Engineered immune cells take on lupus in early trial
NCT ID NCT06711146
First seen Jun 27, 2026 · Last updated Aug 25, 2026 · Updated 2 times
Summary
This early-phase study tests a new treatment called Meta10-19 for people with moderate to severe systemic lupus erythematosus (SLE). The therapy uses a patient's own immune cells, modified to better target and destroy faulty B cells that drive the disease. The main goals are to find a safe dose and see if it can control lupus activity and reduce the need for other medications.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Early phase 1
The earliest testing in people: a first look at safety, in a very small group.
- Participants
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About 36 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2024
- Expected to finish
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Apr 2027
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: * All subjects or guardians must sign an informed consent form approved by the Ethics Committee in person before commencing any screening process; * Be over 18 years of age, male or female; * A diagnosis of SLE according to the 2012 systemic lupus international collaborating clinics(SLICC); * The history of SLE prior to screening was at least 6 months, and the disease remained active at least 2 months after the use of a stable standard SLE regimen prior to screening: 1. Conventional regimens for SLE are corticosteroids and one or more immunomodulatory drugs over 6 months; 2. Oral corticosteroids must meet the following requirements: * Prednisone (or equivalent) ≥7.5 mg/ day, and ≤60 mg/ day; * There is no minimum daily dose requirement for corticosteroids when used in combination with immunosuppressants; * At least 8 weeks of treatment prior to screening, and the dose must be kept stable for \> 2 weeks. * SLEDAI-2000 score ≥8 during the screening period. Score ≥6 for SLEDAI-2000 clinical symptoms (except for low complement and/or anti-DS-DNA antibodies) if low complement and/or anti-DS-DNA antibody score is present; * Women of childbearing age and all male patients must consent to use a effective contraception for at least 12 months after Meta10-19 infusion and until two consecutive PCR tests show no more CAR T cells in vivo; * CD19 expression was positive by or flow cytometry ; * Organ function: 1. Complete blood count (CBC) test \[the following criteria should be met within 24 hours prior to apheresis, and supportive treatment such as transfusion, platelet transfusion, cell growth factor (except recombinant erythropoietin) should be avoided within 7 days prior to detection\] * Lymphocyte count ≥ 0.5×10\^9/L; * Platelet count ≥ 25×10\^9/L; * Hemoglobin ≥ 70.0 g/L 2. Blood Biochemistry: * Serum creatinine (Scr) ≤ 1.5 x ULN, or * endogenous creatinine clearance ≥ 40 mL/min (using Cockcroft-Gault formula); * alanine aminotransferase (ALT) ≤ 2.5 x ULN; * aspartate aminotransferase (AST) ≤ 2.5 ×ULN; * Total bilirubin (TBIL) ≤ 2 ×ULN; Subjects with total bilirubin \< 3 × ULN and direct bilirubin \< 1.5× ULN with Gilbert-.Meulengracht syndrome could be included; * Serum lipase and amylase ≤ 1.5×ULN; * Alkaline phosphatase (ALP) ≤ 2.5 ×ULN. 3. Pulmonary function: ≤CTCAE grade 1 dyspnea and oxygen saturation of blood (SaO2) \> 91% in indoor air environment.. * Hemodynamic stability was determined by echocardiography or multichannel radionuclide angiography (MUGA) and LVEF ≥45%. Exclusion Criteria: * Prior to screening, other lupus crises, such as active central nervous system lupus, severe myocardial damage, severe lupus pneumonia or pulmonary hemorrhage, severe lupus hepatitis, and severe vasculitis. * Clinically significant central nervous system diseases or pathological changes not caused by lupus prior to screening, including but not limited to: cerebrovascular accident, aneurysm, epilepsy, convulsions/convulsions, aphasia, stroke, severe brain injury, dementia, Parkinson's disease, cerebellar disease, organic brain syndrome, or psychosis. * History of major organ transplantation (e.g., heart, lung, kidney, liver) or hematopoietic stem cell/bone marrow transplantation. * IgA deficiency was present during screening (serum IgA level \< 10 mg/dL). * Other conditions that the investigator considered should not be enrolled in this clinical 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
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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The first affiliated hospital of medical college of zhejiang university
RECRUITINGHangzhou, Zhejiang, 310000, China
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