F01 in the Treatment of Moderate-to-severe Refractory Systemic Lupus Erythematosus

Trial statusNot yet recruiting
Trial phasePhase 1
Trial typeInterventional
Biological sexAll
Age18-65
SponsorShanghai Simnova Biotechnology Co.,Ltd.

About this trial

This is a phase I clinical study to evaluate the safety , pharmacokinetic profile, and preliminary efficacy of F01 in patients with moderate-to-severe refractory systemic lupus erythematosus.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age ≥18 and ≤65 years old, gender unlimited.

Diagnosis of SLE at least 24 weeks prior to screening in accordance with the European Federation of Rheumatological Societies (EULAR)/American College of Rheumatology (ACR) 2019 SLE classification criteria at screening;

Applicants must meet one of the following criteria at screening: a. positive for antinuclear antibody (ANA); b. Positive anti-dsDNA antibody;c. Positive anti-Smith antibody;

SLEDAI-2000 score ≥ 8 at screening

Disqualifiers

Known allergies, hypersensitivity, intolerance, or contraindications to F01 or any ingredient of drugs that may be used in the study (including fludarabine, cyclophosphamide, tocilizumab), or subjects who have had severe allergic reactions in the past.

Severe lupus nephritis (defined as urine protein >6g/24 hours or serum creatinine >2.5mg/dL or 221μmol/L) within 3 months prior to screening, or requiring active nephritis with drugs prohibited by the protocol, or requiring hemodialysis or treatment with prednisone ≥100mg/d or equivalent glucocorticoids ≥for 14 days.

Previous history or pathological changes of clinically significant central nervous system disease, including but not limited to lupus encephalopathy, seizures, cerebrovascular accident (ischemia/hemorrhage), dementia, cerebellar disease, organic encephalopathy syndrome, encephalitis, central nervous system vasculitis, or psychiatric disease.

Combined with severe pulmonary diseases, such as pulmonary hypertension with World Health Organization functional classification ≥ level 3, requiring oxygen therapy with an oxygen storage mask or non-invasive or invasive ventilator to assist breathing at screening;

Trial design

Design model

Single group

Treatments tested in this trial

  • After preconditioning with chemotherapy, F01 will be evaluated.

    Biological/Vaccine

    Biological: 0.5-3×10\^9 CAR+NK Cells, Treatment follows a lymphodepletion Drug: Fludarabine: 25-30 mg/m\^2 (D-5\~D-3) Drug: Cyclophosphamide: 250-300 mg/ m\^2 (D-5\~D-3)

Treatment groups

50 Participants
are divided into 1 treatment group
Group A: Experimental: After preconditioning with chemotherapy, F01 will be evaluated.Experimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Primary Outcome Measures

The proportion of subjects with AEs and SAEs

Time frame
12 weeks
2

Primary Outcome Measures

The proportion of subjects with DLT

Time frame
4 weeks

Secondary outcomes

1

Secondary Outcome Measures

Efficacy of F01 cells in moderate-to-severe refractory systemic lupus erythematosus

Time frame
48 weeks
2

Secondary Outcome Measures

Cellular kinetics \[ Time Frame: 96 weeks\] The maximum concentration (Cmax)

Time frame
96 weeks
3

Secondary Outcome Measures

Cellular kinetics \[ Time Frame: 96 weeks\] the time to reach the highest concentration (Tmax)

Time frame
96 weeks
4

Secondary Outcome Measures

Cellular kinetics \[ Time Frame: 96 weeks\] the area under the curve of the drug time (AUC0-last)

Time frame
96 weeks

Other outcomes

1

Exploratory

Explore the correlation between the concentration of PK and PD and efficacy and safety by CTCAE v5.0

Time frame
96 weeks
2

Exploratory

Explore the correlation between KIR mismatch and efficacy and safety by CTCAE v5.0

Time frame
96 weeks
3

Exploratory

Immunogenicity study of Cas9

Time frame
96 weeks

Sponsors and contacts

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