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REFRACTORY SYSTEMIC LUPUS ERYTHEMATOSUSEarly Phase 1NCT07617740

IASO207 Injection for Active Refractory Systemic Lupus Erythematosus (SLE)

A Early Phase 1 study testing IASO207 Injection in people with REFRACTORY SYSTEMIC LUPUS ERYTHEMATOSUS, run by Peking University People's 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 is a single-center, open-label, exploratory clinical study designed to evaluate the efficacy and safety of IASO207 Injection (in vivo CAR-T) in patients with active refractory systemic lupus erythematosus. Read more about this study

Who is it for?
Ages 18 to 75 years
Conditions the study is for
REFRACTORY SYSTEMIC LUPUS ERYTHEMATOSUS
What is being tested?
IASO207 Injection
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
18 participants
Where
1 siteChina
Study dates
25 May 2026to 30 May 2030
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 75 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subjects aged 18-75 years old, regardless of gender.
  • Subjects diagnosed with active refractory SLE: a) Confirmed by the 2019 European League Against Rheumatism (EULAR)/American College of Rheumatology (ACR) classification criteria or the 2012 Systemic Lupus Erythematosus Collaborative Clinic (SLICC) criteria for at least 24 weeks; b) SLE Disease Activity Index 2000 (SLEDAI-2K) score ≥ 8, with at least 1 organ system having a BILAG-2004 A-class activity score at screening, or 2 organ systems having a BILAG-2004 B-class activity score; c) Previously treated with standardized glucocorticoids and at least two immunosuppressants/adjusters, antimalarial drugs or biologics for at least 3 months.
  • Positive for disease-related pathogenic antibodies: Anti-nuclear antibody (ANA) positive and/or anti-dsDNA positive and/or anti-Smith positive.
  • Allowed to use ≤ 20mg/d prednisone or equivalent dose of corticosteroids at screening, and use at a stable dose for at least 2 weeks. Note: Local or inhaled corticosteroids (or its immunomodulators) can be used concurrently;
  • If antimalarial treatment has been initiated for ≥ 12 weeks before screening and is used at a stable dose for at least 8 weeks, it is allowed to continue in the study (maximum hydroxychloroquine dose ≤ 400mg/d).
  • If immunosuppressants have been used before screening, they must be used at a stable dose for at least 4 weeks.
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  • Laboratory tests must meet the following conditions: a) Blood routine: Absolute neutrophil count (ANC) ≥ 1.0×10^9/L; Absolute lymphocyte count (ALC) ≥ 0.3×10^9/L; Hemoglobin ≥ 60 g/L; Platelets ≥ 50×10^9/L b) Liver function: Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤ 2.5× upper limit of normal (ULN); Serum total bilirubin ≤ 1.5×ULN (Gilbert's syndrome ≤ 3.0×ULN).
  • The subject and their spouse agree to take effective contraceptive measures (excluding safe period contraception) from the time of signing the informed consent form by the subject until one year after IASO207 injection treatment.
  • The subject must agree to sign or personally write and present the signed informed consent form approved by the ethics committee before starting any screening procedure.

Who cannot join

  • Disease-related:
  • Diagnosed with drug-induced SLE.
  • Complicated with other autoimmune diseases that may affect the assessment of the study, including but not limited to Sjögren's syndrome, psoriasis, rheumatoid arthritis.
  • Had a catastrophic antiphospholipid syndrome or developed a severe antiphospholipid syndrome within 1 year before screening.
  • The study disease involved neurological symptoms with a BILAG-2004 activity score of class A.
  • Other medical history-related:
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  • Known primary immunodeficiency (congenital or acquired).
  • The subject has uncontrollable active fungal, viral, bacterial or other infections (existing persistent infection-related signs/symptoms, not improved after appropriate anti-infection treatment) or requires intravenous anti-infection drug treatment for infection.
  • Positive hepatitis B surface antigen (HBsAg), or positive hepatitis B core antibody (HBcAb) and abnormal peripheral blood hepatitis B virus (HBV) DNA detection (defined as HBV DNA quantification above the normal reference range of the testing center or positive HBV DNA qualitative detection); positive hepatitis C virus (HCV) antibody and positive peripheral blood hepatitis C virus (HCV) RNA; positive Human Immunodeficiency Virus (HIV) antibody; positive cytomegalovirus (CMV) DNA detection; positive Treponema pallidum specific antibody and positive rapid plasma reagin test for syphilis.
  • Severe heart disease: including but not limited to unstable angina pectoris and/or myocardial infarction within 12 months of screening, any congestive heart failure (NYHA classification ≥ III), and a history of severe arrhythmia; or left ventricular ejection fraction (LVEF) < 45%.
  • Severe asthma or chronic obstructive pulmonary disease (COPD), with stable treatment considered for mild or moderate asthma or COPD by the investigator and sponsor; or resting arterial blood oxygen saturation < 91%.
  • Evaluated by the investigator as having a severe bleeding risk.
  • Evaluated by the investigator as having severe liver dysfunction.
  • History of severe kidney disease; or eGFR < 30 mL/min/1.73m2 calculated by the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) formula.
  • Acute cerebrovascular disease events occurred within 6 months before enrollment, including transient ischemic attack or stroke history.
  • Any severe and/or uncontrolled comorbid diseases as assessed by the investigator.
  • Had a malignant tumor within 5 years before screening, excluding cured cervical carcinoma in situ, basal cell or squamous cell skin cancer, locally advanced prostate cancer after radical surgery, breast duct carcinoma in situ after radical surgery, or papillary thyroid carcinoma after radical surgery.
  • Had a clear history of mental disorder or a history of substance abuse for mental disorders that cannot be quit.
  • Known allergy to the components of IASO207 injection or to the supportive drugs required for the toxicity management of CAR-T cell therapy (such as tocilizumab).
  • Previous and concurrent treatments:
  • History of organ transplantation.
  • History of autologous or allogeneic stem cell transplantation.
  • History of cell therapy or CD19-targeted drug treatment.
  • Received targeted CD20 biologic therapy within 12 weeks before screening, such as rituximab, obinutuzumab.
  • Received plasma exchange or immunoadsorption treatment within 12 weeks before screening.
  • Had or planned to have major surgery or surgical treatment caused by any reason within 12 weeks before screening.
  • Have participated in the treatment of other investigational drugs (except for placebo) within the previous 4 weeks or 5 half-lives (whichever is longer);
  • Have received a BAFF antagonist, such as belimumab or tixagevimab, within the previous 4 weeks;
  • Have received live attenuated vaccine within the previous 4 weeks;
  • Pregnant or lactating women;
  • Other situations deemed unsuitable for inclusion by the investigators.

Trial locations and contacts

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

Xiangyu Zhao, M.D,Ph.D contact

010-88325531

zhao_xy@bjmu.edu.cn

Meng Lv, M.D., Ph.D contact

010-88316617

drlvmeng@bjmu.edu.cn

China1 site, 1 recruiting
  • Peking University People's Hospital

    Beijing, 100044

    Meng Lv, M.D,Ph.D, 010-88316617, drlvmeng@bjmu.edu.cn

    Jing He, M.D, Ph.D, 010-88316617, hejing1105@126.com

    Recruiting

Other trials in China

About this study

Official title: An Exploratory Clinical Study on the Treatment of Active Refractory Systemic Lupus Erythematosus With IASO207 Injection

This is a single-center, open-label, exploratory clinical study designed to evaluate the efficacy and safety of IASO207 Injection (in vivo CAR-T) in patients with active refractory systemic lupus erythematosus.

Read the detailed description

This study is a single-arm, single-center, open-label, first-in-human (FIH) clinical trial designed to preliminarily evaluate the safety and efficacy of IASO207 injection, an in vivo chimeric antigen receptor T-cell (CAR-T) therapy, in patients with active, refractory systemic lupus erythematosus (SLE), and to determine the recommended dose for subsequent clinical development.

A standard "3+3" dose-escalation design will be employed during the dose-escalation phase, with three predefined dose levels: 5.0 × 10⁸ TU, 1.0 × 10⁹ TU, and 2.0 × 10⁹ TU. Each dose cohort will enroll 3-6 subjects, with a single administration of IASO207 injection.

The primary objective is to assess the safety and tolerability of IASO207 across different dose levels. Secondary and exploratory objectives include the characterization of pharmacokinetics, pharmacodynamics, and immunogenicity, as well as the preliminary evaluation of clinical efficacy in patients with active refractory SLE. The results of this study are expected to inform dose selection and support subsequent clinical trials.

Being tested
IASO207 Injection
Keywords
systemic lupus erythematosus, Refractory, in vivo CAR-T
Medical subject headings
Lupus Erythematosus, Systemic

What participants receive

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

  • IASO207 InjectionDrug

    IASO207 is a third-generation replication-deficient self-inactivating lentiviral vector that carries the gene encoding a second-generation anti-human CD19 chimeric antigen receptor (CD19 CAR) containing the 4-1BB co-stimulatory factor. IASO207 has been engineered through surface modification of the lentiviral envelope to enable it to selectively bind and transduce T cells within the body, thereby directly generating CD19 CAR-T cells in vivo.

Study groups in NCT07617740
Study groupRoleWhat they receive
IASO207 InjectionExperimentalIASO207 Injection will be infused at 5.0×10^8 TU or 1.0×10^9 TU or 2.0×10^9 TU after enrollment
Receives: Drug: IASO207 Injection

What is being measured

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

  1. Safety endpoint - Adverse Events (AEs)

    Incidence and severity of adverse events as assessed by NCI-CTCAE v5.0 (except CRS and ICANS assessed according to the criteria of 2019 ASTCT criteria).

    Measured: up to 2 years from IASO207 Injection infusion

  2. Safety endpoint - The incidence of dose-limiting toxicity (DLT)

    Percentage of participants who experienced DLT within 28 days after IASO207 administration

    Measured: 28 days from IASO207 Injection infusion

Secondary outcomes (21)
  1. Efficacy endpoint - Response rate of SRI-4 after infusion

    SLE Responder Index (SRI)-4 is defined as follows with all criteria compared with Baseline: 1. ≥ 4-point reduction in Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K) score. 2. No worsening of the overall condition (< 0.3 point increase in Physician's Global Assessment [PhGA]). 3. No new British Isles Lupus Assessment Group (BILAG) A or more than 1 new BILAG B disease activity scores.

    Measured: up to 2 years from IASO207 Injection infusion

  2. Efficacy endpoint - lupus low disease activity state (LLDAS) rate through 2 years after infusion

    Proportions of subjects achieving LLDAS at each time point

    Measured: up to 2 years from IASO207 Injection infusion

  3. Efficacy endpoint - Definitions of Remission in SLE (DORIS) rate through 2 years after infusion

    Proportions of subjects achieving remission according to the DORIS as assessed by SLEDAI-2K Scale, PhGA score and concomitant medication use

    Measured: up to 2 years from IASO207 Injection infusion

  4. Efficacy endpoint - The changes in SLEDAI-2K scores

    At each visit site, the patients were scored using the SLEDAI-2K, and then the changes in scores compared between each visit point and the baseline score were evaluated

    Measured: up to 2 years from IASO207 Injection infusion

  5. Efficacy endpoint - The changes in PGA scores

    At each visit site, the patients were scored using the PGA, and then the changes in scores compared between each visit point and the baseline score were evaluated

    Measured: up to 2 years from IASO207 Injection infusion

  6. Pharmacokinetic Endpoint - Cmax (viral particle)

    Maximum concentration (Cmax) of viral particle titer in peripheral blood will be observed and calculated.

    Measured: Up to 7 days from IASO207 Injection infusion

  7. 7. Pharmacokinetic Endpoint - Tmax (viral particle)

    Peak time (Tmax) of viral particle titer in peripheral blood will be observed and analyzed.

    Measured: Up to 7 days from IASO207 Injection infusion

  8. Pharmacokinetic Endpoint - AUC0-7 (viral particle)

    AUC0-7d refers to the area under the concentration-time curve from day 0 to day 7

    Measured: Up to 7 days from IASO207 Injection infusion

  9. Pharmacokinetic Endpoint - Cmax (CAR-T cells)

    The maximum concentration (Cmax) of CAR-T cells in peripheral blood after infusion

    Measured: up to 2 years from IASO207 Injection infusion

  10. Pharmacokinetic Endpoint - Tmax (CAR-T cells)

    The time for CAR-T cells to reach the maximum concentration (Tmax) after infusion

    Measured: up to 2 years from IASO207 Injection infusion

  11. Pharmacokinetic Endpoint - AUC (CAR-T cells)

    Area under the curve of 28 days, 90 days, 180 days, and the last time point of PK measurement (AUC0-28d, AUC0-90d, AUC0-180d, AUC0-last) for CAR-T cells.

    Measured: up to 2 years from IASO207 Injection infusion

  12. Pharmacokinetic Endpoint - Cmax (VCN)

    The maximum concentration (Cmax) of lentiviral vector copy number (VCN) in peripheral blood after infusion.

    Measured: up to 2 years from IASO207 Injection infusion

  13. Pharmacokinetic Endpoint - Tmax (VCN)

    The time for VCN to reach the maximum concentration (Tmax) after infusion

    Measured: up to 2 years from IASO207 Injection infusion

  14. Pharmacokinetic Endpoint - AUC (VCN)

    Area under the curve of 28 days, 90 days, 180 days, and the last time point (AUC0-28d, AUC0-90d, AUC0-180d, AUC0-last) for VCN

    Measured: up to 2 years from IASO207 Injection infusion

  15. Pharmacodynamic Endpoint - Pathogenic antibodies

    Changes in serum levels of pathogenic antibodies such as ANA, anti-dsDNA, and anti-Smith.

    Measured: up to 2 years from IASO207 Injection infusion

  16. Pharmacodynamic Endpoint - Complement levels

    Changes in measures of C3, C4.

    Measured: up to 2 years from IASO207 Injection infusion

  17. Pharmacodynamic Endpoint - Immune cell subsets

    Changes in the levels of Immune cell subsets

    Measured: up to 2 years from IASO207 Injection infusion

  18. Pharmacodynamic Endpoint - Serum immunoglobulin

    Changes in serum immunoglobulin (IgG, IgA, IgM) levels from baseline.

    Measured: up to 2 years from IASO207 Injection infusion

  19. Pharmacodynamic Endpoint - CRP

    Changes in the levels of CRP

    Measured: up to 2 years from IASO207 Injection infusion

  20. Pharmacodynamic Endpoint - Ferritin

    Changes in the levels of Ferritin.

    Measured: up to 2 years from IASO207 Injection infusion

  21. Pharmacodynamic Endpoint - IL-6

    Changes in the levels of IL-6.

    Measured: up to 2 years from IASO207 Injection infusion

Timeline

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

  1. First posted1 Jun 2026
  2. Study start25 May 2026 (estimated)
  3. Primary completion30 May 2029 (estimated)
  4. Study completion30 May 2030 (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
Masking
None (open label)
Enrolment
18 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07617740
Sponsor's protocol ID
IASO207CI002
Status last verified
May 2026
First submitted
1 May 2026
Last updated
1 Jun 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Early Phase 1 study testing IASO207 Injection in people with REFRACTORY SYSTEMIC LUPUS ERYTHEMATOSUS, run by Peking University People's 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 9 inclusion and 31 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 1 Jun 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 Xiangyu Zhao, M.D,Ph.D (010-88325531, zhao_xy@bjmu.edu.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Safety endpoint - Adverse Events (AEs) (time frame: up to 2 years from IASO207 Injection infusion). The study lists 2 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 1 Jun 2026.

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