An Early Exploratory Study to Assess the Tolerability and Safety of GC012F in Patients With Multiple Sclerosis
This is an early exploratory study to assess the tolerability and safety of GC012F CAR T cell injection in Multiple Sclerosis patients.
• 1\. The laboratory test results at screening must meet the following criteria:
‣ a)Absolute neutrophil count ≥ 1.0 × 10\^9/L (no growth factor is given for supportive care within 7 days prior to testing);
⁃ b)Absolute lymphocyte count ≥ 1.0×10\^9/L;
⁃ c)Hemoglobin ≥ 80 g/L (no red blood cell transfusion is given within 7 days prior to testing);
⁃ d)Platelet count ≥ 50×10\^9/L (no blood transfusion is given within 7 days prior to testing);
⁃ e)Serum IgG ≥ 500 mg/dL;
⁃ f)Activated partial thromboplastin time ≤ 1.5 × upper limit of normal (ULN), prothrombin time (PT) ≤ 1.5 × ULN;
⁃ g)Adequate renal, hepatic, cardiopulmonary function : i.Serum alanine aminotransferase and aspartate aminotransferase ≤ 3 × ULN; ii.Total bilirubin \< 2 × ULN (direct bilirubin ≤ 1.5 × ULN for subjects with Gilbert's syndrome); iii.Creatinine ≤ 2 mg/dL or creatinine clearance ≥ 60 mL/min (estimated according to the Cockcroft Gault formula); iv.Subjects with left ventricular ejection fraction ≥ 45% (performed within 8 weeks prior to apheresis) as diagnosed by echocardiography (ECHO) or multi-gated acquisition scan and no evidence of pericardial effusion as determined by ECHO and no clinically significant electrocardiographic findings; v.Baseline oxygen saturation \> 92% under indoor air conditions; vi.Estimated glomerular filtration rate ≥ 60 mL/min/1.73 m\^2.
• 2.Confirmed diagnosis of MS based on the 2017 McDonald diagnostic criteria and diagnosis of relapsing or progressive MS based on the 2013 Lublin phenotype criteria for multiple sclerosis;
‣ Relapsing-remitting multiple sclerosis (RRMS):
• patients with RRMS who have failed ≥ 1 highly effective disease modifying therapy (DMT) (fingolimod, siponimod, ozanimod, and anti-leukocyte cluster of differentiation \[CD\] 20 monoclonal antibody therapy, etc.) (defined as at least 12 months of continuous use).
∙ At least 2 clinical relapses in the past 2 years, or 1 clinical relapse in the past 2 years with ≥ 1 new Gd-enhancing lesion on MRI, or ≥ 1 new Gd-enhancing lesion on MRI within the past 6 months; c) ≥ 2 Gd-enhancing lesions on T1-weighted brain MRI at screening.
⁃ Primary progressive multiple sclerosis (PPMS):
• patients with primary progressive MS who have failed highly effective DMT and whose disease activity has worsened recently (i.e., within 1 year) (EDSS disease progression score ≥ 0.5);
∙ no Gd-enhancing lesions on brain MRI at screening.
⁃ Secondary progressive multiple sclerosis (SPMS):
• patients with secondary progressive MS who have failed highly effective DMT and whose disease activity has worsened recently (i.e., within 1 year) (EDSS disease progression score ≥ 0.5);
∙ no Gd-enhancing lesions on brain MRI at screening.
• 3.EDSS score ≥ 2.0 and ≤ 6.5;
• 4.Documented history or confirmation at screening of the presence of oligoclonal bands or an elevated IgG index in CSF.