This study is a single arm, open label, exploratory dose escalation clinical study to evaluate the safety, efficacy, and cellular metabolic dynamics of ct1195e cells in patients with SSc. The study was divided into dose escalation phase and dose expansion phase.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
12
CT1195E cells infusion
Wuhan Union Hospita
Wuhan, Hubei, China
RECRUITINGThe maximum tolerable dose (MTD) and / or dose range of CT1195E were evaluated
CT1195E MTD and/or dose range
Time frame: After medication to day 28
severity of dose limiting toxicity (DLT)
Time frame: Within 28 days after infusion
severity of adverse events (AES)
Time frame: Within 180 days after infusion
Incidence of adverse events (AES)
Time frame: Within 180 days after infusion
Incidence of dose limiting toxicity (DLT)
Time frame: Within 28 days after infusion
Changes of systemic sclerosis comprehensive response index score (acr-criss) from baseline
The score range of the comprehensive response index for systemic sclerosis (acr-criss) is usually 0 to 100, where 0 represents the lowest disease activity and burden, and 100 represents the highest. The higher the score, the higher the disease activity, severity of skin involvement or overall disease burden of systemic sclerosis.
Time frame: 2 months and other time points after medication (the 1st, 3st, 6th, 9th and 12th months)
Changes from baseline in scleroderma clinical trials Association injury index (sctc-di)
The minimum value of scleroderma clinical trials Association injury index (sctc-di) is 0 and the maximum value is 42. The higher the score, the more serious the organ damage, that is, the worse the result.
Time frame: 2 months and other time points after medication (the 1st, 3st, 6th, 9th and 12th months)
Changes from baseline in modified Rodnan skin scale (MRSS)
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
The minimum value of the modified Rodnan skin scale (MRSS) is 0 points, and the maximum value is 57 points. The higher the score, the more severe the degree of skin sclerosis, that is, the worse the result. MRSS quantifies the skin involvement of systemic sclerosis by evaluating the skin hardness of 19 parts of the body. 0 points represent normal skin and 3 points represent severe thickening. The higher the total score, the more extensive and severe skin fibrosis, which is associated with disease activity and poor prognosis.
Time frame: 2 months and other time points after medication (the 1st, 3st, 6th, 9th and 12th months)
Changes in lung function (FVC) from baseline
The normal value of FVC in healthy adults usually ranges from 3 to 5 liters, and the specific value varies according to age, sex, height, race and other factors. Higher FVC values usually indicate better lung function, because higher FVC means greater lung volume and stronger respiratory muscle strength.
Time frame: 2 months and other time points after medication (the 1st, 3st, 6th, 9th and 12th months)
Changes from baseline in left ventricular ejection fraction (LVEF) by cardiac function tests
Time frame: 2 months and other time points after medication (the 1st, 3st, 6th, 9th and 12th months)
Changes of joint disease activity score (DAS-28) (if joint involvement) from baseline
The minimum value of joint disease activity score (DAS-28) is 0 and the maximum value is 10. The higher the score, the higher the disease activity, that is, the worse the result, because the score is used to measure the activity of joint inflammation, and the increase of the score reflects the enhanced disease activity.
Time frame: 2 months and other time points after medication (the 1st, 3st, 6th, 9th and 12th months)
Changes of inflammation related indicators (CRP or ESR) from baseline
Time frame: 2 months and other time points after medication (the 1st, 3st, 6th, 9th and 12th months)
SSC specific antibodies (changes in anti-Scl-70 antibody levels from baseline
Time frame: 2 months and other time points after medication (the 1st, 3st, 6th, 9th and 12th months)
Changes of anti RNA polymerase III antibody [rp155, rp11] levels from baseline
Time frame: 2 months and other time points after medication (the 1st, 3st, 6th, 9th and 12th months)
Immune related autoantibodies (antinuclear antibody ANA) levels and changes from baseline
Time frame: 2 months and other time points after medication (the 1st, 3st, 6th, 9th and 12th months)
Proportion of patients without other SSC therapies after medication
Time frame: 2 months and other time points after medication (the 1st, 3st, 6th, 9th and 12th months)
Vascular lesions were assessed by nailfold capillary microscopy after medication
Time frame: 2 months and other time points after medication (the 1st, 3st, 6th, 9th and 12th months)
Skin elasticity was assessed by skin ultrasound after medication
Time frame: 2 months and other time points after medication (the 1st, 3st, 6th, 9th and 12th months)
Changes of chest HRCT in study participants after medication evaluation
Time frame: 2 months and other time points after medication (the 1st, 3st, 6th, 9th and 12th months)
Change from baseline in the post medication Health Assessment Questionnaire Disability Index (HAQ-DI)
The score range of the Health Assessment Questionnaire Disability Index (HAQ-DI) is usually 0 to 3, where 0 represents no disability or functional integrity, and 3 represents severe disability or inability to complete activities. The higher the score, the worse the patient's functional status, because HAQ-DI quantifies the degree of disability by evaluating the ability of daily activities, for example, the increased score in items such as dressing and walking reflects the increased difficulty.
Time frame: 2 months and other time points after medication (the 1st, 3st, 6th, 9th and 12th months)
The level of CT1195e transgene copy number in blood
Time frame: Within 1 year after CAR-T cell infusion
Changes of B cell functional subsets (initial B cells, memory B cells, plasma cells) after ct1195E infusion
Time frame: Within 1 year after CAR-T cell infusion
Duration of ct1195e transgene copy number in blood
Time frame: Within 1 year after CAR-T cell infusion