About this trial
This phase 1 study seeks to examine the safety and recommended phase 2 dose (RP2D) of BAFF-ligand CAR-T cells (LMY-920) in adult patients with refractory systemic lupus erythematosus (SLE). It is hypothesized that BAFF CAR-T cells will be safe and will improve SLE disease activity scores.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 18-69 years
Creatinine clearance more than or equal to 30 ml/min calculated by the Cockcroft - Gault formula
Subjects must have adequate cardiac function as defined as left ventricular ejection fraction ≥ 40% on the most recent echocardiogram.
Adequate pulmonary function with pulse oximetry ≥92% on room air
Disqualifiers
Active neuropsychiatric lupus
Active secondary hemophagocytic lymphohistiocytosis (sHLH)
Presence of any medical or psychological conditions which may affect patient ability to comply with study protocol requirements and study visits
Active microbial infection. Patients with possible fungal infections must have had at least 2 weeks of appropriate anti-fungal therapy and be asymptomatic. Patients with active tuberculosis must have had at least 4 weeks of appropriate anti-mycobacterial treatment and be asymptomatic.
Trial design
Sequential
Treatments tested in this trial
LMY-920
Biological/VaccineCAR T Therapy
Treatment groups
Trial outcomes
Primary outcomes
Safety of the Treatment
The rate of adverse events graded according to the Common Terminology Criteria for Adverse Events (CTCAE) version 5.0 (National Cancer Institute) and rate of dose limiting toxicities after treatment with autologous BAFF CAR-T cells in adults with refractory SLE
Recommended Phase 2 Dose (RP2D)
A dose of autologous BAFF CAR-T cells in adults with refractory SLE less than or equal to that at which less than or equal to 1/6 patients experience dose limiting toxicities.
Secondary outcomes
Efficacy of the Treatment: SELENA-SLEDAI
The change between baseline and post BAFF CAR-T cell infusion SLE disease activity scores: Systemic Lupus Erythematosus Disease Activity Index (SELENA-SLEDAI)
Efficacy of the Treatment: BILAG
The change between baseline and post BAFF CAR-T cell infusion SLE disease activity scores: British Isles Lupus Assessment Group of SLE clinics (BILAG)
Efficacy of the Treatment: PGA
The change between baseline and post BAFF CAR-T cell infusion SLE disease activity scores: Physician Global Assessment (PGA) scores.
Sponsors and contacts
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Luminary Therapeutics
Lead sponsor
Nationwide Children's Hospital
Collaborator