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Relapsing or Refractory Multiple Sclerosis (MS)Early Phase 1NCT07337785

CD19/BCMA-Targeted UCAR-T for Patients With Neurological Autoimmune Diseases

A Early Phase 1 study testing CD19/BCMA-targeted CAR-T cells and Lymphodepleting Conditioning in people with Relapsing or Refractory Multiple Sclerosis (MS) and Myasthenia Gravis (MG), run by Tongji Hospital at 1 site in China.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

This single-arm, open-label investigator-initiated trial (IIT) evaluates the safety, tolerability, pharmacokinetics, pharmacodynamics, and efficacy of RD06-05 in patients with autoimmune neurological diseases, including Multiple Sclerosis (MS), Myasthenia Gravis (MG), Chronic Inflammatory Demyelinating Polyneuropathy… Read more about this study

Who is it for?
Ages 18 to 70 years
What is being tested?
CD19/BCMA-targeted CAR-T cells and Lymphodepleting Conditioning
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
36 participants
Where
1 siteChina
Study dates
12 Dec 2025to 1 Nov 2028
Phase
Early Phase 1
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • 1. According to the 2016 International Diagnostic Criteria for Autoimmune Encephalitis (AE), the patient is clinically diagnosed with autoimmune encephalitis and meets all the following requirements: Positive result in the detection of at least one relevant autoantibody; Poor symptom control or intolerance to previous standardized treatment with glucocorticoids and at least one immunosuppressant/immunomodulator (including CD20 monoclonal antibody); Occurrence of an autoimmune encephalitis attack within 3 months before signing the informed consent form; At the time of screening, the disability status meets either a modified Rankin Scale (mRS) score of ≥ 2 or a Clinical Assessment Scale in Autoimmune Encephalitis (CASE) score of ≥ 4.

Who cannot join

  • Primary diagnosis of an autoimmune disease different from the study disease, which the investigator believes may confound the efficacy evaluation of the study disease.
  • Comorbidity with other clinically significant central nervous system (CNS) diseases or pathological changes prior to screening, including but not limited to: cerebrovascular accident, aneurysm, epilepsy, convulsions/seizures, aphasia, stroke, severe brain injury, dementia, Parkinson's disease, cerebellar disease, organic brain syndrome, or psychosis.
  • History of allogeneic bone marrow or stem cell transplantation, or solid organ transplantation (e.g., kidney, lung, heart, liver), or planned future transplantation of such organs/cells.
  • For MG patients: Uncontrolled myasthenic crisis within 2 weeks prior to screening.
  • For CIDP patients: Pure sensory CIDP.
  • Presence of clinically significant cardiovascular dysfunction within 12 months prior to screening, including but not limited to: New York Heart Association (NYHA) Class III or IV heart failure, myocardial infarction, unstable angina pectoris, uncontrolled or symptomatic atrial arrhythmia, or any ventricular arrhythmia.
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  • Presence of significant pulmonary or cardiac manifestations (e.g., pericarditis, pleural effusion) at screening, which the investigator assesses as making the patient unsuitable for participation in this study.
  • Patients with severe asthma or chronic obstructive pulmonary disease (COPD); patients with mild or moderate asthma or COPD receiving stable treatment are eligible for enrollment.
  • History of malignancy within 5 years prior to signing the ICF, except for fully treated or surgically resected non-melanoma skin cancer or carcinoma in situ (e.g., cervical cancer, bladder cancer, breast cancer) with no residual disease.
  • Pregnant or lactating females.
  • History of recurrent infections requiring hospitalization and intravenous antibiotics (e.g., 3 or more infections of the same type within the past year).
  • Active infection requiring systemic treatment (e.g., infectious pneumonia, tuberculosis) within 2 weeks prior to lymphodepletion.
  • Positive for hepatitis B surface antigen (HBsAg); or positive for hepatitis B core antibody (HBcAb) with positive hepatitis B virus (HBV) DNA detection in peripheral blood; positive for hepatitis C virus (HCV) antibody with positive HCV RNA in peripheral blood; positive for human immunodeficiency virus (HIV) antibody; positive for syphilis antibody.
  • Vaccination with live-attenuated vaccines within 4 weeks prior to lymphodepletion, or planned vaccination with live-attenuated vaccines during the study.
  • Receipt of high-dose corticosteroids (prednisone ≥ 60 mg/day or equivalent dose) within 4 weeks prior to lymphodepletion, or inability to taper prednisone to ≤ 20 mg/day gradually within 3 days prior to lymphodepletion.
  • Inability to taper or discontinue background treatment gradually prior to lymphodepletion chemotherapy, as described in Table 3.
  • Receipt of plasma exchange, immunoadsorption, or intravenous immunoglobulin (IVIG) treatment within 4 weeks prior to screening.
  • A history of allergy or intolerance to calcineurin inhibitors used previously.
  • Receipt of renal replacement therapy within 3 months prior to screening, or expected need for renal replacement therapy during the study.
  • History of drug or alcohol abuse within 1 year prior to screening.
  • History or evidence of suicidal ideation within 6 months prior to screening, or any suicidal behavior within the previous 12 months, with the investigator determining a significant suicide risk.
  • Use of other investigational drugs within 4 weeks or 5 half-lives (whichever is longer) prior to screening.
  • A history of hypersensitivity or life-threatening reactions to any component or formulation of the study drug or study treatment (including lymphodepletion chemotherapy). For detailed information on the components of the study drug, please refer to the Investigator's Brochure (IB).
  • Any other condition deemed by the investigator to potentially affect study participation, pose a safety risk to the patient, or potentially confound the interpretation of study results.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

China1 site, 1 recruiting
  • Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology

    Wuhan, Hubei, 430000

    Ke Shang, 027-83663337, kay_sang@qq.com

    Daishi Tian, Prof.

    Recruiting

Other trials in China

About this study

Official title: Clinical Study on the Safety, Efficacy, and Pharmacokinetics of Universal CAR-T Cell Injection Targeting CD19/BCMA in Patients With Neurological Autoimmune Diseases

This single-arm, open-label investigator-initiated trial (IIT) evaluates the safety, tolerability, pharmacokinetics, pharmacodynamics, and efficacy of RD06-05 in patients with autoimmune neurological diseases, including Multiple Sclerosis (MS), Myasthenia Gravis (MG), Chronic Inflammatory Demyelinating Polyneuropathy (CIDP), Autoimmune Encephalitis (AE), and other B-cell-mediated neuroautoimmune disorders.

In this study, the dose of CAR-T cells administered is 10×10⁶ CAR⁺T cells per kilogram of body weight. Investigators may decide whether to add other dose groups based on the subjects' safety data, pharmacokinetic (PK) data, pharmacodynamic (PD) data, and preliminary efficacy data.

For each indication, 6 to 9 subjects will be enrolled, with a total of 24 to 36 subjects planned for enrollment in the entire study.

Being tested
CD19/BCMA-targeted CAR-T cells, Lymphodepleting Conditioning
Medical subject headings
Recurrence, Multiple Sclerosis, Myasthenia Gravis, Polyradiculoneuropathy, Chronic Inflammatory Demyelinating, Autoimmune Diseases of the Nervous System

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • CD19/BCMA-targeted CAR-T cellsBiological

    Also called RD06-05

    Participants will receive lymphodepleting chemotherapy with fludarabine and cyclophosphamide followed by a single intravenous infusion of CD19/BCMA-targeted CAR-T cells (RD06-05) at dose of 1 × 10^7 CAR+ T cells/kg (Additional dose levels will be determined by safety, PK/PD, and preliminary efficacy).

  • Lymphodepleting ConditioningDrug

    From Day -5 to Day -3 prior to cell infusion (Day 0), subjects will receive chemotherapy preconditioning based on the "Fludarabine + Cyclophosphamide" (FC regimen). The recommended preconditioning regimen is as follows:

    Fludarabine: 30 mg/m² per day, once daily for 3 consecutive days; Cyclophosphamide: 300 mg/m² per day, once daily for 3 consecutive days;

Study groups in NCT07337785
Study groupRoleWhat they receive
CART Treatment GroupExperimentalParticipants receive lymphodepleting chemotherapy with fludarabine and cyclophosphamide from Day -5 to Day -3, followed by a single intravenous infusion of RD06-05.
Receives: Biological: CD19/BCMA-targeted CAR-T cells; Drug: Lymphodepleting Conditioning

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. The incidence rates of Treatment-Emergent Adverse Events (TEAEs)

    Measured: From the start of cell infusion to 24 months after infusion

  2. Serious Adverse Events (SAEs)

    Measured: From the start of cell infusion to 24 months after infusion

  3. The incidence rate of Adverse Events of Special Interest (AESI)

    Measured: From the start of cell infusion to 24 months after infusion

Secondary outcomes (22)
  1. MS:Time to first relapse; Annual Relapse Rate (ARR)

    Measured: Day 14, Day 28, Week 8, Week 12, Month 6, Month 9, Month 12, Month 18, and Month 24 post infusion

  2. MS: The number of new or enlarged T2 lesions on MRI during the study;

    Measured: Day 14, Day 28, Week 8, Week 12, Month 6, Month 9, Month 12, Month 18, and Month 24 post infusion

  3. MS: The number of newly emerged gadolinium-enhancing lesions on MRI

    Measured: Day 14, Day 28, Week 8, Week 12, Month 6, Month 9, Month 12, Month 18, and Month 24 post infusion

  4. MS: The change in Expanded Disability Status Scale (EDSS) score from baseline during the study

    Measured: Day 14, Day 28, Week 8, Week 12, Month 6, Month 9, Month 12, Month 18, and Month 24 post infusion

  5. MG: Changes in Myasthenia Gravis Activities of Daily Living Scale (MG-ADL) scores compared to baseline

    Measured: At Week 12, and Months 6, 12, 18, and 24 post infusion

  6. MG: Changes in Quantitative Myasthenia Gravis Score (QMG) scores compared to baseline

    Measured: At Week 12, and Months 6, 12,18, and 24 post infusion

  7. MG: The proportion of patients with a change of ≥2 points in MG-ADL scores

    Measured: Months 12 and 24 post infusion

  8. MG: The proportion of patients with a change of ≥3 points in Myasthenia Gravis Composite Scale (MGC) score

    Measured: Months 12 and 24 post infusion

  9. MG: Changes in the titer of MG serum-specific autoantibodies compared to baseline

    Measured: Day 28, Week 8, Week 12, Month 6, Month 9, Month 12, Month 18, and Month 24 post infusion

  10. CIDP: Changes in Inflammatory Neuropathy Cause and Treatment disability scale (INCAT) score compared to baseline

    Measured: At Week 12, and Months 6, 12, 18, and 24 post infusion

  11. CIDP: Changes in Inflammatory Rasch-Built Overall Disability Scale (I-RODS) score compared to baseline

    Measured: Day 14, Day 28, Week 8, Week 12, Month 6, Month 9, Month 12, Month 18, and Month 24 post infusion

  12. CIDP: Changes in average grip strength compared to baseline

    Measured: Day 14, Day 28, Week 8, Week 12, Month 6, Month 9, Month 12, Month 18, and Month 24 post infusion

  13. CIDP: Changes in Medical Research Council Scale (MRC) score compared to baseline

    Measured: Day 14, Day 28, Week 8, Week 12, Month 6, Month 9, Month 12, Month 18, and Month 24 post infusion

  14. Changes from baseline in the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-Fatigue)

    Measured: Months 6, 12, 18, and 24 post infusion

  15. Changes from baseline in the Health Assessment Questionnaire - Disability Index (HAQ-DI)

    Measured: Months 6, 12, 18, and 24 post infusion

  16. Peak expansion (Cmax)

    Measured: Days 0, 4, 7, 10, Day 14, Day 28, Week 8, Week 12, Month 6, Month 9, Month 12, Month 18, and Month 24 post infusion

  17. Area under the curve (AUC₀-₂₈)

    Measured: Days 0, 4, 7, 10, 14, 21, and Day 28 post infusion.

  18. AE: Changes in CASE score from baseline

    Measured: Months 6, 12, 18, and 24 post infusion

  19. AE: Changes in MoCA scores from baseline

    Measured: Month 6, 12, 18, and 24 post infusion

  20. Changes in CGI score from baseline

    Measured: Month 6, 12, 18, and 24 post infusion

  21. AE: Changes in GCS score from baseline

    Measured: Month 6, 12, 18, and 24 post infusion

  22. Changes in MMSE score from baseline

    Measured: Monthe 6, 12,18, and 24 post infusion

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted13 Jan 2026
  2. Study start12 Dec 2025
  3. Primary completion1 Dec 2026 (estimated)
  4. Study completion1 Nov 2028 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Early Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Model description
This is a single-group assignment design. All eligible participants undergo lymphodepleting chemotherapy followed by a single intravenous infusion of RD06-05. The trial includes multiple disease cohorts (MS, MG, AE, and CIDP), but all participants receive the same intervention without randomization or comparator arms.
Masking
None (open label)
Enrolment
36 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07337785
Sponsor's protocol ID
BHCT-RD06-05-NI-01
Status last verified
Jan 2026
First submitted
5 Dec 2025
Last updated
12 May 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Early Phase 1 study testing CD19/BCMA-targeted CAR-T cells and Lymphodepleting Conditioning in people with Relapsing or Refractory Multiple Sclerosis (MS) and Myasthenia Gravis (MG), run by Tongji Hospital at 1 site in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 24 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 12 May 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Early Phase 1 (sometimes called Phase 0) studies give a very small amount of a treatment to a few people, mainly to see how the body handles it.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Ke Shang (027-83663337, kay_sang@qq.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The incidence rates of Treatment-Emergent Adverse Events (TEAEs) (time frame: From the start of cell infusion to 24 months after infusion). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 May 2026.

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