A Study to Evaluate the Safety, Tolerability, Cellular Kinetics, Pharmacodynamics, and Efficacy of P-CD19CD20-ALLO1 in Participants With Severe, Treatment-refractory Systemic Lupus Erythematosus (SLE)

Trial statusNot yet recruiting
Trial phasePhase 1
Trial typeInterventional
Biological sexAll
Age18-75
SponsorGenentech, Inc.

About this trial

The purpose of this study is to evaluate the safety and tolerability of P-CD19CD20-ALLO1 in participants with highly active, severe, refractory SLE with or without lupus nephritis (LN). This study includes a dose-escalation stage followed by an expansion stage. It will also evaluate the cellular kinetics (CK), pharmacodynamics (PD), and efficacy of P-CD19CD20-ALLO1.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

None

Disqualifiers

None

Trial design

Design model

Sequential

Treatments tested in this trial

  • P-CD19CD20-ALLO1 Cells

    Biological/Vaccine

    P-CD19CD20-ALLO1 cells will be administered intravenously as per the schedule specified in the protocol.

  • Cyclophosphamide

    Drug

    Cyclophosphamide will be administered intravenously.

  • Fludarabine

    Drug

    Fludarabine will be administered intravenously.

  • Rimiducid

    Drug

    Rimiducid will be used as a rescue therapy in the event of the occurrence of severe or life-threatening adverse events. It will be administered intravenously.

Treatment groups

162 Participants
are divided into 3 treatment groups
Group A: Dose EscalationExperimental treatment 4 interventions
Group B: Dose Expansion (LN cohort)Experimental treatment 4 interventions
Group C: Dose Expansion (ERL cohort)Experimental treatment 3 interventions

Trial outcomes

Primary outcomes

1

Number of Participants With Dose-limiting Toxicities (DLTs) at Each Dose Level of P-CD19CD20-ALLO1

Time frame
Day 1 up to Day 29
2

Number of Participants With Adverse Events (AEs)

Time frame
Up to 5 years

Secondary outcomes

1

Number of Chimeric Antigen Receptor (CAR) Transgene Copies in Blood Assessed by Droplet Digital Polymerase Chain Reaction (ddPCR)

Time frame
Up to 5 years
2

B-cell Levels in the Blood

Time frame
Up to 5 years
3

Percentage of Participants who Achieve Sustained Drug-free Definition of Remission in SLE (DORIS)

Drug-free DORIS is defined as a SLEDAI-2K = 0 and a PGA \<0.5 (on a 3-point PGA-visual analog scale \[VAS\]), without corticosteroids or other immunosuppressants.

Time frame
From Week 24 through Week 52
4

Number of Participants With Anti-CAR T Antibodies

Time frame
Up to 5 years

Other outcomes

Sponsors and contacts

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