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A Clinical Study of CD19 Universal CAR-γδT Cells in Active Systemic Lupus Erythematosus

RecruitingPhase 1, Phase 2Ages 18 Years - 70 YearsAllUnion Hospital, Tongji Medical College, Huazhong …
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In plain words

What the trial is, and whether it could suit you

The purpose of the study is to explore the safety and efficacy of CD19 Universal CAR-γδT cells in active severe systemic lupus erythematosus.

Sign in to get the eligibility rules as simple questions to take to your doctor.

📋 Eligibility rules (as published)
Inclusion Criteria: 1. Participants or their guardians understand and voluntarily sign the informed consent form, and be able to complete all the documents, procedures, follow-up examinations and treatments specified in the study protocol, with good compliance; 2. Age range from 18 to 70 years old, regardless of gender; 3. Body weight ≥ 40kg; 4. Participants diagnosed with SLE according to the American College of Rheumatology (ACR) 1997 revised criteria for SLE at least 24 weeks prior to signing the informed consent form; 5. active SLE needs to meet the following criteria at screening: SELENA-SLEDAI score ≥ 6 points; PGA ≥ 1 points; 6. Have received at least 8 weeks of standardized treatment for SLE prior to screening; 7. Female participants need to have a negative pregnancy test, and participants agree to take effective contraceptive measures throughout the study. Exclusion Criteria: 1. Known hypersensitivity to prednisone, immunosuppressive agents; 2. Diagnosis of active severe lupus nephritis within 8 weeks prior to screening, requiring medications prohibited by the research protocol for active nephritis, hemodialysis or prednisone ≥ 100 mg/d, or equivalent glucocorticoid therapy for ≥14 days; 3. Suicidal ideation within the past 6 months based on assessment by Columbia-Suicide Severity Rating Scale (C-SSRS) at screening; or any suicidal behaviors within the past 12 months or recurrent suicidal behaviors during the subject's lifetime; 4. Presence of SLE or non-SLE related central nervous system diseases or pathological changes within 8 weeks prior to screening; 5. Existence of other lupus crisis within 8 weeks prior to screening; 6. Previous or current diagnosis of non-SLE-related inflammatory arthropathy or skin diseases; 7. Previous or current diagnosis of severe vasculitis due to other diseases excluding SLE; 8. History of vital organ transplantation or hematopoietic stem cell/or bone marrow transplantation; 9. Have received plasmapheresis, hemodialysis, intravenous immunoglobulin within 14 days prior to screening; 10. Other autoimmune diseases requiring systemic therapy; 11. Active or latent tuberculosis at screening (can be enrolled if appropriately treated); 12. Any of severe laboratory abnormalities in liver function, renal function, bone marrow function, coagulation function, pulmonary function, cardiac function at screening; 13. History of severe allergy or known hypersensitivity to any of the active ingredients of the drugs, excipients, or rodent-derived products, xenoproteins included in this trial, or subjects with allergic constitution; 14. Severe heart diseases; 15. Severe hepatobiliary disease; 16. Presence of medical conditions that are obviously unstable or not effectively treated; 17. Presence of uncontrollable bacterial, fungal, viral or other infections, requiring antibiotic therapy; 18. Have received live/attenuated vaccination within 4 weeks prior to screening or plan to receive live/attenuated vaccination throughout the study; 19. Have received any commercially available Janus kinase inhibitor or Bruton tyrosine kinase inhibitor within 3 half-lives prior to screening; 20. Have received B-cell targeted therapy prior to screening; 21. Have received a biologic agent other than B-cell targeted therapy within 5 half-lives prior to screening; 22. Previous received therapies with CAR-T cells or other genetically modified T cells; 23. Have received therapeutic dose of corticosteroids within 7 days prior to leukapheresis or within 72 hours prior to infusion; 24. Subjects that have undergone major surgery within 4 weeks prior to lymph depletion or those who are scheduled to undergo major surgery during the study period, or whose surgical wounds have not fully healed prior to enrollment; 25. Subjects that have donated blood for ≥ 400mL or had significant blood loss equivalent to at least 400mL within 4 weeks prior to screening, or have received a blood transfusion within 8 weeks, or plan to donate blood during the study period; 26. History of ≥ grade 2 bleeding within 4 weeks prior to screening or need for long-term continuous anticoagulant therapy; 27. Subjects with severe mental illness; 28. Alcoholics or subjects with a history of drug abuse; 29. Female subjects who are pregnant or lactating, or intend to pursue pregnancy within 2 years after the cell infusion; male patients whose female sexual partners intend to conceive within 2 years after the cell infusion; 30. History of malignancy; 31. Patients that have contraindications to any of the study procedures or have other medical conditions that may expose them to unacceptable risk, in the judgment of the investigators and/or clinical criteria.
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What it tests

  • CD19 Universal CAR-γδ T Cells
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Where

1 site
Wuhan Union Hospital
Wuhan, China
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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