The purpose of the study is to evaluate the safety and efficacy of CD20xCD3 T-cell engager (GB261) in patients with refractory seropositive systemic lupus erythematosus.
B cells play an important role in the pathogenesis of systemic lupus erythematosus (SLE). CD20 is a transmembrane receptor that is highly expressed on approximately 95% of B lineage cells. The use of anti-CD20 for B cell depletion represents a significant breakthrough in the treatment of B-cell-mediated autoimmune diseases. GB261 is a novel CD20/CD3 bispecific TCE that is designed to have very low affinity for CD3 and high affinity for CD20 to enable efficient T cell-mediated killing while minimizing risk of cytokine release syndrome (CRS). GB261 has shown promising safety and anti-tumor activity in a Phase 1/2 study in patients with relapsed/refractory B-cell non-Hodgkin lymphoma and chronic lymphocytic leukemia. GB261 offers a promising mechanism of action for SLE. This study aims to assess the safety, tolerability, PK, pharmacodynamics (PD), immunogenicity, and preliminary clinical activity of GB261 administered in patients with SLE. Patients will be invited to participate in the study, to receive GB261 intravenous infusion and monitored from the first dose of GB261 until Week 52.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
19
GB261 will be dosed according to the assigned group.
Wuhan Union Hospital
Wuhan, Hubei, China
Safety and tolerability
Incidence and severity of TEAEs through end of study. Cytokine release syndrome (CRS) and immune effector cell-associated neurotoxicity syndrome (ICANS) are graded by ASTCT criteria, other AEs are assessed by CTCAE V5.0 criteria
Time frame: Baseline to Month 12
Pharmacokinetics of GB261
PK profiles and parameters, including Peak Plasma Concentration (Cmax), derived for GB261
Time frame: Baseline to Month 12 (Day1-4, 8-11, 15-18, 22, 29, 36 Week 8, 52)
Pharmacokinetics of GB261
PK profiles and parameters, including Area under the plasma concentration versus time curve (AUC), derived for GB261
Time frame: Baseline to Month 12 (Day1-4, 8-11, 15-18, 22, 29, 36 Week 8, 52)
Pharmacokinetics of GB261
PK profiles and parameters, including Time to Maximum Concentration (Tmax) derived for GB261
Time frame: Baseline to Month 12 (Day1-4, 8-11, 15-18, 22, 29, 36 Week 8, 52)
Pharmacokinetics of GB261
PK profiles and parameters, including Half-life (t½), derived for GB261
Time frame: Baseline to Month 12 (Day1-4, 8-11, 15-18, 22, 29, 36 Week 8, 52)
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