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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

In context

Lupus Erythematosus, Systemic

1,207 studies on the registry are indexed under Lupus Erythematosus, Systemic; 405 are open to participants now.

This study's planned enrollment of 7 is below the median of 52 across 876 interventional studies indexed under Lupus Erythematosus, Systemic.

Browse Lupus Erythematosus, Systemic studies →

Lead sponsor

Sana Biotechnology is the lead sponsor of 3 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

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)
    • -proven LN class III or IV, according to 2018 Revised International Society of Nephrology/Renal Pathology Society (ISN/RPS) criteria
    • 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 -
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

05

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

06

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

07

Study locations

5 sites
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Apr 2024 (actual). Primary completion is estimated for Dec 2027, 44 months after the start.

Of 107 industry-sponsored phase 1 interventional studies under Lupus Erythematosus, Systemic, half reached primary completion within 28 months of starting (the median), counting those still running; a quarter within 13 and three quarters within 35. This study's planned 44 months is above that.

Counting every sponsor, half of 146 studies reached it within 28 months; a quarter within 16 and three quarters within 36.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 12, 2024
First posted
Mar 5, 2024
StartActual
Apr 29, 2024
Primary completionEst.
Dec 2027
CompletionEst.
Mar 2028
Last update
Nov 25, 2025
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Nov 25, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

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 ↗

Not currently enrolling

This study is active, not recruiting, as verified in Nov 2025. You cannot join it, but the record below documents what was studied.

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