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NCT06121297PHASE1, PHASE2Recruiting

RESET-SLE: A Phase 1/2 Open-Label Study to Evaluate the Safety and Efficacy of CABA-201 in Subjects With Active Systemic Lupus Erythematosus

Cabaletta Bio

Start Date

2/16/2024

Completion Date

12/1/2029

Summary

RESET-SLE: A Phase 1/2 Open-Label Study to Evaluate the Safety and Efficacy of CABA-201 in Subjects With Active Systemic Lupus Erythematosus

Detailed Description

Systemic lupus erythematosus (SLE) is a chronic autoimmune disorder characterized by autoantibody production and abnormal B cell function. SLE presents with fluctuating severity and may cause tissue damage in a variety of organs over time. Lupus nephritis (LN) (renal involvement) is a common severe manifestation of SLE, which can lead to significant morbidity and mortality. This study is being conducted to evaluate the safety and efficacy of an investigational cell therapy, CABA-201, also called resecabtagene autoleucel, or "rese-cel". Rese-cel can be given to patients with either LN or SLE without renal involvement, in two separate parallel cohorts, who have active disease. Initially a single dose of CABA-201 in patients pretreated with a standard regimen including cyclophosphamide (CY) and fludarabine (FLU), will be evaluated. In addition, escalating doses of CABA-201 will be evaluated in patients without CY and FLU pretreatment.

Eligibility Criteria

Age Range: 18 years to 65 years

Inclusion Criteria: * Age ≥18 and ≤65 * A clinical diagnosis of SLE, based on the 2019 European League Against Rheumatism (EULAR)/American College of Rheumatology (ACR) classification criteria for adult SLE. * Positive antinuclear antibody (ANA) titer or anti-dsDNA antibody at screening. * For LN subjects only, active, biopsy-proven LN class III or IV, with or without the presence of class V, according to 2018 Revised International Society of Nephrology/Renal Pathology Society (ISN/RPS) criteria * For non-renal SLE subjects only: Active, moderate to severe SLE Exclusion Criteria: * Contraindication to leukapheresis * History of anaphylactic or severe systemic reaction to fludarabine, cyclophosphamide or any of their metabolites * Active infection requiring medical intervention at screening * Current symptoms of severe, progressive, or uncontrolled renal, hepatic, hematological, gastrointestinal, pulmonary, psychiatric, cardiac, neurological, or cerebral disease, including severe and uncontrolled infections, such as sepsis and opportunistic infections. * Concomitant medical conditions that, in the opinion of the investigator, might place the subject at unacceptable risk for participation in this study, interfere with the assessment of the effects or safety of the investigational product or with the study procedures * For LN subjects only: The presence of kidney disease other than active lupus nephritis * Previous CAR T cell therapy * Prior solid organ (heart, liver, kidney, lung) transplant or hematopoietic cell transplant.

Interventions

BIOLOGICAL

CABA-201

BIOLOGICAL

CABA-201

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Conditions

Systemic Lupus ErythematosusLupus Nephritis

Locations

University of California Irvine

Orange, California 92868

United States

UC Davis Health

Sacramento, California 95817

United States

Yale University

New Haven, Connecticut 06520

United States

University of Florida Health

Gainesville, Florida 32610

United States

Mayo Clinic

Jacksonville, Florida 32224

United States

Emory University

Atlanta, Georgia 30322

United States

Northwestern Memorial Hospital

Chicago, Illinois 60611

United States

The University of Chicago Medical Center

Chicago, Illinois 60637

United States

University of Kansas Medical Center

Kansas City, Kansas 66160

United States

Tufts Medical Center

Boston, Massachusetts 02111

United States

Massachusetts General Hospital

Boston, Massachusetts 02114

United States

Boston Children's Hospital

Boston, Massachusetts 02115

United States

Brigham and Women's Hospital

Boston, Massachusetts 02115

United States

UMass Memorial Hospital

Worcester, Massachusetts 01655

United States

University of Minnesota

Minneapolis, Minnesota 55414

United States

Columbia University Irving Medical Center

New York, New York 10032

United States

University of Rochester

Rochester, New York 14642

United States

UNC Chapel Hill

Chapel Hill, North Carolina 27599

United States

Children's Hospital of Philadelphia

Philadelphia, Pennsylvania 19104

United States

Medical University of South Carolina

Charleston, South Carolina 29425

United States

University of Texas MD Anderson Cancer Center

Houston, Texas 77030

United States

Maisonneuve-Rosemont Hospital

Montreal, Quebec H1T 2M4

Canada

Clinica Universitaria de Navarra

Pamplona, Navarre 31008

Spain