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ACTIVE NOT RECRUITINGPhase2

Phase 2 Study Evaluating Rapcabtagene Autoleucel in Participants With Severe Active GPA or MPA

Sponsor: Novartis Pharmaceuticals

NCT ID: NCT06868290

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), Active Comparator (other), Glucocorticoids (drug)
How long the study runs
Study runs about 62 months (dates as stated)
About the drug or intervention
Rapcabtagene autoleucel — biological: Single infusion of rapcabtagene autoleucel · Active Comparator — other: Active comparator option as per protocol · Glucocorticoids — drug: Concomitant glucocorticoids as per protocol
Patient visit burden
Not specified by the sponsor

In plain English

This is a phase 2 study testing a treatment called rapcabtagene autoleucel in people aged 18 to 75 with severe active GPA (granulomatosis with polyangiitis) or MPA (microscopic polyangiitis). These are types of ANCA associated vasculitis (AAV), a condition where the immune system attacks blood vessels. The study is funded by Novartis Pharmaceuticals.

Who can take part

  • Adults aged 18 to 75 with a diagnosis of GPA or MPA based on the ACR/EULAR 2022 classification criteria
  • A positive test for ANCA auto-antibodies (proteins made by the immune system)
  • Severe active disease

Who may not be able to

  • Any condition that could stop you safely stopping your current medicines, or that would make CAR-T cell therapy (a treatment using your own immune cells) unsuitable for you
  • Allergies or reasons you cannot have any of the products given in the study
  • Other autoimmune diseases affecting the whole body that need treatment
  • Medical conditions not related to GPA or MPA that would make it hard to cope with CAR-T cell therapy
  • Organs (such as the liver or kidneys) not working well enough

What taking part involves

  • • Not stated — ask the trial team

Time commitment: Not stated — ask the trial team about visits, duration and what taking part involves.

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
126
Started
2025-03-13
Last checked
2026-08

Plain English Summary

What is this study?

  • • Testing a new treatment for anca associated vasculitis (aav)
  • • Phase2 - 126 participants
  • • The purpose of this study is to evaluate the efficacy and safety of rapcabtagene autoleucel versus comparator in participants with severe active Granulomatosis with Polyangiitis (GPA) or Microscopic Polyangiitis (MPA)

Who can take part?

  • • Ages 18 Years to 75 Years
  • • Diagnosed with anca associated vasculitis (aav)

Where?

  • • Cambridge - Novartis Investigative Site
  • • Glasgow - Novartis Investigative Site
  • • London - Novartis Investigative Site
  • • Manchester - 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 versus comparator in participants with severe active Granulomatosis with Polyangiitis (GPA) or Microscopic Polyangiitis (MPA)

More detail

This is a Phase 2, randomized, assessor-blinded active controlled study. This study comprises two cohorts: * A lead-in cohort enrolling participants to receive rapcabtagene autoleucel * A randomized cohort with participants receiving either rapcabtagene autoleucel or comparator. After end of study (EOS), participants who received rapcabtagene autoleucel infusion will enter a long-term follow-up (LTFU) period lasting up to 15 years after rapcabtagene autoleucel infusion. This LTFU will be described in a separate study protocol.

ANCA Associated Vasculitis (AAV)

How this trial compares with your answers

Answer 2 more questions to improve match

What we know so far

Condition· Matched your search
Age· Tell us your age for better matching
Gender· Tell us your sex for better matching

Still need:

  • • Tell us your age for better matching
  • • Tell us your sex for better matching

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

CD19

What the study is looking for

  • ✓Positive test for ANCA-autoantibodies
  • ✓GPA and MPA participants with severe active disease

Who cannot take part

  • ✗Any condition that could prevent a complete washout of medications or could otherwise make the participant...
  • ✗Hypersensitivity and/or contraindications to any product to be given to the participant as part of the study protocol
  • ✗Other systemic autoimmune diseases requiring therapy
  • ✗Any medical conditions that are not related to GPA/MPA that would jeopardize the ability of the participant to...
  • ✗Inhealthy organ
See the full criteria
Key inclusion criteria: 1. Men and women, aged ≥18 and ≤ 75 years with a diagnosis of GPA or MPA according to the American College of Rheumatology/ European League Against Rheumatism 2022 (ACR/EULAR 2022) classification criteria 2. Positive test for ANCA-autoantibodies 3. GPA and MPA participants with severe active disease Key exclusion criteria: 1. Any condition that could prevent a complete washout of medications or could otherwise make the participant ineligible for anti-CD19 CAR-T therapy and further participation in the study 2. Hypersensitivity and/or contraindications to any product to be given to the participant as part of the study protocol 3. Other systemic autoimmune diseases requiring therapy 4. Any medical conditions that are not related to GPA/MPA that would jeopardize the ability of the participant to tolerate CD19 CAR-T cell therapy 5. Inadequate organ function

Where Is This Study? (4 UK sites)

Novartis Investigative Site

Cambridge CB2 0QQ, United Kingdom

Novartis Investigative Site

Glasgow G4 0SF, United Kingdom

Novartis Investigative Site

London W12 0HS, United Kingdom

Novartis Investigative Site

Manchester M13 9WL, United Kingdom

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