Patients with refractory autoimmune diseases often have limited treatment options and ongoing disease activity despite standard therapies. CRT-402 is an in vivo Cluster of differentiation 19 (CD19)-targeted CAR-T cell therapy designed to deplete CD19-positive B cells and promote immune system reset. This study evaluates the safety, tolerability, preliminary efficacy, pharmacodynamics (PD), and pharmacokinetics (PK) of CRT-402 in participants with active refractory systemic lupus erythematosus (SLE), systemic sclerosis (SSc), and idiopathic inflammatory myopathies (IIM).
This is a multicenter, open-label, Phase 1/2, first-in-human, dose escalation and expansion study designed to assess the safety and tolerability, as well as define the recommended Phase 2 dose (RP2D) of CRT-402 in participants with refractory autoimmune disease.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
34
CRT-402 administered by intravenous infusion.
Linear Advanced Clinical Trial Centre, Ground Floor, B Block, Queen Elizabeth II Medical Centre, Hospital Avenue
Nedlands, Western Australia, Australia
Incidence and severity of treatment-emergent adverse events (TEAEs), including serious adverse events (SAEs), and dose-limiting toxicities (DLTs).
Adverse events (AEs) are any new or worsening medical problems that occur after starting the study treatment.
Time frame: Up to 52 weeks
Incidence and severity of cytokine release syndrome (CRS) and immune effector cell-associated neurotoxicity syndrome (ICANS).
cytokine release syndrome (CRS) and immune effector cell-associated neurotoxicity syndrome ICANS will be graded using standard consensus criteria.
Time frame: Up to 52 weeks
Assess emergence of anti-drug antibodies (ADAs)
Serum for anti-drug antibody analysis will be collected at designated visits indicated in the Schedule of Assessments (SOA). Samples will be collected using standard site practices.
Time frame: Up to 52 weeks
Pharmacokinetic parameter: Maximum observed plasma concentration (Cmax)
Time frame: Day 1 through Day 22
Pharmacokinetic parameter: Area under the curve (AUC)
Time frame: Day 1 through Day 22
Pharmacokinetic parameter: Time to Maximum Concentration (tmax)
Time frame: Day 1 through Day 22
Pharmacokinetic parameter: Plasma clearance (CL)
Time frame: Day 1 through Day 22
Pharmacokinetic parameter: Volume of distribution (Vd)
Time frame: Day 1 through Day 22
Pharmacokinetic parameter: Mean Residence Time (MRT)
Time frame: Day 1 through Day 22
Pharmacokinetic parameter: Apparent terminal half-life (t1/2)
Time frame: Day 1 through Day 22
Pharmacokinetic parameter: Terminal elimination rate constant (λz).
Time frame: Day 1 through Day 22
Overall Response Rate (ORR), measured by disease-specific composite response criteria.
Time frame: Week 24
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