RXIM002 for severe, relapsed or refractory B cell–mediated autoimmune diseases
Official title: A Clinical Study to Evaluate the Safety, Tolerability and Preliminary Efficacy of the CD19-Targeting Circular RNA Product RXIM002 in Patients With Relapsed or Refractory B Cell-Mediated Autoimmune Diseases
Run by Ruijin Hospital · NCT07322718 · Data updated 2026-11-12
This trial tests RXIM002, a one-time IV in‑body CD19‑targeting CAR T therapy delivered by circular RNA, in adults 18–65 with severe, relapsed or refractory B cell–mediated autoimmune diseases to see if it is safe and can reduce disease activity.
Quick facts
| Phase | Early Phase 1 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 65 Years |
| Sex | All |
| Enrollment | 27 (estimated) |
| Sponsor | Ruijin Hospital Academic / other |
| Drugs / interventions | CAR T |
| Locations | 1 site (Shanghai, Huangpu District) |
| Status | Recruiting |
| Started | December 24, 2025 |
| Main results expected | December 19, 2027 |
| Study ends | March 19, 2028 |
| Registry record updated | January 23, 2026 |
| Trial ID | NCT07322718 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18–65 with severe, relapsed or refractory CD19‑positive B cell–mediated autoimmune diseases who meet organ‑function criteria and can attend the study site are the intended candidates.
✕Probably not a fit
Patients whose disease is not driven by CD19‑positive B cells, those with significant organ dysfunction or uncontrolled comorbidities, or those unable to travel to the site are unlikely to benefit from this intervention.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This Phase 1, open‑label, single‑arm, dose‑escalation study gives adults with severe, relapsed or refractory B cell–mediated autoimmune diseases intravenous RXIM002 and follows them for safety and biological response. Participants will be monitored for adverse events, laboratory measures, pharmacokinetics, pharmacodynamics, and immunogenicity, and investigators will look for preliminary signs of clinical improvement. The protocol includes screening, treatment, and follow‑up periods to capture both short‑term safety and longer‑term durability of any effects. Dosing is escalated in sequential cohorts to determine tolerability and an appropriate dose range.
Why it matters
Potential benefit: If successful, RXIM002 could deplete pathogenic B cells and produce durable remission, reducing the need for ongoing immunosuppressive therapy.
How similar studies have gone: Ex‑vivo CD19 CAR T therapies have shown promise in some autoimmune cases, but an in‑vivo circular RNA‑mediated CAR T approach like RXIM002 is novel and largely untested in humans.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Subjects voluntary agreement to provide written informed consent. * Aged 18 to 65 years, either sex. * Adequate organ function meeting screening criteria. * Positive test for cluster of differentiation antigen 19 (CD19). Systemic Lupus Erythematosus (SLE) and Lupus Nephritis (LN): * Have been diagnosed with SLE or LN before screening. * Presence of anti-dsDNA, anti-histone, anti-chromatin, anti-Ro (anti-SS-A), anti-La (anti-SS-B), antinuclear antibody (ANA), or anti-Sm antibodies at screening. * Active disease at screening. * Fulfill relapsed/refractory SLE or LN conditions Lupus Nephritis (LN) : * Kidney biopsy result indicating LN * Evidence of LN disease activity Systemic Sclerosis (SSc): * Have been diagnosed with SSc before screening. * Antinuclear Antibody (ANA) positive at screening or prior to screening. AND, evidence of SSc disease activity. * Fulfill relapsed/refractory SSc conditions. Immune Thrombocytopenia (ITP): * Have been diagnosed with refractory ITP before screening. * Platelet count \<50×10⁹/L at screening. Idiopathic Inflammatory Myopathy (IIM): * Have been diagnosed with IIM before screening. * Presence of at least 1 myositis specific (MSA), associated antibody (MAA), or ANA at screening or prior to screening. * Evidence of IIM disease activity. * Fulfill relapsed/refractory IIM conditions. Membranous Nephropathy (MN): * Have been diagnosed with MN before screening. * Active MN patients meeting screening criteria. * Fulfill relapsed/refractory MN conditions. Autoimmune Hemolytic Anemia (AIHA): * Have been diagnosed with AIHA before screening. * Active AIHA patients meeting screening criteria. * Fulfill relapsed/refractory AIHA conditions. Exclusion Criteria: * Active infections such as hepatitis and tuberculosis. * Other autoimmune diseases. * Serious underlying diseases such as active malignancies, uncontrolled diabetes. * Female subjects who were pregnant, breastfeeding. * Any uncontrolled psychiatric disorders (e.g., schizophrenia, bipolar disorder, eating disorders, major depression or anxiety disorder), as declared by the participant or reported in the medical records.
Where it's running
-
Ruijin Hospital
Shanghai, Huangpu District, China Recruiting
Study contacts
- Study coordinator: Qiongyi Hu
- Email: huqiongyi131@163.com
- Phone: +86 021-50199835
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
AI-assisted 4D PET imaging to detect early pancreatic cancer lesions
This study tests whether AI-assisted 4D long-axial PET imaging with FDG and FAPI can help detect early PDAC lesions in patients with suspected pancreatic tumors.
-
Urinary Cell-Free DNA Test for Urothelial Cancer Origin
This study tests a urine-based cell-free DNA test to help diagnose urothelial cancer and identify whether it started in the bladder or upper urinary tract in adults.
-
Neoadjuvant therapy for locally advanced low rectal cancer: adding fruquintinib to short-course radiotherapy with tislelizumab and CAPOX
This study tests whether adding fruquintinib to short-course radiotherapy plus tislelizumab and CAPOX before surgery helps people with locally advanced low rectal cancer achieve a better tumor response.
-
Modular Robot-Assisted Esophagectomy vs. Conventional Minimally Invasive Esophagectomy for Esophageal Cancer
This trial tests whether modular robotic-assisted esophagectomy using the Carina platform works better than conventional 3D thoracoscopic esophagectomy for people with resectable esophageal cancer.
-
Ivonescimab with pemetrexed and platinum chemotherapy as first-line treatment for advanced malignant pleural mesothelioma
This study tests whether adding ivonescimab to standard pemetrexed plus platinum-based chemotherapy can help people with newly diagnosed advanced malignant pleural mesothelioma.
-
Gecacitinib for patients with myeloid neoplasms and myelofibrosis undergoing allogeneic stem cell transplant
This study tests whether taking gecacitinib around the time of allogeneic stem cell transplantation is safe and helps engraftment in adults with myeloid neoplasms and myelofibrosis.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.