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ACTIVE NOT RECRUITINGPhase2

A Study of Rapcabtagene Autoleucel in Active, Refractory Systemic Lupus Erythematosus (SLE) or Lupus Nephritis (LN) Patients (AUTOGRAPH - SLE/LN)

Sponsor: Novartis Pharmaceuticals

NCT ID: NCT06581198

View on ClinicalTrials.gov ↗

At a glance

What the study gets you
Access to the study treatment being tested
Type of study
Interventional (receives a drug or procedure)
Time in hospital
In-person visits at study sites — visit count not specified by the sponsor
Drug or intervention
rapcabtagene autoleucel (biological)
How long the study runs
Study runs about 89 months (dates as stated)
About the drug or intervention
rapcabtagene autoleucel — biological: single infusion of rapcabtagene autoleucel
Patient visit burden
Not specified by the sponsor

In plain English

This study is looking at a treatment called rapcabtagene autoleucel for people with active systemic lupus erythematosus (SLE) — often just called lupus — or lupus affecting the kidneys (lupus nephritis). The treatment is a type of therapy called CD19 CAR-T, which uses the body's own immune cells. The study is run by Novartis Pharmaceuticals.

Who can take part

  • Men and women aged 18 to 75 with SLE, meeting standard 2019 criteria for the condition at screening.
  • A positive blood test for at least one lupus-related antibody (ANA, anti-dsDNA, or anti-Sm), checked by a central laboratory.
  • Active lupus nephritis without signs of long-term kidney damage, or active systemic lupus.
  • An active lupus disease score (SLEDAI-2K) of 6 points or more at screening, not counting certain symptoms like fever or hair loss.
  • Lupus that has not responded well to at least two previous treatments.

Who may not be able to

  • A severe lupus flare at screening that needs urgent treatment, other than pulse steroids, or that makes stopping current medicines unsafe.
  • Organs (such as the liver or kidneys) not working well enough during screening.
  • Heart problems or abnormal heart traces (ECG) that could make taking part unsafe.
  • HIV infection.
  • Hepatitis B or hepatitis C infection.
  • A blood clot (grade 2 or higher) in the 4 weeks before screening.
  • Other criteria in the study plan may also apply.

What taking part involves

  • • Receiving rapcabtagene autoleucel, a CD19 CAR-T therapy made from the body's own immune cells.
  • • Stopping some existing lupus medicines before treatment (called a washout).
  • • Blood tests and heart checks during screening.

Time commitment: Not stated — ask the trial team about how many visits are needed and how long the study lasts.

Plain-English summary (AI-generated) from registry data. Not eligibility advice — only the trial team can confirm whether you can take part. Use the eligibility checker to see how your health profile matches this trial.

Type of study
Testing a treatment
Ages
18 Years to 75 Years
Who
All
Number of participants
179
Started
2024-09-04
Last checked
2026-08

Plain English Summary

What is this study?

  • • Testing a new treatment for lupus erythematosus, systemic
  • • Phase2 - 179 participants
  • • The purpose of this study is to evaluate the efficacy and safety of rapcabtagene autoleucel (administered once following lymphodepletion) in patients with active, refractory systemic lupus erythematosus (SLE) or active, refractory lupus nephritis (LN)

Who can take part?

  • • Ages 18 Years to 75 Years
  • • Diagnosed with lupus erythematosus, systemic

Where?

  • • Sheffield - Novartis Investigative Site
  • • London - Novartis Investigative Site

This is a simplified summary. Always discuss with your doctor before making any decisions.

About This Trial

The purpose of this study is to evaluate the efficacy and safety of rapcabtagene autoleucel (administered once following lymphodepletion) in patients with active, refractory systemic lupus erythematosus (SLE) or active, refractory lupus nephritis (LN).

Lupus Erythematosus, SystemicLupus Nephritis

How this trial compares with your answers

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What we know so far

Condition· Matched your search
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Still need:

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Preliminary match based on your answers. Full eligibility requires on-site assessment including medical history, physical exam, and lab tests. This does not guarantee enrolment.

Eligibility at a Glance

Key info

  • Age: 18 Years - 75 Years
  • Who can join: All genders

Biomarkers mentioned

must be positiveequivalent positiveCD19

What the study is looking for

  • ✓Active lupus nephritis without signs of significant chronicity or active systemic lupus erythematosus
  • ✓Inadequate response at screening to at least two therapies

Who cannot take part

  • ✗Inhealthy organ during screening and prior to randomization
  • ✗History or current diagnosis of ECG or heart abnormalities indicating significant risk of safety for participants...
  • ✗Human immunodeficiency virus (HIV) positivity at screening.
  • ✗Acute or chronic infection with hepatitis B (HBV) or hepatitis C (HCV) at screening.
  • ✗Grade 2 or higher thromboembolic event in the past 4 weeks prior to screening.
See the full criteria
Key Inclusion Criteria: * Men and women with SLE, aged \>= 18 years and =\< 75 years at screening, fulfilling the 2019 European League Against Rheumatism (EULAR)/American College of Rheumatology (ACR) classification criteria for SLE at screening. * Participant must be positive for at least one of the following autoantibodies at screening: antinuclear antibodies (ANA) at a titer of \>= 1:80 (on HEp-2 cells or an equivalent positive test), or anti-dsDNA (above the ULN); or anti-Sm (above the ULN) as determined by a central laboratory. * Active lupus nephritis without signs of significant chronicity or active systemic lupus erythematosus * SLEDAI-2K Criteria at screening: SLEDAI-2K score \>= 6 points (Gladman et al 2002, Touma et al 2011), excluding points attributed to "fever", "lupus headache", "alopecia", and "organic brain syndrome". * Inadequate response at screening to at least two therapies Key Exclusion Criteria: * Any acute, severe lupus related-flare at screening that needs immediate treatment other than pulse GCs and/or makes the immunosuppressive washout impossible and, thus, makes the participant ineligible for CD19 CAR-T therapy * Inadequate organ function during screening and prior to randomization * History or current diagnosis of ECG or cardiac abnormalities indicating significant risk of safety for participants prior to randomization * Human immunodeficiency virus (HIV) positivity at screening. * Acute or chronic infection with hepatitis B (HBV) or hepatitis C (HCV) at screening. * Grade 2 or higher thromboembolic event in the past 4 weeks prior to screening. Other protocol-defined inclusion/exclusion criteria may apply.

Where Is This Study? (2 UK sites)

Novartis Investigative Site

Sheffield S10 2JF, United Kingdom

Novartis Investigative Site

London W12 0HS, United Kingdom

Data sourced from ClinicalTrials.gov · Last verified: 2026-08