A Study of CLN-978, a Subcutaneously Administered CD19-directed T Cell Engager, in Subjects With Systemic Lupus Erythematosus

Recruiting now · Phase 1

Conditions studied: SLE, SLE (Systemic Lupus)

In brief

Phase 1b, open-label study of CLN-978 administered subcutaneously in patients with Moderate to Severe Systemic Lupus Erythematosus (SLE).

Key facts

Study ID

NCT06613360

Run by

Cullinan Therapeutics Inc.

People needed

24

Starts

2025-01-21

Expected to finish

2027-12-01

Last updated by the study team

2026-06-05

Who can join

Age: 18 and older, up to 70. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

• Diagnosis of SLE at least 24 weeks prior to Screening and meet 2019 EULAR / ACR Classification Criteria at screening.
• Presence of one or more of the following autoantibodies documented during screening or in the previous 12 months before screening: positive anti-nuclear antibody (ANA) test (≥1:80); anti dsDNA above the upper limit of normal (ULN); anti-Sm above the ULN.
• Active SLE disease, as demonstrated by a SLEDAI total score ≥6 at screening.
• Inadequate response to at least 2 of the following treatments: oral corticosteroid, antimalarials, conventional immunosuppressants, or biologics. At least one of the failed treatments should be an immunosuppressive or biologic standard-of care agent.
• If on corticosteroid and/or antimalarial, the dose must be stable prior to day 1.
• Laboratory parameters including the following:
• Absolute lymphocyte count (ALC) ≥0.5 x 109/L
• Peripheral B cell count ≥25 cells/µL
• Absolute neutrophil count (ANC) ≥1.0 x 109/L
• Hemoglobin ≥8 g/dL
• Platelet count ≥75 x 109/L.
• Estimated glomerular filtration rate (eGFR) (based on CKD-EPI formula) ≥30 mL/min/1.73m2
• Total bilirubin ≤1.5 × ULN, except patients with confirmed Gilbert's Syndrome
• Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤2.5 × ULN
• Part B only: For patients who were treated in Part A and did not experience dose-limiting toxicity (DLT) or discontinue CLN-978 treatment due to AEs are eligible for retreatment at a higher dose or longer schedule in Part B if they otherwise meet eligibility criteria and at least 90 days have passed since the last dose of CLN-978.

You may not qualify if…

• Active inflammatory disease other than SLE. Thyroiditis or secondary Sjogren's syndrome is allowed.
• Considered at high risk for thrombosis.
• Rapidly progressive glomerulonephritis, and/or urine protein/creatinine >3 mg/mg (339 mg/mmol).
• Active severe neuropsychiatric/CNS manifestations of SLE.
• Evidence of hepatitis B, hepatitis C (HCV) infection, human immunodeficiency virus (HIV), Epstein-Barr virus (EBV), or cytomegalovirus (CMV) infection.
• History of splenectomy.
• Prior treatment with the following:
• Cellular or gene therapy product directed at any target.
• Investigational therapy within 30 days or 5 drug-elimination half-lives (whichever is longer) prior to Day 1.
• Any anti-CD19 or anti-CD20 therapy less than 3 months prior to Day 1.
• Non-biologic DMARD within 14 days prior to Day 1.
• Cyclophosphamide within 1 month or a biologic immunomodulating therapy during 2 months prior to Day 1.
• Live or attenuated vaccine within 28 days prior to screening or during screening.
• Active, clinically significant bacterial, viral, fungal, mycobacterial, parasitic, or other infection, including SARS-CoV-2 infection, within 14 days before Day 1.
• Active or latent tuberculosis (TB) evidenced by a positive or indeterminant Interferon Gamma Release Assay (IGRA), unless the patient has documented previous completion of TB treatment and no current clinical indication of TB.
• Any condition for which, in the opinion of the Investigator and/or Sponsor, would not be in the best interest of the patient to participate in the study or that could prevent, limit, or confound any protocol-defined assessment.

Where it is running

• Arensia Exploratory Medicine — Cluj-Napoca, Romania (enrolling)
• AARA Clinical Research — Tucson, Arizona, United States (enrolling)
• Omega Research Group — Orlando, Florida, United States (enrolling)
• University of Iowa — Iowa City, Iowa, United States (enrolling)
• Columbia University Medical Center — New York, New York, United States (enrolling)
• University of Rochester Medical Center — Rochester, New York, United States (enrolling)
• Regional One Health — Memphis, Tennessee, United States (enrolling)
• Stryde Research — Plano, Texas, United States (enrolling)
• Tranquil Clinical Research — Webster, Texas, United States (enrolling)
• Intermountain Health — Salt Lake City, Utah, United States (enrolling)
• Royal Melbourne Hospital — Parkville, Australia (enrolling)
• Osteoporosis Solutions — Victoria Park, Australia (enrolling)
• Multi profile Hospital for Active Treatment Sveta Sofia — Sofia, Bulgaria (enrolling)
• CHU de Nantes — Nantes, France (enrolling)
• University Hospital Saint Etienne — Saint-Priest-en-Jarez, France (enrolling)
• Centre Hospitalier Universitaire de Toulouse — Toulouse, France (enrolling)
• ARENSIA Exploratory Medicine, LLC — Tbilisi, Georgia (enrolling)
• AARA Clinical Research — Avondale, Arizona, United States (enrolling)
• ARENSIA Exploratory Medicine S.R.L. — Bucharest, Romania (enrolling)
• Timofei Moșneaga Republican Clinical Hospital — Chisinau, Moldova

Full record on ClinicalTrials.gov

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