An Exploratory Clinical Study on the Safety and Efficacy of Anti-CD19/BCMA U CAR-T Cells in the Treatment of Relapsed/Refractory Immune-mediated Kidney Disease

Trial statusRecruiting
Trial phaseEarly Phase 1
Trial typeInterventional
Biological sexAll
Age18-70
SponsorChanghai Hospital

About this trial

A single arm, open-label pilot study is designed to determine the safety and effectiveness of anti-CD19/BCMA U CAR T cell injection (KN3601) in patients with Relapsed/Refractory immune-mediated kidney disease

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age: ≥ 18 years old and ≤ 70 years old, male or female;

2 B cell CD19 positive expression in peripheral blood detected by flow cytometry;

Neutrophil count ≥ 1 x 10^9/L, Hemoglobin ≥60g/L, platelets ≥ 50×109/L,

Liver function: ALT ≤ 3 x ULN,AST≤3 x ULN, TBIL≤1.5 x ULN,

Disqualifiers

Subjects known to have allergic reactions, hypersensitivity, intolerance, or contraindications to CD19/BCMA universal CAR-T or any drug components that may be used in the study (including fludarabine, cyclophosphamide, and tocilizumab), or who have previously experienced severe allergic reactions;

The subject has or is suspected of having uncontrolled or treatable fungal, bacterial, viral, or other infections;

Subjects with central nervous system disorders caused by autoimmune diseases or non-autoimmune diseases (including epilepsy, psychiatric disorders, organic brain syndrome, cerebrovascular accidents, encephalitis, central nervous system vasculitis);

Subjects with more serious heart conditions, such as angina, myocardial infarction, heart failure, and arrhythmias;

Trial design

Design model

Single group

Treatments tested in this trial

  • anti-CD19/BCMA U CAR T

    Biological/Vaccine

    To evaluate the safety and effectiveness of anti-CD19/BCMA CAR T cells (KN3601) in patients with immune nephropathy. All subjects will receive fludarabine/cyclophosphamide lymphodepletion followed by anti-CD19/BCMA U CAR T cells infusion.

Treatment groups

36 Participants
are divided into 1 treatment group
Group A: anti-CD19/BCMA U CAR T cellsExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Incidence of Dose-Limiting Toxicity (DLT)

To characterize the safety of anti-CD19/BCMA U CAR T Cells (KN3601) for Relapsed/Refractory Immune Nephropathy

Time frame
up to 52 weeks after infusion
2

Incidence of Treatment Emergent Adverse Events (TEAEs)

To characterize the safety of anti-CD19/BCMA U CAR T Cells (KN3601) for Relapsed/Refractory Immune Nephropathy

Time frame
up to 52 weeks after infusion

Secondary outcomes

1

The overall response rate (ORR)

To characterize the efficacy of anti-CD19/BCMA U CAR T Cells for Relapsed/Refractory Immune Nephropathy

Time frame
up to 52 weeks after infusion
2

Disease control rate (DCR)

To characterize the efficacy of anti-CD19/BCMA U CAR T Cells for Relapsed/Refractory Immune Nephropathy

Time frame
up to 52 weeks after infusion
3

B cell depletion rate

To characterize the efficacy of anti-CD19/BCMA U CAR T Cells for Relapsed/Refractory Immune Nephropathy

Time frame
up to 52 weeks after infusion
4

B cell reconstitution

To characterize the efficacy of anti-CD19/BCMA U CAR T Cells for Relapsed/Refractory Immune Nephropathy

Time frame
up to 52 weeks after infusion

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Changhai Hospital

Lead sponsor

Rui Therapeutics Co., Ltd

Collaborator