BCMA-CD19 cCAR T for the Treatment of Refractory Inflammatory Bowel Disease (IBD)

Trial statusNot yet recruiting
Trial phasePhase 1, Phase 2
Trial typeInterventional
Biological sexAll
Age18-70
SponsoriCell Gene Therapeutics

About this trial

This is a Phase I, IIa, Single-Arm, interventional, open label, treatment study to evaluate the safety and tolerability of ICG318 CAR-T (BCMA-CD19-IL-15/IL15sushi cCAR T cells) in patients with relapsed and/or refractory inflammatory bowel disease.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

All subjects or legal guardians must sign an ethics committee-approved informed consent form in writing prior to initiation of any screening procedures.

Male or female subject over 18 years old and under 70 years old at the time of evaluation; Weight ≥ 40 kg.

Diagnosed with inflammatory bowel disease assessed by the investigator and the disease course has been ≥ 3 months before signing informed consent (clinical manifestations, endoscopy and histopathological reports consistent with the diagnosis of inflammatory bowel disease are required).

The subject has documented inadequate response, loss of response, or intolerance to at least one advanced therapy for IBD.

Disqualifiers

Subjects who have previously received any BCMA and/or CD19 targeted cell therapy products or CAR-T therapy for any target before signing the informed consent form.

Undiagnosed type colitis, fulminant colitis, Hirschsprung-associated enterocolitis (HAEC), microscopic colitis, ischemic colitis, radiation colitis, colitis-related diverticular disease, or other colitis or enteritis type that may confound the evaluation of efficacy.

Subjects with malignant tumors or dysplasia on endoscopy.

Subjects with severely impaired vital organ function.

Trial design

Design model

Sequential

Treatments tested in this trial

  • ICG318, BCMA-CD19-IL-15/IL-15 sushi Compound CAR T

    Biological/Vaccine

    Anti-BCMA, Anti-CD19 Compound CAR-T cells

Treatment groups

18 Participants
are divided into 1 treatment group
Group A: Single Arm Biologic InfusionExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Number of Adverse Events (AEs) after ICG318 CAR-T infusion.

Number of participants with AEs, Serious Adverse Events (SAEs), Treatment Emergent Adverse Events (TEAEs), Adverse Events of Special Interest (AESI), and Dose Limiting Toxicities (DLTs).

Time frame
Starting day 0 and up to 2 years after ICG318 CAR-T infusion.

Secondary outcomes

1

Determine the recommended phase 2 dose (RP2D) regimen.

The protocol is based on cohort schema with dose escalation from 1×10\^6/kg to 4×10\^6/kg.

Time frame
Starting day 0 and assessed 2 years after ICG318 CAR-T infusion.
2

The proportion of subjects who achieved drug-free remission.

Clinical, endoscopic, and histological remission maintained without any IBD-directed therapy.

Time frame
At 6 months, 12 months, 24 months after ICG318 CAR-T infusion.
3

Fecal calprotectin levels.

Time frame
28 days, 2 months, 3 months, 6 months, 9 months, 12 months, 18 months, 24 months after ICG318 CAR-T infusion.
4

Cmax

Maximum serum concentration of ICG318 CAR-T.

Time frame
Assessed as per schedule of events up to 2 years after ICG318 CAR-T infusion.

Other outcomes

Sponsors and contacts

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iCell Gene Therapeutics

Lead sponsor

iCAR Bio Therapeutics Ltd.

Collaborator

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