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| Name | Class |
|---|---|
| The First Affiliated Hospital of Henan University of Science and Technology | OTHER |
| Changping Laboratory | OTHER |
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The goal of this clinical trial is to test ATHENA CAR-T injection in adults with moderate to severe Systemic Lupus Erythematosus. The main question it aims to answer is:
• To evaluate the safety and tolerability of ATHENA CAR-T.
After screening, participants will be subjected to lymphodepletion regimen. After recovery, participants will be injected with ATHENA CAR-T injection and followed up to 24 months.
This study is a single center, one-arm, open label, phase I study aimed at evaluate the safety and effectiveness of ATHENA CAR-T treating moderate to severe SLE patients.
A traditional "3+3" design is used with two doses. DLT is monitored. Safety and effectiveness are followed up until 24 months post infusion of ATHENA CAR-T. Besides safety monitoring, efficacy is evaluated via SLEDAI-2000, BILAG-2004, PGA.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ATHENA CAR-T Arm | Experimental | A conditioning chemotherapy regimen will be administered followed by investigational treatment of ATHENA CAR-T |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ATHENA CAR-T | Biological | Phase 1 dose escalation (3+3): dose 1 and dose 2. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Dose Limiting Toxicity | Dose Limiting Toxicity (DLT) is defined as AEs related to ATHENA CART from infusion till 28 days post infusion. | 0~28 day after treatment |
| Frequency of AEs, SAEs, lab abnormalities, AESIs | Monitor grade and frequency of Adverse Events (AEs), Severe Adverse Events (SAEs), abnormal laboratory findings and Adverse Events of Special Interest (AESI). | 0 day to 24 months after treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Efficacy: Percent of patients achieved SRI-4 | Measure percentage of patients who achieved SRI-4 (Systemic Lupus Erythematosus Responder Index-4) at week 4,8,12,16. SRI-4 response is achieved if SLEDAI-2000 score is lowered NLT 4pt compared to baseline, BILAG-2004 has no new A grade or NMT 1 new B grade, and PGA is not worsen (increase LT 0.3 compare to baseline). | 0 to 16 weeks after treatment |
| Measure | Description | Time Frame |
|---|---|---|
| PK characteristics | Evaluate main PK parameters of ATHENA CAR-T, including Cmax, unit CAR+ T cell/l. | 0 day to 24 months after treatment |
| PK characteristics (cont) | Evaluate main PK parameters of ATHENA CAR-T, including Tmax, unit day. |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Chao Liu | Contact | (86)-10-80733899 | 8039 | cliu@edigene.com |
| Yiding Zhao, PhD | Contact | (86)-10-80733899 | 8103 | ydzhao@edigene.com |
| Name | Affiliation | Role |
|---|---|---|
| Xiaofei Shi, MD | The First Affiliated Hospital of Henan University of Science and Technology | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The First Affiliated Hospital of Henan University of Science and Technology | Luoyang | Henan | 471003 | China |
No plan to share IPD.
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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 |
|---|---|
| C024352 | fludarabine |
| C042382 | fludarabine phosphate |
| D007267 | Injections |
| D003520 | Cyclophosphamide |
| ID | Term |
|---|---|
| D004333 | Drug Administration Routes |
| D004358 | Drug Therapy |
| D013812 | Therapeutics |
| D010752 | Phosphoramide Mustards |
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| Fludarabine | Drug | Intravenous injection of fludarabine. |
|
|
| Cyclophosphamide | Drug | Intravenous injection of cyclophosphamide. |
|
|
| Efficacy: Patients SLEDAI-2000 change compared with baseline | Compare patients' SLEDAI-2000 (Systemic Lupus Erythematosus Disease Activity Index 2000) value at baseline and week 4,8,12,16. SLEDAI-2000 is an index of range 0 to 105. Higher score indicates stronger disease activity, a score NLT 15 means strong SLE activity. | 0 to 16 weeks after treatment |
| Efficacy: Patients BILAG-2004 change compared with baseline | Compare patients' BILAG-2004 (British Isles Lupus Assessment Group index 2004) value at baseline and week 4,8,12,16. Each organ system is graded from A to E, A indicate high disease activity while grade E indicate no disease activity now and then. A is assigned 9 points and E is assigned 0 points. | 0 to 16 weeks after treatment |
| Efficacy: Percent of patients' PGA not worsen | Measure percentage of patients whose PGA (Physician Global Assessment) is not worsen (increase LT 0.3 compare to baseline) at week 4,8,12,16. PGA is ranged 0 to 3, score 0 means no disease activity while score 3 means strong disease activity. | 0 to 16 weeks after treatment |
| Percent of patients responded by BILAG-2004 | Measure percentage of patients who responded by BILAG-2004 (no new A grade or NMT 1 new B grade) at week 4,8,12,16. | 0 to 16 weeks after treatment |
| Efficacy: Immunologic parameters | Evaluate the change of immunological parameters. Including of concentration of IgG, IgA, IgM, C3, C4, unit g/L. | 0 day to 24 months after treatment |
| Efficacy: Immunologic parameters (cont) | Evaluate the change of immunological parameters. Including concentration of anti-dsDNA antibody, unit IU/ml. | 0 day to 24 months after treatment |
| 0 day to 24 months after treatment |
| PK characteristics (cont) | Evaluate main PK parameters of ATHENA CAR-T, including AUC0-28d and AUC0-last, both unit are day*CAR+T cell/l. | 0 day to 24 months after treatment |
| PD characteristics | Evaluate change of CD19+ cell number, unit CD19 cell/l, before and after infusion of ATHENA CAR-T. | 0 day to 24 months after treatment |
| PD characteristics (cont) | Evaluate change of serum cytokine level, including but not limited to TNF-alpha and IFN-gamma, unit pg/ml, before and after infusion of ATHENA CAR-T. | 0 day to 24 months after treatment |
| D009588 |
| Nitrogen Mustard Compounds |
| D009150 | Mustard Compounds |
| D006846 | Hydrocarbons, Halogenated |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
| D063088 | Phosphoramides |
| D009943 | Organophosphorus Compounds |