About this trial
This study is a single-center, single-arm, open-label, investigator-initiated early exploratory clinical trial designed to evaluate the safety and efficacy of STR-P005 in subjects with relapsed/refractory autoimmune diseases.
The study will employ the traditional "3+3" dose escalation model, setting up 3 dose groups: Amg/kg, Bmg/kg, C mg/kg. Dose Group 1 will serve as the starting dose, with two cohorts A and B within this group aimed at optimizing the dosing frequency of STR-P005. Cohort A will receive dosing every 3 days (Q3D), on D1, D4, D7 (3 doses) constituting one cycle, which can be repeated for 2 cycles. Cohort B will receive dosing every 4 days (Q4D), on D1, D4 (2 doses) constituting one cycle, which can be repeated for 2 cycles. Based on the preliminary safety data, efficacy information, and PK/PD parameters obtained from Cohorts 1A and 1B, the investigators will select the superior regimen and escalate sequentially to Dose Groups 2 and 3. If no MTD is found after dose escalation through the 3 groups, based on all available preliminary safety data, efficacy information, and PK/PD parameters, higher doses may be added for further exploration of safety and efficacy after discussion by the SRC.
Eligibility criteria
Qualifiers
Voluntarily participate in this study and sign the informed consent form.
Aged 18 to 75 years (inclusive).
Confirmation of positive CD19 expression on peripheral blood B cells by flow cytometry.
Hematology: Absolute Neutrophil Count (ANC) ≥1.0×10^9^/L, Absolute Lymphocyte Count (ALC) ≥0.1×10^9^/L, Hemoglobin ≥80 g/L, Platelet count (PLT) ≥50×10^9^/L. Blood transfusion and growth factors cannot be used within 7 days prior to eligibility screening to meet these requirements.
Disqualifiers
Patients who have received any cell immunotherapy in the past, except where there is evidence that the engineered immune cells have disappeared and peripheral blood B cells are still present.
Use of therapeutic doses of corticosteroids (Prednisone ≥20mg/day or equivalent dose of other corticosteroids) within 72 hours prior to first dose, but topical or inhaled steroids are allowed.
Use of mycophenolate mofetil or its derivatives, azathioprine, calcineurin inhibitors (e.g., tacrolimus, cyclosporine), mTOR inhibitors (e.g., sirolimus, everolimus), JAK inhibitors (e.g., tofacitinib, ruxolitinib, upadacitinib) within at least 2 weeks prior to screening.
Use of cytotoxic drugs such as cyclophosphamide, methotrexate within at least 3 weeks prior to screening.
Trial design
Treatments tested in this trial
- STR-P005