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NCT Number: NCT06265220

AB-101 in Combination With B-Cell Depleting mAb in Patients Who Failed Treatment for Class III or IV Lupus Nephritis or Other Forms of Refractory Systemic Lupus Erythematosus

AB-101 (also known as AlloNK) is an off-the shelf, allogeneic cell product made of "natural killer" cells, also called NK cells. White blood cells are part of the immune system and NK cells are a type of white blood cell that is known to enhance the effect of monoclonal antibody therapies.

This clinical trial will enroll adult patients with lupus nephritis Class III or IV either with or without the presence of Class V who relapsed or did not respond to previous standard of care treatment approaches, or other forms of refractory systemic lupus erythematosus.

The primary objective is to assess the safety, tolerability and preliminary activity of AB-101 plus a B-cell depleting mAb (e.g., rituximab, obinutuzumab) after cyclophosphamide and fludarabine in adult subjects with relapsed/refractory lupus nephritis Class III or IV, with or without the presence of Class V, or other forms of refractory systemic lupus erythematosus.

Patients will be assigned to receive either AB-101 alone as monotherapy or in combination with a B-cell depleting mAb (e.g., rituximab, obinutuzumab). All patients will receive at least 1 treatment cycle of AB-101, followed by scheduled assessments of overall health and response status.

Patients may receive up to 2 cycles of treatment spaced 24 weeks apart.

Active, Not Recruiting

This study is active but is not currently recruiting participants.

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Key information

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

for all subjects (Lupus Nephritis or SLE)

  • Diagnosis of SLE according to the 2019 European League Against Rheumatism/American College of Rheumatology (EULAR/ACR) Classification Criteria
  • Subjects must have had an inadequate response with at least two prior lines of standard of care (SoC) treatment.

Inclusion criteria

for LN:

  • Adult subjects with lupus nephritis Class III or IV (with or without the presence of Class V)
  • Evidence of active disease on renal biopsy.
  • All subjects are required to receive adequate concomitant antihypertensive and antiproteinuric therapy with blockade of the renin-angiotensin system

Inclusion criteria

for SLE:

  • Total systemic lupus erythematosus disease activity index (SLEDAI-2K score) ≥ 8, and clinical SLEDAI-2K ≥ 4.
  • British Isles Lupus Assessment Group 2004 (BILAG-2004) activity score of A in ≥ 1 organ, or a BILAG-2004 activity score of B in ≥ 2 organs.
  • Subjects have failed at least two conventional therapies

Exclusion criteria

  • Known past or current malignancy
  • Clinical evidence of significant unstable or uncontrolled acute or chronic diseases not due to SLE
  • Subjects with known active viral infections
  • Severe active CNS Lupus

Treatment and study plan

AB-101

Drug

NK Cell Therapy

Cyclophosphamide

Drug

Lymphodepleting chemotherapy

Fludarabine

Drug

Lymphodepleting chemotherapy

Rituximab

Drug

Anti-CD20 antibody therapy

Obinutuzumab

Drug

Anti-CD20 antibody therapy

Primary outcomes

  1. Incidence of Treatment-Emergent Adverse Events and Serious Adverse Events

    Time frame: From the time of consent through 104 weeks after initiation of study treatment

    Incidence, severity and causality of adverse events and serious adverse events

  2. AB-101 Clinical Activity

    Time frame: From the time of first dose through 104 weeks after initiation of study treatment

    Determined by Overall Response Rate in subjects with lupus nephritis and refractory systemic lupus erythematosus

Sponsors and collaborators

Lead sponsor

Artiva Biotherapeutics, Inc.

Industry

Registry information

Official study title

A Phase 1 Study to Evaluate the Efficacy and Safety of AB-101, an Allogeneic Cord Blood- Derived NK-Cell Therapy in Combination With B-Cell Depleting mAb in Patients Who Failed Treatment for Class III or IV Lupus Nephritis or Other Forms of Refractory Systemic Lupus Erythematosus

Important dates

Study start
2024
Primary completion
2027
Study completion
2027
First posted
Feb 20, 2024
Registry last updated
Dec 10, 2025

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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