About this trial
This Phase 2, multicenter, open-label study will evaluate the safety and efficacy of a single infusion of autologous anti-CD20/BCMA chimeric antigen receptor T cells (C-CAR168) following lymphodepleting chemotherapy in participants with refractory lupus nephritis who are not responding to standard therapy.
Approximately 50 participants will undergo leukapheresis, lymphodepletion with fludarabine and cyclophosphamide, and infusion of C-CAR168. Participants will be followed for 104 weeks (approximately 2 years) to evaluate renal response, safety, CAR T-cell persistence, pharmacokinetics/pharmacodynamics, and biomarkers. Long-term safety follow-up for gene therapy-related events will continue for up to 15 years following CAR T-cell infusion.
Eligibility criteria
Qualifiers
Able to provide informed consent or assent where applicable.
Male or female aged 14-70 years, weighing at least 40 kg.
Diagnosis of systemic lupus erythematosus according to the 2019 EULAR/ACR classification criteria.
Biopsy-confirmed ISN/RPS Class III or IV lupus nephritis, with or without Class V, within 6 months before screening.
Disqualifiers
Active uncontrolled infection
Active hepatitis B, hepatitis C, or HIV infection
Active tuberculosis
Pregnancy or breastfeeding
Trial design
Treatments tested in this trial
- C-CAR168