A Study of IMPT-514 in Active Refractory Lupus Nephritis (LN) and Systemic Lupus Erythematosus (SLE)

Last updated: February 6, 2025
Sponsor: Lyell Immunopharma, Inc.
Overall Status: Trial Not Available

Phase

1/2

Condition

Nephritis

Lupus

Systemic Lupus Erythematosus

Treatment

IMPT-514

Clinical Study ID

NCT06153095
MPCT-021N
  • Ages > 18
  • All Genders

Study Summary

This is a Phase 1/2, multi-center, open-label study evaluating the safety and efficacy of IMPT-514, a bispecific chimeric antigen receptor (CAR) targeting cluster of differentiation (CD)19 and CD20 in participants with active, refractory lupus nephritis and systemic lupus erythematosus.

IMPT-514 treatment consists of a single infusion of CAR-transduced autologous T cells administered intravenously after a lymphodepleting therapy regimen consisting of fludarabine and cyclophosphamide. Individual participants will remain in the active post-treatment period for approximately 1 year.

Participants will continue in long-term follow-up for 15 years from treatment.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Willing and able to provide written informed consent

  2. Age 18 years of age or older

  3. Weight > 45 kg at enrollment

  4. Adequate blood pressure control

  5. On stable background therapy for autoimmune disease (LN, SLE) with stable dose ofautoimmune disease medications for at least 4 weeks prior to screening

  6. Diagnosis of SLE by 2019 European League Against Rheumatism (EULAR)/American Collegeof Rheumatology (ACR) classification criteria or 2012 Systemic Lupus CollaboratingClinics (SLICC) criteria, including positive ANA or positive anti-dsDNA

  7. Positive anti-nuclear antibody (ANA), anti-dsDNA (double stranded DNA) or anti-Smithantibody at screening

  8. SLE participants: SLEDAI-2K ≥ 6 points, with at least 4 points on clinical,non-laboratory items

  9. SLE participants: British Isles Lupus Assessment Group (BILAG) 2004 level B in 2 ormore organ systems, or BILAG level A in 1 or more organ system

  10. Physician Global assessment ≥ 1 on 0 to 3 visual analogue scale (VAS)

  11. LN participants: Active, biopsy-proven, proliferative LN Class III or IV by 2018International Society of Nephrology/Renal Pathology Society (ISN/RPS) criteria

Other protocol-defined criteria apply.

Exclusion

Exclusion criteria:

  1. Any clinically significant underlying illness, other than SLE and LN, which wouldpose a safety risk or concern, as determined by the Investigator

  2. Any other systemic autoimmune condition

  3. Rapidly progressive glomerulonephritis

  4. Active central nervous system (CNS) lupus

  5. History of allogeneic bone marrow or stem cell transplantation or solid organtransplantation

  6. History of prior B cell directed cell therapy, including CAR T treatment, autologousor allogeneic, as well as prior bispecific or T cell engager therapy

  7. Drug-induced SLE

Other protocol-defined criteria apply.

Study Design

Treatment Group(s): 1
Primary Treatment: IMPT-514
Phase: 1/2
Study Start date:
February 15, 2024
Estimated Completion Date:
January 09, 2025

Connect with a study center

  • Westmead Hospital

    Westmead, NSW 2145
    Australia

    Site Not Available

  • University of California, Los Angeles (UCLA) Medical Center

    Los Angeles, California 90095
    United States

    Site Not Available

  • University of California San Francisco

    San Francisco, California 94143
    United States

    Site Not Available

  • University of Iowa

    Iowa City, Iowa 52242
    United States

    Site Not Available

  • Henry Ford Health System

    Detroit, Michigan 48202
    United States

    Site Not Available

  • University of Cincinnati (UC) - Department of Nephrology

    Cincinnati, Ohio 45219
    United States

    Site Not Available

Not the study for you?

Let us help you find the best match. Sign up as a volunteer and receive email notifications when clinical trials are posted in the medical category of interest to you.