This is a phase I, single arm, non-randomized, open label, treatment study trial to determine the recommended phase II dose of GC012F injection (CD19-BCMA CAR-T cells) in patients with refractory systemic lupus erythematosus.
Systemic lupus erythematosus (SLE) is a kind of autoimmune diseases mediated by autoantibody-forming immune complexes, which involving multiple systems and organs. Autoreactive B cells can self-activate and differentiate into plasma cells releasing large amounts of autoantibodies, while they can also present their own antigens to autoimmune T cells, thus activating T cells and promoting the release of inflammatory factors. Traditional SLE treatment aims at long-term remission, while, CD19- BCMA CAR-T cells can theoretically completely deplete abnormal antibody-producing B cells, allowing immune rebuilding and restoring the patient's normal immune function, achieving drug-free survival, which fully reflects the application prospects of CAR-T therapy in SLE.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
15
Each subject will receive GC012F injection (CD19-BCMA CAR-T cells) once by intravenous infusion on Day 0.
The First Affiliated Hospital,College of Medicine, Zhejiang University
Hangzhou, Zhejiang, China
RECRUITINGThe proportion of subjects with DLT
DLT definition is dose-limiting toxicity
Time frame: Within 28 days after GC012F injection infusion
The proportion of subjects with adverse events
All adverse events were evaluated according to NCI-CTCAE v5.0 criteria
Time frame: Within 12 weeks after GC012F injection infusion
Proportion of subjects achieving SRI-4
SELEAN-SLEDAI,BILAG,PGA
Time frame: 4, 8, 12 and 24 weeks after GC012F injection infusion
Number of CAR-T cells and CAR gene copies in subjects'blood and bone marrow (if applicable)
Test method: flow cytometry and qPCR
Time frame: After GC012F injection infusion [day 4, 7, 10, 14 and week 4, 8, 12, 24]
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