About this trial
This is an early exploratory phase, single arm, non-randomized, open label, treatment study trial to determine the maximum tolerated dose of GC012F injection (CD19-BCMA CAR-T cells) in patients with refractory systemic lupus erythematosus.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
18-70 years old;
Total score ≥ 10 on the EULAR/ACR 2019 SLE classification criteria;
LLDAS response criteria are not achieved after administration with at least two immunosuppressants (including, but not limited to, azathioprine, mycophenolate mofetil, cyclophosphamide, methotrexate, leflunomide, tacrolimus, ciclosporin and iguratimod) and/or at least one approved biological agent for more than 6 months.
SELENA-SLEDAI≥8;
Disqualifiers
Renal disease: severe lupus nephritis (serum creatinine > 2.5 mg/dL or 221 μmol/L) within 8 weeks prior to leukapheresis, or subjects who need hemodialysis;
CNS disease: including epilepsy, psychosis, organic encephalopathy syndrome, cerebrovascular accident [CVA], encephalitis or CNS vasculitis, psychiatric patients with depression or suicidal thoughts;
Patients with serious lesions and history of present illness of vital organs such as heart, liver, kidney and blood and endocrine system;
Patients with immunodeficiency, uncontrolled active infections and active or recurrent peptic ulcers;
Trial design
Single group
Treatments tested in this trial
GC012F injection
DrugEach subject will receive GC012F injection (CD19-BCMA CAR-T cells) by intravenous infusion on Day 0.
Treatment groups
Trial outcomes
Primary outcomes
The proportion of subjects with DLT
DLT definition is dose-limiting toxicity
The proportion of subjects with adverse events
All adverse events were evaluated according to NCI-CTCAE v5.0 criteria
Secondary outcomes
Proportion of subjects achieving SRI-4
SELEAN-SLEDAI,BILAG,PGA
Number of CAR-T cells and CAR gene copies in subjects'blood and bone marrow (if applicable)
Test method: flow cytometry and qPCR
Sponsors and contacts
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RenJi Hospital
Lead sponsor
Gracell Biotechnologies (Shanghai) Co., Ltd.
Collaborator