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System Lupus ErythematosusEarly Phase 1NCT07301164

Clinical Study of BCT301 Cell Injection Therapy for Refractory Autoimmune Diseases

A Early Phase 1 study testing BCT301 in people with System Lupus Erythematosus and Systemic Sclerosis (SSc), run by Peking University Third 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 study primarily involves the use of BCT301, an anti-CD19 Chemically induced pluripotent stem cell (CiPSC)-derived CAR-iT cells, for the treatment of patients with refractory autoimmune diseases, aiming to evaluate its safety, tolerability, and dose-limiting toxicities(DLT), and to determine the recommended… Read more about this study

Who is it for?
Ages 18 to 80 years
What is being tested?
BCT301
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
10 participants
Where
1 siteChina
Study dates
11 Dec 2025to 31 Dec 2028
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 80 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • General Inclusion Criteria
  • Voluntarily sign the informed consent form.
  • Male or female, aged 18-80 years (inclusive), with a body weight ≥40 kg.
  • Female participants of childbearing potential and male participants with female partners of childbearing potential must use medically approved contraceptive methods or practice abstinence during the treatment period and for at least 6 months after the end of the treatment. Female participants of childbearing potential must have a negative serum human chorionic gonadotropin (HCG) test within 7 days prior to enrollment and must not be breastfeeding.
  • Participants currently receiving one or more of the following treatments at stable doses: glucocorticoids, antimalarials, immunosuppressants:
  • If the participant is receiving glucocorticoid therapy, the following conditions must be met: the maximum dose at screening and during the screening period is 30 mg/day of prednisone (or equivalent). The dose must have been stable for ≥7 days prior to screening, and adjustments during the screening period must not exceed 5 mg/day of prednisone (or equivalent);
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  • If the participant is receiving antimalarials and/or conventional immunosuppressants: the treatment must have been initiated ≥12 weeks prior to screening. The dose must have been stable for ≥8 weeks prior to screening and remain stable during the screening period;
  • If biological agents (belimumab, telitacicept, rituximab, etc.) were used prior to the screening period, a washout period of at least 5 half-lives must be completed before screening.
  • Peripheral blood B cells must show positive CD19 expression as detected by flow cytometry.
  • Disease-Specific Inclusion Criteria
  • 1. Systemic Lupus Erythematosus (SLE)
  • Meet the 2019 European League Against Rheumatism (EULAR)/American College of Rheumatology (ACR) classification criteria for SLE.
  • Have moderate to severe disease activity at screening, with a Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2000) score >6.
  • Have inadequate response to conventional therapy or experience disease relapse after remission. Conventional therapy includes glucocorticoids (at full or pulse doses), two or more immunosuppressants, or biologic agents for at least 6 months, including cyclophosphamide, mycophenolate mofetil, cyclosporine, tacrolimus, azathioprine, leflunomide, methotrexate, belimumab, telitacicept, and rituximab.
  • Have positive serological autoantibody tests: positive antinuclear antibodies (ANAs) and/or anti-ds-DNA antibodies and/or anti-Sm antibodies.
  • 2. Systemic Sclerosis (SSc)
  • Meet the 2013 EULAR/ACR classification criteria for SSc.
  • Fulfill either (a) or (b) below:
  • Inadequate response to conventional therapy or disease relapse after remission. Conventional therapy includes glucocorticoids (at full or pulse doses), two or more immunosuppressants, or biologic agents for at least 6 months, including cyclophosphamide, mycophenolate mofetil, cyclosporine, tacrolimus, azathioprine, leflunomide, methotrexate, belimumab, telitacicept, and rituximab.
  • Disease progression: skin progression with a modified Rodnan Skin Score (mRSS) ≥10; and/or interstitial lung disease evidenced by ground-glass opacities on high-resolution computed tomography (HRCT); a decline in forced vital capacity (FVC) ≥10%, or a decline in FVC ≥5% accompanied by a decline in diffusing capacity for carbon monoxide (DLCO) ≥15%.
  • Have positive SSc-related autoantibodies. 3. Antiphospholipid Syndrome (APS)
  • 1) Meet the 2006 Sydney criteria for primary antiphospholipid syndrome. 2) Have medium to high titers of antiphospholipid antibodies (lupus anticoagulant [LA], anti-β2-glycoprotein 1 [β2GP1] IgG/IgM, or anti-cardiolipin [aCL] IgG/IgM); 3) Fulfill either (a) or (b) below:
  • Receiving standard treatment with warfarin or alternative vitamin K antagonists (maintaining target international normalized ratio [INR]), or standard therapeutic doses of low molecular weight heparin (LMWH), and/or glucocorticoids and immunosuppressants/biologics (e.g., cyclophosphamide, cyclosporine, tacrolimus, rituximab, etc.).
  • Meet all four criteria for catastrophic APS:
  • Involvement of three or more organs, systems, and/or tissues; ii) Development of manifestations within one week; iii) Histopathological confirmation of small vessel occlusion in at least one organ or tissue; iv) Positive antiphospholipid antibodies (aPL).
  • 4. Inflammatory Myopathy (IM)
  • Meet the 2017 EULAR/ACR classification criteria for inflammatory myopathy (including dermatomyositis, polymyositis, anti-synthetase syndrome, and immune-mediated necrotizing myopathy).
  • Have positive myositis-specific autoantibodies.
  • For participants with muscle involvement: a Manual Muscle Test-8 (MMT-8) score <142, and at least two of the following five core abnormalities: Physician Global Assessment ≥2, Patient Global Assessment ≥2, or extramuscular disease activity score ≥2; Health Assessment Questionnaire (HAQ) total score ≥0.25; muscle enzyme levels ≥1.5 times the upper limit of normal; or MMT-8 ≥142 but with active interstitial lung disease (ground-glass opacities on HRCT).
  • 5. Sjögren's Syndrome (SS)
  • Meet the 2016 ACR/EULAR classification criteria for Sjögren's syndrome.
  • Have a EULAR Sjögren's Syndrome Disease Activity Index (ESSDAI) score ≥5.
  • Have positive anti-SSA/Ro antibodies.
  • Have inadequate response to conventional therapy or disease relapse after remission. Conventional therapy includes glucocorticoids (at full or pulse doses), two or more immunosuppressants, or biologic agents for at least 6 months, including cyclophosphamide, mycophenolate mofetil, cyclosporine, tacrolimus, azathioprine, leflunomide, methotrexate, belimumab, telitacicept, and rituximab.
  • 6. Anti-Neutrophil Cytoplasmic Antibody (ANCA)-Associated Vasculitis (AAV)
  • Meet the 2022 ACR/EULAR classification criteria for ANCA-associated vasculitis (AAV), including microscopic polyangiitis, granulomatosis with polyangiitis, and eosinophilic granulomatosis with polyangiitis.
  • Have a history of or currently positive ANCA.
  • Have a Birmingham Vasculitis Activity Score (BVAS) ≥15 (total score 63).
  • Have inadequate response to conventional therapy or disease relapse after remission. Conventional therapy includes glucocorticoids (at full or pulse doses), two or more immunosuppressants, or biologic agents for at least 6 months, including cyclophosphamide, mycophenolate mofetil, cyclosporine, tacrolimus, azathioprine, leflunomide, methotrexate, belimumab, telitacicept, and rituximab.

Who cannot join

  • Study participants who meet any of the following criteria will be excluded from the study:
  • Any medical condition that, in the opinion of the investigator, would contraindicate participation in the study, such as a life-threatening illness.
  • Decreased organ function reserve not attributable to the primary disease:
  • Neutrophil count <1×10⁹/L; lymphocyte count <0.3×10⁹/L; hemoglobin <70 g/L; platelet count <50×10⁹/L; b) Alanine aminotransferase (ALT) >3 × upper limit of normal (ULN); aspartate aminotransferase (AST) >3 × ULN; total bilirubin >2 × ULN; c) Creatinine clearance <40 mL/min; estimated glomerular filtration rate (eGFR) <30 mL/min/1.73 m²; or serum creatinine >2.5 mg/dL; d) Left ventricular ejection fraction (LVEF) <45% as measured by echocardiography; e) Oxygen saturation <92% on room air.
  • History of alcohol or substance abuse within the past 24 weeks.
  • History of malignancy other than B-cell lymphoma.
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  • Presence of infections including human immunodeficiency virus (HIV), hypogammaglobulinemia, T-cell deficiency, syphilis, chronic hepatitis B or C, or severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).
  • Known active tuberculosis (TB) infection or active bacterial infection.
  • History of myocardial infarction, coronary angioplasty or stenting, unstable angina, clinically significant arrhythmia, or other clinically significant cardiac disease within 6 months prior to screening.
  • Symptomatic deep vein thrombosis or pulmonary embolism within 6 months prior to screening, except in cases of antiphospholipid syndrome (APS).
  • History of severe allergic reaction to any component of cellular therapy or other immunotherapeutic agents.
  • Prior organ transplant requiring ongoing immunosuppressive therapy.
  • Concurrent participation in another clinical trial that may interfere with disease assessment or study treatment.
  • Prior treatment with CD19- and/or BCMA-targeted therapy or any CAR-T cell product; except in cases where prior therapy is deemed to have clearly failed (e.g., no response, short duration of response, or disease progression) as assessed by the investigator, the current disease state warrants the study treatment, and there is no clear evidence that toxicity from prior therapy would compromise the safety of the current study.
  • Severe psychiatric disorder or significant cognitive impairment.
  • Pregnancy, lactation, or planned pregnancy.
  • Any other condition that, in the judgment of the investigator, would make the participant unsuitable for enrollment in this clinical trial.

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
  • Peking University Third Hospital

    Beijing

    Xiaoying Zhang, 86+13810001444, zhang_xiaoying@pku.edu.cn

    Xiaoying Zhang

    Recruiting

Other trials in China

About this study

Official title: A Study of BCT301 (Anti-CD19 Chemically Induced Pluripotent Stem Cell (CiPSC)-Derived CAR-iT Cells) Therapy for Refractory Autoimmune Diseases

This study primarily involves the use of BCT301, an anti-CD19 Chemically induced pluripotent stem cell (CiPSC)-derived CAR-iT cells, for the treatment of patients with refractory autoimmune diseases, aiming to evaluate its safety, tolerability, and dose-limiting toxicities(DLT), and to determine the recommended therapeutic dose for further investigation. Additionally, the study assesses the efficacy of BCT301 cell injection in refractory autoimmune diseases, as well as the pharmacokinetic (PK) and pharmacodynamic (PD) characteristics in study participants.

Read the detailed description

Autoimmune diseases are a class of disorders caused by abnormal immune responses against the body's own tissues or organs. Although significant therapeutic advances have been made, such as the use of biologics (e.g., rituximab), most available drugs can only alleviate symptoms or slow disease progression, rather than achieve a complete cure.BCT301 cell injection is a CD19-targeted CAR-iT (chemically induced T-cell) therapy derived from human chemically induced pluripotent stem cells (CiPSCs) through chemical reprogramming technology. Starting from healthy donor cells, human CiPSCs are generated via small molecule-based reprogramming, followed by induced hematopoietic differentiation, iT-cell differentiation and expansion, and finally CAR lentiviral transduction to produce the off-the-shelf, CD19-targeted CAR-iT cell product (BCT301 cell injection). This approach holds promise as a potentially effective treatment strategy.

Being tested
BCT301
Medical subject headings
Lupus Erythematosus, Systemic, Scleroderma, Systemic, Antiphospholipid Syndrome, Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis, Sjogren's Syndrome

What participants receive

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

  • BCT301Biological

    BCT301, an anti-CD19 Chemically induced pluripotent stem cell (CiPSC)-derived CAR-iT cells.Participants will receive a single infusion of BCT301 cell injection at escalating dose levels.Prior to infusion, patients undergo a lymphodepleting conditioning regimen with fludarabine and cyclophosphamide given intravenously for three consecutive days.

Study groups in NCT07301164
Study groupRoleWhat they receive
BCT301ExperimentalNot described
Receives: Biological: BCT301

What is being measured

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

  1. Dose-limiting toxicities of BCT301

    Adverse events occurring within 28 days post-infusion that were possibly, probably, or definitely related to BCT301 cell injection (per NCI-CTCAE v5.0).

    Measured: 28 days

Secondary outcomes (25)
  1. Efficacy of refractory systemic lupus erythematosus(SLE)- The change of SLEDAI-2K

    The primary efficacy endpoint will be the change from baseline in the SLEDAI-2K score. The SLEDAI-2K is a validated index for assessing SLE disease activity, with scores ranging from 0 to 105. A higher score indicates worse disease activity.

    Measured: 90, 180, 360 days

  2. Efficacy of refractory SLE-The change of PGA

    The Physician Global Assessment (PGA) will be used to evaluate overall SLE disease activity. The PGA is a clinician's determination of disease activity based on history and physical exam, independent of laboratory results. It is scored on a scale from 0 to 3, where a higher score indicates worse disease activity.

    Measured: 90, 180, 360 days

  3. Efficacy of refractory SLE-The change of SF36

    The SF-36 health survey will be employed as a patient-reported outcome to assess health-related quality of life. This 36-item questionnaire generates scores from 0 to 100 across eight health domains and two summary components (Physical and Mental). A lower score indicates a worse health state

    Measured: 90, 180, 360 days

  4. Efficacy of refractory SLE-The change of antibodies

    Changes in autoantibody titers (e.g., anti-dsDNA) will be assessed as a serological outcome. A higher autoantibody titer reflects more severe underlying immunologic activity

    Measured: 90, 180, 360 days

  5. Efficacy of refractory systemic sclerosis (SSc)-The change of mRSS

    The modified Rodnan Skin Score (mRSS) will be the primary endpoint to assess skin disease activity. The mRSS evaluates skin thickness in 17 body areas, with each scored from 0 (normal) to 3 (severe thickening). The total score ranges from 0 to 51, where a higher score indicates worse skin involvement and a poorer prognosis.

    Measured: 90, 180, 360 days

  6. Efficacy of refractory SSc-The change of CRISS

    The Combined Response Index for Systemic Sclerosis (CRISS) will be used as the primary composite endpoint. This index calculates a probability of improvement (score from 0.0 to 1.0) by integrating changes in skin thickness (mRSS), physician and patient global assessments, functional ability (HAQ-DI), and the absence of new organ damage. A higher score indicates a better treatment response, while a score of 0 indicates treatment failure.

    Measured: 90, 180, 360 days

  7. Efficacy of refractory SSc-The change of antibodies

    Changes in autoantibody titers (e.g., anti-SCL70) will be assessed as a serological outcome. A higher autoantibody titer reflects more severe underlying immunologic activity.

    Measured: 90, 180, 360 days

  8. Efficacy of refractory Antiphospholipid Syndrome (APS)-new onset thrombotic event

    The primary efficacy endpoint is the time to first new objectively confirmed arterial or venous thrombotic event. The occurrence of a new thrombotic event is considered a treatment failure, as it directly demonstrates the failure of the therapy.

    Measured: 90, 180, 360 days

  9. Efficacy of refractory APS-The change of antibodies

    Reduction in titers of antiphospholipid antibodies (aCL, anti-β2GPI, and LA) will be assessed as a key biomarker of response. A decrease in these antibody levels is interpreted as evidence of a positive immunologic treatment effect.

    Measured: 90, 180, 360 days

  10. Efficacy of refractory APS-The change of platelet

    In patients with baseline thrombocytopenia, an increase in platelet count is considered a positive indicator of treatment efficacy, signifying control of the underlying autoimmune and consumptive processes in APS.

    Measured: 90, 180, 360 days

  11. Efficacy of refractory APS- The change of fibrinogen

    In patients with baseline hypofibrinogenemia, an increase in fibrinogen level is considered a positive indicator of treatment efficacy

    Measured: 90、180、360 days

  12. Efficacy of refractory inflammatory myositis (IM)-The change of TIS

    Total Improvement ScoreThe Total Improvement Score (TIS) will be the primary endpoint to define treatment response. The TIS is a composite score (range 0-15) quantifying improvement from baseline across six core domains: muscle strength, physical function, physician and patient global assessments, muscle enzymes, and extramuscular activity. A TIS of ≥ 20 is defined as a clinically meaningful treatment response, with a higher score indicating a greater magnitude of improvement.

    Measured: 90, 180, 360 days

  13. Efficacy of refractory IM-The change of CK

    Serum Creatine Kinase (CK) level will be assessed as a key biomarker of muscle inflammation. A reduction in CK from baseline, is a defined indicator of positive biochemical treatment response.

    Measured: 90, 180, 360 days

  14. Efficacy of refractory IM-The change of antibodies

    Reduction in titers of antibodies (e.g. anti-MDA5) will be assessed as a key biomarker of response. A decrease in these antibody levels is interpreted as evidence of a positive immunologic treatment effect.

    Measured: 90, 180, 360 days

  15. Efficacy of refractory Sjögren's Disease(SjD)-The change of ESSDAI

    The EULAR Sjögren's Syndrome Disease Activity Index (ESSDAI) will be the primary endpoint to assess systemic disease activity. The ESSDAI scores 12 organ domains, with a total range from 0 (no activity) to 123 (maximal activity). A reduction in the ESSDAI score of ≥3 points from baseline defines a clinically meaningful treatment response, indicating effective suppression of systemic disease.

    Measured: 90, 180, 360 days

  16. Efficacy of refractory SjD- Achieving STAR response or not

    The Sjögren's Tool for Assessing Response (STAR) will be used as a key patient-reported outcome. The STAR quantifies symptom burden on a scale from 0 (none) to 10 (worst imaginable). A decrease from baseline of ≥1 point in the STAR score defines a clinically meaningful treatment response, indicating a significant reduction in the patient's experience of core symptoms like dryness, fatigue, and pain.

    Measured: 90, 180, 360 days

  17. Efficacy of refractory SjD-The change of antibodies

    Changes in autoantibody titers (e.g., anti-SSA) will be assessed as a serological outcome. A reduction in titer is considered a favorable immunologic response to therapy.

    Measured: 90, 180, 360 days

  18. Efficacy of refractory SjD-The change of immune globulin

    Changes in immune globulin will be assessed as a serological outcome. A reduction in titer is considered a favorable immunologic response to therapy.

    Measured: 90, 180, 360 days

  19. Efficacy of refractory ANCA associated vasculitis (AAV)-The change of BVAS

    The Birmingham Vasculitis Activity Score (BVAS) will be the primary endpoint to assess disease activity. The BVAS quantifies new or worsening vasculitis symptoms across nine organ systems. The total score ranges from 0 (no activity) to over 50, where a higher score indicates worse disease. A reduction in BVAS, particularly to 0, defines treatment response.

    Measured: 90, 180, 360 days

  20. Efficacy of refractory AAV-The change of antibody

    Serial quantitative ANCA titers (anti-PR3 and anti-MPO) will be assessed as a serological biomarker of response. A significant decrease in ANCA titer is considered a favorable indicator of treatment efficacy.

    Measured: 90, 180, 360 days

  21. pharmacokinetic (PK)

    time to peak (Tmax)

    Measured: 0-28 days

  22. pharmacokinetic (PK)

    peak concentration (Cmax)

    Measured: 0-28 days

  23. pharmacokinetic (PK)

    area under the concentration-time curve

    Measured: 0-28 days

  24. pharmacokinetic (PK)

    area under the concentration-time curve

    Measured: 0-90 days

  25. pharmacodynamic (PD)

    The count of B cells in peripheral blood post-infusion.

    Measured: 0-28 days

Timeline

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

  1. First posted24 Dec 2025
  2. Study start11 Dec 2025
  3. Primary completion31 Dec 2027 (estimated)
  4. Study completion31 Dec 2028 (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
10 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07301164
Sponsor's protocol ID
BCT301
Status last verified
Dec 2025
First submitted
17 Nov 2025
Last updated
23 Sep 2026
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: There is no plan to share IPD.

Questions about this trial

What is this clinical trial studying?

A Early Phase 1 study testing BCT301 in people with System Lupus Erythematosus and Systemic Sclerosis (SSc), run by Peking University Third 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 39 inclusion and 17 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 23 Sep 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?

Each site lists its own contact: choose the nearest one under Trial locations. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Dose-limiting toxicities of BCT301 (time frame: 28 days). 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 23 Sep 2026.

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