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Not yet recruiting NCT07105735

RN1201 Injection for Autoimmune Diseases Refractory to Standard Therapies

Phase I Interventional Autoimmune Diseases Refractory to Standard Therapies

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: allogeneic CAR-T.
Who it may be relevant to
Registry conditions: Autoimmune Diseases Refractory to Standard Therapies. Basic parameters: from 18 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
China
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Official title

An Exploratory Clinical Study on Allogeneic CAR-T Cell (RN1201) Injection for Autoimmune Diseases Refractory to Standard Therapies

Overview

This is a open-label, exploratory trial to evaluate the safety, feasibility, and preliminary efficacy of RN1201, an Allogeneic CAR-T cell therapy, in patients with autoimmune diseases refractory to standard treatment. Eligible patients with moderate to severe activity of diseases will receive a single infusion of RN1201 following lymphodepletion. Primary endpoints include dose-limiting toxicity and treatment-emergent adverse events. Secondary and exploratory endpoints assess clinical response and cell pharmacokinetics.

Interventions

  • Biological allogeneic CAR-T
    Fludarabine injection (30 mg/m2,QD×3d) and cyclophosphamide injection (300 mg/m2,QD×3d)will be used to remove the lymphocyte before RN1201 infusion.

Primary outcome measures

  • The incidence and severity of treatment-emergent adverse events (TEAEs) and dose-limiting toxicities (DLTs) [Time frame: DLTs: Within 28 days after CAR-T cell infusion; TEAEs: From infusion up to 12 months post-treatment.]
Secondary outcome measures (3)
  • Objective Response Rate (ORR), Disease control rate (DCR) [Time frame: Week 4, Month 3, Month 6 and Month 12]
  • Pharmacokinetic (PK) of RN1201 [Time frame: up to 12 months]
  • Pharmacodynamic (PD) of RN1201 [Time frame: up to 12 months]

Eligibility criteria

Inclusion criteria

  • Voluntary signed informed consent demonstrating understanding of the study and willingness/ability to comply with all trial procedures.
  • Age ≥18 years; both sexes eligible.
  • Documented diagnosis of an autoimmune disease for ≥6 months at screening, including but not limited to immune thrombocytopenia (ITP), autoimmune hemolytic anemia (AIHA), systemic lupus erythematosus (SLE), immune-mediated necrotizing myopathy (IMNM), neuromyelitis optica spectrum disorder (NMOSD), multiple sclerosis (MS), myasthenia gravis (MG), etc.
  • Standard-of-care therapy for ≥8 weeks before screening without achieving complete remission or adequate disease control, with stable dose for >2 weeks.
  • Subjects on corticosteroid monotherapy at screening must be receiving ≥7.5 mg/day prednisone (or equivalent).
  • Disease activity score meeting criteria for moderate-to-severe active disease.
  • Adequate bone-marrow reserve, coagulation, cardiopulmonary, hepatic, and renal function.
  • Agreement to use effective contraception for 24 months after study enrollment.

Exclusion criteria

Subjects meeting any of the following cannot be enrolled:

  • Known hypersensitivity, allergy, intolerance, or contraindication to RN1201 or any study drug component (fludarabine, cyclophosphamide, tocilizumab) or history of severe allergic reactions.
  • Severe cardiovascular disease or organ failure.
  • Active or uncontrolled infection requiring IV antibiotics or evidence of severe active infection.
  • Significant bleeding tendency (e.g., Gastrointestinal bleeding, coagulopathy, hypersplenism).
  • Hepatitis C virus, HIV, or syphilis infection.
  • History of epilepsy or severe neurological disorders/pathology not attributable to autoimmune disease.
  • Malignancy within 2 years before screening, except adequately treated carcinoma in situ of skin, cervix, or lung or other non-active tumors.
  • Prior CAR-T therapy or other genetically modified T-cell therapy.
  • Prednisone (or equivalent) ≥100 mg/day for ≥14 days within 4 weeks before screening.
  • Pregnancy, lactation, or planned pregnancy within 2 years.
  • Any condition that, in the investigator's judgment, may increase subject risk or interfere with study results.

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: No

Study design

Allocation
N/A
Model
Single group
Masking
Open label
Primary purpose
Treatment

Study locations

China · 1 center
  • The First Affiliated Hospital with Nanjing Medical University — Nanjing

Identifiers

NCT: NCT07105735 · RN1201-AID

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗