C-CAR168 CAR T Cell Therapy for Refractory Autoimmune Disease
Part of paid clinical trials in Rockville, Maryland.
- Sponsor
- AbelZeta Inc.
- Study ID
- NCT06935474
- Phase
- PHASE1/PHASE2
- Status
- Not Yet Recruiting
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Conditions
- Lupus Nephritis (LN)
Eligibility Criteria
- Sex
- ALL
- Age
- 18 Years - 70 Years
- Healthy Volunteers
- Not accepted
Interventions
- C-CAR168 — BIOLOGICALThis is a multi-center, Phase 1/2, open-label, dose-escalation and dose-expansion study evaluating C-CAR168 for the treatment of autoimmune diseases refractory to standard therapy. A traditional 3+3 design is used to identify the Maximum Tolerated Dose (MTD) and/or Recommended Dose (RD) in disease-specific cohorts.
Study Details
This multi-center, open-label, Phase 1/2 study aims to evaluate the safety, tolerability, and preliminary efficacy of C-CAR168, an autologous anti-CD20/BCMA CAR-T therapy, in patients with autoimmune diseases refractory to standard treatments. The study includes both dose escalation and dose expansion phases, with participants grouped into condition-specific cohorts. The purpose of this study is to: 1. Test the safety and ability for subjects with autoimmune refractory to standard treatment to tolerate the C-CAR168. 2. Determine the recommended Phase 2 dose of C-CAR168 in subjects with autoimmune disease refractory to standard treatment. Participants will be asked to: * Undergo screening to determine eligibility based on entry criteria. * Taper steroid use before leukapheresis. * Undergo leukapheresis for the manufacturing of C-CAR168. * Temporarily discontinue immunosuppressive therapy at least 7 days prior to leukapheresis. * Receive bridging therapy (steroids) if necessary to maintain disease stability during C-CAR168 manufacturing. * Undergo lymphodepletion therapy with fludarabine and cyclophosphamide. * Receive a single intravenous infusion of C-CAR168 at the assigned dose level on Day 0. * Attend regular safety and efficacy assessments for up to 24 months post-infusion. * Undergo dose-limiting toxicity evaluation during the first 28 days post-infusion (for those in the dose escalation phase). * Follow withdrawal procedures if necessary, including a discharge visit within 14 days if their condition deteriorates, unacceptable toxicity occurs, they no longer meet criteria, or they choose to withdraw.
Key Dates
- Start date
- Jul 31, 2026
- Status verified
- Feb 2026
- Primary completion
- May 31, 2029
- Completion
- Jun 30, 2030
Study Design
- Enrollment
- 24 participants (estimated)
- Allocation
- NON_RANDOMIZED
- Intervention model
- SEQUENTIAL
- Primary purpose
- TREATMENT
Arms
- Experimental: Arm 2: Dose Level 1 (DL1)Dose: 0.75 × 10⁶ CAR+ cells/kg Starting dose for escalation phase. First 3 subjects must be staggered by 28 days.
- Experimental: Arm 3: Dose Level 2 (DL2)Dose: 1.5 × 10⁶ CAR+ cells/kg Second dose level in escalation phase. Subject enrollment staggered by 28 days.
- Experimental: Arm 1: Dose Level -1 (DL-1)0.5 × 10⁶ CAR+ cells/kg Optional dose level, administered only upon Safety Review Committee (SRC) recommendation.
- Experimental: Arm 4: Dose Level 3 (DL3)Dose: 2.0 × 10⁶ CAR+ cells/kg Optional dose level pending SRC review and approval.
- Experimental: Arm 5: Dose Expansion CohortDose: To be selected based on MTD/RD identified in escalation phase. 12-24 additional subjects will be treated at the selected dose level. No staggered dosing required.
Primary Outcome Measure
Incidence of Adverse Events or Dose Limiting Toxicities [ Time Frame: Up to 24 months ]
Central Contacts
- Yihong Yao, PhD301-785-6047
- Nurat Quadri, MS2405525870
Locations (1)
| Facility | City | State | ZIP | Site coordinators |
|---|---|---|---|---|
| AbelZeta, Inc. | Rockville | Maryland | 20850 | - |
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