New drug targets Antibody-Producing cells in brain inflammation
NCT ID NCT03993262
First seen Jun 25, 2026 · Last updated Jun 26, 2026 · Updated 1 time
Summary
This phase 2 trial tests whether bortezomib, a drug that targets antibody-producing cells, can help people with severe autoimmune encephalitis. In this condition, the body's own antibodies attack the brain. The study will enroll 50 adults who have already tried another treatment (rituximab). Participants will receive either bortezomib or a placebo, along with dexamethasone, and be followed for 17 weeks to see if their symptoms improve.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- bortezomib
- What this could lead to
- If it works, this could provide a more targeted treatment for severe autoimmune encephalitis by directly attacking the cells that produce harmful antibodies.
- What could go wrong
- This is a small, early-phase trial with only 50 participants, so results may not apply to everyone. Bortezomib also has side effects like nerve damage and low blood cell counts.
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 50 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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May 2020
- 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 years and older
- 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: * Clinically diagnosed severe autoimmune encephalitis (defined as mRS ≥ 3) with autoantibodies to neuronal surface proteins in cerebrospinal fluid and / or serum * Pretreatment with rituximab * Age ≥18 years * signed informed consent * Women of childbearing potential (up to 2 years after menopause): negative pregnancy test Exclusion Criteria: * pregnancy/breast-feeding * acute infiltrative pulmonary and pericardial disease * malignant tumor under current chemotherapy * Simultaneous participation in another intervention study * Previous participation in this study * Known hypersensitivity to an ingredient of the investigational product * Continued therapy with glucocorticoids / rituximab during the study duration (last dose must be administered before the first dose of the investigational product)
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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
17 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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Charité - Universitätsmedizin Berlin, Klinik für Neurologie mit Experimenteller Neurologie
RECRUITINGBerlin, 10117, Germany
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Klinik für Neurologie UKSH, Campus Kiel
RECRUITINGKiel, 24105, Germany
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Ludwig-Maximilians-Universität München, Klinikum Großhadern
RECRUITINGMünchen, Bavaria, 81377, Germany
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Medizinische Hochschule Hannover
RECRUITINGHanover, Niedersachen, 30625, Germany
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Ruhr-Universität Bochum, St. Josef Hospital, Klinik für Neurologie
RECRUITINGBochum, 44791, Germany
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University Hospital Düsseldorf, Clinic for Neurology
RECRUITINGDüsseldorf, 40225, Germany
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University Hospital Frankfurt (Main), Clinic for Neurology
RECRUITINGFrankfurt, 60528, Germany
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Universitätsklinikum Erlangen, Neurologische Klinik
RECRUITINGErlangen, 91054, Germany
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Universitätsklinikum Essen (AöR), Klinik für Neurologie
RECRUITINGEssen, 45147, Germany
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Universitätsklinikum Jena, Sektion Translationale Neuroimmunologie, Klinik für Neurologie
RECRUITINGJena, Germany, 07747, Germany
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Universitätsklinikum Leipzig, Klinik und Poliklinik für Neurologie
RECRUITINGLeipzig, 04103, Germany
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Universitätsklinikum Münster Klinik für Neurologie
RECRUITINGMünster, 48149, Germany
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Universitätsklinikum Ulm, Klinik für Neurologie Neurologische Ambulanz
RECRUITINGUlm, 89081, Germany
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Universitätsklinikum Würzburg
RECRUITINGWürzburg, Bavaria, 97080, Germany
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Universitätsmedizin Greifswald, Klinik und Poliklinik für Neurologie
RECRUITINGGreifswald, 17475, Germany
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Universitätsmedizin Göttingen Georg-August-Universität, Klinik für Neurologie
RECRUITINGGöttingen, 37075, Germany
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Universitätsmedizin Mainz, Klinik und Poliklinik für Neurologie
RECRUITINGMainz, 55131, Germany
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Can CRISPR-Edited cells stop autoimmune attacks on the brain?
- Can engineered immune cells tame autoimmune diseases?
- Can a simple blood test unlock the secrets of brain autoimmune diseases?
- Can we predict who will relapse after brain inflammation?
- New study tracks pregnancy in women with neuroimmune diseases
- New study uses advanced scans to map brain inflammation over time