New Four-Pronged antibody takes aim at lupus
NCT ID NCT06857214
First seen Jul 10, 2026 · Last updated Jul 10, 2026
Summary
This phase 1 trial tests a new drug called GNC-038, a tetra-specific antibody designed to target multiple pathways involved in lupus. The study includes adults with moderate to severe lupus who are on stable standard treatment. Researchers are evaluating the drug's safety, tolerability, and how the body processes it, while also looking for early signs of effectiveness in controlling the disease.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- GNC-038 (a tetra-specific antibody)
- What this could lead to
- If successful, this could point toward a new treatment option for people with moderate to severe lupus, potentially offering better disease control with fewer side effects.
- What could go wrong
- This is an early phase 1 trial with only 84 participants, so safety and effectiveness are not yet proven. The drug may cause side effects or fail to improve lupus symptoms.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 1
The first testing in people. Mainly checks safety and dose, usually in a small group.
- Participants
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About 84 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jun 2025
- Expected to finish
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Dec 2027
An estimate. End dates often move.
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 75 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Subjects can understand the informed consent form, voluntarily participate in and sign the informed consent form; 2. No gender limit; 3. Age: ≥18 years old and ≤75 years old; 4. Life expectancy greater than 6 months; 5. SLE was diagnosed according to the 2019 EULAR/ACR revised criteria; 6. Patients with moderate to severe systemic lupus erythematosus, SLEDAI-2K score \> at screening; 7 points; 7. A stable standard-of-care regimen was maintained for at least 30 days before the first dose; 8. ANA ≥ 1:80 or anti-dsdna antibody higher than the upper limit of normal range (ULN) as determined by central laboratory at screening; 9. The presence of CD19+ B cells in the peripheral blood of the patient; 10. The organ function level before the first administration met the requirements; 11. Female subjects of childbearing potential or male subjects with a fertile partner must use highly effective contraception from 7 days before the first dose until 24 weeks after the termination of treatment and should commit not to donate eggs (eggs, oocytes)/sperm for assisted reproduction for 1 year after the last study treatment. Female subjects of childbearing potential must have a negative serum/urine pregnancy test within 7 days before the first dose; 12. Participants were able and willing to comply with protocol-specified visits, treatment plans, laboratory tests, and other study-related procedures. Exclusion Criteria: 1. Severe lupus nephritis within 8 weeks before screening; 2. She had uncontrolled lupus crisis within 8 weeks before screening and was not suitable for the study as assessed by the investigator; 3. Active encephalopathy or psychosis within 6 months before screening; 4. Primary diagnosis of different autoimmune or inflammatory diseases; 5. B cell-depleting therapy within 6 months before initiation of GNC-038 treatment; 6. Received CAR-T therapy within 6 months before GNC-038 treatment; 7. Cytokine-targeting biologic agents used within 12 weeks before dose administration; 8. Use of anti-tumor necrosis factor drugs within 8 weeks before administration; 9. Use of any JAK inhibitor within 2 weeks before dosing; 10. Receipt of any investigational drug within 28 days before dose or within 5 half-lives of the investigational drug; 11. Major organ transplantation history or hematopoietic stem cell/bone marrow transplantation; 12. Presence of: 1) active hepatitis B at screening; 2) hepatitis C or HIV infection; 3) syphilis infection; 13. A history of any cardiovascular disease described in the protocol within 6 months before screening; 14. Poorly controlled hypertension (systolic blood pressure ≥160 mmHg or diastolic blood pressure ≥100 mmHg); 15. Prolonged QT interval at rest (QTcf \> 450 msec in men or \> 470 msec in women); 16. A history of ≥ grade 2 bleeding within 30 days before screening or the need for long-term continuous anticoagulant therapy; 17. Patients with a history of allergy to recombinant humanized antibodies or to any of the excipients of GNC-038; 18. Women who are pregnant or breastfeeding; 19. Have a history or evidence of suicidal thoughts within 6 months before signing ICF, which is considered by the researcher to be a significant risk of suicide; 20. Diagnosed with malignant tumor within 5 years before signing ICF; 21. Other situations of poor compliance, unwillingness or inability to comply with the study protocol as judged by the investigator; 22. History of splenectomy; 23. Investigators considered a history of alcohol or drug abuse in the 12 months before screening; 24. Any active infection requiring systemic antibiotic treatment within 2 weeks before or during screening; 25. A history of severe and/or disseminated viral infection; 26. Active M. tuberculosis infection may be present.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Renji Hospital, Shanghai Jiao Tong University School of Medicine
RECRUITINGShanghai, Shanghai Municipality, China
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- Blood markers may foretell kidney trouble in lupus
- Can a One-Time cell therapy reset the immune system in autoimmune disease?