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NCT Number: NCT06917742

A Study of Intravenous CPTX2309 in Healthy Participants and Participants With Moderate to Severe Rheumatoid Arthritis (RA) or Systemic Lupus Erythematosus (SLE)

The purpose of this study is to assess the safety and tolerability of CPTX2309 in healthy adult participants and adult participants with moderate to severe rheumatoid arthritis or systemic lupus erythematosus.

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Key information

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Nucleus Network Brisbane, Herston, Queensland, Australia

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About this study

A first-in-human Phase 1, open label study to evaluate safety and tolerability of a single ascending dose (SAD) and multiple ascending dose (MAD) of CPTX2309 intravenously administered to healthy adult participants and adult participants with moderate to severe rheumatoid arthritis or systemic lupus erythematosus.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Male and female participants who are healthy as determined by the investigator based on review of medical history, physical examination, and clinical laboratory tests obtained during the screening period.
  • Participant is willing and able to adhere to the study visit schedule and other protocol requirements.

RA Only:

  • Clinical diagnosis of RA and fulfilling the 2010 ACR/EULAR classification criteria for RA
  • Presence of rheumatoid factor or ACPA above the ULN
  • Confirmation of at least moderate active disease at screening with the presence of at least 6 swollen and 6 tender joints at screening using the 68 (tender)/66 (swollen) joint count OR the presence of at least 3 joints with active synovitis via MRI assessment.

SLE Only:

  • Clinical diagnosis of SLE and fulfilling the 2019 EULAR/ACR classification criteria for SLE
  • Positive ANA>=1:80 and the presence of at least one of the following autoantibodies above the upper limit of normal (ULN): anti-double standard DNA (dsDNA) or anti-Smith (Sm).

Exclusion criteria

  • Evidence of organ dysfunction or any clinically significant deviation from normal in physical examination, vital signs, or clinical laboratory tests beyond what is consistent with a healthy population in the region in which the study is conducted.
  • Use of any investigational medical device or investigational drug within 30 days or 5 half-lives of the investigational drug (whichever is longer) prior to the first administration of CPTX2309.

RA Only:

  • Participants diagnosed with Felty's syndrome

SLE Only:

  • Active neuropsychiatric SLE, as defined by the CNS portion of SLEDAI at Screening, or signs of symptoms of neuropsychiatric SLE within 6 months prior to Screening (lupus headache permissible)
  • Note: Other protocol-defined inclusion/exclusion criteria apply

Treatment and study plan

CPTX2309

Drug

Intravenous Infusion

Primary outcomes

  1. Number of participants with changes in the safety parameters

    Time frame: Up to approximately 1 Year

    To evaluate the safety and tolerability of CPTX2309 administered to healthy adult participants and participants with moderate to severe RA and SLE.

  2. Number of participants with clinical laboratory assessment abnormalities

    Time frame: Up to approximately 1 Year

    To evaluate the safety and tolerability of CPTX2309 administered to healthy adult participants and participants with moderate to severe RA and SLE.

  3. Number of participants with changes in the vital signs

    Time frame: Up to approximately 1 Year

    To evaluate the safety and tolerability of CPTX2309 administered to healthy adult participants and participants with moderate to severe RA and SLE.

  4. Number of participants with changes in the ECG

    Time frame: Up to approximately 1 Year

    To evaluate the safety and tolerability of CPTX2309 administered to healthy adult participants and participants with moderate to severe RA and SLE.

  5. Number of participants who develop anti-drug antibodies (ADAs) and Circulating Immune Complex (CIC) formation

    Time frame: Up to approximately 1 Year

    To evaluate the safety and tolerability of CPTX2309 administered to healthy adult participants and participants with moderate to severe RA and SLE.

  6. Part A and B: Number of participants with change from baseline in vaccine antibody titers

    Time frame: Up to approximately 1 Year

    To evaluate the safety and tolerability of CPTX2309 administered to healthy adult participants.

  7. Changes in serum cytokine and chemokine levels that are known to be associated with CAR-T cell therapy related toxicity

    Time frame: Up to approximately 1 Year

    To evaluate the safety and tolerability of CPTX2309 administered to healthy adult participants and participants with moderate to severe RA and SLE.

  8. Change from baseline in soluble immunoglobulins (Ig)

    Time frame: Up to approximately 1 Year

    To evaluate the safety and tolerability of CPTX2309 administered to healthy adult participants and participants with moderate to severe RA and SLE.

  9. Part C and D: Change from baseline in vaccination-induced antibody titers

    Time frame: Up to approximately 1 Year

    To evaluate the safety and tolerability of CPTX2309 administered to participants with moderate to severe RA and SLE.

Secondary outcomes

  1. Pharmacokinetic Parameters

    Time frame: Up to approximately 1 Year

    Levels of CAR+ T cells, levels of CPTX2309 components

  2. Pharmacodynamic Parameters

    Time frame: Up to approximately 1 Year

    Levels of circulating B cells expressed as the number of CD19 positive B cells in one microliter of blood by flow cytometry

  3. Part A and B: Pharmacodynamic Parameters

    Time frame: Up to approximately 1 Year

    Percentages of naïve and memory B cells in blood by flow cytometry

  4. Part A and B: Pharmacodynamic Parameters

    Time frame: Up to approximately 1 Year

    Levels of cytokines and chemokines in nanograms per milliliter of serum by ELISA

  5. Part C and D: Number of Participants who develop ADAs

    Time frame: Up to approximately 1 Year

    To evaluate the PK profile of CPTX2309 in participants with moderate to severe RA or SLE.

Study contacts

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

ABBVIE CALL CENTER

CONTACT

[email protected]

844-663-3742

Sponsors and collaborators

Lead sponsor

Capstan Therapeutics

Industry

Registry information

Official study title

A First-in-Human, Phase 1, Open-Label, Single and Multiple Ascending Dose Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of CPTX2309 by Intravenous Administration in Healthy Volunteers and Subjects With Moderate to Severe Rheumatoid Arthritis (RA) or Systemic Lupus Erythematosus (SLE)

Important dates

Study start
2025
Primary completion
2027
Study completion
2027
First posted
Apr 8, 2025
Registry last updated
Jul 16, 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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