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NCT Number: NCT06897930

A Study to Investigate the Safety, Tolerability, and Efficacy of AZD0120 in Adults With Refractory SLE

This is a Phase 1b/2, single-arm, open-label, multi-center, clinical study of AZD0120, a CD19/BCMA dual CAR T cell therapy, to evaluate the safety, tolerability, and efficacy in adult participants with refractory Systemic Lupus Erythematosus.

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Key information

Age range

18 year–70 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1 / Phase 2

Primary location

Research Site, Darlinghurst, Australia

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About this study

The study will enrol adult participants with refractory Systemic Lupus Erythematosus (SLE) The study will be run in 2 parts;

First part is Phase 1b during which the study aims to assess safety and tolerability of AZD0120 in patients in refractory SLE cohorts

Second part is Phase 2, during which the study aims to assess safety, tolerability and efficacy of the selected dose, following Phase 1b completion, in patients with refractory SLE

Who can participate

Healthy volunteers accepted: No

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

INCLUSION:

  • Males or females aged 18 through 70 years inclusive at the time of consent.
  • Written informed consent in accordance with federal, local, and institutional guidelines.
  • Must be able and willing to adhere to the study visit schedule and other protocol requirements
  • Adequate hepatic, renal, pulmonary, and cardiac function
  • Have a clinical diagnosis of SLE according to the EULAR/ American College of Rheumatology (ACR) 2019 criteria with a positive ANA ≥1:80 and a score ≥10.
  • Have used at least two standard immunosuppressants (including one biological agent).
  • SLEDAI-2K score ≥6 at screening.
  • Must include a significant SLE related organ involvement: arthritis, myositis, rash, alopecia, mucosal ulcers, pleurisy, pericarditis, vasculitis, or renal.
  • For lupus nephritis: Diagnosis of proliferative lupus nephritis based on a renal biopsy obtained within 6 months prior to signing the informed consent form or during the screening period Class III, IV or V LN according to the WHO 2003 ISN/RPS classification.

EXCLUSION:

  • Have received prior treatment with CAR T therapy directed at any target.
  • Have received any therapy that is targeted to CD19 and/or BCMA
  • Received allogenic stem cell transplant or autologous stem cell transplant.
  • An active malignancy that is progressing or requires active treatment.
  • Primary immunodeficiency
  • Active viral or bacterial infection

Treatment and study plan

AZD0120

Biological

Single infusion of AZD0120 on visit DAY 1 after completing required lymphodepleting chemotherapy..

Other names: GC012F

Cyclophosphamide

Drug

Lymphodepletion - specified dose prior to receiving AZD0120

Fludarabine

Drug

Lymphodepletion - specified dose prior to receiving AZD0120

Primary outcomes

  1. PHASE 1B: To evaluate the safety and tolerability of AZD0120 in participants with refractory systemic lupus erythematosus (SLE)

    Time frame: 2 years

    The incidence and severity of adverse events (AEs)

  2. PHASE 1B: Recommended Phase 2 Dose (RP2D) of AZD0120 in for Phase 2

    Time frame: 2 years

    To determine the recommended phase 2 dose (RP2D) of AZD0120

  3. PHASE 2: To evaluate the efficacy of AZD0120 in participants with refractory SLE

    Time frame: 2 years

    Proportion of participants achieving SRI-4 response

Secondary outcomes

  1. PHASE 1B & 2: To evaluate the efficacy of AZD0120 in participants with refractory SLE

    Time frame: 2 years

    Proportion of participants achieving SLE Responder Index 4 (SRI-4) response over time

  2. PHASE 1B & 2: To evaluate the efficacy of AZD0120 in participants with refractory SLE

    Time frame: 2 years

    Proportion of participants achieving remission in SLE (DORIS) remission over time

  3. PHASE 1B & 2: To evaluate the efficacy of AZD0120 in participants with refractory SLE

    Time frame: 2 years

    Proportion of participants achieving Lupus Low Disease Activity State (LLDAS) over time

  4. PHASE 1B & 2: To evaluate the efficacy of AZD0120 in participants with refractory SLE

    Time frame: 2 years

    Proportion of participants achieving British Isles Lupus Assessment Group-based Composite Lupus Assessment (BICLA) response over time

  5. PHASE 1B & 2: To evaluate the efficacy of AZD0120 in participants with refractory SLE

    Time frame: 2 years

    Time from AZD0120 infusion and time from response to first disease flare

  6. PHASE 1B & 2: To characterize the cellular kinetics of AZD0120 in participants with refractory SLE

    Time frame: 2 years

    The area under the concentration-time curve (AUC) from time zero (T0) to the last measurable concentration time point (AUClast)

  7. PHASE 1B & 2: To characterize the cellular kinetics of AZD0120 in participants with refractory SLE

    Time frame: 2 years

    Area under the blood concentration-time curve from time zero to 28 days after dosing (AUC(0-28D))

  8. PHASE 1B & 2: To characterize the cellular kinetics of AZD0120 in participants with refractory SLE

    Time frame: 2 years

    The last measurable concentration of AZD0120 (Clast)

  9. PHASE 1B & 2: To characterize the cellular kinetics of AZD0120 in participants with refractory SLE

    Time frame: 2 years

    Maximum observed blood concentration (Cmax)

  10. PHASE 1B & 2: To characterize the cellular kinetics of AZD0120 in participants with refractory SLE

    Time frame: 2 years

    Terminal half-life of a drug during its elimination phase in pharmacokinetics (t1/2λz)

  11. PHASE 1B & 2: To characterize the cellular kinetics of AZD0120 in participants with refractory SLE

    Time frame: 2 years

    Time of the last measurable (quantifiable) concentration of a AZD0120 (Tlast)

  12. PHASE 1B & 2: To characterize the cellular kinetics of AZD0120 in participants with refractory SLE

    Time frame: 2 years

    Time of maximum observed blood concentration (Tmax)

  13. PHASE 1B & 2: To assess immunogenicity of AZD0120

    Time frame: 2 years

    Presence of AZD0120 antibodies

  14. PHASE 1B & 2: To determine whether replication-competent lentivirus is present in participants that receive AZD0120

    Time frame: 2 years

    Presence of replication-competent lentivirus (RCL)

  15. PHASE 2: To further characterize the safety of AZD0120 in participants with refractory SLE

    Time frame: 2 years

    Further characterization of the safety of AZD0120 by measuring the incidence and severity of Treatment Emergent Adverse Events (TEAEs)

  16. PHASE 2: To assess changes from baseline for reported health-related quality of life, overall health status

    Time frame: 2 years

    To assess changes from baseline for Changes in Lupus Quality of life (LupusQoL)

  17. PHASE 2: To assess changes from baseline for reported health-related quality of life, overall health status

    Time frame: 2 years

    To assess changes from baseline for FUNCTIONAL ASSESSMENT OF CHRONIC ILLNESS THERAPY (FACIT)

Study contacts

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

AstraZeneca Clinical Study Information Center

CONTACT

[email protected]

1-877-240-9479

Sponsors and collaborators

Lead sponsor

AstraZeneca

Industry

Registry information

Official study title

A Phase 1b/2 Study of AZD0120, a Chimeric Antigen Receptor T-cell (CAR T) Therapy Targeting CD19 and B-cell Maturation Antigen (BCMA) in Subjects With Refractory Systemic Lupus Erythematosus (SLE)

Important dates

Study start
2025
Primary completion
2029
Study completion
2029
First posted
Mar 27, 2025
Registry last updated
Jul 8, 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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