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NCT Number: NCT06694298

A Study of SYS6020 Injection in Refractory Active Systemic Lupus Erythematosus

This study aimed to observe the safety and tolerability of SYS6020 in adult participants with refractory active systemic lupus erythematosus, determine the recommended dose (RD) that may be explored for subsequent studies, and preliminly evaluate the clinical efficacy of this product,and explore the pharmacokinetics and immunogenicity of SYS6020 injection in those participants.

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Key information

Age range

18 year–70 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 1. Age ≥18 years old, ≤70 years old;
  • 2. SLE is diagnosed according to SLICC 2012 or EULAR/ACR 2019 revised criteria.
  • 3. Patients are required to have received glucocorticoid combined with immunosuppressive agents and/or biological agents for more than 3 months, with a stable dose for more than 2 weeks, and the disease is still in an active state.
  • 4. Antinuclear antibody, anti-ds-DNA antibody and/or anti-Smith antibody are positive.
  • 5. SLEDAI-2K score≥7.
  • 6. BILAG2004 meets one of the following two criteria:a)BILAG grade A is defined as ≥1 organ system;b)BILAG grade B is defined as ≥2 organ systems
  • 7. PGA > 1.0;

Exclusion criteria

  • 1. Severe lupus nephritis within 8 weeks before screening;
  • 2. SLE or non-SLE-related central nervous system disease or lesion within 8 weeks before screening;
  • 3. uncontrolled lupus crisis within 8 weeks before screening;
  • 4. clinically significant central nervous system diseases or pathological changes other than lupus before screening;
  • 5. vasculitis or inflammatory arthritis or skin disease other than SLE or at screening;
  • 6. complicated with other autoimmune diseases;
  • 7. A B-cell-targeting agent have been used or is planned to be used within 8 weeks before screening,
  • 8. received Renal Replacement Therapy(RRT)within 3 months before the screening period or anticipates the need for RRT during the study period;
  • 9. participants who will undergo major surgery or invasive intervention within 4 weeks prior to apheresis or plan for systemic or local tumor resection during the study period;
  • 10. participants with a known allergy, hypersensitivity, intolerance, or contraindications to SYS6020 or any component of the drugs that may be used in the study,
  • 11. active bacterial, fungal, or viral infection within 2 weeks before apheresis;

Treatment and study plan

SYS6020

Drug

BCMA Chimeric Antigen Receptor T Cell(SYS6020)Injection Intravenous infusion

Other names: BCMA Chimeric Antigen Receptor T Cell(SYS6020)Injection

Primary outcomes

  1. The frequency and nature of DLT and the incidence of all adverse events and serious adverse events

    Time frame: 28 days after infusion

    Assess safety and tolerability of SYS6020 in patients with systemic lupus erythematosus

  2. recommended dose (RD)

    Time frame: 6 Months

    recommended dose (RD)

  3. Proportion of participants who achieved systemic lupus erythematosus remission (DORIS).

    Time frame: 6 Months

    Proportion of participants who achieved systemic lupus erythematosus remission (DORIS) at 6 months.

Secondary outcomes

  1. Proportion of participants who achieved systemic lupus erythematosus remission (DORIS)

    Time frame: 12 weeks

    Proportion of participants who achieved systemic lupus erythematosus remission (DORIS)

  2. Proportion of participants with complete reduction of hormone dose

    Time frame: 6 Months

    Proportion of participants with complete reduction of hormone dose

  3. Proportion of participants taking ≤5mg/ day of hormone

    Time frame: 6 Months

    Proportion of participants taking ≤5mg/ day of hormone

  4. Proportion of participants achieving low disease activity status (LLDAS)

    Time frame: 12weeks、6 Months

    Proportion of participants achieving low disease activity status (LLDAS)

  5. Absolute and percentage changes from baseline in SLEDA1-2K, BILAG-2004 and PGA scores

    Time frame: 6 Months

    Absolute and percentage changes from baseline in SLEDA1-2K, BILAG-2004 and PGA scores

  6. Changes from baseline in antinuclear antibody, anti-ds-DNA antibody, anti-Smith antibody, C3, C4, and 24-hour urinary protein

    Time frame: 6 Months

    Changes from baseline in antinuclear antibody, anti-ds-DNA antibody, anti-Smith

  7. Changes of immunoglobulin (IgG, IgM, IgA, IgE) from baseline

    Time frame: 6 Months

    Changes of immunoglobulin (IgG, IgM, IgA, IgE) from baseline

  8. Change from baseline in SF-36

    Time frame: 6 Months

    Change from baseline in SF-36

  9. BCMA CAR+ gene copy numberCAR gene copies

    Time frame: 6 Months

    BCMA CAR+ gene copy numberCAR gene copies

  10. Number of CAR+ cells

    Time frame: 6 Months

    Number of CAR+ cells

  11. Incidence of all adverse events and serious adverse events

    Time frame: 6 Months

    Incidence of all adverse events and serious adverse events

Sponsors and collaborators

Lead sponsor

CSPC ZhongQi Pharmaceutical Technology Co., Ltd.

Industry

Registry information

Official study title

A Phase I Clinical Study of BCMA Chimeric Antigen Receptor T Cell(SYS6020)Injection in Refractory Active Systemic Lupus Erythematosus Patients

Important dates

Study start
2024
Primary completion
2029
Study completion
2029
First posted
Nov 19, 2024
Registry last updated
Nov 19, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.