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Inflammatory MyopathyPhase 1NCT07715136

BCMA-CD19 cCAR-T for the Treatment of Refractory Inflammatory Myopathy

A Phase 1 study testing ICG318, BCMA-CD19-IL-15/IL-15 sushi Compound CAR-T in people with Inflammatory Myopathy, run by iCell Gene Therapeutics 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
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Trial summary

This single-arm, open-label, phase I trial evaluates the safety and tolerability of ICG318 CAR-T (BCMA-CD19-IL-15/IL15sushi cCAR T cells) in patients with refractory Idiopathic inflammatory myopathy (IIM). Read more about this study

Who is it for?
Ages 18 to 60 years
Conditions the study is for
Inflammatory Myopathy
What is being tested?
ICG318, BCMA-CD19-IL-15/IL-15 sushi Compound CAR-T
Could I receive a placebo?
No, everyone receives an active treatment
How many people
10 participants
Where
1 siteChina
Study dates
20 Mar 2025to 31 Dec 2027
Phase
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 60 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Age 18-60 (age ≥18 years at first symptom onset), gender not limited;
  • The diagnosis meets the criteria for IIM according to the 2017 EULAR/ACR criteria and is confirmed to be of the following subtype:
  • Dermatomyositis: i. Presence of Gottron's rash or sunspot rash; ii. At least one serological result is positive: anti-transcriptional mediator (TIF1-gamma/P155) antibody, anti-matrix protein 2 (NXP2/P140) antibody, anti-Mi2 antibody, anti-melanoma differentiation-associated gene 5 (MDA5) antibody, anti-small ubiquitin-like modifier-1 activator (SAE1) antibody and/or SAE2 antibody, anti-histyl-tRNA synthetase (Jo-1) antibody, anti-alanyl-tRNA synthetase (PL-12) antibody, anti-threonyl-tRNA synthetase (PL-7) antibody, anti-glycyl-tRNA synthetase (EJ) antibody, anti-leucyl-tRNA synthetase (0J) antibody; b. Immune-mediated necrotizing myopathy: i. No characteristic skin manifestations of dermatomyositis were observed (i.e. Gottron's rash or sun-facing rash); ii. Muscle weakness characterized by IIM (e.g., symmetrical proximal muscle weakness of the upper/lower limbs; or more pronounced weakness of the neck flexors than the neck extensors; or more pronounced proximal muscle weakness of the lower limbs than distal muscle weakness).
  • At least one serological result must be positive: anti-human signal recognition particle (SRP) antibody, or trihydroxytrimethylcoenzyme A reductase (HMGCR) antibody; c. Antisynthetic enzyme syndrome: i. At least one of the following clinical manifestations must be present: Raynaud's phenomenon, arthritis, interstitial lung disease, fever (with no other cause of fever found), or technician's hand (thickened and cracked skin on the hands, especially the fingertips).
  • At least one serological result is positive: anti-histyl-tRNA synthetase (Jo-1) antibody, anti-threonyl-tRNA synthetase (PL-7) antibody, anti-alanyl-tRNA synthetase (PL-12) antibody, anti-glycyl-tRNA synthetase (EJ) antibody, anti-leucyl-tRNA synthetase (OJ) antibody, anti-aspartyl-tRNA synthetase (KS) antibody, anti-phenylalanyl-tRNA synthetase (Zo) antibody, anti-glutamyl-tRNA synthetase (JS) antibody, anti-lysyl-tRNA synthetase (SC) antibody, anti-tyrosyl-tRNA synthetase (YRS) antibody;
  • Refractory IIM: At least one round of high-dose corticosteroid therapy and/or intravenous immunoglobulin, and at least two immunosuppressants (including but not limited to cyclophosphamide, mycophenolate mofetil, tacrolimus, cyclosporine, and azathioprine) have been used in adequate doses for more than 6 months;
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  • At the time of enrollment, participants must be receiving background medication at a stable dose, defined as: receiving background therapy with one oral glucocorticoid and/or one immunosuppressant at a stable dose for ≥ 12 weeks;
  • Severity of enrollment met the following criteria:
  • MMT-8 score ≤141 (out of 150);
  • Students must meet at least one of the following CSM numerical scale criteria based on abnormal visual analog scale (VAS) scores: Overall activity assessed by study participants ≥2; overall disease activity assessed by physicians ≥2; extra-muscular activity (MDAAT) ≥2; HAQ-DI ≥0.25;
  • At least one muscle enzyme level >1.5 times ULN;
  • Through examinations such as tumor markers, lung and abdominal CT scans, thyroid ultrasound, breast ultrasound, and gastroscopy and colonoscopy, possible potential tumors have been ruled out.

Who cannot join

  • During the screening period, individuals with active viral, bacterial, or other infections requiring systemic treatment are excluded.
  • The presence of a serious, poorly controlled comorbidity that the investigator considers clinically significant, such as (but not limited to) neurological, cardiovascular, renal, hepatic, endocrine, or gastrointestinal disorders;
  • Patients with severe organ dysfunction:
  • The estimated glomerular filtration rate (eGFR) using the MDRD formula is <40 ml/min/1.73m² ; [eGFR = 186 × (age) - 0.203 × SCr - 1.154 (mg/dl), for women, the result is multiplied by 0.742].
  • Study participants with total bilirubin >1.5 times the upper limit of normal (no specific restrictions are made for liver enzymes because inflammatory myopathy can cause elevated ALT/AST).
  • Cardiovascular: Assessed by echocardiography (ECHO) or cardiac radionuclide angiography (MUGA), with a left ventricular ejection fraction (LVEF) <50% and oxygen saturation <94%. Alternatively, patients may have poorly controlled hypertension or other conditions, or have NYHA class III or IV heart failure, myocardial infarction, unstable angina, uncontrolled or symptomatic atrial arrhythmias, any ventricular arrhythmias, or other clinically significant heart disease.
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  • Bone marrow function: Absolute neutrophil count (ANC) <1×10⁹/L; Absolute lymphocyte count (ALC) <0.1×10⁹/L; Platelet count <50×10⁹/L; Hemoglobin <8.0 g/dL;
  • Research participants who have a history of or current malignancy;
  • Infectious diseases: Research participants with active hepatitis B (defined as positive hepatitis B surface antigen or positive hepatitis B core antibody, with hepatitis B virus DNA detection value >1000 copies/mL) or hepatitis C (HCV RNA positive); research participants with positive HIV antibody or positive treponema pallidum antibody and positive non-treponemal syphilis antibody test; active tuberculosis (negative interferon release; if positive, chest X-ray or CT scan is required to rule out active infection);
  • Central nervous system diseases, including cerebrovascular diseases, epilepsy, etc.;
  • Allergies to components of treatment or pre-conditioning.
  • Those with elective surgery planned during the study period;
  • Those who do not wish to take necessary contraceptive measures during the research period;
  • Any other situation that researchers deem unsuitable for participation in the study including poor compliance and being involved in another clinical study.

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
  • West China Hospital, Sichuan University

    Chengdu, Sichuan, 610041

    Qibing Xie, +86-28-85422391, xieqibing1971@163.com

    Recruiting

Other trials in China

About this study

Official title: A Single-arm, Open-label Phase I Clinical Study to Evaluate ICG318 CAR-T in Adults With Refractory Inflammatory Myopathy

This single-arm, open-label, phase I trial evaluates the safety and tolerability of ICG318 CAR-T (BCMA-CD19-IL-15/IL15sushi cCAR T cells) in patients with refractory Idiopathic inflammatory myopathy (IIM).

Read the detailed description

Idiopathic inflammatory myopathy (IIM) is a group of chronic autoimmune diseases with the most common types in adults being dermatomyositis, immune-mediated necrotizing myopathy, polymyositis, and antisynthetase syndrome. IIM is driven by humoral immune cell dysfunction including B cells, plasma cells and long-lived plasma cells.

ICG318 CAR-T, the investigational agent in this clinical trial, is an armored, compound chimeric antigen receptor (cCAR) composed of two independently functioning CARs that target the CD19 and BCMA surface antigens on B cells and plasma/long-lived plasma cells, respectively.

This study is being conducted to evaluate the safety and tolerability of ICG318 CAR-T in patients with refractory IIM. A single dose of ICG318 CAR-T will be evaluated after cyclophosphamide lymphodepletion.

Being tested
ICG318, BCMA-CD19-IL-15/IL-15 sushi Compound CAR-T
Keywords
Inflammatory Myopathy, IIM, Antisynthetase Syndrome, ASyS, Polymyositis, PM, Dermatomyositis, DM, CAR-T, Cellular Therapy
Medical subject headings
Myositis, Antisynthetase syndrome, Polymyositis, Dermatomyositis

What participants receive

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

  • ICG318, BCMA-CD19-IL-15/IL-15 sushi Compound CAR-TBiological

    Anti-BCMA, Anti-CD19 Compound CAR-T cells

Study groups in NCT07715136
Study groupRoleWhat they receive
Single Arm Biologic InfusionExperimentalNot described
Receives: Biological: ICG318, BCMA-CD19-IL-15/IL-15 sushi Compound CAR-T

What is being measured

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

  1. Number of Adverse Events (AEs) after ICG318 CAR-T infusion.

    Number of participants with AEs, Serious Adverse Events (SAEs), Treatment Emergent Adverse Events (TEAEs), Adverse Events of Special Interest (AESI), and Dose Limiting Toxicities (DLTs).

    Measured: Starting day 0 and up to 2 years after ICG318 CAR-T infusion.

Secondary outcomes (23)
  1. Determine the recommended phase 2 dose (RP2D) regimen.

    The protocol is based on cohort schema with dose escalation from 1×10^6/kg.

    Measured: Starting day 0 and assessed 2 years after ICG318 CAR-T infusion.

  2. The proportion of subjects who achieved drug-free remission.

    Measured: At 6 months (M), 12M, 24M after ICG318 CAR-T infusion.

  3. Basic Metabolic Panel

    Sodium, Chloride, Potassium, Bicarbonate, BUN, Creatinine, and Glucose levels

    Measured: Days 1-7, 10, 14, 21, and 28, Months 2, 3, 6, 9, 12, 18, 24 post-ICG318 CAR-T

  4. Coagulation studies

    PT/INR and aPTT

    Measured: Days 1-7, 10, 14, 21, and 28, Months 2, 3, 6, 9, 12, 18, 24 post-ICG318 CAR-T

  5. Cytokine testing

    IL-6 and TNF-alpha

    Measured: Days 1-7, 10, 14, 21, and 28, Months 2, 3, 6, 9, 12, 18, 24 post-ICG318 CAR-T

  6. Manual Muscle Testing 8 (MMT8) score

    Evaluation of muscle strength with MMT8

    Measured: Days 14, 28; Months 2, 3, 6, 9, 12, 18, 24 post-ICG318 CAR-T

  7. Cutaneous Dermatomyositis Disease Area and Severity Index (CDASI)

    Evaluation of skin pathology with CDASI rating

    Measured: Days 1-7, 10, 14, 21, and 28, Months 2, 3, 6, 9, 12, 18, 24 post-ICG318 CAR-T

  8. Myositis Disease Activity Assessment Tool (MDAAT) score

    Extra-muscular disease activity measured with MDAAT

    Measured: Days 1-7, 10, 14, 21, and 28, Months 2, 3, 6, 9, 12, 18, 24 post-ICG318 CAR-T

  9. 36-item short form survey (SF-36) score. 0 (worst health) and 100 (best health)

    Patient reported quality of life using SF-36

    Measured: Days 1-7, 10, 14, 21, and 28, Months 2, 3, 6, 9, 12, 18, 24 post-ICG318 CAR-T

  10. Creatinine kinase levels

    Measured: Days 1-7, 10, 14, 21, and 28, Months 2, 3, 6, 9, 12, 18, 24 post-ICG318 CAR-T

  11. Lactate dehydrogenase levels

    Measured: Days 1-7, 10, 14, 21, and 28, Months 2, 3, 6, 9, 12, 18, 24 post-ICG318 CAR-T

  12. Hydroxybutyrate dehydrogenase levels

    Measured: Days 1-7, 10, 14, 21, and 28, Months 2, 3, 6, 9, 12, 18, 24 post-ICG318 CAR-T

  13. Transaminase levels

    AST, ALT

    Measured: Days 1-7, 10, 14, 21, and 28, Months 2, 3, 6, 9, 12, 18, 24 post-ICG318 CAR-T

  14. C-reactive protein

    Measured: Days 1-7, 10, 14, 21, and 28, Months 2, 3, 6, 9, 12, 18, 24 post-ICG318 CAR-T

  15. Procalcitonin levels

    Measured: Days 1-7, 10, 14, 21, and 28, Months 2, 3, 6, 9, 12, 18, 24 post-ICG318 CAR-T

  16. Ferritin levels

    Measured: Days 1-7, 10, 14, 21, and 28, Months 2, 3, 6, 9, 12, 18, 24 post-ICG318 CAR-T

  17. Tmax

    Time to maximum serum concentration of ICG318.

    Measured: Months 3, 6, 12, 24 after ICG318 CAR-T administration

  18. Cmax

    Measured: Months 3, 6, 12, 24 after ICG318 CAR-T administration

  19. AUC 0-28d

    Measured: Months 3, 6, 12, 24 after ICG318 CAR-T administration

  20. AUC 0-∞

    Measured: Months 3, 6, 12, 24 after ICG318 CAR-T administration

  21. Peripheral blood lymphocyte subsets (T, B, NK, CD4/CD8

    Measured: Days 1-7, 10, 14, 21, and 28, Months 2, 3, 6 post-ICG318 CAR-T

  22. Anti-myositis antibody levels

    (e.g. anti-Jo-1, anti-nuclear etc.)

    Measured: Days 14, 28 ; Months 2, 3, 6, 9, 12, 18, 24 post-ICG318.

  23. Immunoglobulins

    Measured: Days 1-7, 10, 14, 21, and 28, Months 2, 3, 6, 9, 12, 18, 24 post-ICG318 CAR-T

Timeline

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

  1. First posted20 Jul 2026
  2. Study start20 Mar 2025
  3. Primary completion31 Dec 2027 (estimated)
  4. Study completion31 Dec 2027 (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
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Sequential
Masking
None (open label)
Enrolment
10 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07715136
Sponsor's protocol ID
ICG318-003
Status last verified
Jul 2026
First submitted
6 Jul 2026
Last updated
20 Jul 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 Phase 1 study testing ICG318, BCMA-CD19-IL-15/IL-15 sushi Compound CAR-T in people with Inflammatory Myopathy, run by iCell Gene Therapeutics 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 12 inclusion and 14 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 20 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?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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 Qibing Xie (+86-28-85422391, xieqibing1971@163.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Adverse Events (AEs) after ICG318 CAR-T infusion. (time frame: Starting day 0 and up to 2 years after ICG318 CAR-T infusion.). 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 20 Jul 2026.

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