Actively Recruiting

Phase 1
Age: 5Years - 18Years
All Genders
NCT06792344

Clinical Study of CD19 CAR-T in the Treatment of Refractory Systemic Sclerosis

Led by The Children's Hospital of Zhejiang University School of Medicine · Updated on 2025-12-22

12

Participants Needed

2

Research Sites

158 weeks

Total Duration

On this page

Sponsors

T

The Children's Hospital of Zhejiang University School of Medicine

Lead Sponsor

G

Guangzhou Women and Children's Medical Center

Collaborating Sponsor

AI-Summary

What this Trial Is About

This is an investigator-initiated trial aimed at assessing the safety and efficacy of anti-CD19 CAR-T cells in the treatment of childhood-onset systemic sclerosis

CONDITIONS

Official Title

Clinical Study of CD19 CAR-T in the Treatment of Refractory Systemic Sclerosis

Who Can Participate

Age: 5Years - 18Years
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Any gender, aged 5 years or older
  • Meets 2013 ACR/EULAR criteria for systemic sclerosis diagnosis
  • Positive for anti-nuclear antibodies or systemic sclerosis-specific antibodies
  • Modified Rodnan skin score of 15 points or higher
  • Has refractory disease with no significant improvement after at least 3 months of glucocorticoids and immunomodulators or rapid disease progression with ineffective routine treatment
  • Major organ functions are basically normal, including LVEF ≥ 55%, normal ECG, eGFR ≥ 30 mL/min/1.73m2, AST and ALT ≤ 3 times upper limit, total bilirubin ≤ 2 times upper limit, SpO2 ≥ 92%, DLCO ≥ 40%, FVC ≥ 50%
  • Negative urine pregnancy test if of childbearing potential and agrees to use effective contraception during study and for 1 year after infusion
  • Provides informed consent with understanding of study purpose and procedures
Not Eligible

You will not qualify if you...

  • Severe pulmonary hypertension (mean pulmonary pressure > 45 mmHg) or other severe major organ involvement
  • Previous CAR-T cell therapy unless safety risks are ruled out
  • Active central nervous system diseases such as epilepsy, stroke, dementia, or cerebellar disorders
  • Congenital heart disease, recent myocardial infarction within 6 months, severe arrhythmias, large pericardial effusion, serious myocarditis, or unstable vital signs needing vasoactive drugs
  • Active tuberculosis or uncontrolled infections requiring systemic treatment
  • Received organ or stem cell transplant within 3 months or recent acute graft-versus-host disease grade 2 or higher
  • Positive for hepatitis B or C virus with abnormal viral load, HIV antibodies, or syphilis antibodies
  • Received live vaccine within 4 weeks before screening
  • Positive blood pregnancy test
  • Known malignant tumors
  • Participated in other interventional trials within 3 months
  • Any other condition deemed inappropriate for study participation by investigators

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 2 locations

1

Children's Hospital, Zhejiang University School of Medicine

Hangzhou, Zhejiang, China, 0571

Actively Recruiting

2

Children's Hospital, Zhejiang University School of Medicine

Hangzhou, Zhejiang, Christmas Island, 310053

Actively Recruiting

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Research Team

J

Jianhua Mao Children's Hospital, Zhejiang University School of Medicine, 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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