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Active, not recruiting

NCT Number: NCT06581198

A Study of Rapcabtagene Autoleucel in Active, Refractory Systemic Lupus Erythematosus (SLE) or Lupus Nephritis (LN) Patients (AUTOGRAPH - SLE/LN)

The purpose of this study is to evaluate the efficacy and safety of rapcabtagene autoleucel (administered once following lymphodepletion) in patients with active, refractory systemic lupus erythematosus (SLE) or active, refractory lupus nephritis (LN).

Active, not recruiting

This study is active but is not currently recruiting participants.

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Key information

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Novartis Investigative Site, CABA, Buenos Aires, Argentina

Loading trial locations.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Key Inclusion Criteria:

  • Men and women with SLE, aged >= 18 years and =< 75 years at screening, fulfilling the 2019 European League Against Rheumatism (EULAR)/American College of Rheumatology (ACR) classification criteria for SLE at screening.
  • Participant must be positive for at least one of the following autoantibodies at screening: antinuclear antibodies (ANA) at a titer of >= 1:80 (on HEp-2 cells or an equivalent positive test), or anti-dsDNA (above the ULN); or anti-Sm (above the ULN) as determined by a central laboratory.
  • Active lupus nephritis without signs of significant chronicity or active systemic lupus erythematosus
  • SLEDAI-2K Criteria at screening: SLEDAI-2K score >= 6 points (Gladman et al 2002, Touma et al 2011), excluding points attributed to "fever", "lupus headache", "alopecia", and "organic brain syndrome".
  • Inadequate response at screening to at least two therapies

Key Exclusion Criteria:

  • Any acute, severe lupus related-flare at screening that needs immediate treatment other than pulse GCs and/or makes the immunosuppressive washout impossible and, thus, makes the participant ineligible for CD19 CAR-T therapy
  • Inadequate organ function during screening and prior to randomization
  • History or current diagnosis of ECG or cardiac abnormalities indicating significant risk of safety for participants prior to randomization
  • Human immunodeficiency virus (HIV) positivity at screening.
  • Acute or chronic infection with hepatitis B (HBV) or hepatitis C (HCV) at screening.
  • Grade 2 or higher thromboembolic event in the past 4 weeks prior to screening.

Other protocol-defined inclusion/exclusion criteria may apply.

Treatment and study plan

Rapcabtagene autoleucel

Biological

single infusion of rapcabtagene autoleucel

Primary outcomes

  1. Evaluate the efficacy of rapcabtagene autoleucel

    Time frame: Week 24, Week 52

    Defined as:

    Meeting the criteria of the Definition Of Remission In Systemic Lupus Erythematosus (DORIS)

    or

    Achieving complete renal response (CRR)

Secondary outcomes

  1. Percentage of participants achieving complete renal response (CRR)

    Time frame: Week 52

    CRR is a composite endpoint

  2. Number of weeks where Lupus Low Disease Activity Score (LLDAS) was achieved

    Time frame: Week 12 to Week 52

    Lupus Low Disease Activity State (LLDAS)

  3. PPercentage of participants without flaring (i.e., 1 new BILAG2004 A or 2 new BILAG2004 B flares)

    Time frame: Week 12 to Week 52

    British Isles Lupus Activity Group (BILAG2004) records disease activity occurring over the past 4 weeks.

  4. Annualized cumulative corticosteroids dose

    Time frame: Week 52

    The total dose of corticosteroids used up to Week 52 per patient.

  5. Percentage of participants who are negative for serological status

    Time frame: Week 52

    The percentage of participants with negative serological status

  6. FACIT-Fatigue score change from baseline

    Time frame: Baseline to Week 52

    Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue is a 13-item patient- reported outcomes measure

  7. Maintained DORIS

    Time frame: Week 52 to Week 76

    Definition Of Remission In Systemic Lupus Erythematosus (DORIS)

Sponsors and collaborators

Lead sponsor

Novartis Pharmaceuticals

Industry

Registry information

Official study title

A Phase 2, Open-label, Study to Evaluate the Efficacy and Safety of Rapcabtagene Autoleucel in Patients With Active, Refractory Systemic Lupus Erythematosus (SLE) or Active, Refractory Lupus Nephritis (LN).

Important dates

Study start
2024
Primary completion
2028
Study completion
2032
First posted
Sep 3, 2024
Registry last updated
Sep 2, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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