A Study of LUCAR-DKS1 in Subjects With Relapsed/Refractory Autoimmune Diseases

NCT ID: NCT07095075

Last Updated: 2025-12-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

EARLY_PHASE1

Total Enrollment

36 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-10-14

Study Completion Date

2029-12-31

Brief Summary

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This is a prospective, single-arm, open-label and dose-escalation Investigator Initialed study to evaluate LUCAR-DKS1 in adult subjects with relapsed/refractory autoimmune diseases.

Detailed Description

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This is a prospective, single-arm, open-label clinical study to evaluate the safety, tolerability, pharmacokinetics and efficacy profiles of LUCAR-DKS1, a chimeric antigen receptor (CAR) -NK cell therapy in subjects with relapsed/refractory autoimmune diseases. Patients who meet the eligibility criteria will receive LUCAR-DKS1 infusion. The study will include the following sequential stages: screening, pre-treatment (lymphodepleting chemotherapy), treatment LUCAR-DKS1 infusion) and follow-up.

Conditions

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Relapsed/Refractory Autoimmune Diseases

Study Design

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Allocation Method

NA

Intervention Model

SEQUENTIAL

This study is a dose exploration study that employs an accelerated titration design combined with BF-BOIN, planned to investigate 5 dose groups. Dose Level1 (25×10\^6 cells/kg) and Level 2(50×10\^6 cells/kg)belong to the accelerated titration method for dose assessment, three dosage levels of 100×10\^6 cells/kg, 200×10\^6 cells/kg, and 400×10\^6 cells/kg are assessed using the BOIN dose escalation and de-escalation rules.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Chimeric antigen receptor NK cells (LUCAR-DKS1), single-dose for each subject.

Experimental: chimeric antigen receptor NK cells (LUCAR-DKS1). Dose level1:25 millions /kg Dose level2:50 millions /kg Dose level3:100 millions /kg Dose level4:200 millions /kg Dose level5:400 millions /kg Totally 5 dose groups, each subject will be given a single-dose LUCAR-DKS1 cells infusion at a certain level, subject will be administered at day 1.

Group Type EXPERIMENTAL

LUCAR-DKS1 NK cells

Intervention Type BIOLOGICAL

Prior to the infusion of the LUCAR-DKS1 cells, subjects will receive a conditioning premedication regimen consisting of cyclophosphamide and fludarabine.

Interventions

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LUCAR-DKS1 NK cells

Prior to the infusion of the LUCAR-DKS1 cells, subjects will receive a conditioning premedication regimen consisting of cyclophosphamide and fludarabine.

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

1. Subjects voluntary agreement to provide written informed consent.
2. Aged 18 to 70 years, either sex.
3. Clinical laboratory values meet screening criteria.
4. Positive test for CD19 and/ or BCMA

SLE:

* Meets at least 1 classification criteria≥6 months for SLE.
* At screening, antinuclear antibody, and/or anti-dsDNA antibody, and/or anti-Smith antibody should be positive.
* Fulfill relapsed/refractory SLE conditions.

AAV:

* Meets the 2022 ACR/EULAR classification criteria for AAV.
* Positive test for anti-MPO or p-ANCA or anti-PR3 or anti-MPO antibodies at screening.
* Fulfill relapsed/refractory AAV conditions.

SSc:

* Meets the 2013 ACR/EULAR classification criteria for SSc.
* At screening, mRSS is higher than 10.
* Fulfill relapsed/refractory SSc conditions.

IIM:

* Meets 2017 EULAR/ACR classification criteria for IIM.
* Positive test for myositis-associated antibodies or myositis-specific antibodies at screening.
* Fulfill relapsed/refractory IIM conditions. SjS:
* Meets the 2016 ACR/EULAR diagnostic criteria for SjS.
* Positive test for anti-SSA and/or anti-SSB antibodies at screening.
* Fulfill relapsed/refractory SjS conditions.

Exclusion Criteria

1. Active infections such as hepatitis and tuberculosis.
2. Other autoimmune diseases.
3. Serious underlying diseases such as tumor, uncontrolled diabetes.
4. Female subjects who were pregnant, breastfeeding.
5. Those with a history of major organ transplantation.
6. Have received autologous cell therapy of any target before.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Nanjing Legend Biotech Co.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Wenfeng Tan Principal Investigator

Role: PRINCIPAL_INVESTIGATOR

The First Affiliated Hospital with Nanjing Medical University

Locations

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The Third The People's Hospital of BengBu

Bengbu, Anhui, China

Site Status NOT_YET_RECRUITING

The First Affiliated Hospital of USTC (Anhui Provincial Hospital)

Hefei, Anhui, China

Site Status RECRUITING

Jiangsu Province Hospital

Nanjing, Jiangsu, China

Site Status RECRUITING

The First Affiliated Hospital of Soochow University

Suzhou, Jiangsu, China

Site Status RECRUITING

The First Affiliated Hospital of Wenzhou Medical University

Wenzhou, Zhejiang, China

Site Status NOT_YET_RECRUITING

Countries

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China

Central Contacts

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Wenbo Hu

Role: CONTACT

13581888439

Liyuan Yu

Role: CONTACT

18618406418

Facility Contacts

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Hanwei Wang

Role: primary

Zhu Chen

Role: primary

Wenfeng Tan

Role: primary

18061202878

Jian Wu

Role: primary

Li Sun

Role: primary

Songfu Jiang

Role: backup

Other Identifiers

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LB2405-0001

Identifier Type: -

Identifier Source: org_study_id

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