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
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.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
28
University of California Irvine
To evaluate incidence of adverse events
Time frame: Up to 28 days after CABA-201 infusion
To evaluate adverse events and laboratory abnormalities
Incidence and severity of AEs, including changes in laboratory values and vital signs
Time frame: Up to 156 weeks
To characterize the pharmacodynamics (PD)
Levels of B cells in the blood
Time frame: Up to 156 weeks
To characterize the pharmacokinetics (PK)
Levels of CABA-201-positive T cells in the blood
Time frame: Up to 156 weeks
To evaluate disease related biomarkers
Levels of C3, C4, and CH50 in serum
Time frame: Up to 156 weeks
To evaluate disease related biomarkers
Levels of anti-double stranded DNA (anti-dsDNA) in serum
Time frame: Up to 156 Weeks
To evaluate efficacy
Complete renal response rates (in subjects with LN)
Time frame: Up to 156 Weeks
To evaluate efficacy
SRI-4, BICLA and DORIS remission and LLDAS response rates
Time frame: Up to 156 weeks
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