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临床试验/NCT06561009
NCT06561009尚未招募1 期

Safety and Efficacy of BAFFR CART for Relapsed/ Refractory Neuromyelitis Optica Spectrum Disorder

Tianjin Medical University General Hospital0 个研究点目标入组 20 人开始时间: 2025年12月1日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
1 期
状态
尚未招募
入组人数
20
主要终点
Incidence of dose-limiting toxicity (DLT)

研究概览

简要总结

This is an open-label, single-arm, dose-escalation study in up to 20 participants with relapsed/refractory Neuromyelitis Optica Spectrum Disorders (NMOSD). The aim is to evaluate the safety and efficacy of the treatment with BAFFR CART.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 60 Years(Adult)
性别
All
接受健康志愿者

入选标准

  • Male or female subjects aged 18-60 years;
  • Patients must be diagnosed as AQP4-IgG-positive NMOSD;
  • At least one immunosuppressant has been used for over a year with poorly controlled symptoms;
  • Clinical evidence of at least two relapses in the last 12 months or three relapses in the last 24 months and one relapse in the preceding 12 months before screening.
  • Subjects and their partners must be willing to use effective and reliable methods of contraception, devices or medicines, within one year before BAFFR CART cells infusion.
  • Subjects must provide written informed consent before the study begins and comply with the requirements of the study protocol.

排除标准

  • Subjects have received B cell deletion treatment within 6 months before screening;
  • Chronic and active hepatitis B (HBV), hepatitis C (HCV), Human Immunodeficiency Virus (HIV) infection, CMV or syphilis infections concurrently.
  • Subjects with Papovaviruses infection.
  • Subjects have received live attenuated vaccine vaccination within 8 weeks before screening; or plan to receive live vaccine vaccination within 8 weeks after treatment;
  • History of psychoactive drug abuse and failed to withdraw, or have a history of psychiatric disorders.
  • Pregnant or lactating women.
  • Subjects with severe heart, liver, kidney or bone marrow function disorder.
  • Allergic constitution or a history of severe allergies.
  • Subjects with conditions adjudicated by the investigator as unsuitable for lymphodepletion or cell infusion.

研究组 & 干预措施

Participant Group

Experimental

BAFFR CART cells

干预措施: Anti-BAFFR CART (Drug)

结局指标

主要结局

Incidence of dose-limiting toxicity (DLT)

时间窗: Up to 28 days

Incidence of dose-limiting toxicity (DLT) will be evaluated within the first 28 days following BAFFR CART cells infusion.

Incidence and severity of adverse events

时间窗: Up to 28 days

Adverse events will be evaluated following the chemotherapy preparative regimen and infusion of BAFFR CART cells within the first 28 days.

次要结局

  • Changes of visual acuity(Up to 1 years)
  • Accumulated total active MRI lesions(Up to 1 years)
  • Proportion of BAFFR CART cells in peripheral blood(Up to 1 years)
  • Annualized relapse rate (ARR)(Up to 1 years)
  • Changes of B cell levels in bone marrow and peripheral blood(Up to 1 years)
  • Changes of AQP4 antibody titers(Up to 1 years)
  • Changes of cytokine in peripheral blood(Up to 1 years)
  • Changes of Expanded Disability Status Scale (EDSS) score(Up to 1 years)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Qiang Liu

Department of Neurology

Tianjin Medical University General Hospital

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