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- Klinische proef NCT07570862
A Phase 2, Open-Label, Single-Arm Trial of FT819 in Participants With Lupus Nephritis (RECLAIM-LN)
A Phase 2, Open-Label, Single-Arm Trial of FT819 in Participants With Refractory Moderate-to-Severe Systemic Lupus Erythematosus With Lupus Nephritis (RECLAIM-LN)
Studie Overzicht
Toestand
Conditie
Interventie / Behandeling
Gedetailleerde beschrijving
This is a multicenter, phase 2 single-arm trial designed to evaluate the efficacy and safety of FT819 in participants with moderate-to-severe systemic lupus erythematosus (SLE) with Class III/IV lupus nephritis (LN) (with or without concomitant Class V involvement) refractory to at least 2 immunosuppressive therapies prior to trial intervention.
Participants will undergo a screening period of up to 28 days. Following screening, trial intervention will consist of bendamustine administration followed by a single dose of FT819. Efficacy, safety, and exploratory assessments will be conducted at predefined timepoints through Month 24 of post-treatment follow-up (PTFU). Following completion of these scheduled assessments, participants will continue in long-term follow-up (LTFU) for up to 15 years after FT819 administration to monitor ongoing safety and survival.
Efficacy and disease activity will be assessed using standard LN measures, including complete renal response (CRR) and PRR (partial renal response), as well as clinician-reported outcomes, such as the SLEDAI-2K, BILAG, and PGA, performed at specified timepoints.
Studietype
Inschrijving (Geschat)
Fase
- Fase 2
Contacten en locaties
Studiecontact
- Naam: Fate Clinical Trials
- Telefoonnummer: 858-875-1800
- E-mail: clinicaltrials@fatetherapeutics.com
Studie Contact Back-up
- Naam: Natalie Shiff, MD
Studie Locaties
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California
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Beverly Hills, California, Verenigde Staten, 90210
- Werving
- Wallace Rheumatic Studies Center
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Fontana, California, Verenigde Staten, 92335
- Werving
- Kaiser Permanente Fontana
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Fullerton, California, Verenigde Staten, 92835
- Werving
- Providence Medical Foundation
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Irvine, California, Verenigde Staten, 92868
- Werving
- University of California Irvine
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San Francisco, California, Verenigde Staten, 64110
- Werving
- University of California San Francisco
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Florida
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Cooper City, Florida, Verenigde Staten, 33024
- Werving
- Gnp Research
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Gainesville, Florida, Verenigde Staten, 32610
- Werving
- University of Florida Clinical Research Center
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Miami, Florida, Verenigde Staten, 33155
- Werving
- Nicklaus Children's Hospital
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Miami, Florida, Verenigde Staten, 33133
- Werving
- Miami Dermatology and Laser Research
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Nebraska
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Omaha, Nebraska, Verenigde Staten, 68105
- Werving
- University of Nebraska Medical Center
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North Carolina
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Fayetteville, North Carolina, Verenigde Staten, 28304
- Werving
- Cross Creek Medical Clinic
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Texas
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Dallas, Texas, Verenigde Staten, 75390
- Werving
- The University of Texas Southwestern Medical Center
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Kind
- Volwassen
- Oudere volwassene
Accepteert gezonde vrijwilligers
Beschrijving
INCLUSION CRITERIA:
- Age ≥12 to ≤70 years
- Diagnosis of SLE per EULAR/ACR 2019 classification criteria
- Biopsy-proven proliferative Class III or IV LN, with or without concomitant Class V involvement, based on the 2003/2018 ISN/RPS classification
Positivity for at least one of the following autoantibodies at screening:
- Antinuclear antibody (ANA)
- Anti-double-stranded DNA (anti-dsDNA) or
- Anti-Smith antibody
Active disease, defined as:
a. Evidence of SLE activity, defined as either: i. SLEDAI-2K ≥6 or ii. At least 1 BILAG A or 2 BILAG B scores for SLE-related organ involvement; and b. Evidence of renal involvement, defined as UPCr ≥1 g/g; and c. Moderate-to-severe renal disease with investigator's impression that improvement is possible
- Refractory to ≥2 systemic immunosuppressive therapies for the treatment of LN
EXCLUSION CRITERIA:
- Evidence of inadequate organ function during the screening period
- Active central nervous system (CNS) symptoms attributable to autoimmune disease within 12 months prior to trial intervention
- History of or current renal diseases (other than LN) that, in the opinion of the investigator, could interfere with assessment of LN or confound evaluation of disease activity
- Receipt of dialysis (hemodialysis or peritoneal dialysis) within 12 weeks of trial intervention
- Irreversible organ damage related to underlying disease (e.g., ESRD) where, in the opinion of the investigator, CD19 CAR T-cell therapy would be unlikely to benefit the participant
- History of malignancy in the prior 5 years
- Known allergy to the following FT819 components: albumin (human) or DMSO
- History of intolerance or contraindication to bendamustine
- Body weight <30 kg
- Any medical condition, clinical laboratory abnormality, or nonmedical/social issue that, per investigator or medical monitor judgement, precludes safe participation in and completion of the trial or that could affect compliance with protocol conduct or interpretation of results
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: NVT
- Interventioneel model: Opdracht voor een enkele groep
- Masker: Geen (open label)
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
|
Experimenteel: FT819
FT819, allogeneic T cells derived from a clonal, TCR knockout iPSC line that express CD19-targeted CAR regulated by the TRAC locus, given as a single IV infusion
|
Single Intravenous (IV) infusion of FT819 administered on Day 1
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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Complete Renal Response (CRR) at Week 26
Tijdsspanne: Week 26
|
Proportion of participants achieving CRR at Week 26, with CRR defined as the achievement of all of the following criteria:
|
Week 26
|
Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
CRR at Week 52
Tijdsspanne: Week 52
|
Proportion of participants who achieve CRR at Week 52
|
Week 52
|
|
CRR at Week 104
Tijdsspanne: Week 104
|
Proportion of participants who achieve CRR at Week 104
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Week 104
|
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Overall Renal Response
Tijdsspanne: Up to approximately 2 years
|
Proportion of participants who achieve an overall renal response, defined as achievement of either CRR or partial renal response (PRR), evaluated at Week 26, Week 52, and Week 104
|
Up to approximately 2 years
|
|
Proportion of participants who achieve PRR at Week 26, Week 52, and Week 104
Tijdsspanne: Up to approximately 2 years
|
PRR is defined as achievement of all of the following:
|
Up to approximately 2 years
|
|
Lupus Low Disease Activity State (LLDAS)
Tijdsspanne: Up to approximately 2 years
|
Proportion of participants who achieve lupus low disease activity state (LLDAS) at Week 26, Week 52, and Week 104
|
Up to approximately 2 years
|
|
Definition of Remission in SLE (DORIS)
Tijdsspanne: Up to approximately 2 years
|
Proportion of participants who achieve a definition of remission in SLE (DORIS) at Week 26, Week 52, and Week 104
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Up to approximately 2 years
|
|
Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue
Tijdsspanne: Up to approximately 2 years
|
Change from baseline in Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue (adults age ≥18 years) score at Week 26, Week 52, and Week 104
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Up to approximately 2 years
|
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Proportion of participants who achieve SLE Responder Index-4 (SRI-4)
Tijdsspanne: Up to approximately 2 years
|
Proportion of participants who achieve SLE Responder Index-4 (SRI-4) at Week 26, Week 52, and Week 104
|
Up to approximately 2 years
|
Medewerkers en onderzoekers
Sponsor
Publicaties en nuttige links
Nuttige links
Studie record data
Bestudeer belangrijke data
Studie start (Werkelijk)
Primaire voltooiing (Geschat)
Studie voltooiing (Geschat)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
- Urogenitale ziekten
- Mannelijke urogenitale ziekten
- Nier Ziekten
- Urologische ziekten
- Vrouwelijke urogenitale ziekten
- Vrouwelijke urogenitale ziekten en zwangerschapscomplicaties
- Bindweefselziekten
- Auto-immuunziekten
- Ziekten van het immuunsysteem
- Glomerulonefritis
- Nefritis
- Huid- en bindweefselaandoeningen
- Lupus erythematosus, systemisch
- Lupus-nefritis
Andere studie-ID-nummers
- FT819-201
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
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