About this trial
This is an investigator initiated trial to assess the efficacy and safety of BRL-301 in the refractory systemic lupus erythematosus.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age range from 18 to 65 years old (including threshold), regardless of gender;
Subjects diagnosed with SLE according to the 2019 EULAR/ACR SLE classification criteria; ANA ≥ 1:80, or positive for anti dsDNA and/or anti Sm antibodies;
The condition becomes active again after conventional treatment is ineffective or the disease relapses. Conventional treatment is defined as the use of two or more drugs, including corticosteroids (more than 1mg/kg/d) and any one or more of the following immunomodulatory drugs for over six months: antimalarial drugs, cyclophosphamide, azathioprine, mycophenolate mofetil, methotrexate, leflunomide, tacrolimus, cyclosporine, as well as biologics including rituximab, belimumab, etanercept, etc.
At least one BILAG2004 Class A or two Class B score, or both;
Disqualifiers
Have a serious history of Drug allergy or allergic constitution;
Fungi, bacteria, viruses, or other infections that are uncontrollable or require intravenous medication treatment exist or are suspected;
Active central nervous system disease caused by SLE or not (including epilepsy, psychosis, organic encephalopathy syndrome, cerebrovascular accident, encephalitis, central nervous system Vasculitis);
Individuals with relatively serious heart diseases, such as angina pectoris, myocardial infarction, heart failure, and arrhythmia;
Trial design
Single group
Treatments tested in this trial
BRL-301
Biological/VaccineSingle dose of Allogeneic Anti-CD19 CAR T cells will be infused
Treatment groups
Trial outcomes
Primary outcomes
The safety of BRL-301 in refractory systemic lupus erythematosus
Incidence and severity of AEs and SAEs, including changes in laboratory values, ECG and vital signs as assessed by CTCAE v5.0.
Secondary outcomes
The efficiency of BRL-301 in refractory systemic lupus erythematosus
Number of patients with SRI-4 response: including SELENA-SLEDAI ≥4-Point improvement, BILAG 2004 with No new A domain score AND no more than 1 new B domain scores, PGA with No worsening (\<0.3-point increase)
Cellular kinetics
CAR transgene levels by quantitative polymerase chain reaction (qPCR) in peripheral blood
Sponsors and contacts
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Bioray Laboratories
Lead sponsor
First Affiliated Hospital of Zhejiang University
Collaborator