ClinicalTrials.gg
Enrolling by invitationNCT07720310Updated Jul 22, 2026

Anti-CD19 CAR-T Cell Therapy for Patients With Refractory Systemic Lupus Erythematosus

An observational study in System Lupus Erythematosus(SLE), sponsored by N.N. Alexandrov National Cancer Centre. Enrolling by invitation at 1 site in Belarus. Open to participants aged 18 Years to 70 Years. Per ClinicalTrials.gov, last updated 2026-07-22.

Sponsored by N.N. Alexandrov National Cancer Centre · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
12
Ages
18 Years to 70 Years
Sex
All
01

Study summary

Systemic lupus erythematosus (SLE) is a chronic autoimmune disease characterized by B-cell dysfunction leading to the production of autoantibodies that play a key role in the onset and progression of the disease. In the treatment of SLE today, glucocorticosteroid hormones, cytostatics (azathioprine, cyclophosphamide, mycophenolate mofetil, hydroxychloroquine, etc.), and biological therapy (rituximab, belimumab) are widely used. However, this therapy has limitations: firstly, it does not always control the autoimmune process and, secondly, it has side effects. Recent global data on the use of CAR T cells in patients with SLE show promising results, including rapid and durable remission, without the need for disease-modifying drugs and glucocorticoids. The use of the so-called academic CAR-T cell products can improve availability and affordability of this therapy option. The aim of this clinical study is to evaluate the efficacy and safety of academic CAR-T cells in refractory SLE patients.

02

Conditions studied

  • System Lupus Erythematosus(SLE)

Keywords

  • academic CAR-T cell product refractory
  • refractory SLE
  • efficacy
  • safety
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 12 is below the median of 151 across 280 observational studies indexed under Lupus Erythematosus, Systemic.

Browse Lupus Erythematosus, Systemic studies →

Lead sponsor

N.N. Alexandrov National Cancer Centre is the lead sponsor of 5 studies on the registry; 5 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients with refractory SLE treated in N.N. Alexandrov National Cancer Center

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. A confirmed diagnosis of SLE according to the 2019 EULAR/ACR criteria.
  2. Subacute or acute SLE.
  3. SLE activity according to the SELENA-SLEDAI disease activity index screening score ≥6 and/or the requirement for prednisolone (or equivalent doses of methylprednisolone) at a dose greater than 7.5 mg/day (6 mg/day for methylprednisolone) to maintain lower disease activity.
  4. A history of two or more prior therapies (one of the drugs mycophenolate mofetil or cyclophosphamide, or the development of side effects/intolerance to these drugs).
  5. Patients aged 18 years or older.
  6. A medical consultation on the need for this treatment method using cell therapy.
  7. Written from the patient for treatment.
  8. Patient compliance with the treatment protocol.
  9. Adequate organ function.

Exclusion criteria

Exclusion Criteria:

  1. Any change in therapy within 90 days prior to the planned administration of CAR-T cell therapy.
  2. Patient requiring renal replacement therapy.
  3. Active or active (HCV RNA positive).
  4. -infected patients.
  5. Uncontrolled acute life-threatening bacterial, viral, or fungal infection (e.g., positive blood culture ≤ 72 hours before infusion).
  6. Unstable angina and/or myocardial infarction within 6 months prior to screening.
  7. Previous or concomitant with the exception of:

    • basal cell or squamous cell carcinoma (adequate wound healing is required before study entry);
    • In situ carcinoma of the cervix or breast, without evidence of recurrence for at least 3 years prior to study entry;
    • A primary malignant tumor that has been completely resected and in complete remission for ≥ 5 years.
  8. Pregnant and lactating women.
  9. Intolerance to the of the cell product.
  10. Cardiac arrhythmia not controlled by medical therapy.
  11. Patients with active neurological or inflammatory disorders (e.g., Guillain-Barré syndrome, amyotrophic lateral sclerosis).
  12. The presence of any primary immunodeficiency.
  13. Socioeconomic or geographic circumstances that cannot guarantee adequate compliance with the protocol requirements for treatment and follow-up.

    -

Terms in these criteria, in plain language(7)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
12 participants (estimated)
Target follow-up
2 Years
Patient registry
Yes

Interventions

  • BiologicalCAR T cells chimeric antigen receptor cells

    academical CAR-T product was manufactured using lentiviral vector encoding anti-CD19 CAR.

06

What researchers measure

Primary outcomes

  1. SELENA-SLEDAI activity index assessment and serologic remission (defined as normal level of primary (dsDNA and/or antiSm) and antiphospholipid antibodies (lupus anticoagulant (LA), AT to cardiolipinanti-dsDNA and normal complement C3 and C4 levels)

    SELENA-SLEDAI (Safety of Estrogens in Lupus Erythematosus National Assessment - Systemic Lupus Erythematosus Disease Activity Index) Score Interpretation: 0 points: Remission / no activity 1-4 points: Low activity 5-10 points: Moderate activity \> 10 points: High activity (Scores ≥ 6 typically indicate active disease requiring treatment)

    Time frame: 36 months after CAR-T cells infusion

Secondary outcomes

  1. Evaluation of CAR T-Cell-Related Toxicities

    Evaluation of Cytokine Release Syndrom (CRS) according NCCN guidelines version 2.2026. Immune Effector cell-associated Neurotoxicity Syndrom (ICANS) accordin NCCN guidelines version 2.2026.

    Time frame: Start from 0 day up to 30 days after CAR-T cells infusion

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: Undecided

No publications or documents are linked to this record.

09

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 Mar 2026 (actual). Primary completion is estimated for Jun 2028, 27 months after the start.

Of 88 non-industry observational studies under Lupus Erythematosus, Systemic, half reached primary completion within 59 months of starting (the median), counting those still running; a quarter within 30 and three quarters within 212. This study's planned 27 months is below that.

Counting every sponsor, half of 110 studies reached it within 64 months; a quarter within 34 and three quarters within 126.

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

Registered
Jul 13, 2026
First posted
Jul 22, 2026
StartActual
Mar 9, 2026
Primary completionEst.
Jun 2028
CompletionEst.
Jun 2030
Last update
Jul 22, 2026
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 Jul 22, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07720310
Lead sponsor
N.N. Alexandrov National Cancer Centre
Collaborators
Minsk scientific and practical center of surgery, transplantology and hematology
Responsible party
Sponsor
First posted
Jul 22, 2026
Start date
Mar 9, 2026
Primary completion
Jun 2028 (estimated)
Completion
Jun 2030 (estimated)
Last update
Jul 22, 2026

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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No contact was published for this record. The registry link below has the sponsor’s details.

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