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NCT Number: NCT07778446

A Study to Test CRT-402 in Refractory Autoimmune Disease

Patients with refractory autoimmune diseases often have limited treatment options and ongoing disease activity despite standard therapies. CRT-402 is an in vivo Cluster of differentiation 19 (CD19)-targeted CAR-T cell therapy designed to deplete CD19-positive B cells and promote immune system reset. This study evaluates the safety, tolerability, preliminary efficacy, pharmacodynamics (PD), and pharmacokinetics (PK) of CRT-402 in participants with active refractory systemic lupus erythematosus (SLE), systemic sclerosis (SSc), and idiopathic inflammatory myopathies (IIM).

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1 / Phase 2

Primary location

Linear Advanced Clinical Trial Centre, Ground Floor, B Block, Queen Elizabeth II Medical Centre, Hospital Avenue

Nedlands, Western Australia, 6009, Australia

Location contact

Merrilee Needham

PRINCIPAL_INVESTIGATOR

Prof. Merrilee Needham

CONTACT

[email protected]

+61 8 6382 5100

About this study

This is a multicenter, open-label, Phase 1/2, first-in-human, dose escalation and expansion study designed to assess the safety and tolerability, as well as define the recommended Phase 2 dose (RP2D) of CRT-402 in participants with refractory autoimmune disease.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Age 18 years or older.
  • Diagnosis of active, refractory systemic lupus erythematosus, systemic sclerosis, or idiopathic inflammatory myopathy meeting established classification criteria, with inadequate response or intolerance to standard therapy.
  • Adequate renal, hepatic, cardiac, and pulmonary function per protocol-defined criteria.
  • Participants of reproductive potential must agree to use protocol-specified contraception during the study and for a defined period after dosing.
  • Females of childbearing potential must have a negative pregnancy test before treatment.
  • Must be willing and able to attend study visits and follow all study requirements.

Exclusion criteria

  • Clinical suitability for a less burdensome and/or approved therapeutic approach, as judged by the Investigator,
  • Any medical condition or laboratory abnormality that, in the Investigator's judgment, would place the participant at unacceptable risk or confound interpretation of study data,
  • Prior Cluster of differentiation 19 (CD19)-directed, cell, or gene therapy,
  • History of bone marrow/ hematopoietic stem cell or solid organ transplantation,
  • Active or inadequately treated infection, including Human immunodeficiency (HIV), hepatitis B or C, or tuberculosis,
  • Pregnancy or lactation.

Treatment and study plan

CRT-402

Drug

CRT-402 administered by intravenous infusion.

Primary outcomes

  1. Incidence and severity of treatment-emergent adverse events (TEAEs), including serious adverse events (SAEs), and dose-limiting toxicities (DLTs).

    Time frame: Up to 52 weeks

    Adverse events (AEs) are any new or worsening medical problems that occur after starting the study treatment.

  2. Incidence and severity of cytokine release syndrome (CRS) and immune effector cell-associated neurotoxicity syndrome (ICANS).

    Time frame: Up to 52 weeks

    cytokine release syndrome (CRS) and immune effector cell-associated neurotoxicity syndrome ICANS will be graded using standard consensus criteria.

Secondary outcomes

  1. Assess emergence of anti-drug antibodies (ADAs)

    Time frame: Up to 52 weeks

    Serum for anti-drug antibody analysis will be collected at designated visits indicated in the Schedule of Assessments (SOA). Samples will be collected using standard site practices.

  2. Pharmacokinetic parameter: Maximum observed plasma concentration (Cmax)

    Time frame: Day 1 through Day 22

  3. Pharmacokinetic parameter: Area under the curve (AUC)

    Time frame: Day 1 through Day 22

  4. Pharmacokinetic parameter: Time to Maximum Concentration (tmax)

    Time frame: Day 1 through Day 22

  5. Pharmacokinetic parameter: Plasma clearance (CL)

    Time frame: Day 1 through Day 22

  6. Pharmacokinetic parameter: Volume of distribution (Vd)

    Time frame: Day 1 through Day 22

  7. Pharmacokinetic parameter: Mean Residence Time (MRT)

    Time frame: Day 1 through Day 22

  8. Pharmacokinetic parameter: Apparent terminal half-life (t1/2)

    Time frame: Day 1 through Day 22

  9. Pharmacokinetic parameter: Terminal elimination rate constant (λz).

    Time frame: Day 1 through Day 22

  10. Overall Response Rate (ORR), measured by disease-specific composite response criteria.

    Time frame: Week 24

Study contacts

Contact information is provided by the study sponsor or research team.

Clinical Department

CONTACT

[email protected]

+1 617 465 1022

Sponsors and collaborators

Lead sponsor

Myeloid Therapeutics

Industry

Collaborators

  • CREATE Medicines

Registry information

Official study title

A Phase 1/2 Dose Escalation and Expansion Study of CRT-402, an In Vivo CD19 Targeted CAR-T Therapy, in Refractory Autoimmune Disease

Important dates

Study start
2026
Primary completion
2028
Study completion
2029
First posted
Aug 21, 2026
Registry last updated
Aug 21, 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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