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A Phase 1 Study of HB2198 in Participants With Moderately to Severely Active Systemic Lupus Erythematosus (SLE)
NCT07491900 · Hinge Bio
In plain English
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Official title
A Phase 1, Open Label Dose Escalating Study of HB2198, a Tetravalent Bispecific Anti-CD19/CD20 Antibody With Dual Fc Domains, in Patients With Moderately to Severely Active Systemic Lupus Erythematosus
About this study
HB2198 is a novel tetravalent bispecific antibody engineered for enhanced B-cell depletion through dual CD19/CD20 targeting and optimized Fc mediated effector function. The study uses a modified 3+3 dose escalation design, enrolling sequential cohorts to receive HB2198 IV on Day 1 and Day 8. Safety, dose limiting toxicities, pharmacokinetics, pharmacodynamics, and immunogenicity will be assessed. Participants will undergo comprehensive disease activity assessments using SLEDAI 2K, PGA, LupusQoL, FACIT Fatigue, and renal response metrics. Total participation is about 13 months.
Eligibility criteria
Inclusion Criteria:
* • Meet 2019 ACR / 2023 EULAR SLE classification criteria
* Moderate or high disease activity (SLEDAI 2K ≥6; PGA ≥1)
* LN participants: biopsy confirmed active Class III/IV ± V or Class V LN; proteinuria ≥0.8 g/g; eGFR ≥30 mL/min/1.73 m²
* ERL participants: inadequate response/intolerance to ≥1 standard SLE therapy
* Positive ANA (≥1:80) or SLE associated autoantibodies
* Required minimum lab values (lymphocytes ≥500/µL, B cells ≥25/µL, ANC ≥1000/mm³, IgG ≥600 mg/dL, etc.)
* Women of childbearing potential: negative pregnancy test; contraception required
* Voluntary informed consent
Exclusion Criteria:
* (Key) Inclusion Criteria:
* Meet 2019 ACR / 2023 EULAR SLE classification criteria
* Moderate or high disease activity (SLEDAI 2K ≥6; PGA ≥1)
* LN participants: biopsy confirmed active Class III/IV ± V or Class V LN; proteinuria ≥0.8 g/g; eGFR ≥30 mL/min/1.73 m²
* ERL participants: inadequate response/intolerance to ≥1 standard SLE therapy
* Positive ANA (≥1:80) or SLE associated autoantibodies
* Required minimum lab values (lymphocytes ≥500/µL, B cells ≥25/µL, ANC ≥1000/mm³, IgG ≥600 mg/dL, etc.)
* Women of childbearing potential: negative pregnancy test; contraception required
* Voluntary informed consent
(Key) Exclusion Criteria:
* Anti CD19 or anti CD20 therapy within 6 months
* Active CNS lupus
* Significant cardiovascular, pulmonary, hepatic, or uncontrolled systemic disease
* Active infection or recent serious infection
* Positive HBV DNA or HCV RNA; HIV infection
* Major surgery within 4 weeks
* Prior organ or stem cell transplant
* Current pregnancy or breastfeeding
* Recent IVIg or plasmapheresis (\<3 months)
* Live vaccine within 30 days
* Any condition judged unsuitable by Investigator
Study design
Enrollment target: 30 participants
Allocation: na
Masking: none
Age groups: adult, older_adult
Timeline
Starts: 2026-03-23
Estimated completion: 2028-10-24
Last updated: 2026-03-25
Interventions
Drug: HB2198
Primary outcomes
- • Number of participants experiencing treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs) (Day 1, Day 8, Day 14, Day 29)
- • Maximum tolerated dose (MTD) (Day 1, Day 8, Day 14, Day 29)
- • Number of participants experiencing dose-limiting toxicities (DLTs) (Day 1, Day 8, Day 14, Day 29)
Sponsor
Hinge Bio · industry
Contacts & investigators
ContactJoshua Pelham · contact · joshua.pelham@hingebio.com · 1-415-378-4738
ContactKristen Quigley · contact · kristen.quigley@hingebio.com
All locations (1)
Investigational siteRecruiting
Brisbane, Australia