RECRUITINGPhase 1INTERVENTIONAL
Obe-cel in Adolescent [Applicable in UK Only] and Adult Severe, Refractory Systemic Lupus Erythematosus
A Single-Arm, Open-Label, Phase I Study to Determine the Safety, Tolerability and Preliminary Efficacy of Obecabtagene Autoleucel in Patients With Severe, Refractory Systemic Lupus Erythematosus
About This Trial
This is a Phase 1 study of obecabtagene autoleucel (obe-cel), autologous T cells engineered with a chimeric antigen receptor (CAR) targeting CD19, to establish the tolerability, safety, preliminary efficacy, and pharmacokinetics of obe-cel in patients with severe, refractory SLE.
Who May Be Eligible (Plain English)
Who May Qualify:
-Key Inclusion Criteria-
- Women or men ≥ 18 years at screening \[Spain only\] or patients 12 to 65 years of age (inclusive) at the time of signing the willing to sign a consent form \[UK only\]
- Diagnosis of SLE fulfilling the 2019 European League Against Rheumatism (EULAR)/American College of Rheumatology (ACR) Classification Criteria for Systemic Lupus Erythematosus
- Positive for at least one of the following autoantibodies: antinuclear antibodies (ANA) at a titer of ≥ 1:80, or anti-dsDNA (≥ 30 IU/mL) or anti-Smith (\> upper limit of normal \[ULN\]), anti-histone or anti-chromatin (\> ULN)
- Severe, refractory SLE
Who Should NOT Join This Trial:
-Key Exclusion Criteria-
- Medications
- Within 2 months of leukapheresis: use of anti-CD20 therapy
- Prior treatment with anti-CD19 therapy (including bispecifics), adoptive T cell therapy or any prior gene therapy product (e.g., CAR T cell therapy)
- Immunization with a live or attenuated vaccine within 2 months of leukapheresis
- SLE and Autoimmunity:
- Recurrent neuropsychiatric lupus or active, severe or unstable neuropsychiatric lupus within 2 years from screening
- Diagnosis of drug-induced SLE rather than idiopathic SLE
- Any acute, severe lupus-related flare during screening that needs immediate treatment and/or makes the immunosuppressive washout impossible; thus, making the patient ineligible for CD19 CAR T therapy as judged by the Investigator or Sponsor
- Significant, likely irreversible organ damage related to SLE (e.g., end-stage renal disease) that in the opinion of the Investigator renders CD19 CAR T cell therapy unlikely to benefit the patient
- Diagnosis of another non-SLE autoimmune conditions (where your immune system attacks your own body) (e.g., dermatomyositis, polymyositis, scleroderma, rheumatoid arthritis) or overlap syndrome
- Medical History:
- History or presence of: (Within 3 months before screening visit)
...See full criteria on ClinicalTrials.gov
Always talk to your doctor about whether this trial is right for you.
Original Eligibility Criteria
View original clinical language
Inclusion Criteria:
-Key Inclusion Criteria-
* Women or men ≥ 18 years at screening \[Spain only\] or patients 12 to 65 years of age (inclusive) at the time of signing the informed consent \[UK only\]
* Diagnosis of SLE fulfilling the 2019 European League Against Rheumatism (EULAR)/American College of Rheumatology (ACR) Classification Criteria for Systemic Lupus Erythematosus
* Positive for at least one of the following autoantibodies: antinuclear antibodies (ANA) at a titer of ≥ 1:80, or anti-dsDNA (≥ 30 IU/mL) or anti-Smith (\> upper limit of normal \[ULN\]), anti-histone or anti-chromatin (\> ULN)
* Severe, refractory SLE
Exclusion Criteria:
-Key Exclusion Criteria-
* Medications
* Within 2 months of leukapheresis: use of anti-CD20 therapy
* Prior treatment with anti-CD19 therapy (including bispecifics), adoptive T cell therapy or any prior gene therapy product (e.g., CAR T cell therapy)
* Immunization with a live or attenuated vaccine within 2 months of leukapheresis
* SLE and Autoimmunity:
* Recurrent neuropsychiatric lupus or active, severe or unstable neuropsychiatric lupus within 2 years from screening
* Diagnosis of drug-induced SLE rather than idiopathic SLE
* Any acute, severe lupus-related flare during screening that needs immediate treatment and/or makes the immunosuppressive washout impossible; thus, making the patient ineligible for CD19 CAR T therapy as judged by the Investigator or Sponsor
* Significant, likely irreversible organ damage related to SLE (e.g., end-stage renal disease) that in the opinion of the Investigator renders CD19 CAR T cell therapy unlikely to benefit the patient
* Diagnosis of another non-SLE autoimmune disease (e.g., dermatomyositis, polymyositis, scleroderma, rheumatoid arthritis) or overlap syndrome
* Medical History:
* History or presence of: (Within 3 months before screening visit)
* Clinically relevant central nervous system (CNS) pathology such as epilepsy, paresis, aphasia, or stroke
* Evidence of deep venous thrombosis or pulmonary embolism
* History or presence of severe brain injuries, dementia, Parkinson's disease, cerebellar disease, organic brain syndrome, uncontrolled mental illness, or psychosis
* Clinically significant, uncontrolled heart disease not due to SLE (New York Heart Association Class III or IV heart failure, uncontrolled angina, severe uncontrolled cardiac arrhythmia, or electrocardiographic evidence of acute ischemia or Grade 3 conduction system abnormalities unless the patient has a pacemaker) or a recent (within 12 months of screening) cardiac event
* Active or uncontrolled fungal, bacterial, viral (including COVID-19), or other infection requiring systemic antimicrobials for management
* Active or latent hepatitis B or active hepatitis C
* Human immunodeficiency virus, human T-cell leukemia virus (HTLV)-1, HTLV-2 or syphilis positive test at screening
* History of malignant neoplasms unless disease free for at least 24 months (basal cell or squamous cell carcinoma in situ, or in situ breast cancer on hormonal therapy allowed)
* History of heart, lung, kidney, liver transplant or hematopoietic stem cell transplant
* Pregnancy or lactating
* Laboratory and Organ Function:
* Left ventricular ejection fraction \< 45% (or \< institute's lower limit of normal) confirmed by echocardiogram
* Oxygen saturation (SpO2) \< 90% in the absence of oxygen support
* B cell aplasia
Treatments Being Tested
BIOLOGICAL
Obecabtagene autoleucel (obe-cel)
Following lymphodepletion with chemotherapy (cyclophosphamide and fludarabine) patients will be treated with a single dose of obe-cel
Locations (6)
Hospital Universitari Vall Hebrón
Barcelona, Spain
Hospital Universitari i Politecnic La Fe
Valencia, Spain
Addenbrookes Hospital
Cambridge, United Kingdom
University College London Hospitals NHS Foundation Trust
London, United Kingdom
Great Ormond Street Hospital
London, United Kingdom
Manchester Royal Infirmary, Manchester University NHS Foundation Trust,
Manchester, United Kingdom