A Phase 1 Study of SYNCAR-001 + STK-009 Without Conditioning Chemotherapy (Lymphodepletion) in Subjects With Severe, Refractory Systemic Autoimmune Rheumatic Disease

Last updated: October 31, 2025
Sponsor: Synthekine
Overall Status: Active - Not Recruiting

Phase

1

Condition

Scleroderma

Lupus

Systemic Lupus Erythematosus

Treatment

SYNCAR-001

STK-009

Clinical Study ID

NCT06544330
STK-009-201
  • Ages > 18
  • All Genders

Study Summary

This is a phase 1 study of SYNCAR-001 + STK-009 in patients with severe, refractory systemic autoimmune rheumatic disease.

Eligibility Criteria

Inclusion

General Inclusion Criteria:

Age ≥18 years at screening.

SLE Inclusion Criteria:

  1. Clinical diagnosis of SLE according to the 2019 European League Rheumatism EULAR/ACRclassification criteria.

  2. Subject must be positive for at least one of the following at screening: Anti-dsDNA (above the upper limit of normal [ULN]); or anti-Sm (above the ULN); oranti-Chromatin (above the ULN).

  3. Subjects with active, severe, non-renal SLE or subjects with active proliferative LN

SSc Inclusion Criteria:

  1. Classified as SSc according to the ACR/EULAR classification criteria.

  2. Diffuse cutaneous SSc (dcSSc) or SSc-associated ILD (SSc-ILD; significant orprogressive).

Exclusion

General Exclusion Criteria:

  1. History of or active central nervous system manifestations of autoimmune disease.

  2. Prior treatment with anti-CD19 adoptive T cell therapy, or any prior gene therapyproduct (e.g., CAR T cell therapy).

SLE Exclusion Criteria:

  1. Rapidly progressive glomerulonephritis.

  2. End stage renal failure requiring dialysis or most recent renal biopsy with purelychronic lesions (Class III[C], IV-S[C], or IV-G[C]) if isolated renal disease.

SSc Exclusion Criteria:

  1. FVC <50% of predicted or DLCO <40% of predicted.

  2. Pulmonary arterial hypertension (PAH) requiring PAH-specific treatment.

Other protocol-defined criteria apply.

Study Design

Total Participants: 48
Treatment Group(s): 2
Primary Treatment: SYNCAR-001
Phase: 1
Study Start date:
April 29, 2025
Estimated Completion Date:
April 30, 2041

Study Description

SYNCAR-001 + STK-009 is a 2-component human orthogonal (ho) IL-2 receptor-ligand cell therapy consisting of (1) SYNCAR-001, a CD19-directed chimeric antigen receptor T cell (CAR-T) co-expressing an engineered IL-2 beta receptor (hoRb); and (2) STK-009, an engineered pegylated IL-2 cytokine (hoIL-2) selective for hoRb. This study is being conducted to evaluate the safety and efficacy of a single dose of SYNCAR-001 followed by multiple subcutaneously administered doses of STK-009. No conditioning chemotherapy (lymphodepletion) will be administered. The study will follow a 3+3 design during dose escalation followed by dose expansion at the recommended phase 2 dose (RP2D).

Connect with a study center

  • HonorHealth Research Institute

    Scottsdale, Arizona 85258
    United States

    Site Not Available

  • HonorHealth Research Institute

    Scottsdale 5313457, Arizona 5551752 85258
    United States

    Site Not Available

  • Hackensack University Medical Center

    Hackensack, New Jersey 07601
    United States

    Site Not Available

  • Hackensack University Medical Center

    Hackensack 5098706, New Jersey 5101760 07601
    United States

    Site Not Available

  • Feinstein Institutes for Medical Research

    Manhasset, New York 11030
    United States

    Site Not Available

  • Feinstein Institutes for Medical Research

    Manhasset 5125766, New York 5128638 11030
    United States

    Site Not Available

  • The Cleveland Clinic Foundation

    Cleveland, Ohio 44195
    United States

    Site Not Available

  • Ohio State University Wexner Medical Center

    Columbus, Ohio 43210
    United States

    Site Not Available

  • The Cleveland Clinic Foundation

    Cleveland 5150529, Ohio 5165418 44195
    United States

    Site Not Available

  • Ohio State University Wexner Medical Center

    Columbus 4509177, Ohio 5165418 43210
    United States

    Site Not Available

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