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Engineered immune cells take on lupus in first human test

NCT ID NCT06333483

What the study statuses mean

This study's is highlighted.

Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing This study
Running, but no longer taking on new participants.
Completed
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

Details not published
The full record has not been published yet, so there is little to show here.
Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Jun 27, 2026 · Last updated Jul 31, 2026 · Updated 1 time

Summary

This early-phase trial is testing a one-time treatment called obecabtagene autoleucel (obe-cel) for people with severe lupus that hasn't improved with standard treatments. Obe-cel is made by taking a patient's own immune cells, engineering them to target and attack faulty B cells, and giving them back after a short course of chemotherapy. The main goals are to see if the treatment is safe and tolerable, and to get an early look at whether it can put lupus into remission. Only 18 participants will be enrolled.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

Active substance
obecabtagene autoleucel (obe-cel), a CAR T-cell therapy made from the patient's own immune cells
What this could lead to
If it works, this could point toward a new treatment option for people with severe lupus that hasn't responded to other therapies.
What could go wrong
This is a very early Phase 1 trial with only 18 participants, so it's mainly checking safety. The treatment may not work, and there are risks like severe immune reactions or side effects from the chemotherapy used beforehand.
Why investors are watching

Autolus is testing its CAR T-cell therapy, obe-cel, in 16 patients with severe lupus that has not responded to other treatments. This is a small Phase 1 study, but for a small company, an early sign that the therapy is safe and shows some effect in a new disease could broaden its value beyond cancer. The readout matters because it tests whether the company's existing technology can work in a much larger patient population.

If it works: A positive safety and efficacy signal could show that obe-cel has a second use beyond its current focus, which might expand the company's pipeline and market reach. It could also support larger trials in lupus and attract more attention from partners or investors.

If it fails: Phase 1 trials often fail to show enough benefit or reveal safety problems, and this one has only 16 participants, so results may be inconclusive. A poor outcome could set back the company's plans for this therapy and raise doubts about its broader potential.

AI-written from the trial record. Speculative, and not investment advice.

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

Phase 1

The first testing in people. Mainly checks safety and dose, usually in a small group.

Participants

16 people

The number who actually took part.

Started

Feb 2024

Expected to finish

Sep 2027

An estimate. End dates often move.

Lead sponsor

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

12 years and older

Sex

Anyone

Healthy volunteers

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

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: -Key Inclusion Criteria- * Women or men ≥ 18 years at screening \[Spain only\] or patients 12 to 65 years of age (inclusive) at the time of signing the informed consent \[UK only\] * Diagnosis of SLE fulfilling the 2019 European League Against Rheumatism (EULAR)/American College of Rheumatology (ACR) Classification Criteria for Systemic Lupus Erythematosus * Positive for at least one of the following autoantibodies: antinuclear antibodies (ANA) at a titer of ≥ 1:80, or anti-dsDNA (≥ 30 IU/mL) or anti-Smith (\> upper limit of normal \[ULN\]), anti-histone or anti-chromatin (\> ULN) * Severe, refractory SLE Exclusion Criteria: -Key Exclusion Criteria- * Medications * Within 2 months of leukapheresis: use of anti-CD20 therapy * Prior treatment with anti-CD19 therapy (including bispecifics), adoptive T cell therapy or any prior gene therapy product (e.g., CAR T cell therapy) * Immunization with a live or attenuated vaccine within 2 months of leukapheresis * SLE and Autoimmunity: * Recurrent neuropsychiatric lupus or active, severe or unstable neuropsychiatric lupus within 2 years from screening * Diagnosis of drug-induced SLE rather than idiopathic SLE * Any acute, severe lupus-related flare during screening that needs immediate treatment and/or makes the immunosuppressive washout impossible; thus, making the patient ineligible for CD19 CAR T therapy as judged by the Investigator or Sponsor * Significant, likely irreversible organ damage related to SLE (e.g., end-stage renal disease) that in the opinion of the Investigator renders CD19 CAR T cell therapy unlikely to benefit the patient * Diagnosis of another non-SLE autoimmune disease (e.g., dermatomyositis, polymyositis, scleroderma, rheumatoid arthritis) or overlap syndrome * Medical History: * History or presence of: (Within 3 months before screening visit) * Clinically relevant central nervous system (CNS) pathology such as epilepsy, paresis, aphasia, or stroke * Evidence of deep venous thrombosis or pulmonary embolism * History or presence of severe brain injuries, dementia, Parkinson's disease, cerebellar disease, organic brain syndrome, uncontrolled mental illness, or psychosis * Clinically significant, uncontrolled heart disease not due to SLE (New York Heart Association Class III or IV heart failure, uncontrolled angina, severe uncontrolled cardiac arrhythmia, or electrocardiographic evidence of acute ischemia or Grade 3 conduction system abnormalities unless the patient has a pacemaker) or a recent (within 12 months of screening) cardiac event * Active or uncontrolled fungal, bacterial, viral (including COVID-19), or other infection requiring systemic antimicrobials for management * Active or latent hepatitis B or active hepatitis C * Human immunodeficiency virus, human T-cell leukemia virus (HTLV)-1, HTLV-2 or syphilis positive test at screening * History of malignant neoplasms unless disease free for at least 24 months (basal cell or squamous cell carcinoma in situ, or in situ breast cancer on hormonal therapy allowed) * History of heart, lung, kidney, liver transplant or hematopoietic stem cell transplant * Pregnancy or lactating * Laboratory and Organ Function: * Left ventricular ejection fraction \< 45% (or \< institute's lower limit of normal) confirmed by echocardiogram * Oxygen saturation (SpO2) \< 90% in the absence of oxygen support * B cell aplasia

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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.

Contacts and locations

Locations

  • Addenbrookes Hospital

    Cambridge, CB2 0QQ, United Kingdom

  • Great Ormond Street Hospital

    London, WC1N 3JH, United Kingdom

  • Hospital Universitari Vall Hebrón

    Barcelona, 08035, Spain

  • Hospital Universitari i Politecnic La Fe

    Valencia, 106046026, Spain

  • Manchester Royal Infirmary, Manchester University NHS Foundation Trust,

    Manchester, M13 9WL, United Kingdom

  • University College London Hospitals NHS Foundation Trust

    London, NW1 2PG, United Kingdom

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Other studies related to the condition(s) this trial covers.