Safety and Efficacy of BAFFR CART for Relapsed/ Refractory Neuromyelitis Optica Spectrum Disorder

Trial statusNot yet recruiting
Trial phasePhase 1, Phase 2
Trial typeInterventional
Biological sexAll
Age18-60
SponsorTianjin Medical University General Hospital

About this trial

This is an open-label, single-arm, dose-escalation study in up to 20 participants with relapsed/refractory Neuromyelitis Optica Spectrum Disorders (NMOSD). The aim is to evaluate the safety and efficacy of the treatment with BAFFR CART.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Male or female subjects aged 18-60 years;

Patients must be diagnosed as AQP4-IgG-positive NMOSD;

At least one immunosuppressant has been used for over a year with poorly controlled symptoms;

Clinical evidence of at least two relapses in the last 12 months or three relapses in the last 24 months and one relapse in the preceding 12 months before screening.

Disqualifiers

Subjects have received B cell deletion treatment within 6 months before screening;

Chronic and active hepatitis B (HBV), hepatitis C (HCV), Human Immunodeficiency Virus (HIV) infection, CMV or syphilis infections concurrently.

Subjects with Papovaviruses infection.

Subjects have received live attenuated vaccine vaccination within 8 weeks before screening; or plan to receive live vaccine vaccination within 8 weeks after treatment;

Trial design

Design model

Single group

Treatments tested in this trial

  • Anti-BAFFR CART

    Drug

    Anti-BAFFR CART

Treatment groups

20 Participants
are divided into 1 treatment group
Group A: Participant GroupExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Incidence of dose-limiting toxicity (DLT)

Incidence of dose-limiting toxicity (DLT) will be evaluated within the first 28 days following BAFFR CART cells infusion.

Time frame
Up to 28 days
2

Incidence and severity of adverse events

Adverse events will be evaluated following the chemotherapy preparative regimen and infusion of BAFFR CART cells within the first 28 days.

Time frame
Up to 28 days

Secondary outcomes

1

Proportion of BAFFR CART cells in peripheral blood

The proportion of BAFFR CART cells in peripheral blood will be detected after infusion.

Time frame
Up to 1 years
2

Annualized relapse rate (ARR)

ARR is defined as the number of attacks divided by the total participant-years after infusion.

Time frame
Up to 1 years
3

Changes of B cell levels in bone marrow and peripheral blood

The changes of B cell levels in bone marrow and peripheral blood after BAFFR CART infusion.

Time frame
Up to 1 years
4

Changes of AQP4 antibody titers

Changes of AQP4 antibody titers from baseline over 1 year after BAFFR CART infusion.

Time frame
Up to 1 years

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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