A Study of CLN-978, a Subcutaneously Administered CD19-directed T Cell Engager, in Subjects With Systemic Lupus Erythematosus
A Phase 1b, Open-label, Pilot Study of CLN-978 for the Treatment of Moderate to Severe Systemic Lupus Erythematosus (SLE)
Who can join
As published by the study on ClinicalTrials.gov. "Not stated" means the study hasn't said — ask the study team.
- Age
- 18 Years to 70 Years
- Sex
- All sexes
- Healthy volunteers
- Not accepted
- Compensation
- Not stated
Other requirements are listed under Eligibility below. Only the study team can confirm whether you can join.
What to expect
No one can promise a trial will help you personally — that is what the research is trying to find out.
What participation involves
Not stated in the study description — ask the study team about visits and procedures.
- Compensation
- Not stated
- Study-related exams and procedures are typically provided at no cost. This is how many trials work in general — confirm the details for this study with the study team.
- Participants are monitored closely by the research team throughout the study.
- Some participants may receive access to an investigational treatment, which is still being studied.
- Your participation helps researchers learn whether this approach could help future patients.
About this study
In plain language
This study tests CLN-978, a drug given as a shot under the skin, in people with moderate to severe systemic lupus erythematosus (SLE). SLE, often called lupus, is a disease in which the body's immune system attacks its own tissues.
Phase 1b, open-label study of CLN-978 administered subcutaneously in patients with Moderate to Severe Systemic Lupus Erythematosus (SLE).
Compensation is read from the study's own description and may be missing — always confirm with the study team.
Eligibility
Who can join
- You were diagnosed with lupus at least 24 weeks before screening and meet the study's rules for a lupus diagnosis.
- Blood tests at screening or within the past 12 months show at least one required lupus-related antibody: ANA, anti-dsDNA, or anti-Sm.
- Your lupus is active, with a score of at least 6 on the SLEDAI test, which measures lupus activity.
- At least 2 listed types of lupus treatment have not worked well enough. At least one must be a standard drug that lowers immune activity or a biologic drug.
- If you take steroids or antimalarial drugs for lupus, your dose must be steady before the first study dose.
- Your blood cell counts, kidney function, and liver tests must meet the study's limits.
- For Part B, you must have received CLN-978 in Part A without side effects that limited your dose or made you stop treatment. You must still meet the study rules, and at least 90 days must have passed since your last dose.
Who can't join
- You have another active disease that causes inflammation. Thyroid inflammation or secondary Sjogren's syndrome is allowed.
- You are at high risk for blood clots, have quickly worsening kidney inflammation, or have a urine protein-to-creatinine ratio above 3 mg/mg.
- You have active, severe lupus effects on your brain or nervous system.
- You have evidence of hepatitis B, hepatitis C, HIV, Epstein-Barr virus, or cytomegalovirus infection; a significant active infection within 14 days before the first dose; or certain TB test results, unless you completed TB treatment and have no current signs of TB.
- You have had your spleen removed.
- You have ever had cell or gene therapy, or had certain drugs too recently: experimental treatment within 30 days or 5 drug half-lives, whichever is longer; anti-CD19 or anti-CD20 treatment within 3 months; non-biologic disease-modifying drugs within 14 days; cyclophosphamide within 1 month; or biologic immune treatments within 2 months before the first dose. A half-life is the time for half a drug to leave the body.
- You received a live or weakened-virus vaccine within 28 days before screening or during screening.
- The study doctor or sponsor believes another condition makes joining unsafe or could interfere with study tests.
Simplified for readability. The official criteria below are what the study team uses.
Official eligibility criteria
Inclusion Criteria: * Diagnosis of SLE at least 24 weeks prior to Screening and meet 2019 EULAR / ACR Classification Criteria at screening. * Presence of one or more of the following autoantibodies documented during screening or in the previous 12 months before screening: positive anti-nuclear antibody (ANA) test (≥1:80); anti dsDNA above the upper limit of normal (ULN); anti-Sm above the ULN. * Active SLE disease, as demonstrated by a SLEDAI total score ≥6 at screening. * Inadequate response to at least 2 of the following treatments: oral corticosteroid, antimalarials, conventional immunosuppressants, or biologics. At least one of the failed treatments should be an immunosuppressive or biologic standard-of care agent. * If on corticosteroid and/or antimalarial, the dose must be stable prior to day 1. * Laboratory parameters including the following: * Absolute lymphocyte count (ALC) ≥0.5 x 109/L * Peripheral B cell count ≥25 cells/µL * Absolute neutrophil count (ANC) ≥1.0 x 109/L * Hemoglobin ≥8 g/dL * Platelet count ≥75 x 109/L. * Estimated glomerular filtration rate (eGFR) (based on CKD-EPI formula) ≥30 mL/min/1.73m2 * Total bilirubin ≤1.5 × ULN, except patients with confirmed Gilbert's Syndrome * Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤2.5 × ULN * Part B only: For patients who were treated in Part A and did not experience dose-limiting toxicity (DLT) or discontinue CLN-978 treatment due to AEs are eligible for retreatment at a higher dose or longer schedule in Part B if they otherwise meet eligibility criteria and at least 90 days have passed since the last dose of CLN-978. Exclusion Criteria: * Active inflammatory disease other than SLE. Thyroiditis or secondary Sjogren's syndrome is allowed. * Considered at high risk for thrombosis. * Rapidly progressive glomerulonephritis, and/or urine protein/creatinine \>3 mg/mg (339 mg/mmol). * Active severe neuropsychiatric/CNS manifestations of SLE. * Evidence of hepatitis B, hepatitis C (HCV) infection, human immunodeficiency virus (HIV), Epstein-Barr virus (EBV), or cytomegalovirus (CMV) infection. * History of splenectomy. * Prior treatment with the following: * Cellular or gene therapy product directed at any target. * Investigational therapy within 30 days or 5 drug-elimination half-lives (whichever is longer) prior to Day 1. * Any anti-CD19 or anti-CD20 therapy less than 3 months prior to Day 1. * Non-biologic DMARD within 14 days prior to Day 1. * Cyclophosphamide within 1 month or a biologic immunomodulating therapy during 2 months prior to Day 1. * Live or attenuated vaccine within 28 days prior to screening or during screening. * Active, clinically significant bacterial, viral, fungal, mycobacterial, parasitic, or other infection, including SARS-CoV-2 infection, within 14 days before Day 1. * Active or latent tuberculosis (TB) evidenced by a positive or indeterminant Interferon Gamma Release Assay (IGRA), unless the patient has documented previous completion of TB treatment and no current clinical indication of TB. * Any condition for which, in the opinion of the Investigator and/or Sponsor, would not be in the best interest of the patient to participate in the study or that could prevent, limit, or confound any protocol-defined assessment.
Study sites (10)
AZ
- AARA Clinical Research · Avondale, AZ 85392Danaira Vasquez · Study contact · 602-386-4971 · danaira.vasquez@aaracr.comMore trials in Avondale
- AARA Clinical Research · Tucson, AZ 85704Mikayla Kirby · Study contact · 520-867-6906 · Mikayla.Kirby@aaracr.comMore trials in Tucson
FL
- Omega Research Group · Orlando, FL 32808Audrey Treadway · Study contact · 386-668-4202 · atreadway@omegarcllc.comMore trials in Orlando
IA
- University of Iowa · Iowa City, IA 52242Ashley Pieper · Study contact · 319-356-0765 · ashley-pieper@uiowa.eduMore trials in Iowa City
NY
- Columbia University Medical Center · New York, NY 10032More trials in New York
- University of Rochester Medical Center · Rochester, NY 14642Maria Allen · Study contact · 585-275-7167 · maria_allen@urmc.rochester.eduMore trials in Rochester
TN
- Regional One Health · Memphis, TN 38103Kimberly Barbee · Study contact · 901-515-4520 · kgbarbee@regionalonehealth.orgMore trials in Memphis
TX
- Stryde Research · Plano, TX 75093Aarsheya Amin · Study contact · 214-884-7721 · aamin@stryderesearch.comMore trials in Plano
- Tranquil Clinical Research · Webster, TX 77598Viswakanth Makutam · Study contact · 612-461-3159 · sc@tranquilityresearch.comMore trials in Webster
UT
- Intermountain Health · Salt Lake City, UT 84101Carrie Rhodes · Study contact · 801-408-4718 · carrie.rhoades@imail.orgMore trials in Salt Lake City