SLE - Systemic Lupus ErythematosusEarly Phase 1NCT07596680
CD19/BCMA-Targeted Universal CAR-T Cell Injection for the Treatment of Autoimmune Diseases
A Early Phase 1 study testing RD06-05 CAR-T Cell Injection in people with SLE - Systemic Lupus Erythematosus and Systemic Sclerosis, run by Nanjing Bioheng Biotech Co., Ltd. at 1 site in China.
Trial summary
This is a single-arm, open-label, investigator-initiated trial (IIT) designed to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics and efficacy of RD06-05 in patients with autoantibody-mediated autoimmune diseases. Read more about this study
- Who is it for?
- Ages 18 to 70 years
- Conditions the study is for
- SLE - Systemic Lupus Erythematosus, Systemic Sclerosis, ANCA Associated Vasculitis
- What is being tested?
- RD06-05 CAR-T Cell Injection
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 30 participants
- Where
- 1 siteChina
- Study dates
- 1 Sep 2026to 30 Apr 2029
- 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
- General Inclusion Criteria (All Patients)
- Voluntarily provides written informed consent.
- Age ≥18 and ≤70 years, any gender.
- Adequate organ function:
- ALT and AST ≤3×ULN; total bilirubin ≤2×ULN (excluding Gilbert syndrome).
- Creatinine ≤1.5×ULN or creatinine clearance ≥40 mL/min.
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- Neutrophils ≥1×10⁹/L; hemoglobin ≥60 g/L; platelets ≥20×10⁹/L; lymphocytes >0.3×10⁹/L.
- INR ≤1.5×ULN or PT ≤1.5×ULN.
- Resting room-air SpO₂ ≥92%.
- LVEF ≥50% on echocardiogram.
- Negative serum or urine pregnancy test for females of childbearing potential at screening.
- Highly effective contraception required from 28 days before lymphodepletion until 12 months after RD06-05 infusion for females; effective barrier contraception required from lymphodepletion until 12 months after RD06-05 infusion for males, with no sperm donation during the study.
- For SLE Patients
- Diagnosis of SLE per 2019 EULAR/ACR or 2012 SLICC criteria.
- Active disease despite ≥2 months of stable (≥2 weeks) treatment with glucocorticoids plus immunosuppressants and/or biologics; prednisone ≥7.5 mg/day or equivalent.
- Positive ANA, anti-dsDNA antibody, and/or anti-Smith antibody at screening.
- SLEDAI-2K >6 and clinical SLEDAI-2K ≥4 at screening. Patients with lupus nephritis (proteinuria >0.5 g/24h, UPCR >500 mg/g, or active urinary sediment) are exempt from clinical SLEDAI-2K requirement.
- Physician Global Assessment (PGA) ≥1.0 (0-3 VAS) at screening.
- For SSc Patients
- Diagnosis of SSc per 2013 ACR/EULAR criteria.
- Diffuse cutaneous SSc at screening.
- Active disease defined by at least one of: new SSc within 2 years; new/worsening skin or thoracic/abdominal involvement within 6 months; worsening skin thickening (mRSS ≥2); tendon friction rubs within 3 months; worsening respiratory symptoms with FVC decline ≥5% predicted or DLCO decline ≥10% predicted; or ILD progression on HRCT compared to 12 months prior.
- Refractory or relapsing disease after >6 months of conventional therapy including glucocorticoids, cyclophosphamide, immunosuppressants, and/or biologics.
- For AAV Patients
- Diagnosis of ANCA-associated vasculitis (MPA, GPA, EGPA) per 2022 ACR/EULAR criteria.
- Positive MPO-ANCA or PR3-ANCA.
- BVAS with at least 1 major item, 3 minor items, or 2 renal items.
- Failure of standard of care: no remission after ≥4 months of glucocorticoids plus cyclophosphamide/rituximab; relapse after prior remission; or persistent active disease despite ≥6 months of SOC.
- For IIM Patients
- Diagnosis of IIM (DM, ASS, IMNM) per 2017 ACR/EULAR criteria (probability ≥55%).
- Active disease defined by ≥2 abnormal core measures, or active myositis on muscle MRI, or active inflammation on muscle biopsy within 16 weeks.
- Positive myositis-specific autoantibodies.
- Refractory or relapsing disease after ≥6 months of conventional therapy including glucocorticoids, immunosuppressants, and/or biologics.
- For pSS Patients
- Diagnosis of primary Sjögren's syndrome per 2016 ACR/EULAR criteria.
- Positive anti-SSA/Ro antibody.
- ESSDAI ≥6 at screening.
- Refractory or relapsing disease after ≥6 months of conventional therapy including glucocorticoids, immunosuppressants, and/or biologics.
Who cannot join
- General Exclusion Criteria (All Patients):
- Coexisting autoimmune disease confounding disease activity/safety (stable ≥3 months may be eligible with approval).
- Anti-CD20 mAb/T-cell engager within 3 months; CD19/BCMA-targeted therapy within 6 months (exception with CD19⁺ B-cell > LLN and approval).
- Rapidly progressive glomerulonephritis (RPGN).
- NYHA III/IV heart failure; severe cardiac disease within 12 months.
- Severe CNS disease impairing compliance/assessments.
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- Malignancy history (except cured non-melanoma skin cancer/carcinoma in situ, disease-free ≥3 years).
- Primary immunodeficiency.
- Uncontrolled infection (uncomplicated UTI/upper respiratory infection permitted).
- Positive HIV; positive HCV (except undetectable RNA); positive syphilis.
- Positive HBsAg; positive HBcAb (except undetectable HBV DNA).
- Positive EBV/CMV DNA/IgM at screening.
- Active/recurrent tuberculosis.
- Prior CAR-T or genetically modified immune cell therapy.
- Live attenuated vaccine within 4 weeks before enrollment.
- Hypersensitivity to cell therapy product components.
- Tacrolimus hypersensitivity or ≥Grade 3 toxicity requiring hospitalization.
- Other clinical trial participation within 30 days before screening.
- Pregnant/breastfeeding; childbearing potential unwilling to use effective contraception.
- Any other ineligible condition (investigator judgment).
- Exclusion Criteria for SLE
- Active/unstable neuropsychiatric SLE requiring intervention within 90 days.
- Anti-BAFF/APRIL therapy within required washout period; multiple NSAIDs within 14 days; inability to hold NSAIDs; intra-articular glucocorticoids within 6 weeks; immunosuppressants exceeding dose limits; hydroxychloroquine dose adjustment within 8 weeks; ACEI/ARB/SGLT2i adjustment within 4 weeks.
- Exclusion Criteria for AAV
- Alveolar hemorrhage requiring invasive ventilation beyond screening.
- Dialysis/plasmapheresis within 12 weeks.
- Renal transplantation history.
- Cyclophosphamide within 12 weeks; immunosuppressant discontinuation required 1 week before lymphodepletion.
- High-dose IV glucocorticoids within 4 weeks.
- Oral glucocorticoids >60mg prednisone equivalent daily for >6 weeks.
- Specific immunosuppressants/biologics within 4 weeks.
- Concomitant strong CYP3A4 inducers.
- Exclusion Criteria for IIM
- Severe rhabdomyolysis or CK ≥120×ULN at screening.
- FVC ≤50% predicted or DLCO ≤40% predicted at screening.
- Exclusion Criteria for SSc
- Significant respiratory disease other than ILD.
- FVC <50% or DLCO <40% predicted at screening/baseline.
- Lung transplantation listing/expected within 12 months.
- Scleroderma renal crisis within 6 months.
- Scleroderma-like disorders.
- Prior chlorambucil, bone marrow transplantation, or total lymphoid irradiation.
- Exclusion Criteria for pSS
- Active fibromyalgia interfering with assessment/requiring medication adjustment (stable permitted).
- Cyclophosphamide within 12 weeks; immunosuppressant discontinuation required 1 week before lymphodepletion.
- High-dose glucocorticoids (≥60mg/day) within 4 weeks.
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
Renji Hospital Affiliated to Shanghai Jiao Tong University School of Medicine
Shanghai, Shanghai Municipality, 220127
Qiong Fu, Doctor, +86 13585603288, Fuqiong5@163.com
About this study
Official title: Clinical Study on the Safety, Efficacy and Pharmacokinetics of Universal CD19/BCMA-Targeted CAR-T Cell Injection in Patients With Autoantibody-Mediated Autoimmune Diseases
This is a single-arm, open-label, investigator-initiated trial (IIT) designed to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics and efficacy of RD06-05 in patients with autoantibody-mediated autoimmune diseases. The enrolled population consists of patients with active autoimmune diseases, including systemic lupus erythematosus (SLE), systemic sclerosis (SSc), ANCA-associated vasculitis (AAV), idiopathic inflammatory myopathies (IIM), Sjögren's syndrome (SS), among others.
The CAR-T cell dose used in this study is 6×10⁶ CAR⁺ T cells/kg. Six subjects will be enrolled for each indication, with a total of 30 subjects to be enrolled.
- Conditions
- SLE - Systemic Lupus Erythematosus, Systemic Sclerosis, ANCA Associated Vasculitis, Idiopathic Inflammatory Myopathies, Sjögren Syndrome
- Being tested
- RD06-05 CAR-T Cell Injection
- Keywords
- CD19/BCMA CAR-T
- Medical subject headings
- Lupus Erythematosus, Systemic, Scleroderma, Systemic, Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis, Myositis, Sjogren's Syndrome
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
RD06-05 CAR-T Cell InjectionDrug
CAR T-cell therapy administered intravenously after a lymphodepleting therapy regimen consisting of fludarabine and cyclophosphamide.
| Study group | Role | What they receive |
|---|---|---|
| RD06-05 | Experimental | Not described Receives: Drug: RD06-05 CAR-T Cell Injection |
What is being measured
The primary outcome is the main question the study is designed to answer.
SLE (systemic lupus erythematosus)
Proportion of patients achieving lupus low disease activity state (LLDAS) and DORIS(Definition Of Remission In SLE) remission, as well as the proportion of patients achieving drug-free remission
Measured: 2 years
SLE (systemic lupus erythematosus)
Proportion of SLE patients with renal involvement who achieved complete renal response (CRR) and partial renal response
Measured: 2 years
SLE (systemic lupus erythematosus)
Change in UPCR(Urine Protein/Creatinine Ratio) from baseline in SLE patients with renal involvement
Measured: 2 years
SLE (systemic lupus erythematosus)
Change in eGFR(estimated Glomerular Filtration Rate) from baseline in SLE patients with renal involvement
Measured: 2 years
SLE (systemic lupus erythematosus)
Changes in SLEDAI-2K, Physician Global Assessment (PGA), and British Isles Lupus Assessment Group (BILAG) score from baseline
Measured: 2 years
SLE (systemic lupus erythematosus)
Changes in anti-dsDNA antibody, C3 and C4 levels from baseline
Measured: 2 years
AAV (ANCA-associated vasculitis)
Change in Birmingham Vasculitis Activity Score (BVAS) from baseline. The Birmingham Vasculitis Activity Score (BVAS) ranges from a minimum of 0 to a maximum of 63, with higher scores indicating worse disease activity and clinical outcomes.
Measured: 2 years
AAV (ANCA-associated vasculitis)
Proportion of patients with vasculitis relapse (including major flare and minor flare)
Measured: 2 years
IIM (idiopathic inflammatory myopathies)
Major clinical remission assessed according to the 2016 ACR/EULAR myopathy remission criteria
Measured: 2 years
SSc (systemic sclerosis)
Changes in modified Rodnan Skin Score (mRSS) from baseline
Measured: 2 years
SSc (systemic sclerosis)
Changes in European Scleroderma Trials and Research group (EUSTAR) Activity Index from baseline
Measured: 2 years
SSc (systemic sclerosis)
Changes in Forced Vital Capacity (FVC) and Diffusing Capacity of the Lung for Carbon Monoxide (DLCO) from baseline in patients complicated with interstitial lung disease
Measured: 2 years
SS (Sjögren's syndrome )
Change in ESSDAI(EULAR Sjögren's Syndrome Disease Activity Index) score from baseline. ESSDAI has a score range from 0 to 105, with higher scores indicating greater disease activity and poorer clinical outcomes.
Measured: 2 years
SS (Sjögren's syndrome )
Change in ESPRI(EULAR Sjögren's Syndrome Patient Reported Index) score from baseline. ESSPRI ranges from a minimum of 0 to a maximum of 10, with higher scores indicating worse symptoms and poorer patient-reported outcomes.
Measured: 2 years
SS (Sjögren's syndrome )
Change in STAR(Sjögren's Tool for Assessing Response) score from baseline. STAR score ranges from 0 to 28, with higher scores indicating more severe disease status and poorer therapeutic response.
Measured: 2 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 May 2026
- Study start1 Sep 2026 (estimated)
- Primary completion30 Apr 2028 (estimated)
- Study completion30 Apr 2029 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for SLE - Systemic Lupus ErythematosusStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Masking
- None (open label)
- Enrolment
- 30 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Nanjing Bioheng Biotech Co., Ltd.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Qiong Fu, Doctor, Principal investigator, RenJi Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07596680
- Sponsor's protocol ID
- BHCT-RD06-05-03
- Status last verified
- Jul 2026
- First submitted
- 7 Apr 2026
- Last updated
- 16 Jul 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 16 Jul 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Clinical Study on the Safety, Efficacy and Pharmacokinetics of Universal CD19/BCMA-Targeted CAR-T Cell Injection in Patients With Autoantibody-Mediated Autoimmune Diseases
- ClinicalTrials.gov ID
- NCT07596680
- Acronym / sponsor ID
- BHCT-RD06-05-03
- Conditions
- SLE - Systemic Lupus Erythematosus, Systemic Sclerosis, ANCA Associated Vasculitis, Idiopathic Inflammatory Myopathies, Sjögren Syndrome
- Keywords
- CD19/BCMA CAR-T
- Phase
- Early Phase 1
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 30 participants (estimated)
- Lead sponsor
- Nanjing Bioheng Biotech Co., Ltd.Industry (pharma, biotech, devices)
- Study start
- 1 Sep 2026 (estimated)
- Primary completion
- 30 Apr 2028 (estimated)
- Study completion
- 30 Apr 2029 (estimated)
- First posted
- 19 May 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a single-arm, open-label, investigator-initiated trial (IIT) designed to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics and efficacy of RD06-05 in patients with autoantibody-mediated autoimmune diseases. The enrolled population consists of patients with active autoimmune diseases, including systemic lupus erythematosus (SLE), systemic sclerosis (SSc), ANCA-associated vasculitis (AAV), idiopathic inflammatory myopathies (IIM), Sjögren's syndrome (SS), among others.
The CAR-T cell dose used in this study is 6×10⁶ CAR⁺ T cells/kg. Six subjects will be enrolled for each indication, with a total of 30 subjects to be enrolled.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| RD06-05 | Experimental | Drug: RD06-05 CAR-T Cell Injection |
Who may qualify
- Ages
- 18 to 70 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (38 listed)
- General Inclusion Criteria (All Patients)
- For SLE Patients
- For SSc Patients
- For AAV Patients
- For IIM Patients
Key exclusion criteria (46 listed)
- General Exclusion Criteria (All Patients):
- Exclusion Criteria for SLE
- Exclusion Criteria for AAV
- Exclusion Criteria for IIM
- Exclusion Criteria for SSc
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| RD06-05 CAR-T Cell InjectionCAR T-cell therapy administered intravenously after a lymphodepleting therapy regimen consisting of fludarabine and cyclophosphamide. | Drug | RD06-05 |
Primary outcome
SLE (systemic lupus erythematosus)
Time frame: 2 years
Proportion of patients achieving lupus low disease activity state (LLDAS) and DORIS(Definition Of Remission In SLE) remission, as well as the proportion of patients achieving drug-free remission
SLE (systemic lupus erythematosus)
Time frame: 2 years
Proportion of SLE patients with renal involvement who achieved complete renal response (CRR) and partial renal response
SLE (systemic lupus erythematosus)
Time frame: 2 years
Change in UPCR(Urine Protein/Creatinine Ratio) from baseline in SLE patients with renal involvement
SLE (systemic lupus erythematosus)
Time frame: 2 years
Change in eGFR(estimated Glomerular Filtration Rate) from baseline in SLE patients with renal involvement
SLE (systemic lupus erythematosus)
Time frame: 2 years
Changes in SLEDAI-2K, Physician Global Assessment (PGA), and British Isles Lupus Assessment Group (BILAG) score from baseline
SLE (systemic lupus erythematosus)
Time frame: 2 years
Changes in anti-dsDNA antibody, C3 and C4 levels from baseline
AAV (ANCA-associated vasculitis)
Time frame: 2 years
Change in Birmingham Vasculitis Activity Score (BVAS) from baseline. The Birmingham Vasculitis Activity Score (BVAS) ranges from a minimum of 0 to a maximum of 63, with higher scores indicating worse disease activity and clinical outcomes.
AAV (ANCA-associated vasculitis)
Time frame: 2 years
Proportion of patients with vasculitis relapse (including major flare and minor flare)
IIM (idiopathic inflammatory myopathies)
Time frame: 2 years
Major clinical remission assessed according to the 2016 ACR/EULAR myopathy remission criteria
SSc (systemic sclerosis)
Time frame: 2 years
Changes in modified Rodnan Skin Score (mRSS) from baseline
SSc (systemic sclerosis)
Time frame: 2 years
Changes in European Scleroderma Trials and Research group (EUSTAR) Activity Index from baseline
SSc (systemic sclerosis)
Time frame: 2 years
Changes in Forced Vital Capacity (FVC) and Diffusing Capacity of the Lung for Carbon Monoxide (DLCO) from baseline in patients complicated with interstitial lung disease
SS (Sjögren's syndrome )
Time frame: 2 years
Change in ESSDAI(EULAR Sjögren's Syndrome Disease Activity Index) score from baseline. ESSDAI has a score range from 0 to 105, with higher scores indicating greater disease activity and poorer clinical outcomes.
SS (Sjögren's syndrome )
Time frame: 2 years
Change in ESPRI(EULAR Sjögren's Syndrome Patient Reported Index) score from baseline. ESSPRI ranges from a minimum of 0 to a maximum of 10, with higher scores indicating worse symptoms and poorer patient-reported outcomes.
SS (Sjögren's syndrome )
Time frame: 2 years
Change in STAR(Sjögren's Tool for Assessing Response) score from baseline. STAR score ranges from 0 to 28, with higher scores indicating more severe disease status and poorer therapeutic response.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 16 Jul 2026.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Qiong Fu, Doctor principal investigator
RenJi Hospital
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Early Phase 1 study testing RD06-05 CAR-T Cell Injection in people with SLE - Systemic Lupus Erythematosus and Systemic Sclerosis, run by Nanjing Bioheng Biotech Co., Ltd. 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 38 inclusion and 46 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: opening soon, as of the sponsor's last update on 16 Jul 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 Ming Gao, Master (+86 177 1418 8689, ming.gao@imvivabio.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
SLE (systemic lupus erythematosus) (time frame: 2 years). The study lists 15 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 16 Jul 2026.