The Study of Comparing the Efficacy and Safety of Human Umbilical Cord MSCs and Low-dose IL-2 in the Treatment of LN
Systemic Lupus Erythematosus, Lupus Nephritis
About this trial
This is an interventional treatment trial for Systemic Lupus Erythematosus focused on measuring Mesenchymal stem cells, interleukin-2
Eligibility Criteria
Inclusion Criteria: Only patients with active lupus nephritis who meet all of the following criteria are eligible for inclusion in this study: Before random assignment, records show that it meets at least 4 of the 11 SLE classification criteria recommended by ACR in 1997. Age: age > 18 years old, ≤ 65 years old when obtaining informed consent SLEDAI-2K score ≥ 6 Urinary total protein / creatinine ratio > 1.0 or 24-hour urinary protein > 1.0g, with or without microscopic hematuria If they are fertile, they must agree to use effective contraception during the trial. In the case of women of childbearing age, urinary pregnancy and serum pregnancy tests should be negative. Voluntarily sign informed consent and comply with the requirements of the research programme Exclusion Criteria: Patients who met any of the following criteria could not be enrolled in this study: Patients who had received rituximab or any other B cell depletion therapy within 24 weeks before screening; patients who received unstable doses of mycophenolate mofetil, cyclophosphamide or other immunosuppressants (including Cyclosporine, Tacrolimus, Tripterygium wilfordii, Leflunomide, Azathioprine, Iguratimod) within the first 12 weeks of screening. Received biological agents or small molecule targeted drugs for immune diseases within 4 weeks before screening, such as Etanercept, Infliximab, Adalimumab Solution, Golimumab, Belimumab, Tocilizumab or JAK inhibitors; Plasmapheresis or immunosorbent therapy within 12 weeks before screening. Accompanied by severe and uncontrolled cardiovascular diseases, nervous system diseases, lung diseases, liver diseases, endocrine and gastrointestinal diseases. Current or recent (within 4 weeks before random allocation) a history of severe active or recurrent bacterial, viral, fungal, parasitic or other infections (including, but not limited to, tuberculosis and atypical mycobacterial diseases, hepatitis B and C, HIV infection, herpes zoster, but excluding onychomycosis). Or any infected person who needs hospitalization and intravenous antibiotic treatment within 4 weeks before screening or any infected person who needs treatment within 2 weeks before screening. Any major surgery has been performed within 12 weeks before screening, or major surgery is required during the study period, which the researchers believe will pose an unacceptable risk to the patient; Live vaccine will be given within 12 weeks before random allocation, or live vaccine is expected to be needed / received during the study (except for herpes zoster vaccination). Patients with a history of malignant tumors, including solid tumors and hematological malignancies (except for excised or cured basal cell carcinoma of the skin); Pregnant or lactating women.
Sites / Locations
- The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical SchoolRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
MSCs group
IL-2 group
In this group, patients will receive intravenous injection of human umbilical cord mesenchymal stem cells (2 × 10^6 cells / kg body weight, suspended in 30ml saline)
In this group, patients will receive subcutaneous injection of IL-2 (1×10^6IU) every other day for 2 weeks (7 times), with an interval of 2 weeks.