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Discontinue further development of LCAR-AIO program
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This is a prospective, single-arm, open-label, dose-exploration and expansion clinical study of LCAR-AIO in adult subjects with relapsed/refractory autoimmune diseases.
This is a prospective, single-arm, open-label exploratory clinical study to evaluate the safety, tolerability, pharmacokinetics and efficacy profiles of LCAR-AIO, a chimeric antigen receptor (CAR) -T cell therapy in subjects with relapsed/refractory autoimmune diseases. Patients who meet the eligibility criteria will receive LCAR-AIO infusion. The study will include the following sequential stages: screening, apheresis, pre-treatment (cell product preparation: lymphodepleting chemotherapy), treatment (LCAR AIO infusion) and follow-up.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Chimeric antigen receptor T cells (LCAR-AIO) | Experimental | Each subject will be given a single-dose LCAR-AIO cells infusion at each dose level |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| LCAR-AIO T cells | Biological | Before treatment with LCAR-AIO T cells, subjects will receive a conditioning regimen. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K) scores from baseline up to 104 weeks | • The SLEDAI-2K scale is a cumulative and weighted index used to assess disease activity across 24 different disease descriptors in patients with SLE. A total score can fall between 0 and 105, with a higher score representing a more significant degree of disease activity. | Minimum 104 Weeks after LCAR-AIO infusion (Day 1) |
| Change in Birmingham vasculitis activity score (BVAS) from baseline up to 104 weeks | • The BVAS is a cumulative and weighted index used to assess disease activity across 9 organ systems in patients with AAV. A total score can fall between 0 and 64, with a higher score representing a more significant degree of disease activity. | Minimum 104 Weeks after LCAR-AIO infusion (Day 1) |
| Change in modified Rodnan skin score (mRSS) from baseline up to 104 weeks | • The mRSS is a scale used to assess skin thickness and scope of SSc patients by physically evaluating 17 positions. A total score can fall between 0 and 51, with a higher score representing a more significant degree of skin involvement. | Minimum 104 Weeks after LCAR-AIO infusion (Day 1) |
| Change in manual muscle testing (MMT-8) score from baseline up to 104 weeks | • This validated tool assesses muscle strength through muscle testing an abbreviated group of 8 proximal, distal, and axial muscles in IIM patients. A total score can fall between 0 and 150, with a lower score representing a more significant degree of muscle involvement. | Minimum 104 Weeks after LCAR-AIO infusion (Day 1) |
| Change in Physician global assessment (PGA) scores from baseline up to 104 weeks | • The physician will evaluating the global activity of AID patients by placing a vertical line on a 100-mm visual analog scale on which the left-hand boundary represents "no activity", and the right-hand boundary represents "the most severe activity". |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence, severity, and type of treatment-emergent adverse events (TEAEs) | • An adverse event refers to any untoward medical occurrence in a clinical investigation subject administered a pharmaceutical product (investigational or non-investigational), which does not necessarily have a causal relationship with the treatment. | Minimum 104 Weeks after LCAR-AIO infusion (Day 1) |
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Inclusion Criteria:
SLE:
AAV:
SSc:
IIM:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The First Affiliated Hospital of USTC (anhui provincial hospital) | Hefei | China | ||||
| Jiangsu Province Hospital |
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| ID | Term |
|---|---|
| D001327 | Autoimmune Diseases |
| D012008 | Recurrence |
| D008180 | Lupus Erythematosus, Systemic |
| D012595 | Scleroderma, Systemic |
| D056648 | Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis |
| D009220 | Myositis |
| ID | Term |
|---|---|
| D007154 | Immune System Diseases |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| Minimum 104 Weeks after LCAR-AIO infusion (Day 1) |
| Changes from baseline in immunological markers and Immunogenicity (anti-drug antibody) from baseline up to 104 weeks | • Detection of Immunoglobulins, autoantibodies (anti-dsDNA antibody, anti-Smith antibody, etc.) and anti-drug antibody. | Minimum 104 Weeks after LCAR-AIO infusion (Day 1) |
| Incidence of dose-limiting toxicity (DLT) | • DLTs are severe adverse events refers to any untoward medical occurred in a subject participated in a clinical investigation, which have a causal relationship with the treatment and will limit the dose escalation. | 30 days after LCAR-AIO infusion (Day 1) |
| Pharmacokinetics in peripheral blood | • CAR positive T cells levels in peripheral blood after LCAR-AIO infusion. | Minimum 104 Weeks after LCAR-AIO infusion (Day 1) |
| Recommended Dose regimen finding | Recommended Dose regimen established through dose exploratory. | Maximum 104 Weeks after LCAR-AIO infusion (Day 1) |
| Nanjing |
| China |
| The 1st Affiliated Hospital of WHU | Wenzhou | China |
| The Affiliated Hospital of XUZHOU Medical University | Xuzhou | China |
| D003240 | Connective Tissue Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D012871 | Skin Diseases |
| D056647 | Systemic Vasculitis |
| D014657 | Vasculitis |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D017445 | Skin Diseases, Vascular |
| D009135 | Muscular Diseases |
| D009140 | Musculoskeletal Diseases |
| D009468 | Neuromuscular Diseases |
| D009422 | Nervous System Diseases |