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NCT Number: NCT06561009

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

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.

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Key information

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • 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.

Exclusion criteria

  • 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.

Treatment and study plan

Anti-BAFFR CART

Drug

Anti-BAFFR CART

Primary outcomes

  1. Incidence of dose-limiting toxicity (DLT)

    Time frame: Up to 28 days

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

  2. Incidence and severity of adverse events

    Time frame: 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.

Secondary outcomes

  1. Proportion of BAFFR CART cells in peripheral blood

    Time frame: Up to 1 years

    The proportion of BAFFR CART cells in peripheral blood will be detected after infusion.

  2. Annualized relapse rate (ARR)

    Time frame: Up to 1 years

    ARR is defined as the number of attacks divided by the total participant-years after infusion.

  3. Changes of B cell levels in bone marrow and peripheral blood

    Time frame: Up to 1 years

    The changes of B cell levels in bone marrow and peripheral blood after BAFFR CART infusion.

  4. Changes of AQP4 antibody titers

    Time frame: Up to 1 years

    Changes of AQP4 antibody titers from baseline over 1 year after BAFFR CART infusion.

  5. Changes of cytokine in peripheral blood

    Time frame: Up to 1 years

    Changes of cytokine(including IL-6, IFN-γ, TNF-α, and serum BAFF) in peripheral blood from baseline over 1 year after BAFFR CART infusion.

  6. Changes of Expanded Disability Status Scale (EDSS) score

    Time frame: Up to 1 years

    Participant will be considered to have a worsening in overall EDSS score of at least 2 if baseline EDSS score was 0, or at least 1 point if baseline EDSS score is 1 to 5, or at least 0.5 point if baseline EDSS score is 5.5 or more.

  7. Changes of visual acuity

    Time frame: Up to 1 years

    Corrected visual acuity is determine by Snellen E chart held at a distance of 5 meters.

  8. Accumulated total active MRI lesions

    Time frame: Up to 1 years

    The changes of T2 lesions and/or enhancing T1 Lesions as detected by brain Magnetic Resonance Imaging (MRI).

Sponsors and collaborators

Lead sponsor

Tianjin Medical University General Hospital

Other

Registry information

Important dates

Study start
2025
Primary completion
2027
Study completion
2028
First posted
Aug 19, 2024
Registry last updated
May 30, 2025

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.

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