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A Clinical Study to Evaluate LVIVO-TaVec400 for the Treatment of Relapsed/Refractory Autoimmune Diseases

7. maj 2026 opdateret af: Qiubai Li, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology

A Clinical Study to Evaluate Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy of the LVIVO-TaVec400 in the Treatment of Relapsed/Refractory Autoimmune Diseases

This is a prospective, single-arm, open-label dose-escalation clinical study to evaluate LVIVO-TaVec400 in the treatment of relapsed/refractory autoimmune diseases.

Studieoversigt

Status

Ikke rekrutterer endnu

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

This is a prospective, single-arm, open-label dose-escalation and dose-expansion study, designed to evaluate the safety, tolerability, pharmacokinetics, and preliminary efficacy of the LVIVO-TaVec400, an in vivo chimeric antigen receptor (CAR) -T cell therapy in subjects with relapsed/refractory autoimmune diseases. The subject who meets the defined eligibility criteria will follow the sequential stages: screening, treatment (LVIVO-TaVec400 infusion) and follow-up (Up to 15 years).

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

44

Fase

  • Tidlig fase 1

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Undersøgelse Kontakt Backup

Studiesteder

  • Kina
    • Anhui
      • Hefei, Anhui, Kina
        • The First Affiliated Hospital of Anhui Medical University
        • Kontakt:
    • Beijing Municipality
      • Beijing, Beijing Municipality, Kina
        • Beijing Tiantan Hospital, Capital Medical University
        • Kontakt:
    • Hubei
      • Wuhan, Hubei, Kina
        • Union Hospital Tongji Medical College Huazhong University of Science and Technology
        • Kontakt:
    • Shanxi
      • Taiyuan, Shanxi, Kina
        • Shanxi Bethune Hospital
        • Kontakt:

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Voksen
  • Ældre voksen

Tager imod sunde frivillige

Ingen

Beskrivelse

Inclusion Criteria:

  • Subjects voluntarily participate in clinical studies.
  • Age 18-65 years.
  • Adequate organ function at screening.

  • Clinical laboratory values meet criteria at screening visit.

    r/r SLE:

  • Patients meet the 2019 American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) OR 2012 Systemic lupus international collaborating clinics (SLICC) classification criteria for SLE at least 6 months before screening.
  • At screening, antinuclear antibody, and/or anti-dsDNA antibody, and/or anti-Smith antibody should be positive.

  • Fulfill relapsed/refractory SLE conditions.

    r/r IgG4-RD：

  • Patients meet the 2019 American College of Rheumatology/European League Against Rheumatism (ACR/EULAR) classification criteria for IgG4-RD.
  • Fulfill relapsed/refractory IgG4-RD conditions.
  • Patients have active disease: IgG4-RD Response Index (RI) ≥2.

Progressive MS：

  • Diagnosis of MS according to 2017 revised McDonald criteria.
  • Progressive MS according to clinical course criteria revised in 2013.

  • Presence of Cerebrospinal fluid (CSF) oligoclonal bands (OCBs) or elevated IgG Index at screening.

    r/r MG：

  • Diagnosis of MG.
  • Myasthenia Gravis Foundation of America (MGFA) Class II-IV.
  • Positive AChR-IgG or MuSK-IgG at screening.
  • Fulfill refractory MG conditions.

Exclusion Criteria:

  • Active infections such as hepatitis and tuberculosis.
  • Coexist other autoimmune or inflammatory diseases.
  • Severe underlying diseases such as tumor, uncontrolled diabetes and severe heart diseases.
  • Female subjects who are pregnant, breastfeeding, or planning to become pregnant while participating in this study or within 1 year of receiving LVIVO-TaVec400 treatment.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: N/A
  • Interventionel model: Enkelt gruppeopgave
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: LVIVO-TaVec400 product
The dose escalation stage includes 4 dose level: DL1，DL2，DL3， DL4.
Biologisk: LVIVO-TaVec400 product
Each subject will be given a single-dose LVIVO-TaVec400 via intravenous infusion.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
The incidence of Dose-limiting toxicity (DLT)
Tidsramme: 28 days after LVIVO-TaVec400 infusion (Day 1)
DLTs are severe adverse events refers to any untoward medical occurred in a subject participated in a clinical investigation, which has a causal relationship with the treatment and will limit the dose escalation.
28 days after LVIVO-TaVec400 infusion (Day 1)
The incidence, severity of Adverse events (AEs)
Tidsramme: Minimum 13 weeks after LVIVO-TaVec400 infusion (Day 1)
An adverse event refers to any untoward medical occurrence in a clinical investigation subject administered a pharmaceutical product (investigational or non-investigational), which does not necessarily have a causal relationship with the treatment.
Minimum 13 weeks after LVIVO-TaVec400 infusion (Day 1)
The incidence, severity of Treatment-related Adverse event (TRAE)
Tidsramme: Maximum 15 years after LVIVO-TaVec400 infusion (Day 1)
An treatment-related adverse event refers to any untoward medical occurrence in a clinical investigation subject administered a pharmaceutical product (investigational or non-investigational), which has a causal relationship with the treatment.
Maximum 15 years after LVIVO-TaVec400 infusion (Day 1)
Maximum concentration (Cmax) in peripheral blood
Tidsramme: Maximun 5 years after LVIVO-TaVec400 infusion (Day 1)
Maximum concentration (Cmax) in peripheral blood
Maximun 5 years after LVIVO-TaVec400 infusion (Day 1)
Time of maximum concentration (Tmax) in peripheral blood
Tidsramme: Maximum 5 years after LVIVO-TaVec400 infusion (Day 1)
Time of maximum concentration (Tmax) in peripheral blood
Maximum 5 years after LVIVO-TaVec400 infusion (Day 1)
Area under the concentration-time curve (AUC) in peripheral blood
Tidsramme: Maximum 5 years after LVIVO-TaVec400 infusion (Day 1)
Area under the concentration-time curve (AUC) in peripheral blood
Maximum 5 years after LVIVO-TaVec400 infusion (Day 1)
Recommended Dose regimen finding
Tidsramme: Maximum 104 weeks after LVIVO-TaVec400 infusion (Day 1)
Determine the Recommended Dose regimen established through dose exploratory.
Maximum 104 weeks after LVIVO-TaVec400 infusion (Day 1)

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Change in Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K) scores from baseline for r/r SLE subjects
Tidsramme: Minimum 104 weeks after LVIVO-TaVec400 infusion (Day 1)
The SLEDAI-2K scale is a cumulative index used to assess disease activity across 24 different disease descriptors in patients with SLE. A total score ranges between 0 and 105, with a higher score representing a more significant degree of disease activity.
Minimum 104 weeks after LVIVO-TaVec400 infusion (Day 1)
Change in IgG4-RD Response Index (IgG4-RD RI) from baseline for r/r IgG4-RD subjects
Tidsramme: Minimum 104 weeks after LVIVO-TaVec400 infusion (Day 1)
The IgG4-RD scale is a cumulative index used to assess disease activity across 25 different disease descriptions in patients with IgG4-RD. A total score ranges between 0 and 75, with a higher score representing a more significant degree of disease activity.
Minimum 104 weeks after LVIVO-TaVec400 infusion (Day 1)
Change in Expanded Disability Status Scale (EDSS) scores from baseline for PMS subjects.
Tidsramme: Minimum 104 weeks after LVIVO-TaVec400 infusion (Day 1)
The EDSS is a scoring system used to quantify and monitor the progression of physical disability in patients with multiple sclerosis. The total score ranges from 0 to 10, with higher scores representing a worse outcome.
Minimum 104 weeks after LVIVO-TaVec400 infusion (Day 1)
Change in Myasthenia Gravis Activities of Daily Living (MG-ADL) scores from baseline for r/r MG subjects.
Tidsramme: Minimum 104 weeks after LVIVO-TaVec400 infusion (Day 1)
The MG-ADL is a patient-reported tool that quantifies the severity of myasthenia gravis symptoms based on daily functions. The total score ranges from 0 to 24, with higher scores representing a worse functional status.
Minimum 104 weeks after LVIVO-TaVec400 infusion (Day 1)
Change in Quantitative Myasthenia Gravis (QMG) scores from baseline for r/r MG subjects.
Tidsramme: Minimum 104 weeks after LVIVO-TaVec400 infusion (Day 1)
The QMG is a standard clinical tool used to quantify the severity of myasthenia gravis through objective muscle testing. The total score ranges from 0 to 39, with higher scores representing a worse clinical status.
Minimum 104 weeks after LVIVO-TaVec400 infusion (Day 1)

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Union Hospital, Tongji Medical College, Huazhong University of Science and Technology

Samarbejdspartnere

Nanjing Legend Biotech Co.

Efterforskere

  • Ledende efterforsker: QiuBai Li, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Anslået)

20. april 2026

Primær færdiggørelse (Anslået)

20. september 2028

Studieafslutning (Anslået)

20. september 2041

Datoer for studieregistrering

Først indsendt

24. april 2026

Først indsendt, der opfyldte QC-kriterier

7. maj 2026

Først opslået (Faktiske)

13. maj 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

13. maj 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

7. maj 2026

Sidst verificeret

1. april 2026

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • LB2505-0002

Plan for individuelle deltagerdata (IPD)

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INGEN

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

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Kliniske forsøg med Progressiv multipel sklerose (PMS)

Kliniske forsøg med LVIVO-TaVec400 product

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