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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
NCT06121297 · Cabaletta Bio
In plain English
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Official title
A Phase 1/2, Open-label Study to Evaluate the Safety and Efficacy of Autologous CD19-specific Chimeric Antigen Receptor T Cells (CABA-201) in Subjects With Active Systemic Lupus Erythematosus
About this study
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
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.
Study design
Enrollment target: 28 participants
Allocation: non_randomized
Masking: none
Age groups: adult, older_adult
Timeline
Starts: 2024-02-16
Estimated completion: 2029-12
Last updated: 2026-04-09
Interventions
Biological: CABA-201Biological: CABA-201
Primary outcomes
- • To evaluate incidence of adverse events (Up to 28 days after CABA-201 infusion)
Sponsor
Cabaletta Bio · industry
Contacts & investigators
ContactCabaletta Bio · contact · clinicaltrials@cabalettabio.com · 267 759 3100
InvestigatorMedical Director · study_chair, Cabaletta Bio
All locations (23)
University of California IrvineRecruiting
Orange, California, United States
UC Davis HealthRecruiting
Sacramento, California, United States
Yale UniversityRecruiting
New Haven, Connecticut, United States
University of Florida HealthActive Not Recruiting
Gainesville, Florida, United States
Mayo ClinicRecruiting
Jacksonville, Florida, United States
Emory UniversityRecruiting
Atlanta, Georgia, United States
Northwestern Memorial HospitalRecruiting
Chicago, Illinois, United States
The University of Chicago Medical CenterRecruiting
Chicago, Illinois, United States
University of Kansas Medical CenterRecruiting
Kansas City, Kansas, United States
Tufts Medical CenterRecruiting
Boston, Massachusetts, United States
Massachusetts General HospitalRecruiting
Boston, Massachusetts, United States
Boston Children's HospitalRecruiting
Boston, Massachusetts, United States
Brigham and Women's HospitalRecruiting
Boston, Massachusetts, United States
UMass Memorial HospitalRecruiting
Worcester, Massachusetts, United States
University of MinnesotaRecruiting
Minneapolis, Minnesota, United States
Columbia University Irving Medical CenterWithdrawn
New York, New York, United States
University of RochesterRecruiting
Rochester, New York, United States
UNC Chapel HillRecruiting
Chapel Hill, North Carolina, United States
Children's Hospital of PhiladelphiaRecruiting
Philadelphia, Pennsylvania, United States
Medical University of South CarolinaRecruiting
Charleston, South Carolina, United States
University of Texas MD Anderson Cancer CenterRecruiting
Houston, Texas, United States
Maisonneuve-Rosemont HospitalRecruiting
Montreal, Quebec, Canada
Clinica Universitaria de NavarraRecruiting
Pamplona, Navarre, Spain