Clinical trial Recruiting at 1 site Early Phase 1 Interventional Ages 18 to 65

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

PhaseEarly Phase 1
Study typeInterventional
Ages18 Years to 65 Years
SexAll
Enrollment27 (estimated)
SponsorRuijin Hospital
Academic / other
Drugs / interventionsCAR T
Locations1 site (Shanghai, Huangpu District)
StatusRecruiting
StartedDecember 24, 2025
Main results expectedDecember 19, 2027
Study endsMarch 19, 2028
Registry record updatedJanuary 23, 2026
Trial IDNCT07322718 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
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Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.