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
The priming dose of CC312 will be administered intravenously on Day -3, followed by safety and tolerability evaluations on Day -1 (3 days post-first dose). The first therapeutic dose of CC312 will be administered on Day 1, with subsequent doses administered on Day 4, 8, and 11. Corresponding safety and tolerability assessments will be performed with each dose. Based on the evaluation of clinical efficacy, B-cell depletion, and safety/tolerability profile at the end of Day 14, the dose for the subsequent therapeutic dosing will be determined (maintained or escalated). Thereafter, therapeutic dosing will be administered on Days 15, 18, 22, and 25, accompanied by scheduled safety and tolerability assessments.
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 before the guide dose (0 h) and 1 hour after infusion; for the treatment dose, within 1 hour before administration (0 h) and 1 hour after infusion on the first and second dosing occasions of the first and third treatment weeks, within 1 hour before administration (0 h) and 1 hour after infusion on the first dosing occasion of the second and fourth treatment weeks; and at early withdrawal/end of study (EOS).
Time frame: 2 years
Counts of peripheral B cells
All subjects are required to undergo blood sampling for peripheral B cells analysis at the following time points:within 1 hour before the priming dose (0 h), and 1 hour and 24 hours after infusion; for the treatment dose, within 1 hour before administration (0 h) and 1 hour and 24 hours after infusion on the first and second dosing occasions of Weeks 1 and 3, within 1 hour before administration (0 h) on the first dosing occasions of Week 2 and Week 4; if dosing is extended beyond Day 28, within 1 hour before the second weekly dose until the end of the extended dosing period; after the last dose, once monthly for 4 consecutive months; during the long-term follow-up period, once every 3 months; and at early withdrawal/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 before the priming dose (0 h), and 1 hour and 24 hours after infusion; for the treatment dose, within 1 hour before administration (0 h) and 1 hour and 24 hours after infusion on the first and second dosing occasions of Weeks 1 and 3; within 1 hour before administration (0 h) and 1 hour and 24 hours after infusion on the first dosing occasion of Weeks 2 and 4; and at early withdrawal/EOS.
Time frame: 2 years
Complement
Blood samples for complement analysis will be collected from all subjects at the following time points: Screening/Baseline, within 1 hour before the priming dose (0 h); for the treatment dose, within 1 hour before the first weekly administration at Weeks 1, 2, 3, and 4, and at Weeks 8, 12, 24, and 48, as well as at early withdrawal.
Time frame: 2 years
Autoantibody
For patients with systemic lupus erythematosus, anti-double-stranded DNA antibody (anti-dsDNA) shall be tested at the following time points: within 1 hour before the priming dose (0 h), within 1 hour before the first treatment dose at Week 3, and on Day 28. Other autoantibodies shall be tested at the following time points: within 1 hour before the priming dose (0 h), on Day 28, and at Weeks 8, 12, 24, 48, as well as at early withdrawal.
Time frame: 2 years
Immunogenicity
Blood samples for immunogenicity analysis will be collected from all subjects at the following time points: within 1 hour before the priming dose (0 h), and within 1 hour before the first weekly treatment dose at Weeks 1, 2, 3, and 4; as well as at Weeks 8, 12, 16, and 24, and at early withdrawal or end of study (EOS).
Time frame: 2 years
SLE Responder Index-4 (SRI-4) response rate
SLE Responder Index-4 (SRI-4) response rate will be assessed at the following time points: during the screening period, at baseline (prior to the first dose), at the end of Week 2 and Week 4, at safety follow-up visits, and at the end of study (EOS). Additionally, during the post-treatment follow-up period, assessments will be conducted every 12 weeks (i.e., at Weeks 12, 24, 36, and 48, respectively).
Time frame: 2 years
Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K) score
SLEDAI-2K score will be assessed at the following time points: during the screening period, at baseline (prior to the first dose), at the end of Week 2 and Week 4, at safety follow-up visits, and at the end of study (EOS). Additionally, during the post-treatment follow-up period, assessments will be conducted every 12 weeks (i.e., at Weeks 12, 24, 36, and 48, respectively).
Time frame: 2 years
British Isles Lupus Assessment Group Index 2004 (BILAG-2004)
BILAG-2004 (for SLE patients) will be assessed at the following time points: during the screening period, at baseline (prior to the first dose), at the end of Week 2 and Week 4, at safety follow-up visits, and at the end of study (EOS). Additionally, during the post-treatment follow-up period, assessments will be conducted every 12 weeks (i.e., at Weeks 12, 24, 36, and 48, respectively).
Time frame: 2 years
24-hour urinary protein quantification
24-hour urinary protein quantification (for SLE patients) will be assessed at the following time points: during the screening period, at baseline (prior to the first dose), at the end of Week 2 and Week 4, at safety follow-up visits, and at the end of study (EOS). Additionally, during the post-treatment follow-up period, assessments will be conducted every 12 weeks (i.e., at Weeks 12, 24, 36, and 48, respectively).
Time frame: 2 years
Physician's and Patient's Global Assessment of disease activity (PGA and PtGA)
PGA and PtGA (for SLE patients) will be assessed at the following time points: during the screening period, at baseline (prior to the first dose), at the end of Week 2 and Week 4, at safety follow-up visits, and at the end of study (EOS). Additionally, during the post-treatment follow-up period, assessments will be conducted every 12 weeks (i.e., at Weeks 12, 24, 36, and 48, respectively).
Time frame: 2 years
Total Improvement Score (TIS)
TIS (for IIM patients) will be assessed at the following time points: during the screening period, at baseline (prior to the first dose), at the end of Week 2 and Week 4, at safety follow-up visits, and at the end of study (EOS). Additionally, during the post-treatment follow-up period, assessments will be conducted every 12 weeks (i.e., at Weeks 12, 24, 36, and 48, respectively).
Time frame: 2 years
EUSTAR Activity Index (EUSTAR-AI)
EUSTAR-AI (for SSc patients) will be assessed at the following time points: during the screening period, at baseline (prior to the first dose), at the end of Week 2 and Week 4, at safety follow-up visits, and at the end of study (EOS). Additionally, during the post-treatment follow-up period, assessments will be conducted every 12 weeks (i.e., at Weeks 12, 24, 36, and 48, respectively).
Time frame: 2 years
modified Rodnan Skin Score (mRSS)
mRSS (for SSc patients) will be assessed at the following time points: during the screening period, at baseline (prior to the first dose), at the end of Week 2 and Week 4, at safety follow-up visits, and at the end of study (EOS). Additionally, during the post-treatment follow-up period, assessments will be conducted every 12 weeks (i.e., at Weeks 12, 24, 36, and 48, respectively).
Time frame: 2 years