Obe-cel in Severe, Refractory Systemic Lupus Erythematosus (SLE) With Active Lupus Nephritis (LN)

ID#: NCT07053800

Age: 12 - 65 years

Gender: All

Healthy Subjects: No

Study Phase: Phase 2

Recruitment Status: Recruiting

Start Date: January 16, 2026

End Date: October 01, 2029

Contact Information:
Autolus Ltd
203-911-4385
Summary: The purpose of this trial is to evaluate the efficacy and safety of obecabtagene autoleucel (obe-cel) administered once following lymphodepletion in participants with severe, refractory systemic lupus erythematosus (SLE) and active lupus nephritis (LN).
Eligibility:

Inclusion Criteria:

- Willing and able to give written informed consent for participation in the study or written informed consent signed by a legal guardian or representative

- Ability and willingness to adhere to protocol's Schedule of Activities and other requirements

- Participants must be 12 to 65 years of age inclusive at the time of signing the informed consent.

- Female Participants:

- a female participant is eligible to participate if she is not pregnant or breastfeeding

- 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 1 of the following autoantibodies: antinuclear antibodies (ANA), or anti-dsDNA or anti-Smith.

- Severe, Active SLE defined as:

- SLEDAI-2K score of ≥ 8 points AND

- Severe active LN based on a renal biopsy: Class III, IV or V (V only in combination with class III or IV)

- Refractory SLE defined as failure to previous lines of therapy

Exclusion Criteria:

- Prior treatment at any time with anti-CD19 therapy

- More than 1 acute, severe lupus-related flare during screening that needs immediate treatment and/or makes the immunosuppressive washout impossible

- 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 participant

- History of primary antiphospholipid antibody syndrome

- Active or uncontrolled fungal, bacterial, or viral infection

- History of malignant neoplasms unless disease free for at least 24 months

- History of heart, lung, renal, liver transplant or hematopoietic stem cell transplant