To Evaluate the Effects of Cevostamab in Participants With Systemic Lupus Erythematosus With or Without Active Lupus Nephritis

Trial statusRecruiting
Trial phasePhase 1
Trial typeInterventional
Biological sexAll
Age18-75
SponsorGenentech, Inc.

About this trial

The study will evaluate the safety, tolerability, pharmacokinetics, and pharmacodynamics of cevostamab in participants with systemic lupus erythematosus (SLE) with or without active lupus nephritis (LN).

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Diagnosis of SLE according to the 2019 European League Against Rheumatism (EULAR)/American College of Rheumatology (ACR) Classification Criteria at least 6 months prior to the first screening visit

Active biopsy-proven LN established within 9 months of screening, demonstrating LN per 2018 Revised International Society of Nephrology/Renal Pathology Society (ISN/RPS) criteria

Diagnosis of active SLE disease, as demonstrated by the Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K) score

Inadequate response or intolerance to, in the investigator's judgement, standard of care regimens for active SLE with or without LN

Disqualifiers

Pregnant or breastfeeding, or intending to become pregnant during the study or within the timeframe in which contraception is required

Treatment with investigational or non-investigational biologic therapies that directly deplete B cells (e.g., anti-CD20 or anti-CD19 monoclonal antibodies) (or blinded comparators) is prohibited within 6 months or 5 drug elimination half-lives, whichever is longer, prior to screening and during the study

Treatment with investigational biologic therapies that do not directly deplete B cells (or blinded comparators) is prohibited within 90 days or 5 drug elimination half-lives, whichever is longer, prior to initiation of study drug and during the study

Treatment of SLE/LN with non-investigational biologic therapies that do not directly deplete B cells (e.g., belimumab, anifrolumab) is prohibited within 4 weeks prior to screening and during the study

Trial design

Design model

Sequential

Treatments tested in this trial

  • Cevostamab

    Drug

    Participants will receive cevostamab IV as per the schedule given in the protocol.

  • Tocilizumab

    Drug

    Tocilizumab may be used as rescue medication for participants who experience a cytokine release syndrome (CRS) event.

Treatment groups

46 Participants
are divided into 1 treatment group
Group A: Dose Escalation and ExpansionExperimental treatment 2 interventions

Trial outcomes

Primary outcomes

1

Percentage of Participants with Adverse Events (AEs)

Time frame
Up to approximately 52 weeks

Secondary outcomes

1

Serum Concentration of Cevostamab

Time frame
Up to approximately 52 weeks
2

Area Under the Concentration-Time Curve (AUC) of Cevostamab

Time frame
Up to approximately 52 weeks
3

Maximum Observed Serum Concentration (Cmax) of Cevostamab

Time frame
Up to approximately 52 weeks
4

Minimum Observed Serum Concentration (Cmin) of Cevostamab

Time frame
Up to approximately 52 weeks

Other outcomes

Sponsors and contacts

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