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NCT Number: NCT07011043

A Phase 1b Study of Budoprutug in Systemic Lupus Erythematosus (SLE)

The main objective is to assess the safety and tolerability of budoprutug in adults with SLE. Pharmacokinetics, pharmacodynamics, and preliminary clinical efficacy will also be assessed.

Recruiting

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Key information

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Climb Bio Investigative Site# 359101, Plovdiv, Bulgaria

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About this study

Budoprutug is a humanized, immunoglobulin (Ig) G1 monoclonal antibody that selectively binds to CD19 and is projected to deplete targeted cells through antibody-dependent cellular cytotoxicity. This Phase 1b, open-label study will evaluate budoprutug administered as a single intravenous infusion in ascending dose cohorts of patients aged 18 years and above with active, seropositive SLE and inadequate response to standard therapy. The study will also assess the pharmacokinetics, pharmacodynamics and early indications of efficacy of budoprutug in SLE, where pharmacodynamics will be evaluated as the change in the number of B cells and immunoglobulins (antibodies) in the blood over time following a single infusion.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Aged 18 to 65 years at the time of consent.
  • Diagnosis of SLE according to the 2019 European League Against. Rheumatism and the American College of Rheumatology (ACR) classification criteria.
  • Active, seropositive disease, with SLEDAI 2K >=8.
  • Inadequate response to at least 2 therapeutic interventions, including at least one oral immunosuppressive or biologic standard-of care therapy.

Exclusion criteria

  • Active neuropsychiatric SLE.
  • History of inflammatory or autoimmune diseases including, but not limited to, rheumatoid arthritis, scleroderma, myositis, vasculitis, inflammatory bowel disease, or other conditions that require immune suppressive therapy. Subjects with stable concurrent Sjogren's, asthma, or autoimmune thyroid disease may be considered for participation.
  • Active systemic infection or history of chronic, recurrent, latent, or recent serious infections.

Treatment and study plan

Budoprutug

Drug

Single IV dose of study product on Day 1 of study

Other names: TNT119

Primary outcomes

  1. Incidence of Treatment-Emergent Adverse Events (TEAEs)

    Time frame: Up to Week 24

    Number of participants experiencing TEAEs, graded per NCI CTCAE v5.0.

  2. Incidence of Clinical Laboratory Abnormalities

    Time frame: Up to Week 24

    Number of participants with clinically significant laboratory abnormalities.

  3. Change from Baseline in Systolic Blood Pressure

    Time frame: Up to Week 24

    Mean change from baseline in systolic blood pressure (mmHg).

  4. Change from Baseline in Diastolic Blood Pressure

    Time frame: Up to Week 24

    Mean change from baseline in diastolic blood pressure (mmHg).

  5. Change from Baseline in Heart Rate

    Time frame: Up to Week 24

    Mean change from baseline in heart rate (bpm).

  6. Change from Baseline in Respiratory Rate

    Time frame: Up to Week 24

    Mean change from baseline in respiratory rate.

  7. Change from Baseline in Body Temperature

    Time frame: Up to Week 24

    Mean change from baseline in body temperature (°C).

  8. Change from Baseline in PR Interval

    Time frame: Up to Week 24

    Mean change from baseline in PR interval (ms).

  9. Change from Baseline in QRS Duration

    Time frame: Up to Week 24

    Mean change from baseline in QRS duration (ms).

  10. Change from Baseline in QT Interval

    Time frame: Up to Week 24

    Mean change from baseline in QT interval (ms).

  11. Change from Baseline in QTc Interval

    Time frame: Up to Week 24

    Mean change from baseline in corrected QT interval (QTc).

Secondary outcomes

  1. Area Under the Curve (AUC) of Budoprutug

    Time frame: Up to Week 24

    Measurement of the area under the drug concentration-time curve.

  2. Maximum Observed Plasma Concentration (Cmax)

    Time frame: Up to Week 24

    Measurement of the maximum observed plasma concentration.

  3. Time to Maximum Observed Concentration (Tmax)

    Time frame: Up to Week 24

    Measurement of the time to maximum observed concentration.

  4. Terminal Half-Life (T1/2)

    Time frame: Up to Week 24

    Measurement of the terminal half-life in days.

  5. Apparent Clearance (CL/F) of budoprutug

    Time frame: Up to Week 24

    Measurement of the apparent clearance in L/hour.

  6. Volume of Distribution (Vd)

    Time frame: Up to Week 24

    Measurement of the volume of distribution in liters.

  7. Change from Baseline in Circulating B Cell Count

    Time frame: Up to Week 24

    Change in absolute number of CD19+ B cells in peripheral blood.

  8. Incidence of Anti-Drug Antibodies (ADAs)

    Time frame: Up to Week 24

    Number of participants with detectable ADAs.

  9. ADA Titer Over Time

    Time frame: Up to Week 24

    Measurement of ADA titer over time.

Other outcomes

  1. Change from Baseline in BILAG-2004 Score

    Time frame: Up to Week 24

    Measurement of change in BILAG-2004 score from baseline.

  2. Change from Baseline in SLEDAI-2K Score

    Time frame: Up to Week 24

    Measurement of change in SLEDAI-2K score from baseline.

  3. Change from Baseline in Physician's Global Assessment

    Time frame: Up to Week 24

    Measurement of change in Physician's Global Assessment score from baseline.

  4. Proportion of Participants Achieving SRI-4 Response

    Time frame: Up to Week 24

    Percentage of participants achieving SRI-4 response.

  5. Change from Baseline in Urine Protein Creatinine Ratio (UPCR)

    Time frame: Up to Week 24

    Measurement of change in UPCR from baseline.

  6. Time to Renal Response

    Time frame: Up to Week 24

    Measurement of time to renal response in weeks.

  7. Proportion of Participants with Complete or Partial Renal Response

    Time frame: Up to Week 24

    Percentage of participants with complete or partial renal response.

  8. Change from Baseline in FACIT-Fatigue Score

    Time frame: Up to Week 24

    Measurement of change in FACIT-Fatigue score from baseline.

Study contacts

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

Climb Bio Study Director

CONTACT

[email protected]

+1 866 857 2596

Sponsors and collaborators

Lead sponsor

Climb Bio, Inc.

Industry

Registry information

Official study title

A Phase 1b Open-Label, Single Ascending Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of Budoprutug (TNT119) in Adult Subjects With Systemic Lupus Erythematosus (SLE)

Important dates

Study start
2025
Primary completion
2027
Study completion
2027
First posted
Jun 8, 2025
Registry last updated
Mar 27, 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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