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RECRUITINGPhase 1INTERVENTIONAL

A Phase 1 Study of HB2198 in Participants With Moderately to Severely Active Systemic Lupus Erythematosus (SLE)

A Phase 1, Open Label Dose Escalating Study of HB2198, a Tetravalent Bispecific Anti-CD19/CD20 Antibody With Dual Fc Domains, in Patients With Moderately to Severely Active Systemic Lupus Erythematosus

Important: This information is not medical advice. Talk to your doctor about whether a clinical trial is right for you.

About This Trial

This Phase 1, open label, dose escalation study evaluates the safety, tolerability, pharmacokinetics, pharmacodynamics, and preliminary clinical activity of HB2198, a tetravalent bispecific anti CD19/CD20 antibody, in adults with moderately to severely active systemic lupus erythematosus (SLE), including lupus nephritis and extra renal lupus. Approximately 30 participants will receive two intravenous doses of HB2198 and be followed for 12 months to assess safety, B cell depletion, disease activity, immunologic biomarkers, and renal outcomes.

Who May Be Eligible (Plain English)

Who May Qualify: - • Meet 2019 ACR / 2023 EULAR SLE classification criteria - Moderate or high disease activity (SLEDAI 2K ≥6; PGA ≥1) - LN participants: biopsy confirmed active Class III/IV ± V or Class V LN; proteinuria ≥0.8 g/g; eGFR ≥30 mL/min/1.73 m² - ERL participants: inadequate response/intolerance to ≥1 standard SLE therapy - Positive ANA (≥1:80) or SLE associated autoantibodies - Required minimum lab values (lymphocytes ≥500/µL, B cells ≥25/µL, white blood cell count (ANC) at least 1000/mm³, IgG ≥600 mg/dL, etc.) - Women of childbearing potential: negative pregnancy test; contraception required - Voluntary willing to sign a consent form Who Should NOT Join This Trial: - (Key) Who May Qualify: - Meet 2019 ACR / 2023 EULAR SLE classification criteria - Moderate or high disease activity (SLEDAI 2K ≥6; PGA ≥1) - LN participants: biopsy confirmed active Class III/IV ± V or Class V LN; proteinuria ≥0.8 g/g; eGFR ≥30 mL/min/1.73 m² - ERL participants: inadequate response/intolerance to ≥1 standard SLE therapy - Positive ANA (≥1:80) or SLE associated autoantibodies - Required minimum lab values (lymphocytes ≥500/µL, B cells ≥25/µL, white blood cell count (ANC) at least 1000/mm³, IgG ≥600 mg/dL, etc.) - Women of childbearing potential: negative pregnancy test; contraception required - Voluntary willing to sign a consent form (Key) Who Should NOT Join This Trial: - Anti CD19 or anti CD20 therapy within 6 months - Active CNS lupus - Significant cardiovascular, pulmonary, hepatic, or uncontrolled systemic disease - Active infection or recent serious infection - Positive HBV DNA or HCV RNA; HIV infection - Major surgery within 4 weeks - Prior organ or stem cell transplant - Current pregnancy or breastfeeding - Recent IVIg or plasmapheresis (\<3 months) - Live vaccine within 30 days - Any condition judged unsuitable by Investigator Always talk to your doctor about whether this trial is right for you.

Original Eligibility Criteria

View original clinical language
Inclusion Criteria: * • Meet 2019 ACR / 2023 EULAR SLE classification criteria * Moderate or high disease activity (SLEDAI 2K ≥6; PGA ≥1) * LN participants: biopsy confirmed active Class III/IV ± V or Class V LN; proteinuria ≥0.8 g/g; eGFR ≥30 mL/min/1.73 m² * ERL participants: inadequate response/intolerance to ≥1 standard SLE therapy * Positive ANA (≥1:80) or SLE associated autoantibodies * Required minimum lab values (lymphocytes ≥500/µL, B cells ≥25/µL, ANC ≥1000/mm³, IgG ≥600 mg/dL, etc.) * Women of childbearing potential: negative pregnancy test; contraception required * Voluntary informed consent Exclusion Criteria: * (Key) Inclusion Criteria: * Meet 2019 ACR / 2023 EULAR SLE classification criteria * Moderate or high disease activity (SLEDAI 2K ≥6; PGA ≥1) * LN participants: biopsy confirmed active Class III/IV ± V or Class V LN; proteinuria ≥0.8 g/g; eGFR ≥30 mL/min/1.73 m² * ERL participants: inadequate response/intolerance to ≥1 standard SLE therapy * Positive ANA (≥1:80) or SLE associated autoantibodies * Required minimum lab values (lymphocytes ≥500/µL, B cells ≥25/µL, ANC ≥1000/mm³, IgG ≥600 mg/dL, etc.) * Women of childbearing potential: negative pregnancy test; contraception required * Voluntary informed consent (Key) Exclusion Criteria: * Anti CD19 or anti CD20 therapy within 6 months * Active CNS lupus * Significant cardiovascular, pulmonary, hepatic, or uncontrolled systemic disease * Active infection or recent serious infection * Positive HBV DNA or HCV RNA; HIV infection * Major surgery within 4 weeks * Prior organ or stem cell transplant * Current pregnancy or breastfeeding * Recent IVIg or plasmapheresis (\<3 months) * Live vaccine within 30 days * Any condition judged unsuitable by Investigator

Treatments Being Tested

DRUG

HB2198

HB2198, a Tetravalent Bispecific Anti-CD19/CD20 Antibody with Dual Fc Domains

Locations (1)

Investigational site
Brisbane, Australia