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December 8, 2025BloodOpen Access

Rapid normalization of platelet counts in patients with refractory thrombocytopenia associated with systemic lupus erythematosus (SLE) following treatment with allogeneic dual-target CD19/BCMA CAR T-cell therapy (QT-019B)

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Authors

RGRunxia GuKLKe LiSWShuning Wei

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Overview

Investigator-initiated trial found CAR T-cell therapy induced complete response in refractory thrombocytopenia, suggesting a novel treatment approach.

Key Points

  • To evaluate the efficacy and safety of allogeneic dual-target CAR T-cell therapy in patients with refractory systemic lupus erythematosus.
  • Investigator-initiated trial using QT-019B to eliminate autoantibody-producing cells.
  • Six patients with refractory SLE-ITP received a single infusion after lymphodepleting conditioning with fludarabine and cyclophosphamide.
  • Dose escalation approach was implemented (3+3 design) to determine safety and efficacy.
  • Four patients completed the dose-limiting toxicity observation period; three out of four achieved complete response.
  • Platelet counts normalized within one month for responding patients, with sustained improvement.
  • All autoantibodies tested became negative in responders by Day 28, indicating effective treatment.

Cite This Study

Gu et al. (2025) studied this question.

synapsesocial.com/papers/69362f7f4fa91c937236e566https://doi.org/10.1182/blood-2025-3031
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