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This is a prospective, single-arm, open-label and dose-escalation Investigator Initialed study to evaluate LUCAR-G79 in adult subjects with relapsed/refractory autoimmune diseases.
This is a prospective, single-arm, open-label clinical study to evaluate the safety, tolerability, pharmacokinetics and efficacy profiles of LUCAR-G79, a chimeric antigen receptor (CAR) -T cell therapy in subjects with relapsed/refractory autoimmune diseases. Patients who meet the eligibility criteria will receive LUCAR-G79 infusion. The study will include the following sequential stages: screening, pre-treatment (lymphodepleting chemotherapy), treatment (LUCAR-G79 infusion) and follow-up.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Chimeric antigen receptor T cells (LUCAR-G79) | Experimental | Each subject will be given a single-dose LUCAR-G79 cells infusion at each dose level. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| LUCAR-G79 T cells | Biological | Prior to infusion of the LUCAR-G79 T cells, subjects will receive a conditioning premedication regimen consisting of cyclophosphamide and fludarabine. |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence, severity, and type of treatment-emergent adverse events (TEAEs) | 2 years after LUCAR-G79 infusion (Day 1) | |
| Incidence of dose-limiting toxicity (DLT) | 2 years after LUCAR-G79 infusion (Day 1) | |
| Pharmacokinetics in peripheral blood | 2 years after LUCAR-G79 infusion (Day 1) | |
| Recommended Dose regimen finding | 2 years after LUCAR-G79 infusion (Day 1) |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K) scores from baseline up to 52 weeks for relapsing/refractory systemic lupus erythematosus (r/r SLE) subjects | 52 weeks after LUCAR-G79 infusion (Day 1) | |
| Change in modified Rodnan skin score (mRSS) from baseline up to 52 weeks for relapsing/refractory systemic sclerosis (r/r SSc) subjects |
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Inclusion Criteria:
SLE:
SSc:
AAV:
IIM:
TAK:
IgG4-RD:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Third The People's Hospital of Bengbu | Bengbu | Anhui | China | |||
| The Affiliated Hospital of Xuzhou Medical University |
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| ID | Term |
|---|---|
| D001327 | Autoimmune Diseases |
| ID | Term |
|---|---|
| D007154 | Immune System Diseases |
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| 52 weeks after LUCAR-G79 infusion (Day 1) |
| Change in Birmingham vasculitis activity score (BVAS) from baseline up to 52 weeks for relapsing/refractory anti-neutrophil cytoplastic antibodies (r/r AAV) subjects | 52 weeks after LUCAR-G79 infusion (Day 1) |
| Change in manual muscle testing (MMT-8) scores from baseline up to 52 weeks for relapsing/refractory idiopathic inflammatory myopathy (r/r IIM) subjects | 52 weeks after LUCAR-G79 infusion (Day 1) |
| Change in Indian Takayasu Activity Score with the Acute-Phase Response (ITAS.A) from baseline up to 52 weeks for relapsing/refractory takayasu arteritis (r/r TAK) subjects | 52 weeks after LUCAR-G79 infusion (Day 1) |
| Change in Immune globulin G4-related diseases Response Index (IgG4-RD RI) from baseline up to 52 weeks for relapsing/refractory Immune globulin G4-related diseases (r/r IgG4-RD) subjects | 52 weeks after LUCAR-G79 infusion (Day 1) |
| Changes from baseline in immunological markers and Immunogenicity (anti-drug antibody) from baseline up to 52 weeks for all subjects | 52 weeks after LUCAR-G79 infusion (Day 1) |
| Xuzhou |
| Jiangsu |
| China |
| The second Affiliated Hospital of Xi'an Jiaotong University | Xi’an | Shanxi | China |