NCT06373991

Brief Summary

The goal of this clinical trial is to test ATHENA CAR-T injection in adults with moderate to severe Systemic Lupus Erythematosus. The main question it aims to answer is: • To evaluate the safety and tolerability of ATHENA CAR-T. After screening, participants will be subjected to lymphodepletion regimen. After recovery, participants will be injected with ATHENA CAR-T injection and followed up to 24 months.

Trial Health

63
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
12

participants targeted

Target at below P25 for phase_1

Timeline
12mo left

Started Jul 2024

Typical duration for phase_1

Geographic Reach
1 country

1 active site

Status
not yet recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress65%
Jul 2024Apr 2027

First Submitted

Initial submission to the registry

April 9, 2024

Completed
9 days until next milestone

First Posted

Study publicly available on registry

April 18, 2024

Completed
3 months until next milestone

Study Start

First participant enrolled

July 24, 2024

Completed
2.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 30, 2027

Expected
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

April 30, 2027

Last Updated

June 17, 2024

Status Verified

April 1, 2024

Enrollment Period

2.8 years

First QC Date

April 9, 2024

Last Update Submit

June 14, 2024

Conditions

Keywords

Adult moderate to serve SLE

Outcome Measures

Primary Outcomes (2)

  • Dose Limiting Toxicity

    Dose Limiting Toxicity (DLT) is defined as AEs related to ATHENA CART from infusion till 28 days post infusion.

    0~28 day after treatment

  • Frequency of AEs, SAEs, lab abnormalities, AESIs

    Monitor grade and frequency of Adverse Events (AEs), Severe Adverse Events (SAEs), abnormal laboratory findings and Adverse Events of Special Interest (AESI).

    0 day to 24 months after treatment

Secondary Outcomes (7)

  • Efficacy: Percent of patients achieved SRI-4

    0 to 16 weeks after treatment

  • Efficacy: Patients SLEDAI-2000 change compared with baseline

    0 to 16 weeks after treatment

  • Efficacy: Patients BILAG-2004 change compared with baseline

    0 to 16 weeks after treatment

  • Efficacy: Percent of patients' PGA not worsen

    0 to 16 weeks after treatment

  • Percent of patients responded by BILAG-2004

    0 to 16 weeks after treatment

  • +2 more secondary outcomes

Other Outcomes (5)

  • PK characteristics

    0 day to 24 months after treatment

  • PK characteristics (cont)

    0 day to 24 months after treatment

  • PK characteristics (cont)

    0 day to 24 months after treatment

  • +2 more other outcomes

Study Arms (1)

ATHENA CAR-T Arm

EXPERIMENTAL

A conditioning chemotherapy regimen will be administered followed by investigational treatment of ATHENA CAR-T

Biological: ATHENA CAR-TDrug: FludarabineDrug: Cyclophosphamide

Interventions

ATHENA CAR-TBIOLOGICAL

Phase 1 dose escalation (3+3): dose 1 and dose 2.

Also known as: ET-901
ATHENA CAR-T Arm

Intravenous injection of fludarabine.

Also known as: Fludarabine Phosphate for Injection
ATHENA CAR-T Arm

Intravenous injection of cyclophosphamide.

Also known as: Cyclophosphamide for Injection
ATHENA CAR-T Arm

Eligibility Criteria

Age18 Years - 65 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Male or Female, between 18 and 56 years old;
  • diagnosed with SLE according to 2019 EULAR/ACR SLE classifications;
  • anti-Nuclear Antigen Ab positive (titer NLT 1:80) and/or dsDNA ab positive and/or Anti-Sm ab positive at screening;
  • at screening, SLEDAI-2000 scoring NLT 8 points, if low complement scoring and/or anti-dsDNA ab scoring is available, the SLEDAI-2000 scoring except low complement and anti-dsDNA ab should be NLT 6 points;
  • should be subjected to at least 6 months of standard treatment for SLE, and disease active at least two months before screening;
  • good organ functions;
  • trial participants whose partner is fertile agree to use effective contraceptives til 24 months post transfusion, fertile female participants should have negative urine/blood pregnancy test results (participants who were sterilized or menopause for MT 12 months is not considered fertile);
  • voluntary participates this trial and can comprehend and sign ICF.

You may not qualify if:

  • Had or has active malignancy;
  • had been subjected to treatment by CD19 targeted therapy or CAR-T therapy or any gene therapy;
  • within 8 weeks before screening, had CNS disease caused by SLE or non-SLE diseases;
  • within 8 weeks before screening, had lupus crisis;
  • has following kidney diseases: within 8 weeks before randomization, had SLE with serious kidney involvement or need treatment using medications prohibited by protocol to treat active nephritis, or need hemodialysis or need treatment by prednisone MT 100mg/d for longer than 14d or equivalent therapy;
  • had serious allergy to any lymphodepletion medication or ingredients of ATHENA CAR-T;
  • has uncontrolled fungi, bacterial or viral infection or other infections investigator deemed not suitable to participate in the study;
  • combined with other autoimmune disease that needs treatment;
  • pregnant or lactating women;
  • has other factors that deemed not suitable by investigator.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

The First Affiliated Hospital of Henan University of Science and Technology

Luoyang, Henan, 471003, China

Location

MeSH Terms

Conditions

Lupus Erythematosus, Systemic

Interventions

fludarabinefludarabine phosphateInjectionsCyclophosphamide

Condition Hierarchy (Ancestors)

Connective Tissue DiseasesSkin and Connective Tissue DiseasesAutoimmune DiseasesImmune System Diseases

Intervention Hierarchy (Ancestors)

Drug Administration RoutesDrug TherapyTherapeuticsPhosphoramide MustardsNitrogen Mustard CompoundsMustard CompoundsHydrocarbons, HalogenatedHydrocarbonsOrganic ChemicalsPhosphoramidesOrganophosphorus Compounds

Study Officials

  • Xiaofei Shi, MD

    The First Affiliated Hospital of Henan University of Science and Technology

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 9, 2024

First Posted

April 18, 2024

Study Start

July 24, 2024

Primary Completion (Estimated)

April 30, 2027

Study Completion (Estimated)

April 30, 2027

Last Updated

June 17, 2024

Record last verified: 2024-04

Data Sharing

IPD Sharing
Will not share

No plan to share IPD.

Locations