A Study of Rapcabtagene Autoleucel in Systemic Lupus Erythematosus (SLE) Patients With Active, Refractory Lupus Nephritis (LN)

Last updated: March 17, 2025
Sponsor: Novartis Pharmaceuticals
Overall Status: Active - Recruiting

Phase

2

Condition

Cutaneous Lupus Erythematosus

Lupus

Systemic Lupus Erythematosus

Treatment

Standard of Care

rapcabtagene autoleucel Regimen 2

rapcabtagene autoleucel Regimen 1

Clinical Study ID

NCT06581198
CYTB323J12201
2023-510150-17-00
  • Ages 18-65
  • All Genders

Study Summary

The purpose of this study is to evaluate the efficacy and safety of rapcabtagene autoleucel (administered once following lymphodepletion) versus Standard of Care (SOC) in patients with systemic lupus erythematosus (SLE) with active, refractory lupus nephritis (LN).

Eligibility Criteria

Inclusion

Key Inclusion Criteria:

  • Men and women with SLE, aged >= 18 years and =< 65 years at screening, fulfillingthe 2019 European League Against Rheumatism (EULAR)/American College of Rheumatology (ACR) classification criteria for SLE at screening.

  • Participant must be positive for at least one of the following autoantibodies atscreening: antinuclear antibodies (ANA) at a titer of >= 1:80 (on HEp-2 cells or anequivalent positive test), or anti-dsDNA (above the ULN); or anti-Sm (above the ULN)as determined by a central laboratory.

  • Active lupus nephritis without signs of significant chronicity

  • SLEDAI-2K Criteria at screening: SLEDAI-2K score >= 6 points (Gladman et al 2002,Touma et al 2011), excluding points attributed to "fever", "lupus headache", "alopecia", and "organic brain syndrome".

  • Inadequate response at screening to at least two LN treatment regimens

Exclusion

Key Exclusion Criteria:

  • Any acute, severe lupus related-flare at screening that needs immediate treatmentother than pulse GCs and/or makes the immunosuppressive washout impossible and,thus, makes the participant ineligible for CD19 CAR-T therapy

  • Inadequate organ function during screening and prior to randomization

  • History or current diagnosis of ECG or cardiac abnormalities indicating significantrisk of safety for participants prior to randomization

  • Human immunodeficiency virus (HIV) positivity at screening.

  • Acute or chronic infection with hepatitis B (HBV) or hepatitis C (HCV) at screening.

  • Evidence of active or latent tuberculosis.

  • Grade 2 or higher thromboembolic event in the past 4 weeks prior to screening.

  • Vaccination (including with live attenuated vaccines) not completed at least 6 weeksprior to randomization.

Other protocol-defined inclusion/exclusion criteria may apply.

Study Design

Total Participants: 144
Treatment Group(s): 3
Primary Treatment: Standard of Care
Phase: 2
Study Start date:
September 04, 2024
Estimated Completion Date:
June 13, 2030

Study Description

This is a Phase 2, adaptive, two-year, randomized, assessor-blinded, active controlled study:

  • Part A: Participants suffering from systemic lupus erythematosus (SLE) with active, refractory LN will be randomized to Regimen 1, Regimen 2, or SOC.

  • Part B: Participants suffering from SLE with active, refractory LN will be randomized to the selected regimen from Part A or SOC.

The study will consist of two periods:

  • A screening period lasting up to 6 weeks, and

  • A randomized treatment period and primary follow-up period lasting up to 104 weeks.

After end of study (EOS), participants who received rapcabtagene autoleucel infusion will enter a long-term follow-up (LTFU) period lasting up to 15 years after rapcabtagene autoleucel infusion. This LTFU will be described in a separate study protocol.

Connect with a study center

  • Novartis Investigative Site

    Bordeaux Cedex, 33076
    France

    Active - Recruiting

  • Novartis Investigative Site

    Paris, 75013
    France

    Active - Recruiting

  • Novartis Investigative Site

    Paris 13, 75651
    France

    Site Not Available

  • Novartis Investigative Site

    Jena, 07740
    Germany

    Active - Recruiting

  • Novartis Investigative Site

    Leipzig, 04103
    Germany

    Active - Recruiting

  • Novartis Investigative Site

    Mainz, 55131
    Germany

    Active - Recruiting

  • Novartis Investigative Site

    Ancona, AN 60126
    Italy

    Active - Recruiting

  • Novartis Investigative Site

    Genova, GE 16132
    Italy

    Active - Recruiting

  • Novartis Investigative Site

    Rozzano, MI 20089
    Italy

    Active - Recruiting

  • Novartis Investigative Site

    Fukuoka city, Fukuoka 812-8582
    Japan

    Active - Recruiting

  • Novartis Investigative Site

    Sapporo city, Hokkaido 060 8648
    Japan

    Active - Recruiting

  • Novartis Investigative Site

    Kobe, Hyogo 650-0047
    Japan

    Active - Recruiting

  • Novartis Investigative Site

    Kanazawa, Ishikawa 920 8641
    Japan

    Active - Recruiting

  • Novartis Investigative Site

    Yokohama-city, Kanagawa 236-0004
    Japan

    Active - Recruiting

  • Novartis Investigative Site

    Sendai city, Miyagi 980 8574
    Japan

    Active - Recruiting

  • Novartis Investigative Site

    Suita, Osaka 565 0871
    Japan

    Active - Recruiting

  • Novartis Investigative Site

    Bunkyo-ku, Tokyo 113-8519
    Japan

    Active - Recruiting

  • Novartis Investigative Site

    Chiba, 2608677
    Japan

    Active - Recruiting

  • Novartis Investigative Site

    Kyoto, 606 8507
    Japan

    Active - Recruiting

  • Novartis Investigative Site

    Groningen, 9713 GZ
    Netherlands

    Active - Recruiting

  • Novartis Investigative Site

    Singapore, 119074
    Singapore

    Active - Recruiting

  • Novartis Investigative Site

    Cordoba, Andalucia 14004
    Spain

    Active - Recruiting

  • Novartis Investigative Site

    Santander, Cantabria 39008
    Spain

    Active - Recruiting

  • Novartis Investigative Site

    Salamanca, Castilla Y Leon 37007
    Spain

    Active - Recruiting

  • Novartis Investigative Site

    Barcelona, Catalunya 08035
    Spain

    Active - Recruiting

  • Novartis Investigative Site

    Madrid, 28041
    Spain

    Active - Recruiting

  • UCSF

    San Francisco, California 94115
    United States

    Active - Recruiting

  • Northwestern University

    Chicago, Illinois 60611
    United States

    Active - Recruiting

  • Northwestern University Research

    Chicago, Illinois 60611
    United States

    Active - Recruiting

  • University Of Iowa

    Iowa City, Iowa 52242
    United States

    Active - Recruiting

  • University of Kentucky

    Lexington, Kentucky 40536-0284
    United States

    Active - Recruiting

  • Boston Medical Center

    Boston, Massachusetts 02118
    United States

    Active - Recruiting

  • Boston Medical Center Research Facility

    Boston, Massachusetts 02118
    United States

    Active - Recruiting

  • Oregon Health Sciences University

    Portland, Oregon 97239
    United States

    Active - Recruiting

  • Univ Of TX MD Anderson CC

    Houston, Texas 77030
    United States

    Active - Recruiting

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