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| Name | Class |
|---|---|
| First Affiliated Hospital of Zhejiang University | OTHER |
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This is an investigator initiated trial to assess the efficacy and safety of BRL-301 in the refractory systemic lupus erythematosus.
The study had the following sequential phases: Screening, Pre-Treatment (Cell Product Preparation & Lymphodepleting Chemotherapy), Treatment and Follow-up.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| BRL-301 | Experimental | Allogeneic CD19-targeted Chimeric AntigenReceptor (CAR) T Cells |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| BRL-301 | Biological | Single dose of Allogeneic Anti-CD19 CAR T cells will be infused |
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| Measure | Description | Time Frame |
|---|---|---|
| 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. | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| 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) | 3 months |
| Cellular kinetics |
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Inclusion Criteria:
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;
SELENA-SLEDAI score ≥ 8 points;
The positive expression and expression rate of CD19 on peripheral blood B cells determined by flow cytometry;
The functions of important organs meet the following requirements:
Bone marrow function needs to meet:
Liver function:
Coagulation function:
Cardiac function: good hemodynamic stability, left ventricular Ejection fraction (LVEF) ≥ 55%;
Female patients of childbearing potential and male patients whose female sexual partners are of childbearing age should adopt medically recognized contraceptive measures or abstain from sex within at least 6 months after infusion of BRL-301; female patients of childbearing age should have a negative serum HCG test result within 7 days before study enrollment and be not breastfeeding;
Willing to participate in this clinical study, sign an ICF, and complete follow-ups, with good compliance.
Exclusion Criteria:
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;
Subjects with congenital immunoglobulin deficiency;
Other malignant tumors (excluding non Melanoma skin cancer, cervical cancer in situ, bladder cancer cancer and breast cancer that have survived for more than 5 years without disease);
Subjects with end-stage renal failure;
Have received any of the following SLE treatments:
Subjects with positive hepatitis B B surface antigen (HBsAg) or hepatitis B core antibody (HBcAb) and HBV DNA titer in peripheral blood higher than the upper limit of detection; Patients with positive hepatitis C virus (HCV) antibodies and positive peripheral blood HCV RNA; People who are positive for human immunodeficiency virus (HIV) antibodies; Those who have tested positive for syphilis;
Having mental illness and severe cognitive impairment;
Those who have participated in other clinical trials within the first 3 months of enrollment;
Pregnant or intending to conceive women;
Patients who are unsuitable for being included into this study as deemed by the investigator due to other reasons.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Hongyan Tong, Doctor | Contact | 8613958122357 | hongyantong@aliyun.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The First Affiliated Hospital, Zhejiang University School of Medicine | Recruiting | Hangzhou | Zhejiang | China |
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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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CAR transgene levels by quantitative polymerase chain reaction (qPCR) in peripheral blood |
| 3 months |