Safety and Efficacy Study of CD19-CAR-DNT Cells in Autoimmune Diseases

Trial statusRecruiting
Trial phasePhase 1
Trial typeInterventional
Biological sexAll
Age18-65
SponsorRenJi Hospital

About this trial

To evaluate the safety and efficacy of CD19-CAR-DNT cells in subjects with relapsed/refractory autoimmune diseases

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Voluntarily sign an ICF and expect to complete the study procedures for follow-up examinations and treatment;

Aged 18 to 75 years (including cut-offs), regardless of gender;

Have undergone a hysterectomy or bilateral oophorectomy;

Medically recognized as ovarian failure;

Disqualifiers

Individuals with a history of severe drug allergies or allergic constitution;

Active infectious diseases: such as tuberculosis, central nervous system infection, hepatitis, enteritis, etc.;

The following serious diseases: malignant tumor, end-stage renal failure, alveolar hemorrhage requiring mechanical ventilation, acute mononeuritis multiplex, or CNS involvement;

Renal disease: creatinine clearance rate < 60mL/min and serum creatinine > 1.5 times ULN within 1 week before lymphodepleting chemotherapy; Patients required hemodialysis or high-dose glucocorticoid therapy (e.g., prednisone (or equivalent) ≥100mg per day) within 6 months before screening;

Trial design

Design model

Single group

Treatments tested in this trial

  • CD19-CAR-DNT cells

    Biological/Vaccine

    Lentiviral vector-transduced DNT cells to express anti-CD19 CAR. Prior to cellular infusion, each patient received cyclophosphamide and fludarabine lymphodepleting chemotherapy.

Treatment groups

48 Participants
are divided into 1 treatment group
Group A: CD19-CAR-DNT cellsExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

DLT

To evaluate the safety, tolerability, and determine the recommended dosage of CD19-CAR-DNT Cell Therapy for Relapsed/Refractory autoimmune disease.

Time frame
Up to 28 days
2

MTD

MTD was the highest dose for DLT in ≤1/6 subjects.

Time frame
Up to 28 days
3

Incidence of abnormalities

Incidence of abnormalities in AE/SAE/AESI/laboratory tests/electrocardiograms/vital signs.

Time frame
Up to 28 days

Secondary outcomes

1

Pharmacokinetics (PK) indicator (Cmax)

The peak concentration of CD19-CAR-DNT cells amplified in the peripheral blood (Cmax, detected by qPCR).

Time frame
Up to 90 days
2

Pharmacokinetics (PK) indicator (AUC)

CD19-CAR-DNT cells blood concentrations will be measured at different time points to evaluate the area under the curve (AUC). (AUC, detected by qPCR)

Time frame
Up to 90 days
3

Pharmacokinetics (PK) indicator (Tmax)

CD19-CAR-DNT cells blood concentrations will be measured at different time points to evaluate the peak plasma time (Tmax). Tmax is defined as the time to reach the highest concentration (Tmax, detected by qPCR).

Time frame
Up to 2 years
4

Pharmacokinetics (PK) indicator (T1/2)

CD19-CAR-DNT cells blood concentrations will be measured at different time points to evaluate the elimination half-life in hours (T1/2). T1/2 is defined as the time point when the concentration of CD19-CAR-DNT reaches half of maximum in a patient's peripheral blood (T1/2, detected by qPCR).

Time frame
Up to 90 days

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

RenJi Hospital

Lead sponsor

Guangdong Ruishun Biotech Co., Ltd

Collaborator