A Study of Anti-CD19 Chimeric Antigen Receptor T-Cell (CD19 CAR T) Therapy, in Subjects With Refractory Lupus Nephritis
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ClinicalTrials.gov Identifier: NCT05938725 |
Recruitment Status :
Recruiting
First Posted : July 10, 2023
Last Update Posted : April 18, 2024
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Condition or disease | Intervention/treatment | Phase |
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Lupus Nephritis Lupus Nephritis - World Health Organization (WHO) Class III Lupus Nephritis - WHO Class IV | Biological: KYV-101 anti-CD19 CAR-T cell therapy Drug: Standard lymphodepletion regimen | Phase 1 Phase 2 |
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 32 participants |
Allocation: | Non-Randomized |
Intervention Model: | Sequential Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Treatment |
Official Title: | A Phase 1/2, Open-Label, Multicenter Study of KYV-101, an Autologous Fully-Human Anti-CD19 Chimeric Antigen Receptor T-Cell (CD19 CAR T) Therapy, in Subjects With Refractory Lupus Nephritis (KYSA-1) |
Actual Study Start Date : | April 28, 2023 |
Estimated Primary Completion Date : | August 2025 |
Estimated Study Completion Date : | August 2026 |
Arm | Intervention/treatment |
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Experimental: KYV-101 CAR-T cells with lymphodepletion conditioning (Phase 1)
Dosing with KYV-101 CAR T cells
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Biological: KYV-101 anti-CD19 CAR-T cell therapy
KYV-101 anti-CD19 CAR-T cell therapy Drug: Standard lymphodepletion regimen Standard lymphodepletion regimen
Other Names:
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Experimental: KYV-101 CAR-T cells with lymphodepletion conditioning (Phase 2)
Recommended Phase 2 Dose
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Biological: KYV-101 anti-CD19 CAR-T cell therapy
KYV-101 anti-CD19 CAR-T cell therapy Drug: Standard lymphodepletion regimen Standard lymphodepletion regimen
Other Names:
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- Incidence adverse events (AEs) and laboratory abnormalities (Phase 1 and Phase 2) [ Time Frame: Up to 2 years ]
- Frequency of dose limiting toxicities at each dose level (Phase 1) [ Time Frame: Up to 2 years ]
- To Evaluate efficacy (Phase 2) [ Time Frame: Up to 52 Weeks ]Complete renal response rates (CRR)
- To characterize the pharmacokinetics (PK) (Phase 1 and Phase 2) [ Time Frame: Up to 2 years ]Levels of KYV-101 CAR-positive T cells in the blood
- To characterize the pharmacodynamics (PD) (Phase 1 and Phase 2) [ Time Frame: Up to 2 years ]Levels of B cells in the blood
- To characterize the pharmacodynamics (PD) (Phase 1 and Phase 2) [ Time Frame: Up to 2 months ]Levels of cytokines in serum
- To evaluate disease related biomarkers (Phase 1 and Phase 2) [ Time Frame: Up to 2 years ]Levels of anti-double stranded DNA (anti-dsDNA) in serum
- To evaluate disease related biomarkers (Phase 1 and Phase 2) [ Time Frame: Up to 2 years ]Levels of complement C3, C4 in serum
- To evaluate efficacy (Phase 1 and Phase 2) [ Time Frame: 12, 24, and 52 weeks ]Complete renal response rates (CRR)
- To evaluate efficacy (Phase 1 and Phase 2) [ Time Frame: Up to 2 years ]Time to Complete renal response rates (CRR)
- To evaluate efficacy (Phase 1 and Phase 2) [ Time Frame: Up to 2 years ]Time from first achieved CRR to disease worsening or end of study
- To evaluate efficacy (Phase 2) [ Time Frame: Up to 52 weeks ]Duration of CRR to Week 52 but no less than 12 weeks (duration of remission)
- To evaluate the immunogenicity (humoral response) of KYV-101 (Phase 1 and Phase 2) [ Time Frame: Up to 2 years ]Percentage of participants who develop anti-KYV-101 antibodies by immunoassays
- To assess PRO after infusion of KYV-101 (Phase 1 and Phase 2) [ Time Frame: Up to 2 years ]Change from Baseline in SF-36
- To assess PRO after infusion of KYV-101 (Phase 1 and Phase 2) [ Time Frame: Up to 2 years ]Change from Baseline in FACIT-F
- To assess PRO after infusion of KYV-101 (Phase 1 and Phase 2) [ Time Frame: Up to 2 years ]Change from Baseline in Lupus QoL Questionnaire
- To assess PRO after infusion of KYV-101 (Phase 1 and Phase 2) [ Time Frame: Up to 2 years ]Change from Baseline in WPAI
- To define the Recommended Phase 2 Dose (RP2D) (Phase 1) [ Time Frame: Up to 2 years ]
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Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Age ≥18 years
- Clinical diagnosis of SLE according to 2019 European League Against Rheumatism/American College of Rheumatology (EULAR/ACR) classification criteria
- Biopsy-proven proliferative LN Class III or IV according to 2018 International Society of Nephrology/Renal Pathology Society (ISN/RPS) criteria
- Positive anti-nuclear antibody (ANA) (titer ≥1:80 ), anti-dsDNA (≥30 IU/mL on enzyme-linked immunosorbent assay [ELISA]), or anti-Smith at screening or by documented medical history
- Up to date on recommended vaccinations, including against coronavirus disease 2019 (COVID-19)/ severe acute respiratory syndrome coronavirus 2 (SARS-Cov-2), per Centers for Disease Control and Prevention (CDC) or institutional guidelines for immune compromised individuals
Exclusion Criteria:
- Rapidly progressive glomerulonephritis; history of or currently active severe central nervous system (CNS) lupus, including cerebritis, cerebrovascular accident, and seizures
- Prior treatment with cellular immunotherapy (CAR-T) or gene therapy product directed at any target
- History of allogeneic or autologous stem cell transplant
- Evidence of active hepatitis B or hepatitis C infection
- Positive serology for HIV
- Primary immunodeficiency
- History of splenectomy
- History of stroke, seizure, dementia, Parkinson's disease, coordination movement disorder, cerebellar diseases, psychosis, paresis, aphasia, and any other neurologic disorder investigator considers would increase the risk for the subject
- Impaired cardiac function or clinically significant cardiac disease
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Previous or concurrent malignancy with the following exceptions:
- Adequately treated basal cell or squamous cell carcinoma (adequate wound healing is required prior to screening)
- In situ carcinoma of the cervix or breast, treated curatively and without evidence of recurrence for at least 3 years prior to screening
- A primary malignancy which has been completely resected, or treated, and is in complete remission for at least 5 years prior to screening
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT05938725
Contact: Kyverna Therapeutics | 510-925-2484 | medicalmonitor@kyvernatx.com |
United States, California | |
Stanford University Medical Center | Recruiting |
Palo Alto, California, United States, 94305 | |
Contact: Study Coordinator | |
United States, Colorado | |
University of Colorado | Recruiting |
Denver, Colorado, United States, 80045 | |
Contact: Study Coordinator | |
United States, Massachusetts | |
University of Massachusetts Worcester | Recruiting |
Worcester, Massachusetts, United States, 01655 | |
Contact: Study Coordinator | |
United States, New York | |
Northwell Health | Recruiting |
Great Neck, New York, United States, 11021 | |
Contact: Study Coordinator | |
United States, Ohio | |
Ohio State University Wexner Medical Center | Recruiting |
Columbus, Ohio, United States, 43210 | |
Contact: Study Coordinator | |
United States, Pennsylvania | |
University of Pennsylvania | Recruiting |
Philadelphia, Pennsylvania, United States, 19104 | |
Contact: Study Coordinator |
Study Director: | MD | Kyverna Therapeutics |
Responsible Party: | Kyverna Therapeutics |
ClinicalTrials.gov Identifier: | NCT05938725 |
Other Study ID Numbers: |
KYV101-001 |
First Posted: | July 10, 2023 Key Record Dates |
Last Update Posted: | April 18, 2024 |
Last Verified: | April 2024 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | No |
Studies a U.S. FDA-regulated Drug Product: | Yes |
Studies a U.S. FDA-regulated Device Product: | No |
Product Manufactured in and Exported from the U.S.: | Yes |
KYV-101 glomerulonephritis autoimmune disease anti-CD19 CAR-T therapy cellular therapy |
Nephritis Lupus Nephritis Kidney Diseases Urologic Diseases Female Urogenital Diseases Female Urogenital Diseases and Pregnancy Complications Urogenital Diseases Male Urogenital Diseases Glomerulonephritis Lupus Erythematosus, Systemic Connective Tissue Diseases Autoimmune Diseases |
Immune System Diseases Cyclophosphamide Fludarabine Immunosuppressive Agents Immunologic Factors Physiological Effects of Drugs Antirheumatic Agents Antineoplastic Agents, Alkylating Alkylating Agents Molecular Mechanisms of Pharmacological Action Antineoplastic Agents Myeloablative Agonists |