About this trial
This study is an open-label, single-arm early exploratory clinical study, aiming to evaluate the safety, tolerability and preliminary efficacy of IASO206 Injection (In Vivo CAR-T) in Patients with Relapsed/Refractory Autoimmune Hemolytic Anemia
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 18 to 75 years, gender unrestricted.
Diagnosis of AIHA (including warm antibody type, warm-cold antibody type, cold agglutinin disease) or Evans syndrome, consistent with Chinese Expert Consensus on Diagnosis and Treatment of Autoimmune Hemolytic Anemia (2023), 2019 International Consensus for Diagnosis and Management of Autoimmune Hemolytic Anemia (Blood Rev, 2020), or Chinese Expert Consensus on Diagnosis and Treatment of Evans Syndrome (2024 Edition).
Patients with relapsed/refractory disease after multiple lines of therapy must meet all of the following criteria: hemoglobin < 10 g/dL with clinical manifestations of hemolytic anemia; prior treatment with at least 2 immunosuppressive drugs (must include CD20 monoclonal antibody); glucocorticoid therapy for at least 3 months (excluded are patients with contraindications to glucocorticoids, severe infection, severe osteoporosis, previous fracture, or inability to tolerate glucocorticoids); cumulative dose of CD20 monoclonal antibody at least 375 mg/m² × 4, or total dose 2.0 g, or at least 6 administrations (at least 1 week apart each time).
ECOG score ≤ 2.
Disqualifiers
Subject with confirmed lymphoproliferative neoplasms.
Subject with secondary AIHA induced by drugs or infection.
Subject with congenital immunodeficiency diseases, other hereditary or acquired hemolytic diseases.
Subject with a history of organ or stem cell transplantation.
Trial design
Single group
Treatments tested in this trial
IASO206 injection
Biological/VaccineThe third-generation self-inactivating lentiviral vector that carries a BCMA-targeted CAR. Administered in one infusion.
Treatment groups
Trial outcomes
Primary outcomes
Incidence and severity of adverse events
Assessed by CTCAE Version 5.0.
Secondary outcomes
Proportion of patients achieving response
Response assessment is primarily assessed based on hemoglobin, and should be performed after discontinuation of glucocorticoids or other immunosuppressive therapies for at least 2 weeks.
Locations
Sponsors and contacts
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