New drug combo aims to tame tough autoimmune diseases
NCT ID NCT06570798
First seen Jun 27, 2026 · Last updated Aug 21, 2026 · Updated 6 times
Summary
This study tests two medications, inebilizumab and blinatumomab, in adults with active lupus (with kidney inflammation) or hard-to-treat rheumatoid arthritis. The goal is to see if these drugs are safe and can help control the diseases. About 220 people will take part. This is not a cure; participants may still need ongoing treatment.
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 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 220 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2025
- Expected to finish
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Aug 2028
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.
\*Subprotocol A and B are no longer recruiting participants\* Inclusion Criteria: * Subprotocol A and B: Diagnosis of SLE according to 2019 European League Against Rheumatism and the American College of Rheumatology (ACR) classification criteria. * Subprotocol A and B: Participant must be positive for at least one of the following autoantibodies at screening (performed by central laboratory) or through documented history: 1. Antinuclear antibodies (ANA) ≥ 1:80 2. Anti-double stranded deoxyribonucleic acid (anti-dsDNA) antibodies elevated to above normal range (ie, positive results) 3. AntiSmith antibodies elevated to above normal (ie, positive results). * Subprotocol A and B (Subgroup 1): Active, biopsy-proven, proliferative LN demonstrating class III or class IV with or without co-existing features of Class V LN (or pure Class V LN for Subprotocol B only) according to 2018 International Society of Nephrology/Renal Pathology Society (ISN/RPS) criteria. The local biopsy report will be used. * Subprotocol A and B: SLE Disease Activity Index 2K ≥ 6. * Subprotocol A and B (Subgroup 1): Inadequate response, loss of response or intolerance to at least 1 therapy (Subprotocol A) or 2 immunosuppressive therapies (Subprotocol B Subgroup 1) at the maximally tolerated doses as recommended by the Kidney Disease: Improving Global Outcomes (KDIGO) guidelines (KDIGO, 2024). Inadequate response is defined as: UPCR ≥ 1.0 mg/mg. * Subprotocol B (Subgroup 2): Refractory SLE participants with inadequate response to multiple therapies (excluding hydroxychloroquine or corticosteroids) and have failed either a biologic agent or cyclophosphamide. * Subprotocol B (Part B Subgroup 2): British Isles Lupus Assessment Group (BILAG)-2004 level A disease in 1 organ system or BILAG-2004 level B disease in ≥ 2 organ systems * Subprotocol B (Part B Subgroup 2): Physician Global Assessment (PGA) ≥ 1 * Subprotocol A and B: If receiving any of the following medications, participants must be on these doses prior to Day 1: 1. Prednisone dose ≤ 20 mg/day (or its equivalent in other corticosteroid forms) and at a stable dose for 5 days 2. Hydroxychloroquine dose ≤ 400 mg/day and at a stable dose for 4 weeks. Other equivalent antimalarials (chloroquine, quinacrine) are also accepted at a stable dose for 4 weeks. 3. MMF dose ≤ 3 g/day or MPA dose ≤ 2160 mg/day and at a stable dose for 2 weeks. 4. AZA dose ≤ 2 mg/kg/day and at a stable dose for 2 weeks. 5. Methotrexate \> 25 mg/week and at a stable dose for 2 weeks 6. Leflunomide \> 20 mg/day and at a stable dose for 2 weeks 7. Dapsone \> 300 mg/day and at a stable dose for 2 weeks. * Subprotocol C (Part A and Part B): Diagnosis of RA according to the 2010 ACR/European Alliance of Associations for Rheumatology (EULAR) classification criteria. * Subprotocol C (Part A and Part B): Moderate to severe disease activity as defined by DAS28-CRP \> 3.2 with ≥ 3 swollen joints and ≥ 3 tender joints (based on 28 joint counts) at screening. * Subprotocol C (Part A and Part B): Refractory disease defined as: * Active disease despite having received treatment with: 1. at least 1 conventional synthetic disease-modifying antirheumatic drug (csDMARD), AND 2. at least 2 biologic disease-modifying antirheumatic drugs (bDMARDs) of different mechanisms of action OR 1 bDMARD and at least 1 targeted synthetic disease-modifying antirheumatic drugs (tsDMARD). * Inadequate response or intolerance to csDMARDs, bDMARDs, and tsDMARDs should be defined as: 1. Participant having active disease despite a minimum of 12 weeks of treatment with a csDMARD, bDMARD, or tsDMARD. 2. Intolerance to treatment as defined by participant having experienced an adverse effect from treatment with a csDMARD, bDMARD, or tsDMARD. * Subprotocol C (Part B): High sensitivity C-Reactive Protein (hsCRP) level ≥ upper limit of normal per the central laboratory at screening. Exclusion Criteria: * Subprotocol A, B and C: Receipt of a live and/or live attenuated vaccine within 4 weeks prior to first dose of trial drug, during the treatment period, or until B-cell repletion after the end of the treatment period. Administration of inactivated (killed) vaccines is acceptable. * Subprotocol A and B: Estimated glomerular filtration rate (eGFR) of \< 30 mL per minute per 1.73 m\^2 of body surface area (calculated using the Modification of Diet in Renal Disease \[MDRD\] formula, with screening laboratory results for serum creatinine value). * Subprotocol A and B: Significant likely irreversible organ damage related to SLE (eg, end-stage renal disease \[ESRD\]). * Subprotocol A and B: Any acute, severe lupus related flare during screening that needs immediate treatment. * Subprotocol A and B: A previous kidney transplant or planned transplant within trial treatment period. * Subprotocol A and B: History of or current renal diseases (Parts A and B, Subgroup 1) that in the opinion of the investigator could interfere with the LN assessment and confound the disease activity assessment (eg, diabetic nephropathy). * Subprotocol A: Renal biopsy showing pure class V. * Subprotocol B: Active CNS Lupus within one year prior to screening. * Subprotocol B and C: History or presence of clinically relevant central nervous system (CNS) pathology or event such as seizure, paresis, aphasia, stroke, severe brain injuries, dementia, Parkinson's disease, cerebellar disease, or organic brain syndrome. * Subprotocol C: Prior history of current inflammatory joint disease other than RA including but not limited to SLE, mixed connective tissue disorder, scleroderma, polymyositis, or significant systemic involvement secondary to RA (eg, vasculitis, pulmonary fibrosis, or Felty's syndrome). * Subprotocol C: Functional Class IV as defined by the ACR classification of functional status in RA. * Subprotocol A, B and C: Receipt of the following medications or treatments at any time prior to Day 1: 1. B-cell directed CAR T-cell and T-cell engager therapies 2. Total lymphoid irradiation 3. Bone marrow transplant 4. T-cell vaccination therapy 5. Natalizumab
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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 study's own enquiry address
This study publishes an address for enquiries. See it below .
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The places running it
49 sites in 10 countries. 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
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Study contacts
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Contact
Email: •••••@•••••
Locations
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Addenbrookes Hospital
RECRUITINGCambridge, CB2 0QQ, United Kingdom
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Al Kuwait Hospital Dubai ehs
RECRUITINGDubai, 22241, United Arab Emirates
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Bioresearch Partner Coral Terrace
RECRUITINGSouth Miami, Florida, 33143, United States
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Centre Hospitalier Regional Universitaire de Lille - Hopital Claude Huriez
RECRUITINGLille, 59037, France
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Centre Hospitalier Universitaire de Liege - Sart Tilman
RECRUITINGLiège, 4000, Belgium
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Centre Hospitalier Universitaire de Lyon - Hopital Edouard Herriot
RECRUITINGLyon Cédex 3, 69437, France
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Centre Hospitalier Universitaire de Lyon- Hopital Edouard Herriot
RECRUITINGLyon, 69437, France
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Centre Hospitalier Universitaire de Strasbourg - Hopital de Hautepierre
RECRUITINGStrasbourg, 67098, France
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Centre Hospitalier Universitaire de Strasbourg - Nouvel Hopital Civil
RECRUITINGStrasbourg, 67091, France
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Centre Hospitalier Universitaire de Toulouse - Hopital Purpan
RECRUITINGToulouse, 31059, France
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Centre Hospitalier Universitaire de Toulouse - Hopital Rangueil
RECRUITINGToulouse, 31059, France
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Cleveland Clinic Abu Dhabi
RECRUITINGAbu Dhabi, United Arab Emirates
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Cleveland Clinic Foundation
RECRUITINGCleveland, Ohio, 44195, United States
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Cliniques Universtaire Saint Luc Universite Catholique de Louvain
RECRUITINGBrussels, 1200, Belgium
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Columbia University Medical Center
RECRUITINGNew York, New York, 10032, United States
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Homestead Associates In Research Inc
TERMINATEDHomestead, Florida, 33033, United States
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HonorHealth Research and Innovation Institute
RECRUITINGScottsdale, Arizona, 85258, United States
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Hopital Bichat Claude Bernard
TERMINATEDParis, 75018, France
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Hopital Cochin
RECRUITINGParis, 75014, France
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Hopital Europeen Georges Pompidou
RECRUITINGParis, 75908, France
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Hopital de la Conception
RECRUITINGMarseille, 13005, France
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Hospital Clinic i Provincial de Barcelona
RECRUITINGBarcelona, Catalonia, 08036, Spain
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Hospital Universitari Vall d Hebron
RECRUITINGBarcelona, Catalonia, 08035, Spain
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Hospital Universitari Vall d Hebron
RECRUITINGBarcelona, 08035, Spain
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Hospital Universitario 12 de Octubre
TERMINATEDMadrid, 28041, Spain
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Hospital Universitario 12 de Octubre
RECRUITINGMadrid, 28041, Spain
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Hospital Universitario Marques de Valdecilla
TERMINATEDSantander, Cantabria, 39008, Spain
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Hôpitaux Universitaires Paris Sud - Hôpital Bicêtre
RECRUITINGLe Kremlin-Bicêtre, 94270, France
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IRCCS Istituto Clinico Humanitas
RECRUITINGRozzano, 20089, Italy
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IRCCS Ospedale San Raffaele
RECRUITINGMilan, 20132, Italy
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Klinikum der LMU Muenchen
COMPLETEDMünchen, 80336, Germany
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Krankenhaus Porz am Rhein gGmbH
RECRUITINGCologne, 51149, Germany
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Leicester General Hospital
RECRUITINGLeicester, LE5 4PW, United Kingdom
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Linear Clinical Research Limited
RECRUITINGPerth, Western Australia, 6009, Australia
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Massachusetts General Hospital
RECRUITINGBoston, Massachusetts, 02114, United States
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Mayo Clinic
RECRUITINGRochester, Minnesota, 55905, United States
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MetroHealth Medical Center
RECRUITINGCleveland, Ohio, 44109, United States
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Northwell Health
RECRUITINGGreat Neck, New York, 11021, United States
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Ospedale San Giovanni Bosco
RECRUITINGTurin, 10154, Italy
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Prolato Clinical Research Center
COMPLETEDHouston, Texas, 77054, United States
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Royal Victoria Infirmary
RECRUITINGNewcastle upon Tyne, NE7 7DN, United Kingdom
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Seattle Rheumatology Associates
RECRUITINGSeattle, Washington, 98104, United States
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Sheikh Shakhbout Medical City
RECRUITINGAbu Dhabi, 11001, United Arab Emirates
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The Metro Health System Main Campus
RECRUITINGCleveland, Ohio, 44109, United States
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Unidade Local de Saude de Gaia-Espinho, EPE
RECRUITINGVila Nova de Gaia, 4430-502, Portugal
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Unidade Local de Saude de Lisboa Ocidental, EPE - Hospital Santa Cruz
RECRUITINGCarnaxide, 2790-134, Portugal
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Unidade Local de Saude de Sao Jose, EPE - Hospital Curry Cabral
RECRUITINGVila Franca de Xira, 2600-076, Portugal
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Universitaetsklinikum Duesseldorf AoeR
RECRUITINGDüsseldorf, 40225, Germany
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Universitaetsklinikum Leipzig
RECRUITINGLeipzig, 04103, Germany
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Universitair Ziekenhuis Gent
RECRUITINGGhent, 9000, Belgium
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Universitair Ziekenhuis Leuven - Campus Gasthuisberg
RECRUITINGLeuven, 3000, Belgium
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University Medical Center New Orleans
RECRUITINGNew Orleans, Louisiana, 70112, United States
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University of Colorado
RECRUITINGAurora, Colorado, 80045, United States
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University of Rochester Medical Center
RECRUITINGRochester, New York, 14642, United States
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Vida Research Center
TERMINATEDHialeah, Florida, 33010, United States
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Vitaly Clinical Research
TERMINATEDMiami, Florida, 33125, United States
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Westchester Medical Center
COMPLETEDHawthorne, New York, 10532, United States
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Western General hospital
RECRUITINGEdinburgh, EH4 2XU, United Kingdom
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Ocular surface changes and meibomian gland dysfunction in rheumatologic patients: a Cross-Sectional analytical study
- Can a blood test catch lupus flares earlier?
- Can a single CAR-T infusion reset the immune system and stop lupus kidney damage?
- Can one pill tame four autoimmune diseases? a Long-Term trial puts it to the test
- Can a single drug tame multiple autoimmune diseases?
- Blood markers may foretell kidney trouble in lupus