Actively Recruiting

Early Phase 1
Age: 18Years - 40Years
All Genders
NCT07528105

Allogeneic Anti-CD7 CAR-T for Type 1 Diabetes

Led by Shanghai Zhongshan Hospital · Updated on 2026-04-14

9

Participants Needed

1

Research Sites

104 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Type 1 diabetes mellitus (T1DM) is a T cell-mediated autoimmune disease characterized by autoimmune destruction of pancreatic beta cells, leading to absolute insulin deficiency and lifelong dependence on exogenous insulin. The disease results from loss of immune tolerance, with autoreactive T-cell responses against beta-cell antigens, and is typically associated with islet autoantibodies and insulitis. Although insulin therapy remains the standard of care, it does not correct the underlying autoimmune process. Non-insulin therapeutic strategies for T1DM are mainly directed toward immunomodulation and beta-cell replacement or regeneration. Among immunomodulatory approaches, previous studies have primarily focused on regulation of effector T cells and B cells. Novel immune-based therapies are needed to explore whether modulation of pathogenic immune cell populations may alter disease activity and preserve residual beta-cell function. The purpose of this study is to evaluate the safety, preliminary efficacy, and cellular kinetics of an allogeneic CD7-targeted CAR-T cell injection in participants with early stage T1DM. Participants will receive the investigational product and undergo regular assessments of safety, tolerability, treatment-emergent adverse events, cellular kinetics, glycemic parameters, exogenous insulin requirement, beta-cell function, and immunologic biomarkers. This study is expected to generate preliminary clinical evidence regarding the feasibility and potential therapeutic effects of CD7-targeted CAR-T cell therapy in T1DM.

CONDITIONS

Official Title

Allogeneic Anti-CD7 CAR-T for Type 1 Diabetes

Who Can Participate

Age: 18Years - 40Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 18 years and older but not older than 40 years
  • Diagnosis of stage 2 or stage 3 type 1 diabetes mellitus according to ADA 2024 standards
  • Positive for at least one islet autoantibody such as GADA, IA-2A, IAA (if insulin therapy ≤2 weeks), ZnT8A, or ICA
  • Peak C-peptide >0.2 nmol/L during mixed-meal tolerance test or fasting C-peptide >0.1 nmol/L
  • Willing and able to provide informed consent
Not Eligible

You will not qualify if you...

  • Diagnosis of diabetes other than type 1, including gestational, monogenic, or secondary diabetes
  • Blood abnormalities at screening, including low hemoglobin, white blood cells, neutrophils, or platelets
  • Liver injury with ALT or AST ≥3 times upper normal limit or total bilirubin ≥1.5 times upper normal limit
  • Severe heart disease such as angina, myocardial infarction, heart failure, or arrhythmia
  • Kidney disease with eGFR <60 mL/min/1.73 m² or on renal replacement therapy
  • Use of medications affecting type 1 diabetes or immune status as judged by investigator
  • Uncontrolled diabetic ketoacidosis
  • Active infection or positive tests for hepatitis B, hepatitis C, HIV, syphilis, or Epstein-Barr virus
  • Active autoimmune diseases other than type 1 diabetes requiring systemic immunotherapy or causing organ dysfunction
  • Pregnancy, breastfeeding, or unwillingness to use effective contraception during study
  • History of malignancy except cured cases with no risk of recurrence
  • Participation in another clinical trial within 3 months prior to enrollment
  • Receipt or planned receipt of live attenuated vaccine within 4 weeks before or during study
  • Any other condition making participant unsuitable as judged by investigator

AI-Screening

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Trial Site Locations

Total: 1 location

1

Zhongshan Hospital, Fudan University

Shanghai, China, 201508

Actively Recruiting

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Research Team

J

Jingjing JIANG, MD, PhD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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