This study is a single-arm, open-label clinical study designed to evaluate the safety and tolerability of QT-019B in subjects with refractory SLE and to determine the RD. The study has two phases: dose escalation and dose expansion, with a planned enrollment of 18-24 subjects.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
18
The study will begin by enrolling the first subject in Dose A (1×106/kg), followed by a 14-day interval before enrolling the following subjects at this dose level. Upon completing the DLT observation period for Dose Group A: 1) if no DLTs are observed, the SRC may choose to proceed to Dose Group B (3×106/kg). 2) if one DLT is noted, the SRC may opt to add 3 more subjects to Dose A, and if a second DLT occurs, the SRC may consider ending the study or reducing the dose. 3) if two DLTs are observed at Dose A, the SRC may decide to terminate the study or reduce the dose.
The First Affiliated Hospital of Ustc Anhui Provincial Hospital
Hefei, Anhui, China
RECRUITINGUnion Hospital, Tongji Medical College, Huazhong University of Science and Technology
Wuhan, Hubei, China
RECRUITINGPeking Union Medical College Hospital
Beijing, China
RECRUITINGNumber of Subjects With Dose-Limiting Toxicities (DLTs)
A Dose-Limiting Toxicity (DLT) is defined as a specific set of severe (Grade 3 or higher) treatment-related toxicities (including hematological and non-hematological toxicities) that occur during the DLT observation period. DLTs will be graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0. This measure is used to determine the Recommended Dose (RD).
Time frame: Within 28 days following QT-019B administration.
Number of Subjects with Adverse Events (AEs)
This includes the frequency and severity of Treatment-Emergent Adverse Events (TEAEs), Treatment-Related Adverse Events (TRAEs), and Serious Adverse Events (SAEs). Severity will be assessed using NCI-CTCAE v5.0. This includes systemic toxicities and cell-therapy-specific events such as Cytokine Release Syndrome (CRS) and Immune Effector Cell-Associated Neurotoxicity Syndrome (ICANS).
Time frame: From QT-019B administration through Day 28 (Acute Safety Period).
Change from Baseline in Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2000) Score.
The Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2000) is a validated clinical instrument used to assess disease activity in SLE. The scale ranges from a minimum score of 0 to a maximum score of 105. Higher scores indicate a worse outcome (greater disease activity).
Time frame: Day 28, 60, 90, 180, 270, 360, 450, 540, 630, and 730.
Change from Baseline in Physician's Global Assessment (PGA) Score
The Physician Global Assessment (PGA) is a visual analog scale used by the investigator to rate the patient's overall disease activity. The scale ranges from a minimum of 0 (no disease activity) to a maximum of 3 (severe disease activity). Higher scores indicate a worse outcome.
Time frame: Day 28, 60, 90, 180, 270, 360, 450, 540, 630, and 730.
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Change from Baseline in British Isles Lupus Assessment Group 2004 (BILAG-2004) Index.
The British Isles Lupus Assessment Group 2004 (BILAG-2004) index measures disease activity across 9 organ systems. For the purpose of numerical analysis, category scores (A-E) are often converted to a total numerical score. The scale ranges from a minimum of 0 to a maximum of 72. Higher scores indicate a worse outcome (higher disease activity).
Time frame: Day 28, 60, 90, 180, 270, 360, 450, 540, 630, and 730
Peak Concentration (Cmax) of QT-019B in Peripheral Blood
The maximum observed concentration of QT-019B (CAR-transgene copies) in peripheral blood measured via qPCR/ddPCR after administration. This represents the peak expansion of the cell product.
Time frame: From Day 0 through Day 28 post-administration.
Area Under the Concentration-Time Curve (AUC 0-28d) of QT-019B
The total systemic exposure of QT-019B in peripheral blood over the first 28 days post-infusion, calculated using the linear trapezoidal rule.
Time frame: From Day 0 through Day 28 post-administration.
Time to Reach Peak Concentration (Tmax) of QT-019B
The time (in days) from the start of QT-019B infusion to the observation of the maximum concentration (Cmax) in peripheral blood.
Time frame: From Day 0 through Day 28 post-administration.