Clinical Trials in the USA / NCT06613360
Recruiting
Phase 1
A Study of CLN-978, a Subcutaneously Administered CD19-directed T Cell Engager, in Subjects With Systemic Lupus Erythematosus
NCT06613360 · tracked via the Priya Life Science USA tracker
Condition(s) studied
SLESLE (Systemic Lupus)
Study summary
Phase 1b, open-label study of CLN-978 administered subcutaneously in patients with Moderate to Severe Systemic Lupus Erythematosus (SLE).
Eligibility
Inclusion Criteria:
* Diagnosis of SLE at least 24 weeks prior to Screening and meet 2019 EULAR / ACR Classification Criteria at screening.
* Presence of one or more of the following autoantibodies documented during screening or in the previous 12 months before screening: positive anti-nuclear antibody (ANA) test (≥1:80); anti dsDNA above the upper limit of normal (ULN); anti-Sm above the ULN.
* Active SLE disease, as demonstrated by a SLEDAI total score ≥6 at screening.
* Inadequate response to at least 2 of the following treatments: oral corticosteroid, antimalarials, conventional immunosuppressants, or biologics. At least one of the failed treatments should be an immunosuppressive or biologic standard-of care agent.
* If on corticosteroid and/or antimalarial, the dose must be stable prior to day 1.
* Laboratory parameters including the following:
* Absolute lymphocyte count (ALC) ≥0.5 x 109/L
* Peripheral B cell count ≥25 cells/µL
* Absolute neutrophil count (ANC) ≥1.0 x 109/L
* Hemoglobin ≥8 g/dL
* Platelet count ≥75 x 109/L.
* Estimated glomerular filtration rate (eGFR) (based on CKD-EPI formula) ≥30 mL/min/1.73m2
* Total bilirubin ≤1.5 × ULN, except patients with confirmed Gilbert's Syndrome
* Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤2.5 × ULN
* Part B only: For patients who were treated in Part A and did not experience dose-limiting toxicity (DLT) or discontinue CLN-978 treatment due to AEs are eligible for retreatment at a higher dose or longer schedule in Part B if they otherwise meet eligibility criteria and at least 90 days have passed since the last dose of CLN-978.
Exclusion Criteria:
* Active inflammatory disease other than SLE. Thyroiditis or secondary Sjogren's syndrome is allowed.
* Considered at high risk for thrombosis.
* Rapidly progressive glomerulonephritis, and/or urine protein/creatinine \>3 mg/mg (339 mg/mmol).
* Active severe neuropsychiatric/CNS manifestations of SLE.
* Evidence of hepatitis B, hepatitis C (HCV) infection, human immunodeficiency virus (HIV), Epstein-Barr virus (EBV), or cytomegalovirus (CMV) infection.
* History of splenectomy.
* Prior treatment with the following:
* Cellular or gene therapy product directed at any target.
* Investigational therapy within 30 days or 5 drug-elimination half-lives (whichever is longer) prior to Day 1.
* Any anti-CD19 or anti-CD20 therapy less than 3 months prior to Day 1.
* Non-biologic DMARD within 14 days prior to Day 1.
* Cyclophosphamide within 1 month or a biologic immunomodulating therapy during 2 months prior to Day 1.
* Live or attenuated vaccine within 28 days prior to screening or during screening.
* Active, clinically significant bacterial, viral, fungal, mycobacterial, parasitic, or other infection, including SARS-CoV-2 infection, within 14 days before Day 1.
* Active or latent tuberculosis (TB) evidenced by a positive or indeterminant Interferon Gamma Release Assay (IGRA), unless the patient has documented previous completion of TB treatment and no current clinical indication of TB.
* Any condition for which, in the opinion of the Investigator and/or Sponsor, would not be in the best interest of the patient to participate in the study or that could prevent, limit, or confound any protocol-defined assessment.
Primary outcome measure(s)
- Safety and tolerability — 48 weeks
Incidence and severity of adverse events (AEs)/adverse events of special interest (AESIs)/serious adverse events (SAEs)
Trial sites (24)
| Facility | City | Region | Status |
|---|---|---|---|
| AARA Clinical Research | Avondale | Arizona | Recruiting |
| AARA Clinical Research | Tucson | Arizona | Recruiting |
| Omega Research Group | Orlando | Florida | Recruiting |
| University of Iowa | Iowa City | Iowa | Recruiting |
| Boston Children's Hospital | Boston | Massachusetts | Recruiting |
| NYU Grossman School of Medicine | New York | New York | Recruiting |
| Columbia University Medical Center | New York | New York | Withdrawn |
| University of Rochester Medical Center | Rochester | New York | Recruiting |
| Regional One Health | Memphis | Tennessee | Recruiting |
| Stryde Research | Plano | Texas | Recruiting |
| Tranquil Clinical Research | Webster | Texas | Recruiting |
| Intermountain Health | Salt Lake City | Utah | Recruiting |
| Royal Melbourne Hospital | Parkville | Australia | Recruiting |
| Osteoporosis Solutions | Victoria Park | Australia | Recruiting |
| Multi profile Hospital for Active Treatment Sveta Sofia | Sofia | Bulgaria | Recruiting |
| CHU de Nantes | Nantes | France | Recruiting |
| University Hospital Saint Etienne | Saint-Priest-en-Jarez | France | Recruiting |
| Centre Hospitalier Universitaire de Toulouse | Toulouse | France | Recruiting |
| ARENSIA Exploratory Medicine, LLC | Tbilisi | Georgia | Recruiting |
| Klinikum der Ruprecht-Karls Universitaet Heidelberg | Heidelberg | Baden-Wurttemberg | Recruiting |
| Timofei Moșneaga Republican Clinical Hospital | Chisinau | Moldova | Withdrawn |
| ARENSIA Exploratory Medicine S.R.L. | Bucharest | Romania | Recruiting |
| Arensia Exploratory Medicine | Cluj-Napoca | Romania | Recruiting |
| Hospital Quironsalud Infanta Luisa | Seville | Spain | Recruiting |
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Official registry record
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
View NCT06613360 on ClinicalTrials.gov ↗ ← All trials in the USA