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 volunteersQualifiers
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
Single group
Treatments tested in this trial
After preconditioning with chemotherapy, F01 will be evaluated.
Biological/VaccineBiological: 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
Trial outcomes
Primary outcomes
Primary Outcome Measures
The proportion of subjects with AEs and SAEs
Primary Outcome Measures
The proportion of subjects with DLT
Secondary outcomes
Secondary Outcome Measures
Efficacy of F01 cells in moderate-to-severe refractory systemic lupus erythematosus
Secondary Outcome Measures
Cellular kinetics \[ Time Frame: 96 weeks\] The maximum concentration (Cmax)
Secondary Outcome Measures
Cellular kinetics \[ Time Frame: 96 weeks\] the time to reach the highest concentration (Tmax)
Secondary Outcome Measures
Cellular kinetics \[ Time Frame: 96 weeks\] the area under the curve of the drug time (AUC0-last)
Other outcomes
Exploratory
Explore the correlation between the concentration of PK and PD and efficacy and safety by CTCAE v5.0
Exploratory
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Exploratory
Immunogenicity study of Cas9
Sponsors and contacts
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