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NCT Number: NCT07314567

ACE1831 in Adult Subjects With Relapsed/Refractory Systemic Lupus Erythematosus (SLE)

ACE1831 is an off-the-shelf, allogeneic gamma delta T (gdT) cell therapy derived from healthy donors, that is under investigation for the treatment in subjects with Relapsed/Refractory Systemic lupus erythematosus (SLE)

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Key information

Age range

18 year–60 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Male or female 18 to 60 years (inclusive)
  • History of meeting the 2019 European League Against Rheumatism (EULAR)/American College of Rheumatology (ACR) criteria, or the 1997 ACR criteria, or the 2012 Systemic Lupus International Collaborating Clinics (SLICC)
  • Presence of anti-dsDNA antibodies and/or anti-nuclear antibodies (ANA) and/or anti-Smith (anti-Sm) antibodies positive
  • SLE is in the moderate to severe active phase with the SLEDAI-2000 score ≥ 8
  • At least one British Isle Lupus Rating Group Index (BILAG-2004) Class A (severe manifestation) or two Class B (moderate manifestation) organ scores, or both
  • Inadequate response to glucocorticoids and at least 2 of treatments used for at least 3 months
  • Women of childbearing potential and their partners must agree to use at least 1 highly effective method of contraception throughout the study period and for 1 year after treatment
  • Signed informed consent

Exclusion criteria

  • Severe lupus nephritis requiring prohibited medications for active nephritis treatment,or hemodialysis, or eGFR < 50 ml/min/1.73m²
  • Central nervous system disease caused by SLE or other conditions
  • Significant medical history that would pose a risk to the patients safety from the investigator's opinion, or patients medical condition could worsen during the study
  • Malignancies within 5 years
  • Presence of active, recurrent, chronic infection requiring treatment , or latent infection (HBV, HCV, HIV, TB, syphilis)
  • Received any B-cell depletion biologic therapy
  • Received immunosuppressive small molecule drug therapy, or other systemic corticosteroid therapy , or prednisone
  • Pregnant or lactating women

Treatment and study plan

ACE1831

Drug

ACE1831 is allogeneic gamma delta T (gdT) cell therapy. Subjects will receive ACE1831 dose based on the assigned dose escalation cohort.

Lymphodepleting chemotherapy

Drug

Subjects assigned to receive lymphodepleting preconditioning (LDC) will receive chemotherapy cyclophosphamide ahead of ACE1831 administration.

Primary outcomes

  1. To assess the safety and tolerability of ACE1831 in subjects with Refractory Systemic lupus erythematosus

    Time frame: 24 weeks after last dose of ACE1831

    To assess the incidence of Adverse Events (AEs), [AEs including Treatment Emergent AEs, Serious AEs (SAEs), AEs of Special Interests (AESIs), and dose limiting toxicities (DLTs)] (unit: number of AEs)

Secondary outcomes

  1. To assess the efficacy of ACE1831: Changes in SLE disease activity Index (SLEDAI-2000) score

    Time frame: 24 weeks after last dose of ACE1831

    Changes of SLE disease activity Index (SLEDAI-2000) score

  2. To assess the efficacy of ACE1831 (secondary efficacy):Changes in PGA

    Time frame: 24 weeks after last dose of ACE1831

    Changes in Physician's Global Assessment (PGA) of disease activity score (Visual Activity Score,scale range 0 - 100)

  3. To assess the efficacy of ACE1831 : Changes in SGA

    Time frame: Time Frame: 24 weeks after last dose of ACE1831

    Changes in Subject's Global Assessment (SGA) of disease activity score (Visual Activity Score,scale range 0 - 100)

  4. To assess the efficacy of ACE1831 :Changes in LupusQOL

    Time frame: 24 weeks after last dose of ACE1831

    Changes of Lupus Qualituy of Life(LupusQOL) total score

  5. To assess the efficacy of ACE1831 :Changes in EQ-5D-5L score

    Time frame: 24 weeks after last dose of ACE1831

    Changes of European Quality of Life Five Dimension Five Level questionnaire(EQ-5D-5L )score

  6. To assess the efficacy of ACE1831 :Changes in SF-12 score

    Time frame: 24 weeks after last dose of ACE1831

    Changes in Quality of Life Questionnaire (QOL) Short Form 12 (SF-12) total score

  7. To assess the efficacy of ACE1831 :Changes in BILAG-2004 score

    Time frame: 24 weeks after last dose of ACE1831

    Changes of BILAG-2004 score

  8. To assess the efficacy of ACE1831: LLDAS rate

    Time frame: 24 weeks after last dose of ACE1831

    Proportions of subjects achieving LLDAS by timepoint

  9. To assess the efficacy of ACE1831: DORIS

    Time frame: 24 weeks after last dose of ACE1831

    Proportions of subjects who achieved remission according to the DORIS by timepoint

  10. To assess the efficacy of ACE1831: SRI-4 response rate

    Time frame: 24 weeks after last dose of ACE1831

    Proportion of participants who achieved Systemic Lupus Erythematosus Responder Index -4 (SRI-4) response

  11. Persistence of ACE1831 after administration

    Time frame: 8 weeks after last dose of ACE1831

    Half-life of ACE1831

  12. Measure the pharmacodynamics change of ACE1831

    Time frame: 24 weeks after last dose of ACE1831

    Immunoglobulin, cytokines, lymphocytecount , autoantibody titers, complement C3 and C4 levels, C-reactive protein, erythrocyte sedimentation rate, etc

  13. Immunogenicity

    Time frame: 24 weeks after last dose of ACE1831

    Titration of anti-ACE1831 antibodies after administration

Other outcomes

  1. To assess the efficacy of ACE1831: single-cell sequencing

    Time frame: 24 weeks after last dose of ACE1831

Study contacts

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

Lingli Dong

CONTACT

[email protected]

+862783665519

Ziwei Hu

CONTACT

[email protected]

13237100403

Sponsors and collaborators

Lead sponsor

Tongji Hospital

Other

Registry information

Official study title

An Open Label, Single Arm Study to Assess Safety, Efficacy and Persistence of ACE1831, in Subjects With Relapsed/Refractory Systemic Lupus Erythematosus (SLE)

Important dates

Study start
2026
Primary completion
2027
Study completion
2027
First posted
Jan 2, 2026
Registry last updated
Jan 2, 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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