This is an investigator-initiated, open-label, single-arm study to determine safety and preliminary efficacy of NK510 for the treatment of patients with refractory systemic lupus erythematosus (SLE) in China.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
9
NK510 is an allogeneic genetic modification of NK cell. NK510 will be administered at a dose of 4x10\^7 NK/kg, 8x10\^7 NK/kg and 1.2x10\^8 NK/kg by a dose-escalation design and administered IV.
Response rate for SLE response index 4 (SRI4)
SRI4 response defined as a reduction of ≥4 points on SLEDAI-2000, no new domain A scores and no more than 1 new domain B score on BILAG 2004, and no deterioration in PGA (\<0.3 point increase).
Time frame: 3 months, 6 months after the first administration of NK510
Incidence of treatment-related adverse events
This is to measure safety and tolerability of NK510
Time frame: 1 year
Dose-limiting toxicity (DLT) rate
This is to measure the dose-limiting toxicity of NK510
Time frame: 28 days after initial study treatment.
Number of subjects who achieved lupus low disease activity state (LLDAS)
Low lupus disease activity was defined as SLEDAI-2K ≤ 4 points; no major organ system activity, no active hemolytic anemia or gastrointestinal involvement, and no new disease activity manifestations compared with the previous disease assessment; PGA score ≤ 1 point, daily prednisone equivalent dose ≤ 7.5 mg/day, with the permission of using maintenance doses of antimalarials and immunosuppressants (including biological agents).
Time frame: 3 months, 6 months after the first administration of NK510
Number of participants who achieved clinical remission of SLE
Clinical remission of SLE was defined by DORIS SLE remission criteria.
Time frame: 3 months, 6 months after the first administration of NK510
The change of SLEDAI-2000(Systemic lupus erythematosus disease activity index 2000) scores
The change of SLEDAI-2000 score (from 0 to 105 points) will be compared to baseline.
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Time frame: Day 28, 3 months, 6 months after the first administration of NK510
Changes of autoantibody of SLE from baseline
Autoantibody include anti-dsDNA, anti-nuclear antibody, ANA, anti-Sm antibody, and complement C3, C4.
Time frame: Day 14, 3 months, 6 months after the first administration of NK510