This is a single-center, open-label, exploratory clinical study designed to evaluate the efficacy and safety of IASO207 Injection (in vivo CAR-T) in patients with active refractory systemic lupus erythematosus.
This study is a single-arm, single-center, open-label, first-in-human (FIH) clinical trial designed to preliminarily evaluate the safety and efficacy of IASO207 injection, an in vivo chimeric antigen receptor T-cell (CAR-T) therapy, in patients with active, refractory systemic lupus erythematosus (SLE), and to determine the recommended dose for subsequent clinical development. A standard "3+3" dose-escalation design will be employed during the dose-escalation phase, with three predefined dose levels: 5.0 × 10⁸ TU, 1.0 × 10⁹ TU, and 2.0 × 10⁹ TU. Each dose cohort will enroll 3-6 subjects, with a single administration of IASO207 injection. The primary objective is to assess the safety and tolerability of IASO207 across different dose levels. Secondary and exploratory objectives include the characterization of pharmacokinetics, pharmacodynamics, and immunogenicity, as well as the preliminary evaluation of clinical efficacy in patients with active refractory SLE. The results of this study are expected to inform dose selection and support subsequent clinical trials.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
18
IASO207 is a third-generation replication-deficient self-inactivating lentiviral vector that carries the gene encoding a second-generation anti-human CD19 chimeric antigen receptor (CD19 CAR) containing the 4-1BB co-stimulatory factor. IASO207 has been engineered through surface modification of the lentiviral envelope to enable it to selectively bind and transduce T cells within the body, thereby directly generating CD19 CAR-T cells in vivo.
Peking University People's Hospital
Beijing, China
RECRUITINGSafety endpoint - Adverse Events (AEs)
Incidence and severity of adverse events as assessed by NCI-CTCAE v5.0 (except CRS and ICANS assessed according to the criteria of 2019 ASTCT criteria).
Time frame: up to 2 years from IASO207 Injection infusion
Safety endpoint - The incidence of dose-limiting toxicity (DLT)
Percentage of participants who experienced DLT within 28 days after IASO207 administration
Time frame: 28 days from IASO207 Injection infusion
Efficacy endpoint - Response rate of SRI-4 after infusion
SLE Responder Index (SRI)-4 is defined as follows with all criteria compared with Baseline: 1. ≥ 4-point reduction in Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K) score. 2. No worsening of the overall condition (\< 0.3 point increase in Physician's Global Assessment \[PhGA\]). 3. No new British Isles Lupus Assessment Group (BILAG) A or more than 1 new BILAG B disease activity scores.
Time frame: up to 2 years from IASO207 Injection infusion
Efficacy endpoint - lupus low disease activity state (LLDAS) rate through 2 years after infusion
Proportions of subjects achieving LLDAS at each time point
Time frame: up to 2 years from IASO207 Injection infusion
Efficacy endpoint - Definitions of Remission in SLE (DORIS) rate through 2 years after infusion
Proportions of subjects achieving remission according to the DORIS as assessed by SLEDAI-2K Scale, PhGA score and concomitant medication use
Time frame: up to 2 years from IASO207 Injection infusion
Efficacy endpoint - The changes in SLEDAI-2K scores
At each visit site, the patients were scored using the SLEDAI-2K, and then the changes in scores compared between each visit point and the baseline score were evaluated
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Time frame: up to 2 years from IASO207 Injection infusion
Efficacy endpoint - The changes in PGA scores
At each visit site, the patients were scored using the PGA, and then the changes in scores compared between each visit point and the baseline score were evaluated
Time frame: up to 2 years from IASO207 Injection infusion
Pharmacokinetic Endpoint - Cmax (viral particle)
Maximum concentration (Cmax) of viral particle titer in peripheral blood will be observed and calculated.
Time frame: Up to 7 days from IASO207 Injection infusion
7. Pharmacokinetic Endpoint - Tmax (viral particle)
Peak time (Tmax) of viral particle titer in peripheral blood will be observed and analyzed.
Time frame: Up to 7 days from IASO207 Injection infusion
Pharmacokinetic Endpoint - AUC0-7 (viral particle)
AUC0-7d refers to the area under the concentration-time curve from day 0 to day 7
Time frame: Up to 7 days from IASO207 Injection infusion
Pharmacokinetic Endpoint - Cmax (CAR-T cells)
The maximum concentration (Cmax) of CAR-T cells in peripheral blood after infusion
Time frame: up to 2 years from IASO207 Injection infusion
Pharmacokinetic Endpoint - Tmax (CAR-T cells)
The time for CAR-T cells to reach the maximum concentration (Tmax) after infusion
Time frame: up to 2 years from IASO207 Injection infusion
Pharmacokinetic Endpoint - AUC (CAR-T cells)
Area under the curve of 28 days, 90 days, 180 days, and the last time point of PK measurement (AUC0-28d, AUC0-90d, AUC0-180d, AUC0-last) for CAR-T cells.
Time frame: up to 2 years from IASO207 Injection infusion
Pharmacokinetic Endpoint - Cmax (VCN)
The maximum concentration (Cmax) of lentiviral vector copy number (VCN) in peripheral blood after infusion.
Time frame: up to 2 years from IASO207 Injection infusion
Pharmacokinetic Endpoint - Tmax (VCN)
The time for VCN to reach the maximum concentration (Tmax) after infusion
Time frame: up to 2 years from IASO207 Injection infusion
Pharmacokinetic Endpoint - AUC (VCN)
Area under the curve of 28 days, 90 days, 180 days, and the last time point (AUC0-28d, AUC0-90d, AUC0-180d, AUC0-last) for VCN
Time frame: up to 2 years from IASO207 Injection infusion
Pharmacodynamic Endpoint - Pathogenic antibodies
Changes in serum levels of pathogenic antibodies such as ANA, anti-dsDNA, and anti-Smith.
Time frame: up to 2 years from IASO207 Injection infusion
Pharmacodynamic Endpoint - Complement levels
Changes in measures of C3, C4.
Time frame: up to 2 years from IASO207 Injection infusion
Pharmacodynamic Endpoint - Immune cell subsets
Changes in the levels of Immune cell subsets
Time frame: up to 2 years from IASO207 Injection infusion
Pharmacodynamic Endpoint - Serum immunoglobulin
Changes in serum immunoglobulin (IgG, IgA, IgM) levels from baseline.
Time frame: up to 2 years from IASO207 Injection infusion
Pharmacodynamic Endpoint - CRP
Changes in the levels of CRP
Time frame: up to 2 years from IASO207 Injection infusion
Pharmacodynamic Endpoint - Ferritin
Changes in the levels of Ferritin.
Time frame: up to 2 years from IASO207 Injection infusion
Pharmacodynamic Endpoint - IL-6
Changes in the levels of IL-6.
Time frame: up to 2 years from IASO207 Injection infusion