A Study of Rapcabtagene Autoleucel in Active, Refractory Systemic Lupus Erythematosus (SLE) or Lupus Nephritis (LN) Patients (AUTOGRAPH - SLE/LN)

Last updated: February 19, 2026
Sponsor: Novartis Pharmaceuticals
Overall Status: Active - Recruiting

Phase

2

Condition

Cutaneous Lupus Erythematosus

Systemic Lupus Erythematosus

Lupus Nephritis

Treatment

Standard of Care

rapcabtagene autoleucel Regimen 2

rapcabtagene autoleucel

Clinical Study ID

NCT06581198
CYTB323J12201
2023-510150-17-00
  • Ages 18-75
  • All Genders

Study Summary

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

Eligibility Criteria

Inclusion

Key Inclusion Criteria:

  • Men and women with SLE, aged >= 18 years and =< 75 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 or active systemiclupus erythematosus

  • 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 therapies

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.

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

Other protocol-defined inclusion/exclusion criteria may apply.

Study Design

Total Participants: 179
Treatment Group(s): 4
Primary Treatment: Standard of Care
Phase: 2
Study Start date:
September 04, 2024
Estimated Completion Date:
February 06, 2032

Connect with a study center

  • Novartis Investigative Site

    Clayton, Victoria 3168
    Australia

    Site Not Available

  • Novartis Investigative Site

    Clayton 2171400, Victoria 2145234 3168
    Australia

    Active - Recruiting

  • Novartis Investigative Site

    Graz 2778067, 8036
    Austria

    Active - Recruiting

  • Novartis Investigative Site

    Vienna 2761369, 1090
    Austria

    Active - Recruiting

  • Novartis Investigative Site

    Salvador 3450554, Estado de Bahia 3471168 41253-190
    Brazil

    Active - Recruiting

  • Novartis Investigative Site

    Barretos 3470451, São Paulo 3448433 14784 400
    Brazil

    Active - Recruiting

  • Novartis Investigative Site

    São Paulo 3448439, São Paulo 3448433 01232-010
    Brazil

    Active - Recruiting

  • Novartis Investigative Site

    Olomouc, 779 00
    Czechia

    Site Not Available

  • Novartis Investigative Site

    Olomouc 3069011, 779 00
    Czechia

    Active - Recruiting

  • Novartis Investigative Site

    Prague 3067696, 128 00
    Czechia

    Active - Recruiting

  • Novartis Investigative Site

    Praha 2, 128 50
    Czechia

    Site Not Available

  • Novartis Investigative Site

    Aarhus N 11746890, 8200
    Denmark

    Active - Recruiting

  • Novartis Investigative Site

    Bordeaux 3031582, 33076
    France

    Active - Recruiting

  • Novartis Investigative Site

    Bordeaux Cedex, 33076
    France

    Site Not Available

  • Novartis Investigative Site

    Marseille, 13385
    France

    Site Not Available

  • Novartis Investigative Site

    Marseille 2995469, 13005
    France

    Active - Recruiting

  • Novartis Investigative Site

    Nantes, 44093
    France

    Site Not Available

  • Novartis Investigative Site

    Nantes 2990969, 44093
    France

    Active - Recruiting

  • Novartis Investigative Site

    Paris, 75013
    France

    Site Not Available

  • Novartis Investigative Site

    Paris 2988507, 75014
    France

    Active - Recruiting

  • Novartis Investigative Site

    Paris 13, 75651
    France

    Site Not Available

  • Novartis Investigative Site

    Strasbourg 2973783, 67091
    France

    Active - Recruiting

  • Novartis Investigative Site

    Toulouse 2972315, 31054
    France

    Active - Recruiting

  • Novartis Investigative Site

    Vandoeuvre Les Nancy, 54511
    France

    Site Not Available

  • Novartis Investigative Site

    Vandœuvre-lès-Nancy 2970797, 54511
    France

    Active - Recruiting

  • Novartis Investigative Site

    Stuttgart 2825297, Baden-Wurttemberg 2953481 70376
    Germany

    Active - Recruiting

  • Novartis Investigative Site

    Frankfurt am Main 2925533, Hesse 2905330 60528
    Germany

    Active - Recruiting

  • Novartis Investigative Site

    Cologne 2886242, North Rhine-Westphalia 2861876 50937
    Germany

    Active - Recruiting

  • Novartis Investigative Site

    Leipzig, Sachsen 04103
    Germany

    Site Not Available

  • Novartis Investigative Site

    Leipzig 2879139, Saxony 2842566 04103
    Germany

    Active - Recruiting

  • Novartis Investigative Site

    Jena 2895044, Thuringia 2822542 07740
    Germany

    Active - Recruiting

  • Novartis Investigative Site

    Essen, 45147
    Germany

    Site Not Available

  • Novartis Investigative Site

    Essen 2928810, 45147
    Germany

    Active - Recruiting

  • Novartis Investigative Site

    Jena, 07740
    Germany

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  • Novartis Investigative Site

    Mainz, 55131
    Germany

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  • Novartis Investigative Site

    Mainz 2874225, 55131
    Germany

    Active - Recruiting

  • Novartis Investigative Site

    Nuernberg, 90419
    Germany

    Site Not Available

  • Novartis Investigative Site

    Nuremberg 2861650, 90419
    Germany

    Active - Recruiting

  • Novartis Investigative Site

    Ulm, 89081
    Germany

    Site Not Available

  • Novartis Investigative Site

    Ulm 2820256, 89081
    Germany

    Active - Recruiting

  • Novartis Investigative Site

    Debrecen 721472, Hajdu Bihar Megye 4032
    Hungary

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  • Novartis Investigative Site

    Budapest 3054643, H-1083
    Hungary

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  • Novartis Investigative Site

    Ramat Gan 293788, 5265601
    Israel

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  • Novartis Investigative Site

    Alessandria 3183299, AL 15121
    Italy

    Active - Recruiting

  • Novartis Investigative Site

    Ancona, AN 60126
    Italy

    Site Not Available

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    Ancona 3183089, AN 60126
    Italy

    Active - Recruiting

  • Novartis Investigative Site

    Genova, GE 16132
    Italy

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  • Novartis Investigative Site

    Genova 8969657, GE 16132
    Italy

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  • Novartis Investigative Site

    Milan 6951411, MI 20122
    Italy

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  • Novartis Investigative Site

    Milano, MI 20132
    Italy

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  • Novartis Investigative Site

    Rozzano, MI 20089
    Italy

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    Rozzano 3168837, MI 20089
    Italy

    Active - Recruiting

  • Novartis Investigative Site

    Pescara 3171168, PE 65124
    Italy

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  • Novartis Investigative Site

    Pisa, PI 56124
    Italy

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  • Novartis Investigative Site

    Pisa 3170647, PI 56126
    Italy

    Active - Recruiting

  • Novartis Investigative Site

    Pavia, PV 27100
    Italy

    Site Not Available

  • Novartis Investigative Site

    Pavia 3171366, PV 27100
    Italy

    Active - Recruiting

  • Novartis Investigative Site

    Fukuoka city, Fukuoka 812-8582
    Japan

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  • Novartis Investigative Site

    Sapporo city, Hokkaido 060 8648
    Japan

    Site Not Available

  • Novartis Investigative Site

    Sapporo 2128295, Hokkaido 2130037 0608648
    Japan

    Active - Recruiting

  • Novartis Investigative Site

    Kobe, Hyogo 650-0047
    Japan

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  • Novartis Investigative Site

    Kobe 1859171, Hyōgo 1862047 6500047
    Japan

    Active - Recruiting

  • Novartis Investigative Site

    Kanazawa, Ishikawa 920 8641
    Japan

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  • Novartis Investigative Site

    Kanazawa 1860243, Ishikawa-ken 1861387 920 8641
    Japan

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  • Novartis Investigative Site

    Yokohama, Kanagawa 236-0004
    Japan

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  • Novartis Investigative Site

    Yokohama-city, Kanagawa 236-0004
    Japan

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  • Novartis Investigative Site

    Yokohama 1848354, Kanagawa-ku 236-0004
    Japan

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  • Novartis Investigative Site

    Sendai city, Miyagi 980 8574
    Japan

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  • Novartis Investigative Site

    Sendai 2111149, Miyagi 2111888 9808574
    Japan

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  • Novartis Investigative Site

    Suita, Osaka 565 0871
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  • Novartis Investigative Site

    Suita 1851483, Osaka 1853904 5650871
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  • Novartis Investigative Site

    Izumo-city, Shimane 693 8501
    Japan

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  • Novartis Investigative Site

    Izumo 1861084, Shimane 1852442 693 8501
    Japan

    Active - Recruiting

  • Novartis Investigative Site

    Bunkyo ku, Tokyo 113-8431
    Japan

    Active - Recruiting

  • Novartis Investigative Site

    Bunkyo Ku, Tokyo 1850144 1138431
    Japan

    Active - Recruiting

  • Novartis Investigative Site

    Bunkyo-ku, Tokyo 1850144 1138519
    Japan

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  • Novartis Investigative Site

    Chiba, 2608677
    Japan

    Site Not Available

  • Novartis Investigative Site

    Chiba 2113015, 260 8677
    Japan

    Active - Recruiting

  • Novartis Investigative Site

    Fukuoka 1863967, 8128582
    Japan

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  • Novartis Investigative Site

    Kyoto, 606 8507
    Japan

    Site Not Available

  • Novartis Investigative Site

    Kyoto 1857910, 6068507
    Japan

    Active - Recruiting

  • Novartis Investigative Site

    Seoul, 06591
    Korea, Republic of

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  • Novartis Investigative Site

    Leiden 2751773, South Holland 2743698 2333 ZA
    Netherlands

    Active - Recruiting

  • Novartis Investigative Site

    Leiden, Zuid Holland 2333
    Netherlands

    Site Not Available

  • Novartis Investigative Site

    Groningen, 9713 GZ
    Netherlands

    Site Not Available

  • Novartis Investigative Site

    Groningen 2755251, 9713 GZ
    Netherlands

    Active - Recruiting

  • Novartis Investigative Site

    Utrecht, 3584
    Netherlands

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  • Novartis Investigative Site

    Utrecht 2745912, 3584 CX
    Netherlands

    Active - Recruiting

  • Novartis Investigative Site

    Oslo, 0372
    Norway

    Site Not Available

  • Novartis Investigative Site

    Oslo 3143244, 0372
    Norway

    Active - Recruiting

  • Novartis Investigative Site

    Bucharest, 022328
    Romania

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  • Novartis Investigative Site

    Bucharest 683506, 022328
    Romania

    Active - Recruiting

  • Novartis Investigative Site

    Riyadh 108410, 11211
    Saudi Arabia

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  • Novartis Investigative Site

    Singapore, 119074
    Singapore

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  • Novartis Investigative Site

    Singapore 1880252, 119074
    Singapore

    Active - Recruiting

  • Novartis Investigative Site

    Seoul 1835848, 06591
    South Korea

    Active - Recruiting

  • Novartis Investigative Site

    Santiago Compostela, A Coruna 15706
    Spain

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  • Novartis Investigative Site

    Santander, Cantabria 39008
    Spain

    Site Not Available

  • Novartis Investigative Site

    Santander 3109718, Cantabria 3336898 39008
    Spain

    Active - Recruiting

  • Novartis Investigative Site

    Salamanca, Castilla Y Leon 37007
    Spain

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  • Novartis Investigative Site

    Barcelona, Catalunya 08035
    Spain

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  • Novartis Investigative Site

    Santiago De Compostela, Galicia 15706
    Spain

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  • Novartis Investigative Site

    Santiago de Compostela 3109642, Galicia 3336902 15706
    Spain

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  • Novartis Investigative Site

    Pamplona, Navarra 31008
    Spain

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  • Novartis Investigative Site

    Pamplona 3114472, Navarre 3115609 31008
    Spain

    Active - Recruiting

  • Novartis Investigative Site

    Barcelona 3128760, 08035
    Spain

    Active - Recruiting

  • Novartis Investigative Site

    Cordoba, 14004
    Spain

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  • Novartis Investigative Site

    Córdoba 2519240, 14004
    Spain

    Active - Recruiting

  • Novartis Investigative Site

    Madrid, 28041
    Spain

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  • Novartis Investigative Site

    Madrid 3117735, 28041
    Spain

    Active - Recruiting

  • Novartis Investigative Site

    Salamanca 3111108, 37007
    Spain

    Active - Recruiting

  • Novartis Investigative Site

    Valencia, 46026
    Spain

    Site Not Available

  • Novartis Investigative Site

    Valencia 2509954, 46026
    Spain

    Active - Recruiting

  • Novartis Investigative Site

    Stockholm 2673730, 17176
    Sweden

    Active - Recruiting

  • Novartis Investigative Site

    Lausanne, 1011
    Switzerland

    Site Not Available

  • Novartis Investigative Site

    Lausanne 2659994, 1011
    Switzerland

    Active - Recruiting

  • Novartis Investigative Site

    Taichung, 407219
    Taiwan

    Site Not Available

  • Novartis Investigative Site

    Taichung 1668399, 407219
    Taiwan

    Active - Recruiting

  • Novartis Investigative Site

    Taipei, 10002
    Taiwan

    Site Not Available

  • Novartis Investigative Site

    Taipei 1668341, 10002
    Taiwan

    Active - Recruiting

  • Novartis Investigative Site

    Sheffield, South Yorkshire S10 2JF
    United Kingdom

    Site Not Available

  • Novartis Investigative Site

    Sheffield 2638077, South Yorkshire S10 2JF
    United Kingdom

    Active - Recruiting

  • Novartis Investigative Site

    London, W12 0HS
    United Kingdom

    Site Not Available

  • Novartis Investigative Site

    London 2643743, W12 0HS
    United Kingdom

    Active - Recruiting

  • University Of Alabama

    Birmingham 4049979, Alabama 4829764 35294
    United States

    Active - Recruiting

  • UCSF

    San Francisco, California 94115
    United States

    Site Not Available

  • Sutter Health Network

    San Pablo, California 94806
    United States

    Site Not Available

  • Loma Linda University

    San Bernardino 5391710, California 5332921 92408
    United States

    Active - Recruiting

  • UCSF

    San Francisco 5391959, California 5332921 94115
    United States

    Active - Recruiting

  • Sutter Health Network

    San Pablo 5392508, California 5332921 94806
    United States

    Active - Recruiting

  • Northwestern University

    Chicago, Illinois 60611
    United States

    Site Not Available

  • Northwestern University Research

    Chicago, Illinois 60611
    United States

    Active - Recruiting

  • Ann and Robert H Lurie Childs Hosp

    Chicago 4887398, Illinois 4896861 60611
    United States

    Active - Recruiting

  • Northwestern University

    Chicago 4887398, Illinois 4896861 60611
    United States

    Active - Recruiting

  • University Of Iowa

    Iowa City, Iowa 52242
    United States

    Site Not Available

  • University Of Iowa

    Iowa City 4862034, Iowa 4862182 52242
    United States

    Active - Recruiting

  • University of Kentucky

    Lexington, Kentucky 40536-0284
    United States

    Site Not Available

  • University of Kentucky

    Lexington 4297983, Kentucky 6254925 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

  • Tufts Medical Center

    Boston, Massachusetts 02111
    United States

    Site Not Available

  • Boston Medical Center

    Boston 4930956, Massachusetts 6254926 02118
    United States

    Active - Recruiting

  • Tufts Medical Center

    Boston 4930956, Massachusetts 6254926 02111
    United States

    Active - Recruiting

  • WA Uni School Of Med

    St Louis 4407066, Missouri 4398678 63110
    United States

    Active - Recruiting

  • Oregon Health Sciences University

    Portland, Oregon 97239
    United States

    Site Not Available

  • Oregon Health Sciences University

    Portland 5746545, Oregon 5744337 97239
    United States

    Active - Recruiting

  • Univ Of TX MD Anderson CC

    Houston, Texas 77030
    United States

    Active - Recruiting

  • University of Texas MD Anderson Cancer Center

    Houston, Texas 77030
    United States

    Site Not Available

  • Univ Of TX MD Anderson CC

    Houston 4699066, Texas 4736286 77030
    United States

    Active - Recruiting

  • University of Texas MD Anderson Cancer Center

    Houston 4699066, Texas 4736286 77030
    United States

    Active - Recruiting

  • LDS Hospital

    Salt Lake City, Utah 84143
    United States

    Site Not Available

  • LDS Hospital

    Salt Lake City 5780993, Utah 5549030 84143
    United States

    Active - Recruiting

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