This study is an open-label, multiple ascending dose investigator-initiated trial (IIT) designed to evaluate the safety, tolerability, pharmacokinetics (PK), and preliminary efficacy of CC312 in adult patients with relapsed or refractory autoimmune diseases.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
6
CC312 is administered twice weekly (BIW) on Day 1 and Day 4 of each week for a 4-week treatment period. After Day 28, subsequent dosing (including the decision to continue treatment, dosing frequency, and treatment duration) will be determined based on the subject's clinical response and B-cell depletion status. The maximum planned treatment period is 24 weeks, followed by a follow-up phase.
Deyang People's Hospital
Deyang, Sichuan, China
RECRUITINGDose-limiting toxicity (DLT)
A Dose-Limiting Toxicity (DLT) is defined as any adverse event occurring within the 29-day period following the initiation of CC312 intravenous infusion during the dose-escalation phase, assessed by the investigator as related to CC312 and meeting the following criteria: (1) Hematologic Toxicity: Grade 4 toxicity (excluding lymphopenia) persisting beyond 29 days and not attributable to underlying disease; (2) Non-Hematologic Toxicity: Any ≥Grade 4 toxicity potentially related to CC312 during the observation window, or any Grade 3 toxicity potentially related to CC312 that fails to resolve to ≤Grade 2 within 7 days.
Time frame: 2 years
Adverse events (AE)/serious adverse events (SAE)
With the exception of CRS and ICANS, which will be graded according to the ASTCT criteria, the severity of all other adverse events (AEs) will be assessed and classified using the CTCAE (Common Terminology Criteria for Adverse Events) version 5.0.
Time frame: 2 years
Serum Concentration of CC312
All subjects are required to undergo blood sampling for serum concentration analysis at the following time points: within 1 hour (0 h) before and 1 hour after the infusion of the priming dose; within 1 hour (0 h) before and 1 hour after the infusion of the first and second doses in weeks 1 and 3, and the first dose in weeks 2 and 4 of the treatment phase; and at early termination or end of study (EOS).
Time frame: 2 years
Counts of peripheral B cells
All subjects are required to undergo blood sampling for lymphocyte subset analysis at the following time points: within 1 hour (0 h) before infusion, 1 hour and 24 hours after infusion of the priming dose; within 1 hour (0 h) before infusion, 1 hour and 24 hours after infusion of the first and second doses in weeks 1 and 3 of the treatment phase; within 1 hour (0 h) before the first dose in weeks 2 and 4; during extended dosing after Day 28 (if applicable): within 1 hour before the second weekly dose until the end of the extended dosing period; monthly for 4 consecutive months after the last dose; every 3 months during the long-term follow-up phase; and at early termination or end of study (EOS).
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Time frame: 2 years
Cytokines
All subjects are required to undergo blood sampling for cytokine analysis (IFN-γ、IFN-α、IL-2、IL-6、IL-10、TNF-α) at the following time points: within 1 hour (0 h) before infusion, 1 hour and 24 hours after infusion of the priming dose during the priming phase; within 1 hour (0 h) before infusion, 1 hour and 24 hours after infusion of the first and second doses in weeks 1 and 3 of the treatment dose phase; within 1 hour (0 h) before infusion, 1 hour and 24 hours after infusion of the first dose in weeks 2 and 4 of the treatment dose phase; and at early termination or end of study (EOS).
Time frame: 2 years
Complement
All subjects are required to undergo blood sampling for complement analysis (complements C3 and C4) at the following time points: screening/baseline; within 1 hour (0 h) prior to the priming dose administration; within 1 hour (0 h) prior to the first weekly dose during weeks 1, 2, 3, and 4 of the treatment phase; and at weeks 8, 12, 24, and 48; as well as upon early termination.
Time frame: 2 years
Autoantibody
Autoantibody (antinuclear antibody, anti-double stranded DNA antibody, anti-Smith antibody, and antiphospholipid antibody) testing is required at the following time points: within 1 hour (0 h) prior to the priming dose administration, within 1 hour (0 h) prior to the first treatment dose at week 3, and at Day 28; additional autoantibody assessments will be performed at: within 1 hour (0 h) prior to the priming dose, Day 28, Weeks 8, 12, 24, and 48, and upon early termination, with blood samples collected for analysis.
Time frame: 2 years
Immunogenicity
All subjects are required to undergo blood sampling for immunogenicity (anti-CC312 antibody) analysis at the following time points: within 1 hour (0 h) prior to the priming dose administration; within 1 hour (0 h) prior to the first weekly dose during weeks 1, 2, 3, and 4 of the treatment phase; and at weeks 8, 12, 16, and 24; as well as upon early termination or end of study (EOS). Blood samples shall be collected at the above-specified time points, with backup aliquots retained, and the actual sampling time recorded.
Time frame: 2 years