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)
Studieoversikt
Status
Status
Forhold
Forhold
Intervensjon / Behandling
Intervensjon / Behandling
Detaljert beskrivelse
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
Studietype
Registrering (Antatt)
Registrering
Fase
Fase
- Fase 2
Kontakter og plasseringer
Studiekontakt
Studiekontakt
- Navn: Fate Clinical Trials
- Telefonnummer: 858-875-1800
- E-post: clinicaltrials@fatetherapeutics.com
Studer Kontakt Backup
- Navn: Natalie Shiff, MD
Studiesteder
-
-
California
-
Beverly Hills, California, Forente stater, 90210
- Rekruttering
- Wallace Rheumatic Studies Center
-
Fontana, California, Forente stater, 92335
- Rekruttering
- Kaiser Permanente Fontana
-
Fullerton, California, Forente stater, 92835
- Rekruttering
- Providence Medical Foundation
-
Irvine, California, Forente stater, 92868
- Rekruttering
- University of California Irvine
-
San Francisco, California, Forente stater, 64110
- Rekruttering
- University of California San Francisco
-
-
Florida
-
Cooper City, Florida, Forente stater, 33024
- Rekruttering
- Gnp Research
-
Gainesville, Florida, Forente stater, 32610
- Rekruttering
- University of Florida Clinical Research Center
-
Miami, Florida, Forente stater, 33155
- Rekruttering
- Nicklaus Children's Hospital
-
Miami, Florida, Forente stater, 33133
- Rekruttering
- Miami Dermatology and Laser Research
-
-
Nebraska
-
Omaha, Nebraska, Forente stater, 68105
- Rekruttering
- University of Nebraska Medical Center
-
-
North Carolina
-
Fayetteville, North Carolina, Forente stater, 28304
- Rekruttering
- Cross Creek Medical Clinic
-
-
Texas
-
Dallas, Texas, Forente stater, 75390
- Rekruttering
- The University of Texas Southwestern Medical Center
-
-
Deltakelseskriterier
Kvalifikasjonskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
- Barn
- Voksen
- Eldre voksen
Tar imot friske frivillige
Beskrivelse
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
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: N/A
- Intervensjonsmodell: Enkeltgruppeoppdrag
- Masking: Ingen (Open Label)
Antall våpen
Våpen og intervensjoner
Deltakergruppe / ArmDeltakergruppe / Arm |
Intervensjon / BehandlingIntervensjon / Behandling |
|---|---|
|
Eksperimentell: 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
|
Hva måler studien?
Primære resultatmål
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Complete Renal Response (CRR) at Week 26
Tidsramme: Week 26
|
Proportion of participants achieving CRR at Week 26, with CRR defined as the achievement of all of the following criteria:
|
Week 26
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
CRR at Week 52
Tidsramme: Week 52
|
Proportion of participants who achieve CRR at Week 52
|
Week 52
|
|
CRR at Week 104
Tidsramme: Week 104
|
Proportion of participants who achieve CRR at Week 104
|
Week 104
|
|
Overall Renal Response
Tidsramme: 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
Tidsramme: 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)
Tidsramme: 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)
Tidsramme: 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
|
Up to approximately 2 years
|
|
Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue
Tidsramme: 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
|
Up to approximately 2 years
|
|
Proportion of participants who achieve SLE Responder Index-4 (SRI-4)
Tidsramme: 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
|
Samarbeidspartnere og etterforskere
Sponsor
Sponsor
Publikasjoner og nyttige lenker
Hjelpsomme linker
Studierekorddatoer
Studer hoveddatoer
Studiestart (Faktiske)
Studiestart
Primær fullføring (Antatt)
Primær fullføring
Studiet fullført (Antatt)
Studiet fullført
Datoer for studieregistrering
Først innsendt
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Faktiske)
Først lagt ut
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Sist oppdatering lagt ut
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
Ytterligere relevante MeSH-vilkår
- Urogenitale sykdommer
- Mannlige urogenitale sykdommer
- Nyresykdommer
- Urologiske sykdommer
- Kvinnelige urogenitale sykdommer
- Kvinnelige urogenitale sykdommer og graviditetskomplikasjoner
- Bindevevssykdommer
- Autoimmune sykdommer
- Sykdommer i immunsystemet
- Glomerulonefritt
- Nefritt
- Hud- og bindevevssykdommer
- Lupus erythematosus, systemisk
- Lupus nefritis
Andre studie-ID-numre
Andre studie-ID-numre
- FT819-201
Plan for individuelle deltakerdata (IPD)
Planlegger du å dele individuelle deltakerdata (IPD)?
Legemiddel- og utstyrsinformasjon, studiedokumenter
Studerer et amerikansk FDA-regulert medikamentprodukt
Studerer et amerikansk FDA-regulert enhetsprodukt
Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .