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This is a phase I, open-label, single-arm, multicenter study to asess the safety tolerability pharmacokinetics and pharmacodynamics of Relma-cel in moderate or severe active systemic lupus erythematosus (SLE) subjects in China.
This is a phase I, open-label, single-arm, multicenter study to asess the safety tolerability pharmacokinetics(PK) and pharmacodynamics(PD) of Relma-cel in moderate or severe active systemic lupus erythematosus (SLE) subjects in China.
There will be 4 dose level (15x106 CAR+ T cells as the back up dose ,25x106 CAR+ T cells as the starting dose 、50x106 CAR+ T cells and 100x106(or 150 x106CAR+ T cells)Dose escalation, to evaluate the safety、 tolerability of Relma-cel in adult subjects of SLE and determine RP2D .
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Relma-cel be administrated in four dose level | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Relma-cel | Biological | CD19-targeted Chimeric AntigenReceptor (CAR) T Cells; Relma-cel be administrated at four dose level:25×106 CAR+ T cells、50×106 CAR+ T cells、100×106 CAR+ T cells/150×106 CAR+ T cells |
| Measure | Description | Time Frame |
|---|---|---|
| DLT rate | The incidence of dose-limiting toxicity | 3 months |
| determine RP2D | To determine RP2D(Phase 2 recommended dose) | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| SELENA-SLEDAI (Safety of Estrogens in Systemic Lupus Erythematosus National Assessment) score; 0 to 4 is basically no disease activity; 5 to 9 is light activity; 10 to 14 is moderate activity;≥15 is considered heavy activity. | SELENA-SLEDAI score taken up to 3 months after CD19 cCAR T cells infusion | 3 months |
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Inclusion Criteria:
Standard treatment regimen refers to the steady use of any of the following (alone or in combination) : corticosteroids, antimalarials, non-steroidal anti-inflammatory drugs (NSAIDs), and other immunosuppressants or immunomodulators including azathioprine, Mycophenolate Mofetil, cyclophosphamide, methotrexate, leflunomide, tacrolimus, and cyclosporine.
Oral corticosteroids must meet the following requirements:
5. Screening is positive for antinuclear antibodies, and/or anti-DS-DNA antibodies, and/or anti-Smith antibodies.
6. SELENA-SLEDAI score ≥8 during the screening period. Score ≥6 for SELENA-SLEDAI clinical symptoms (except for low complement and/or anti-DS-DNA antibodies) if low complement and/or anti-DS-DNA antibody score is present.
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| medical JW | Contact | +86 21 50464201 | Relma-celMedical@jwtherapeutics.com |
| Name | Affiliation | Role |
|---|---|---|
| yu Hu | Union Hospital, Tongji Medical College, Huazhong University of Science and Technology | Principal Investigator |
| heng Mei | Union Hospital, Tongji Medical College, Huazhong University of Science and Technology |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Relma-cel Medical | Recruiting | Shanghai | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 3005930 | Result | Kaufman JL, Deak ST, Erdman W. Radionuclide scans to define patterns of occult myonecrosis. N J Med. 1986 Feb;83(2):101-3. No abstract available. | |
| 40386685 | Derived | Shu J, Xie W, Mei C, Ren A, Ke S, Ma M, Zhou Z, Hu Y, Mei H. Safety and clinical efficacy of Relmacabtagene autoleucel (relma-cel) for systemic lupus erythematosus: a phase 1 open-label clinical trial. EClinicalMedicine. 2025 Apr 30;83:103229. doi: 10.1016/j.eclinm.2025.103229. eCollection 2025 May. |
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| ID | Term |
|---|---|
| D008180 | Lupus Erythematosus, Systemic |
| ID | Term |
|---|---|
| D003240 | Connective Tissue Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
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| ID | Term |
|---|---|
| C000718412 | relmacabtagene autoleucel |
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| BILAG -2004(updated version of british isles lupus assessment group ) level;The BILAG 2004 index categorizes disease activity into 5 different levels from A-E.Grade A represents very active disease. |
BILAG-2004 level taken up to 3 months after CD19 cCAR T cells infusion |
| 3 months |
| PGA (physician global assessment) score,The PGA scale ranges from "no disease activity" (0) to the "most severe disease activity" (3).the score is between 0 to 3. | PGA score taken up to 3 months after CD19 cCAR T cells infusion | 3 months |
| Autoantibody detection | Autoantibody detection up to 3 months after CD19 cCAR T cells infusion | 3 months |
| liangjing Lv | Renji Hospital Shanghai Jiaotong University School of Medical | Principal Investigator |