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Active, not recruitingNCT06294236Updated Nov 25, 2025

Study Evaluating SC291 in Subjects With Severe r/r B-cell Mediated Autoimmune Diseases (GLEAM)

A Phase 1 interventional study of SC291 in Lupus Erythematosus, Systemic Lupus Erythematosus and SLE (Systemic Lupus), sponsored by Sana Biotechnology. Active, not recruiting at 5 sites in United States. Open to participants aged 18 Years to 75 Years. Per ClinicalTrials.gov, last updated 2025-11-25.

Sponsored by Sana Biotechnology · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
7
Allocation
Non-randomized
Ages
18 Years to 75 Years
Sex
All
01

Study summary

SC291-102 is a Phase 1 study to evaluate SC291 safety and tolerability, preliminary clinical response, cellular kinetics and exploratory assessments for subjects with severe autoimmune diseases.

Read the detailed description

Systemic lupus erythematosus (SLE) is an autoimmune disease with multisystemic organ involvement that is often fatal. SLE is subcategorized as extrarenal lupus (ERL) or lupus nephritis (LN). B cell depletion therapies have played an important role in the treatment of multiple B cell-driven autoimmune diseases.

Subjects included in this trial will be subjects with diagnoses of systemic lupus erythematosus (SLE) including lupus nephritis (LN) and extrarenal systemic lupus erythematosus (ERL), or anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV) (including Granulomatous Polyangitis and Microscopic Polyangiitis) who have refractory disease, have relapsed and have not shown appropriate clinical responses following prior systemic treatments.

This study is being conducted to evaluate the safety and efficacy of an investigational cell therapy, SC291, that can be given to patients with LN, ERL or AAV, in separate parallel cohorts, who have active disease.

A single dose of SC291 will be evaluated in patients who are pretreated with a standard regimen including cyclophosphamide (CY) and fludarabine (FLU).

02

Conditions studied

  • Lupus Erythematosus
  • Systemic Lupus Erythematosus
  • SLE (Systemic Lupus)
  • Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis
  • Granulomatous Polyangiitis
  • Microscopic Polyangiitis

Keywords

  • Autoimmune Disease
  • Systemic Lupus Erythematosus
  • Lupus Nephritis
  • Lupus
  • Extrarenal Lupus
  • Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis
  • Granulomatous Polyangitis
  • Microscopic Polyangiitis
  • CAR T Cell Therapy
  • Allogeneic
  • Hypoimmune
  • CD19
  • Cyclophosphamide
  • Fludarabine
  • Cellular Therapy
  • SC291
  • ANCA Associated Vasculitis
  • SLE
  • ANCA
  • Vasculitis
03

Who can participate

Ages eligible
18 Years to 75 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Age ≥18 and ≤75
  2. For LN cohort:

    • Diagnosis of SLE based on the 2019 European League Against Rheumatism (EULAR)/American College of Rheumatology (ACR)
    • Biopsy-proven LN class III or IV, according to 2018 Revised International Society of Nephrology/Renal Pathology Society (ISN/RPS) criteria
    • Refractory disease to ≥ 2 prior treatment regimens
  3. For ERL cohort:

    • Diagnosis of SLE based on the 2019 European League Against Rheumatism (EULAR)/American College of Rheumatology (ACR) classification criteria for adult SLE
    • Severe or relapsing disease not responding to at least 2 prior recent disease-modifying therapies
  4. For AAV Cohort, diagnosed with Granulomatous Polyangiitis (GPA) or Microscopic Polyangiitis (MPA) based on the 2022 ACR/EULAR classification criteria

Exclusion criteria

Exclusion Criteria:

  1. Prior CD19-directed cell therapy including CAR T treatment or other genetically modified cell therapy (e.g., Natural Killer (NK) cell)
  2. For LN and ERL Cohorts, central nervous system (CNS) lupus manifestations or history or presence of CNS disorder
  3. For LN and ERL Cohorts, diagnosis of anti-phospholipid antibody syndrome
  4. For AAV Cohort only, Diagnosis of Eosinophilic Granulomatosis with Polyangiitis (EGPA) as defined by the 2022 ACR/EULAR classification criteria for EGPA -
04

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
7 participants (estimated)

Study arms

  • Experimental
    LN Cohort

    SC291 with lymphodepleting therapy

    Biological: SC291

  • Experimental
    ERL Cohort

    SC291 with lymphodepleting therapy

    Biological: SC291

  • Experimental
    AAV Cohort

    SC291 with lymphodepleting therapy

    Biological: SC291

Interventions

  • BiologicalSC291

    SC291 is an allogeneic CAR T cell therapy

    Also known as: Cyclophosphamide, Fludarabine

05

What researchers measure

Primary outcomes

  1. Evaluate safety and tolerability of SC291

    Safety and Tolerability: Proportion of subjects experiencing adverse events and dose-limiting toxicities

    Time frame: 24 months

Secondary outcomes

  1. Evaluate preliminary clinical response to SC291

    Change from baseline in renal function as measured by Estimated Glomerular Filtration Rate (eGFR) (calculated using the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation)

    Time frame: 12 months

  2. Evaluate preliminary clinical response to SC291

    Change from baseline in proteinuria as measured by Urine Protein Creatinine Ratio (UPCR)

    Time frame: 12 months

  3. Evaluate preliminary clinical response to SC291

    Duration of drug free remission

    Time frame: 12 months

  4. Evaluate preliminary clinical response to SC291

    Time to relapse

    Time frame: 12 months

  5. Evaluate preliminary clinical response to SC291 (LN and ERL Cohorts)

    Change from baseline of Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K)

    Time frame: 12 months

  6. Evaluate preliminary clinical response to SC291 (LN Cohort)

    Change in disease activity as measured by proportion of subjects achieving complete renal response or partial renal response

    Time frame: 12 months

  7. Evaluate preliminary clinical response to SC291 (ERL Cohort)

    Change in disease activity as measured by proportion of subjects achieving modified Definitions Of Remission In Systemic Lupus Erythematosus (DORIS) remission

    Time frame: 12 months

  8. Evaluate preliminary clinical response to SC291 (AAV Cohort)

    Change in disease activity as measured by proportion of subjects achieving remission (Birmingham Vasculitis Activity Score version 3 \[BVAS v3\] of 0)

    Time frame: 12 months

  9. Evaluate preliminary clinical response to SC291 (AAV Cohort)

    Change in disease activity as measured by change from baseline in BVAS v3

    Time frame: 12 months

  10. Evaluate cellular kinetics and persistence of SC291

    Levels of SC291 CAR+ T cells in the blood

    Time frame: 24 months

06

Study locations

5 sites
  • University of Colorado
    Aurora, Colorado 80045, United States
  • Emory University
    Atlanta, Georgia 30322, United States
  • Johns Hopkins Hospital
    Baltimore, Maryland 21287, United States
  • Massachusetts General Hospital
    Boston, Massachusetts 02114, United States
  • Swedish Medical Center
    Seattle, Washington 98122, United States
07

Registry details

Key details

Study ID
NCT06294236
Lead sponsor
Sana Biotechnology
Responsible party
Sponsor
First posted
Mar 5, 2024
Start date
Apr 29, 2024
Primary completion
Dec 2027 (estimated)
Completion
Mar 2028 (estimated)
Last update
Nov 25, 2025

Study contacts

Kristen Lee
study director · Sana Biotechnology, Inc.

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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