The purpose of the study is to explore the safety and efficacy of recombinant CD19xCD3 double antibody (A-319) in active/refractory systemic lupus erythematosus (SLE).
The pathogenic B cells of patients with SLE can produce a large amount of autoantibodies, which will form immune complexes and thereby inducing continuously expanding tissue damage and systemic inflammation. A-319 is a kind of recombinant CD19xCD3 double antibody, it can activate internal T cells to target and kill pathogenic B cells. Clinical trials of A-319 are currently underway in hematological maliganancies concerning B cell abnormality. Preclinical studies have shown the efficacy of A-319 in SLE. The aim of this study is to investigate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD), immunogenicity and preliminary efficacy of A-319 in active/refractory SLE. Patients with active/refractory SLE will be invited to participate in the study, to receive A-319 intravenous infusion or subcutaneous injection and follow-up visits of up to 1 years after enrollment.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
25
A-319 will be dosed according to the assigned group.
Wuhan Union Hospital
Wuhan, Hubei, China
RECRUITINGShanxi Bethune Hospital
Taiyuan, Shanxi, China
RECRUITINGSafety and tolerability
Safety and tolerability will be assessed by incidence and severity of adverse events (AEs) and serious AEs (SAEs)
Time frame: Within 1 year since A-319 infusion
Pharmacokinetics of A-319
Concentration of A-319 in peripheral blood will be evaluated
Time frame: Within 1 month since A-319 infusion
Pharmacodynamics of A-319
Pharmacodynamics will be assessed by levels of cytokines (IL-6, IL-8, IL-10, IFN-γ, TNF-α) in peripheral blood
Time frame: Within 1 month since A-319 infusion
Pharmacodynamics of A-319
Pharmacodynamics will be assessed by levels of lymphocyte subsets in peripheral blood
Time frame: Within 1 month since A-319 infusion
Numbers of Participants with positive antidrug antibodies in peripheral blood
To evaluate immunogenicity of A-319
Time frame: Day 28 and month 3 since A-319 infusion
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