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Enrolling by Invitation

NCT Number: NCT07038447

A Study of KITE-363 in Participants With Refractory Autoimmune Diseases

This study will have two Phases: Phase 1a and Phase 1b. The goal of this clinical study is to learn more about the study drug KITE-363, to establish dosing, tolerability, safety, and preliminary efficacy of KITE-363 in participants with refractory autoimmune diseases.

The primary objectives of this study are:

Phase 1a: To evaluate the safety and tolerability of KITE-363 in participants with autoimmune disease. To determine the recommended dose for Phase 1b.

Phase 1b: To evaluate the safety and efficacy of KITE-363 in participants with autoimmune disease.

Enrolling by Invitation

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Key information

Who can participate

Healthy volunteers accepted: No

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

Key Inclusion Criteria:

Inclusion criteria

for systemic lupus erythematosus (SLE) and lupus nephritis (LN):

  • Age ≥ 18 years
  • Meet the European Alliance of Associations for Rheumatology (EULAR)- American College of Rheumatology (ACR) 2019 classification criteria for SLE
  • Presence of either double-stranded deoxyribonucleic acid (DNA) anti- double-stranded DNA (anti-dsDNA) and/or anti-Smith antibodies at screening per local laboratory.
  • Moderate to severe, active disease defined as at least one British Isles Lupus Assessment Group (BILAG-A) score or 2 BILAG B (excluding constitutional and/or neuropsychiatric organ system).
  • Refractory to steroids and inadequate response or intolerance to at least 2 of the following treatments, used for at least 3 months each: cyclophosphamide, mycophenolate mofetil or its derivatives, belimumab, anifrolumab, rituximab, obinutuzumab, methotrexate, azathioprine, cyclosporin, tacrolimus, or voclosporin.
  • For LN: Refractory to steroids and inadequate response or intolerance to at least 2 of the following treatments, used for at least 3 months each: cyclophosphamide, mycophenolate mofetil or its derivatives, belimumab, rituximab, obinutuzumab, azathioprine, cyclosporin, tacrolimus, or voclosporin

Inclusion criteria

for LN:

  • Renal biopsy-proven Class III or intravenous (IV) ± V LN according to the revised International Society of Nephrology and Renal Pathology Society (ISN/RPS) criteria within 6 months prior to or during screening
  • Evidence of active LN at screening

Inclusion criteria

for systemic sclerosis (SSc):

  • Age ≥ 18 years
  • Diffuse Systemic Sclerosis (SSc) according to ACR/EULAR 2013 classification criteria with active skin disease and/or progressive SSc-interstitial lung disease (ILD) OR limited SSc with progressive ILD.
  • Refractory or intolerance to 1 of the following for a minimum of 3 months and/or contraindication: mycophenolate mofetil or its derivatives, methotrexate, tocilizumab (or other IL-6 inhibitor), rituximab (or other B-cell depleting agent), nintedanib (or other antifibrotic agents), cyclophosphamide.
  • High-resolution computer tomography (HRCT) scan and pulmonary function test (PFT) within 3 months prior to screening.

Inclusion criteria

for idiopathic inflammatory myopathy (IIM):

  • Age ≥ 18 years
  • Probable or definite IIM based on EULAR/ACR 2017 classification (excluding inclusion body myositis).
  • Active disease demonstrated by electromyography (EMG), magnetic resonance imaging (MRI) or muscle enzymes
  • Moderate to severe disease activity
  • Positive for myositis specific antibodies for patients with non-dermatomyostitis IIM
  • HRCT scan and PFT within 3 months prior to screening.
  • Refractory or intolerance to at least 1 month of glucocorticoids and standardized use of at least 2 immunosuppressant/modulator (eg, intravenous gamma globulins, methotrexate, mycophenolate mofetil and its derivatives, azathioprine, cyclophosphamide, calcineurin inhibitors, Janus kinase (JAK) inhibitors, rituximab or other B-cell depleting agent).

Inclusion criteria

for all Cohorts:

  • Adequate hepatic, renal, pulmonary, and cardiac function.

Key Exclusion Criteria:

Exclusion criteria

for all Cohorts:

  • Females of childbearing potential who are pregnant or breast feeding.
  • Dialysis within the past year.
  • History of malignancy, within the last 5 years.
  • Hypogammaglobulinemia requiring immunoglobulin replacement.
  • History of autologous or allogeneic stem cell transplant and/or organ transplant.
  • Prior treatment with cellular therapy, gene therapy and/or T-cell engager therapy.
  • Known history of HIV infection, or hepatitis B or C virus infections.
  • Active or untreated latent tuberculosis (TB).
  • Active or uncontrolled infections.
  • Nonspecific, overlap, mixed autoimmune diseases not clearly identified into any of the studied cohorts.

Exclusion criteria

for LN:

  • Significant pre-existing damage or rapidly progressive glomerulonephritis (GN).

Exclusion criteria

for SLE:

  • Drug-induced SLE.
  • Catastrophic antiphospholipid syndrome.
  • Thrombotic thrombocytopenic purpura.
  • Active or unstable lupus neuropsychiatric manifestations within last 6 months.

Exclusion criteria

for SSc:

  • Infected digital ulceration or necrosis with signs of infection.
  • Severe pulmonary hypertension.
  • History of systemic sclerosis renal crisis within 12 months prior to enrollment.
  • History of active bleeding related to gastric antral vascular ectasia.

Exclusion criteria

for IIM:

  • Other inflammatory and noninflammatory myopathies.
  • Severe, irreversible muscle damage.

Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Treatment and study plan

KITE-363

Biological

A single infusion of CAR-transduced autologous T cells administered intravenously

Fludarabine

Drug

Administered intravenously

Cyclophosphamide

Drug

Administered intravenously

Primary outcomes

  1. Phase 1a: Percentage of Participants Experiencing Adverse Events Defined as Dose-limiting Toxicities (DLTs) After the Infusion of KITE-363

    Time frame: Up to 2 years

  2. Phase 1b: All Cohorts Percentage of Participants Experiencing Treatment-emergent Adverse Event (TEAEs)

    Time frame: Up to 2 years

  3. Phase 1b: Systemic lupus erythematosus (SLE): Proportion of participants meeting DORIS remission and Lupus low Disease Activity State (LLDAS) criteria at Month 6

    Time frame: Month 6

  4. Phase 1b: Lupus Nephritis (LN): Proportion of Participants Meeting DORIS Remission

    Time frame: Month 6

  5. Phase 1b: LN: Proportion of Participants Achieving a Complete Renal Response at Month 6

    Time frame: Month 6

  6. Phase 1b: Systemic Sclerosis (SSc) Cohort: Proportion of Participants With Improvement in Disease Activity by the Revised Combined Response Index in Diffuse Cutaneous Systemic Sclerosis (rCRISS) at Month 6

    Time frame: Month 6

  7. Phase 1b: Idiopathic Inflammatory Myopathy (IIM): Proportions of Participants Meeting European League Against Rheumatism (EULAR)-American College of Rheumatology (ACR) Moderate and Major response 2016 Criteria in Total Improvement Score (TIS) at Month 6

    Time frame: Month 6

Secondary outcomes

  1. Characterization of Product, Including T-cell Phenotype as Assessed by Percent Change From Baseline in cluster of differentiation 3 (CD3)+ Cells and T Cells

    Time frame: Baseline up to 2 years

  2. Pharmacokinetic parameter: Serum Concentration of KITE-363 CAR T-cells

    Time frame: Up to 2 years

  3. Pharmacokinetic parameter: Peak Concentration (Cmax) for KITE-363 CAR T-cells

    Time frame: Up to 2 years

  4. Pharmacokinetic parameter: AUC for KITE-363 CAR T-cells

    Time frame: Up to 2 years

    AUC is defined as the area under the concentration time curve for KITE-363 CAR T-cells.

  5. Pharmacokinetic parameter: Time to Peak Serum Concentration (Tmax) for KITE-363 CAR T-cells

    Time frame: Up to 2 years

  6. Pharmacodynamic Parameters: Serum Concentration of Pro-inflammatory and Immune-modulating Cytokines, Chemokines, and Effector molecules, Autoantibodies, Muscle Enzymes, and Complement factors in blood over time

    Time frame: Up to 2 years

  7. Pharmacodynamic Parameters: Peak Serum Concentration (Cmax) for Pro-inflammatory and Immune-modulating Cytokines, Chemokines, and Effector molecules, Autoantibodies, Muscle Enzymes, and Complement factors

    Time frame: Up to 2 years

  8. Pharmacodynamic Parameters: AUC for Pro-inflammatory and Immune-modulating Cytokines, Chemokines, and Effector molecules, Autoantibodies, Muscle Enzymes, and Complement factors

    Time frame: Up to 2 years

    AUC is defined as the area under the concentration time curve.

  9. Pharmacodynamic Parameters: Time to Peak Serum Concentration (Tmax) for Pro-inflammatory and Immune-modulating Cytokines, Chemokines, and Effector molecules, Autoantibodies, Muscle Enzymes, and Complement factors

    Time frame: Up to 2 years

  10. Percentage of Participants with Antibodies Against KITE-363 CAR T cells

    Time frame: Up to 2 years

  11. Change from Baseline in Levels of B cells

    Time frame: Up to 2 years

Sponsors and collaborators

Lead sponsor

Kite, A Gilead Company

Industry

Registry information

Official study title

A Phase 1 Open-label, Multiregional, Multicenter, Basket Study Evaluating the Safety and Efficacy of KITE-363, an Autologous Anti-CD19/CD20 CAR T-cell Therapy in Participants With Refractory Autoimmune Diseases

Important dates

Study start
2025
Primary completion
2029
Study completion
2029
First posted
Jun 26, 2025
Registry last updated
Jun 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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