participants, with 6 cases each for IIM and AAV. Enrollment for both diseases will proceed in parallel. The dose will be 6×10\^6 CAR+T cells/kg (±30%), and patients will receive a single infusion of RD06-04.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

The subject voluntarily participates in this trial and has signed the informed consent form.

Age ≥18 years and ≤70 years, regardless of gender.

Liver Function: Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤3× upper limit of normal (ULN), total bilirubin (TBIL) ≤2×ULN (except for Gilbert syndrome).

Renal Function: Creatinine ≤1.5×ULN or creatinine clearance ≥40 ml/min.

Disqualifiers

As determined by the investigator, the primary diagnosis is a rheumatic autoimmune disease other than the disease under study, which the investigator believes may confound the efficacy evaluation of the study disease.

Clinically significant central nervous system disease or pathological changes not caused by the non-study disease within 12 months prior to screening.

History of allogeneic bone marrow or stem cell transplantation or solid organ transplantation (such as kidney, lung, heart, liver) or plans for such transplantation in the future.

For IIM patients: Presence of severe rhabdomyolysis or CK levels ≥120×ULN at screening.

Trial design

Design model

Single group

Treatments tested in this trial

  • RD06-04 Cell Injection Infusion

    Drug

    CAR T-cell therapy administered intravenously after a lymphodepleting therapy regimen consisting of fludarabine and cyclophosphamide.

Treatment groups

12 Participants
are divided into 1 treatment group
Group A: RD06-04 Cell InjectionExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Adverse Events (TEAE), Serious Adverse Events (SAE), Adverse Events of Special Interest (AESI)

Time frame
Up to 2 years

Secondary outcomes

1

The proportion of patients with kidney involvement achieving complete kidney remission (CRR)

Time frame
At weeks 12, and months 6, 12, 18, and 24 following CAR-T infusion.
2

The change in UPCR from baseline in patients with kidney involvement.

Time frame
At weeks 2, 4, 8, 12, and at months 6, 9, 12, 18, and 24 following CAR-T infusion.
3

The change in eGFR (estimated glomerular filtration rate) from baseline in patients with kidney involvement.

Time frame
At weeks 2, 4, 8, 12, and at months 6, 9, 12, 18, and 24 following CAR-T infusion.
4

The change in BVAS score from baseline in AAV patients

Birmingham Vasculitis Activity Score (BVAS) has a minimum score of 0 and a theoretical maximum score exceeding 100 (depending on the number and severity of affected organ systems). A higher score indicates stronger disease activity and a worse prognosis, while a decrease in score (especially to \<5) typically suggests effective treatment.

Time frame
At 6, 12, 18, and 24 months following CAR-T infusion.

Other outcomes

Sponsors and contacts

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