New antibody A-319 takes aim at Hard-to-Treat lupus
NCT ID NCT06400537
First seen Jun 26, 2026 · Last updated Jun 26, 2026 · Updated 1 time
Summary
This early-stage trial is testing a new drug called A-319 in 25 people with active or treatment-resistant systemic lupus erythematosus (SLE). A-319 is a type of antibody designed to target and help control the immune system cells that drive lupus. The main goal is to see if the drug is safe and tolerable, while also looking at how it affects the body and whether it shows any signs of 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
- A-319 (a CD19xCD3 bispecific antibody)
- What this could lead to
- If successful, this could point toward a new treatment option for people with lupus that is not controlled by current therapies.
- What could go wrong
- This is a very early Phase 1 trial with only 25 participants, so safety and effectiveness are not yet proven. The treatment may cause side effects or fail to control the disease.
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 25 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2024
- Expected to finish
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Dec 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
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 60 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. Age 18-60 years old, regardless of gender; 2. Participants diagnosed with SLE according to the American College of Rheumatology (ACR) 1997 revised criteria for SLE at least 24 weeks prior to signing the informed consent form; 3. Active/refractory systemic lupus erythematosus; 4. Positive test results for at least one of the following autoantibodies at screening: antinuclear antibodies (ANA) immunofluorescence assay at a titer of ≥1:80; anti-dsDNA; or anti-Smith (anti-Sm); 5. Receive the standardized and stable treatment for at least 30 days before the first administration of the study drug; 6. Female participants tested negative for pregnancy, and participants agreed to use effective contraception throughout the trial; 7. Have the ability to understand the nature of the research and voluntarily sign an informed consent form; 8. Participants can communicate well with the researchers and complete all visits according to the requirements of the plan. Exclusion Criteria: 1. Severe kidney disease; 2. Participants who have central nervous system diseases caused by SLE or non-SLE disease within 8 weeks before the first administration of the study drug; 3. Abnormities of main organ function at screening; 4. Medical history that the researchers believe will pose risk to the safety of the participants, or will affect the safety or effectiveness analysis of the study drug; 5. Active mycobacterium tuberculosis infection; 6. Active hepatitis, or hepatitis B virus surface antigen positive, or hepatitis B virus core antibody positive and hepatitis B virus deoxyribonucleic acid positive, ,or hepatitis C virus (HCV) antibody positive with detectable HCV ribonucleic acid (RNA).; 7. History of human immunodeficiency virus infection, or positive antibodies at screening; 8. Positive syphilis spirochete antibody at screening (except false positive caused by SLE); 9. Participants with chronic active infection or acute infection need systemic anti-infection treatment within 2 weeks before screening, or have superficial skin infection requiring treatment within 1 week before screening; 10. Have undergone major surgery or unhealed wounds, ulcers or fractures within 4 weeks before the first administration of the study drug, or plan to perform major surgery during the study period; 11. Participants diagonosed with malignant tumors within 5 years before screening; 12. History of important organ transplantation or hematopoietic stem cells/or bone marrow transplantation; 13. Have been vaccinated or plan to receive live vaccine or live attenuated vaccine during the research period within 4 weeks before the first administration of the study drug; 14. Participated in any clinical trial within 4 weeks before the first administration of the study drug or within 5 half-lives of the study drug of the clinical trial; 15. Received targeted drugs (rituximab, JAK inhibitors, etc.) at a specific time period before the first administration of the study drug; 16. Received intravenous immunoglobulin, prednisone ≥100mg/d or equivalent glucocorticoid therapy within 4 weeks before the first administration of the study drug, or plasma replacement; 17. Received IL-2, thalidomide, rethidone and traditional Chinese medicine within 4 weeks before the first administration of the study drug; 18. Known allergies to monoclonal antibody drugs, or allergies to A-319 excipients; 19. Participants with depression or suicidal thoughts; 20. Women who are pregnant or breastfeeding, or women who plan to be pregnant or breastfeeding during the study period; or men whose sexual partners plan to become pregnant during the study period; 21. Any reason that the researchers believe will hinder the subject's participation in the study.
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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
2 sites. 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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Shanxi Bethune Hospital
RECRUITINGTaiyuan, Shanxi, 030032, China
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Wuhan Union Hospital
RECRUITINGWuhan, Hubei, 430000, China
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