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P-CD19CD20-ALLO1 for Lupus

No longer recruiting at 1 trial location
RS
Fr
Overseen ByFastest response: use the inquiry form. No email attachments https://www.gene.com/contact-us/submit-medical-inquiry
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to test a new treatment called P-CD19CD20-ALLO1, an experimental therapy, to determine its safety and effectiveness for people with severe lupus that does not respond to standard treatments. The trial will explore different doses in participants with or without lupus nephritis, a kidney problem related to lupus. Eligible participants should have been diagnosed with severe lupus for at least 24 weeks and have not found success with at least two different treatments. As a Phase 1 trial, this research focuses on understanding how the treatment works in people, offering participants the opportunity to be among the first to receive this new therapy.

Do I have to stop taking my current medications for the trial?

The trial information does not specify if you need to stop taking your current medications. However, since it involves participants with treatment-refractory lupus, it's possible that some medications might need to be adjusted. Please consult with the trial coordinators for specific guidance.

Is there any evidence suggesting that P-CD19CD20-ALLO1 is likely to be safe for humans?

A previous study showed that treatments similar to P-CD19CD20-ALLO1, such as other CAR T-cell therapies, were generally well-tolerated by patients with systemic lupus erythematosus (SLE). This research involved 47 patients, and 81% responded well to the treatment without serious side effects, suggesting safety for most people.

However, since P-CD19CD20-ALLO1 remains in an early-stage trial, complete safety information is not yet available. This phase of the trial primarily focuses on assessing the treatment's safety and tolerability. Early results from lab studies have shown promising safety and strong effects against lupus-related targets. As the trial progresses, more information will be gathered to further confirm its safety.12345

Why do researchers think this study treatment might be promising for lupus?

Researchers are excited about P-CD19CD20-ALLO1 for treating lupus because it introduces a fresh approach compared to existing treatments, which mostly involve immunosuppressive drugs like corticosteroids and hydroxychloroquine. Unlike these traditional options, P-CD19CD20-ALLO1 is a biological treatment that uniquely targets specific proteins, CD19 and CD20, on B cells, which play a crucial role in lupus pathology. By focusing on these targets, this treatment aims to more precisely modulate the immune system, potentially reducing disease activity with fewer side effects. This novel mechanism of action is what sets it apart and brings hope for more effective management of lupus.

What evidence suggests that P-CD19CD20-ALLO1 might be an effective treatment for lupus?

Research has shown that P-CD19CD20-ALLO1, the investigational treatment in this trial, delivers promising early results for conditions like lupus. This treatment may outperform some current therapies by targeting two specific proteins, CD19 and CD20, which contribute to the immune system's attack on the body. Previous studies have demonstrated that treatments targeting CD20 can reduce disease activity in lupus patients. By targeting both proteins, P-CD19CD20-ALLO1 offers a new approach that could prove more effective by addressing the disease from multiple angles. Although further research is necessary, early evidence is encouraging for those with severe lupus.16789

Who Is on the Research Team?

CT

Clinical Trials

Principal Investigator

Genentech, Inc.

Are You a Good Fit for This Trial?

This trial is for adults with severe, active lupus (SLE), including those with kidney involvement, who have not improved after trying at least two standard treatments. Participants must meet specific disease activity scores and lab criteria confirming their diagnosis.

Inclusion Criteria

I have tried at least two treatments for three months each without success.
My lupus severity score is 8 or higher, not counting hair loss, headaches, or fever.
My symptom severity score is 1 or more.
See 6 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Dose Escalation

Participants receive dose-escalated interventions including P-CD19CD20-ALLO1, Cyclophosphamide, Fludarabine, and Rimiducid

8-12 weeks

Dose Expansion

Participants receive interventions at or below the maximum tolerated dose determined in the dose escalation stage

12-24 weeks

Follow-up

Participants are monitored for safety and effectiveness after treatment

28 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • P-CD19CD20-ALLO1

Trial Overview

The study tests a new cell therapy called P-CD19CD20-ALLO1, given after chemotherapy drugs cyclophosphamide and fludarabine. Some participants may also receive rimiducid. The trial has dose-escalation and expansion phases to assess safety and effectiveness.

How Is the Trial Designed?

3

Treatment groups

Experimental Treatment

Group I: Dose Expansion (LN cohort)Experimental Treatment4 Interventions
Group II: Dose Expansion (ERL cohort)Experimental Treatment3 Interventions
Group III: Dose EscalationExperimental Treatment4 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

Genentech, Inc.

Lead Sponsor

Trials
1,578
Recruited
569,000+
Ashley Magargee profile image

Ashley Magargee

Genentech, Inc.

Chief Executive Officer since 2024

MBA from Harvard University, BA from Princeton University

Levi Garraway profile image

Levi Garraway

Genentech, Inc.

Chief Medical Officer since 2021

MD, PhD

Citations

Clinical trial outcomes for SLE: what we have and what we need

Taken together, these outcomes offer a nuanced understanding of the efficacy and safety of the investigational agent. In this review, we ...

NCT06984341 | A Study to Evaluate the Safety, Tolerability ...

The purpose of this study is to evaluate the safety and tolerability of P-CD19CD20-ALLO1 in participants with highly active, severe, refractory SLE with or ...

Long-Term Clinical Outcome in Systemic Lupus ...

These data suggest that patients with longstanding SLE are frequently in remission but still at risk of disease flares and eventual damage accrual.

Poseida Therapeutics Highlights Positive Interim Phase 1 ...

Showed higher in vivo antitumor efficacy than the CD19-single targeting CAR-T cells. The Company's P-CD19CD20-ALLO1 Phase 1 clinical trial is ...

Poseida Therapeutics Highlights Positive Interim Phase 1 ...

Showed higher in vivo antitumor efficacy than the CD19-single targeting CAR-T cells. The Company's P-CD19CD20-ALLO1 Phase 1 clinical trial is ...

Lupus | University of Iowa Clinical Research and Trials

The purpose of this study is to evaluate the safety and tolerability of P-CD19CD20-ALLO1 in participants with highly active, severe, refractory SLE with or ...

CAR T cell therapy efficacy and safety in SLE - PMC - NIH

Data on efficacy, safety, and treatment responses were analyzed. Ten studies involving 47 SLE patients were identified. Among those patients, 81 ...

CAR T-cell therapy in systemic lupus erythematosus

Since the discovery of CARs, their structure has been continuously refined based on efficacy and safety data. ... P-CD19CD20-ALLO1, allogeneic CD19/CD20-specific ...

Open-Label, Multicenter, Phase 1 Study to Assess the Safety ...

Systemic corticosteroids are contraindicated after receiving P-CD19CD20-ALLO1 cells outside of study-specific guidance or medical monitor approval). Has CNS ...