The goal of this clinical trial is to learn about the safety, pharmacokinetics and pharmacodynamics profile of KN5501 cell injection in adults with systemic lupus erythematosus(SLE). It will also learn if KN5501 cell injection works to treat refractory SLE. The main questions it aims to answer are: 1. Is KN5501 cell injection safe in adults with SLE? And the maximum tolerated dose? 2. Does KN5501 cell injection lower the disease activity of SLE in adults with refractory SLE? Participants will: Receive one or multiple (3 to 5 times) intravenous infusion of KN5501 cell injection at inpatient ward after lymphodepletion. Visit the clinic at predefined frequency (from 1 week interval to 12-16 weeks' interval) for checkups and tests.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
36
In Part 1(SAD), six different doses will be explored to establish maximum tolerated dose for single-dose setting; In part 2(MAD and expansion), about 2-4 multiple-dose dosing regimen will be explored, and cohorts of 1-2 dosing regimen will be selected to expand.
Bengbu Medical College First Affiliated Hospital
Bengbu, Anhui, China
Peking Union Medical College Hospital
Beijing, Beijing Municipality, China
The First Affiliated Hospital of Henan University of Science and Technology
Luoyang, Henan, China
Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
Wuhan, Hubei, China
Jiangsu Provincial People's Hospital
Nanjing, Jiangsu, China
Changhai Hospital of Shanghai
Shanghai, Shanghai Municipality, China
Dose Limiting Toxicity
Time frame: from the first dose to 2 weeks (SAD) or 4 weeks (MAD)
Number of participants with adverse events
Number of participants with adverse events(including abnormal physical examinations(PE), abnormal vital signs, abnormal laboratory test results and abnormal 12-ECG readings
Time frame: from enrollment to the last assessment at 52 weeks
Time to Peak Plasma Concentration (Tmax)
Time frame: from the first dose to 4 weeks.
Peak Plasma Concentration (Cmax)
Time frame: from the first dose to 4 weeks
Area under the plasma concentration versus time curve (AUC)
Time frame: from the first dose to 4 weeks.
Duration of retention
Time frame: from the first dose to 4 weeks
Number of CD19+ B cells per microlitre in peripheral blood (PD biomarker)
Time frame: from enrollment to the last assessment at 52 weeks
Concentration of cytokines (IL-6, etc.) in peripheral blood (PD biomarker)
Time frame: from enrollment to the last assessment at 52 weeks
Concentration of immunoglobulins (IgG, IgM, IgE and IgA) in peripheral blood (PD biomarker)
Time frame: from enrollment to the last assessment at 52 weeks
Concentration of serum complements (PD biomarker)
Time frame: from enrollment to the last assessment at 52 weeks
Number or percentage of B cell subsets in peripheral blood (PD biomarker)
Time frame: from enrollment to the last assessment at 52 weeks
Response rate of DORIS 2021(The 2021 Definitions Of Remission In SLE)
Time frame: from enrollment to the last assessment at 52 weeks
Response rate of LLDAS (Lupus Low Disease Activity Status)
Time frame: from enrollment to the last assessment at 52 weeks
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