ClinicalTrials.gg
Not yet recruitingNCT07932262Updated Nov 12, 2026

An Open-label Phase I/II Safety and Feasibility Basket Study of UKT-CART19.1

A Phase 1/2 interventional study of CAR-T cells targeting CD19 in Pemphigus Vulgaris (PV), ANCA Associated Vasculitis (AAV) and Rheumatoid Arthritis (RA), sponsored by University Hospital Tuebingen. Not yet recruiting at 1 site in Germany. Open to participants aged 18 Years to 80 Years. Per ClinicalTrials.gov, last updated 2026-11-12.

Sponsored by University Hospital Tuebingen · Phase 1/2, Interventional, and Treatment

Updated Nov 12, 2026Newly registeredGo to Updates ↓

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Phase
Phase 1/2
Study type
Interventional
Enrollment
36
Allocation
Not applicable
Ages
18 Years to 80 Years
Sex
All
01

Study summary

An open-label phase I/II, single-center, interventional single-arm basket trial of UKT-CART19.1 in patients with relapsed/refractory autoimmune diseases

02

Conditions studied

  • Pemphigus Vulgaris (PV)
  • ANCA Associated Vasculitis (AAV)
  • Rheumatoid Arthritis (RA)
  • IIM
  • Multiple Sclerosis
  • Immune Thrombocytopenic Purpura
  • Systemic Sclerosis (SSc)

Keywords

  • UKT-CART19.1
  • AIDCAR
  • CAR-T cells
  • Autologous CAR-transduced T-cells
03

In context

Pemphigus

77 studies on the registry are indexed under Pemphigus; 18 are open to participants now.

This study's planned enrollment of 36 is above the median of 32 across 54 interventional studies indexed under Pemphigus.

Browse Pemphigus studies →

Lead sponsor

University Hospital Tuebingen is the lead sponsor of 491 studies on the registry; 109 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 80 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. Patients at least 18 years of age, and ≤ 80 years old at the time of signing the
  2. Signed and dated informed consent by participants before conduct of any trial-specific procedure
  3. One of the following diseases according to the EULAR/ACR criteria (see appendices) for IIM/AAV/RA/SSc; McDonald criteria Wingerchuk et al., 2015; KKNMS; Sechi et al., 2022 for MS or clinical standards for PV and ITP plus disease active according to the specific disease as follows:

    • Idiopathic inflammatory myositis (IIM): Disease activity defined by CK > 3x and clinical symptoms and / or disease activity documented by MRI
    • ANCA associated vasculitis (AAV): Disease activity defined as BVAS-3 new/worse > 6, i.e. ongoing or new organ damage (lung, kidney or CNS)
    • Rheumatoid Arthritis (RA): Disease activity defined DAS28 > 4
    • Pemphigus vulgaris (PV): Disease activity defined by PDAI >15 points
    • Multiple sclerosis (MS): clinical activity previous 24 months: greater than or equal to 1 relapse with or without increase of EDSS, clinical progression previous 24 months: increase of EDSS 1 or increase in other MS-related measures (such as 25FWT, 9HPT, SDMT), MRI activity previous 24 months: greater than or equal to 1 Gd+ lesion or new or new enlarging T2-hyperintense lesion greater than or equal to 3 mm, failure of greater than or equal to 2 high efficacy therapy (not included in AHCST criteria)
    • Immune thrombocytopenic purpura (ITP): Disease activity defined as \<30.000/µl and/or \<50.000/µl and signs of bleeding
    • Systemic scleriosis (SSc): Disease activity defined as a worsening of mRSS > 25% and/or decline of FVC >10% and/or decline of DLCO >15% (of predicted values) and/or new organ involvement (heart, kidney)

    AND to at least (but not limited) to 2 disease-specific standard treatment:

    • IIM: greater than or equal to 2 standard treatments in accordance with the current AWMF S2k Guideline (S2kLeitlinie Myositissyndrome. Version: 6.0 Stand: 28.04.2022 Gültig bis: 27.04.2027)
    • AAV: greater than or equal to 2 standard treatments in accordance with EULAR recommendations (Hellmich B et al. EULAR recommendations for the management of ANCA-associated vasculitis: 2022 update. Ann Rheum Dis. 2024 Jan 2;83(1):30-47. doi: 10.1136/ard-2022-223764. PMID: 36927642.
    • RA: greater than or equal to 4 standard treatments in accordance with the current EULAR Recommendations for the Management of RA (Smolen J et al. EULAR recommendations for the management of rheumatoid arthritis with synthetic and biologic disease-modifying antirheumatic drugs: 2025 update Annals of the Rheumatic Diseases, 2026; 85, 991-1009)
    • PV: greater than or equal to 2 standard treatments in accordance with the current S2k Guideline (S2k-Leitlinie Diagnostik und Therapie des Pemphigus vulgaris / foliaceus und des bullösen Pemphigoids. Version: 3.0 Stand: 01.04.2026 Gültig bis: 31.03.2031).
    • MS: greater than or equal to 2 high efficacy therapy ("Wirksamkeitskategorie 3") in accordance with the current S2k Guideline (Hemmer B. et al., Diagnose und Therapie der Multiplen Sklerose, Neuromyelitis-optica-Spektrum-Erkrankung (NMOSD) und MOG-IgG-assoziierten Erkrankung (MOGAD), S2k-Leitlinie, 2026, in: Deutsche Gesellschaft für Neurologie (Hrsg.), Leitlinien für Diagnostik und Therapie in der Neurologie. Online: www.dgn.org/leitlinien (abgerufen am 15.06.2026)
    • ITP: failure of at least , Thrombopoetin receptor agonists (TPO-RA) and Fostamatinib in accordance with the current Onkopedia Guideline (DGHO Deutsche Gesellschaft für Hämatologie und Medizinische Onkologie e. V. (Hrsg.): Immunthrombozytopenie (ITP). Onkopedia Leitlinie. Stand: August 2024. https://www.onkopedia.com/de/onkopedia/guidelines/immunthrombozytopenie-itp (Abgerufen am: 15.06.2026))
    • SSc: greater than or equal to 2 standard of care systemic treatment in accordance with the current EULAR Recommendations ( Del Galdo F et alEULAR recommendations for the treatment of systemic sclerosis: 2023 update Annals of the Rheumatic Diseases Published Online First: 11 October 2024. doi: 10.1136/ard-2024-226430)
  4. Male participants able to father children and female participants of must practice true abstinence or agree to use 2 highly effective methods (i.e. those that result in a low failure rate (i.e., \< 1% per year) of throughout the duration of the study. Male fertile subjects must also not donate sperm during the study and for at least 12 months following the UKT-CART19.1 infusion
  5. Female Subject of childbearing potential and male subjects with female partner of childbearing potential is willing to use highly effective contraceptive methods during treatment until 12 months after IMP exposure.

    For the purpose of this document, a woman is considered of childbearing potential (WOCBP), i.e. fertile, following menarche and until becoming unless permanently sterile. Permanent sterilisation methods include hysterectomy, bilateral salpingectomy and bilateral oophorectomy. A postmenopausal state is defined as no menses for 12 months without an alternative medical cause. A high follicle stimulating hormone (FSH) level in the postmenopausal range may be used to confirm apostmenopausal state in women not using hormonal contraception or hormonal replacement therapy. However, in the absence of 12 months of amenorrhea, a single FSH measurement is insufficient. For the purpose of this document, a man is considered fertile after puberty unless permanently sterile by bilateral orchidectomy. Highly effective methods are defined as those that result in a low failure rate (ie, less than 1% per year) when used consistently and correctly. The following are highly effective methods of contraception:

    • combined (estrogen and progestogen containing) hormonal contraception associated with inhibition of ovulation 1: - oral - intravaginal - transdermal
    • progestogen-only hormonal contraception associated with inhibition of ovulation1:
    • oral
    • injectable
    • implantable2
    • intrauterine device (IUD) 2
    • intrauterine hormone-releasing system (IUS)2
    • bilateral tubal occlusion2
    • vasectomised partner2,3
    • sexual abstinence4

      1. Hormonal contraception may be susceptible to interaction with the IMP, which may reduce the efficacy of the contraception method.
      2. Contraception methods that in the context of this guidance are considered to have low user dependency.
      3. Vasectomised partner is a highly effective birth control method provided that partner is the sole sexual partner of the WOCBP trial participant and that the vasectomised partner has received medical assessment of the surgical success.
      4. In the context of this guidance sexual abstinence is considered a highly effective method only if defined as refraining from heterosexual intercourse during the entire period of risk associated with the study treatments. The reliability of sexual abstinence needs to be evaluated in relation to the duration of the clinical trial and the preferred and usual lifestyle of the subject. Woman of childbearing potential (WOCBP) must also: - Have a negative pregnancy test as verified by the Investigator, one negative serum beta human chorionic gonadotropin (β-hCG) pregnancy test result at screening, prior to LD. This applies even if the subject practices true abstinence from heterosexual contact. - Perform pregnancy testing every month for 6 months after IMP administration. A home test is sufficient.
    • Agree to abstain from breastfeeding during study participation and for at least 12 months after IMP administration.
  6. All subjects must agree to refrain from donating blood while on study drug and for 1 year after discontinuation from this study treatment.
  7. Absolute CD3+ T cell count ≥100/μl at time of leukapheresis
  8. Subject must have (ECOG) performance status ≤ 2
  9. Subject must have recovery to Grade 1 or baseline of any non-hematologic toxicities due to prior treatments, excluding alopecia and Grade 2 neuropathy
  10. Subject must have adequate vascular access for leukapheresis
  11. Subject must understand and voluntarily sign an ICF prior to any study-related assessments/procedures being conducted
  12. Subject is willing and able to adhere to the study visit schedule and other protocol requirements as well as agrees to continued follow up for up to 15 years as mandated by the regulatory guidelines for gene therapy trials

Exclusion criteria

Exclusion Criteria:

  1. Subject used any agents within 15 days of leukapheresis
  2. to the IMP and its components, including but not limited to to the CAR-T cell product, , lymphodepleting agents and/or tocilizumab.
  3. Subject received any of the following within the last 7 days of leukapheresis:

    Major surgery (as defined by the investigator) Radiation therapy Use of any systemic anti-neoplastic drug therapy

  4. Patients who have previously received gene therapy
  5. History or presence of CNS pathology other than the underlying diseases in this protocol, such as epilepsy, seizure, paresis, aphasia, stroke, subarachnoid hemorrhage or other CNS bleed, severe brain injuries, dementia, Parkinson's disease, cerebellar disease, organic brain syndrome, or psychosis.
  6. Subject has any of the following laboratory abnormalities:

    Absolute lymphocyte count \<100/µL at time of leukapheresis Serum (CrCl) \< 30 mL/min Serum (AST) or alanine aminotransferase (ALT) > 3 × (ULN), non-Myositis related Serum total > 3.0 mg/dL for subjects with documented Gilbert's syndrome

  7. Echocardiography (ECHO) or MRI with \< 40%
  8. Subject with a history of Class III or IV congestive heart failure (CHF)
  9. Subject with a history of myocardial infarction within the last 12 months
  10. Patients unable to stop treatment prior to leukapheresis (AZA, TAC, MMF, CYC, mitoxantrone, JAK inhibitors, or GC at prednisolone equivalent dose >10mg/day). Intermittent topical, inhaled or intranasal are allowed
  11. Subject is positive for (HIV-1), uncontrolled or C
  12. Subject with FVC \<45%, and/or DLCO (corrected for ) \<30%
  13. Subjects with pulmonary comorbidities (including but not limited to active smoking habits, oxygen requirements, and severe asthma)
  14. Subject has uncontrolled systemic fungal, bacterial, viral or other infection (including tuberculosis) despite appropriate antibiotics or other treatment
  15. Subject with prior history of , unless the subject has been free of the disease for ≥ 1year with the exception of the following non-invasive malignancies:

    • Basal cell carcinoma of the skin
    • Squamous cell carcinoma of the skin
    • Carcinoma in situ of the cervix
    • Carcinoma in situ of the breast
    • Incidental histologic finding of prostate cancer (T1a or T1b using the TNM [tumor, nodes, ] clinical staging system) or prostate cancer that is curative
  16. Subject is a female who is pregnant, nursing, or breastfeeding, or who intends to become pregnant during participation in the study
  17. Subject has any significant medical condition, laboratory abnormality, or psychiatric illness that would prevent the subject from participating in the study
  18. Subject has any condition including the presence of laboratory abnormalities, which places the subject at unacceptable risk if he/she were to participate in the study
Terms in these criteria, in plain language(24)

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.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

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.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

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

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

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.

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.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

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.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
36 participants (estimated)

Study arms

  • Experimental
    Safety and feasibility

    Open-label, single centre, non-randomized, non-comparative, Phase I/II basket study of safety and feasibility

    Biological: CAR-T cells targeting CD19

Interventions

  • BiologicalCAR-T cells targeting CD19

    Single dose containing 1.0×10\^6CAR+ cells per kg body weight

06

What researchers measure

Primary outcomes

  1. Safety of UKT-CART19.1 in refractory and/or relapsed autoimmune diseases

    Safety of UKT-CART19.1 in refractory and/or relapsed autoimmune diseases at month 6 by * number of serious adverse events (SAE) * number of AE of special interests (AESI) in the first 28 days after CAR T cell infusion, classified according to CTCAE version 6.0 * non-relapse mortality (NRM) on day 28 and acute infusional toxicity after infusion of the IMP. AESI following the first 28 days after CAR T cell infusion are defined as described in chapter 7 and 9

    Time frame: 6 months

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Start is estimated for Jan 2027; primary completion for Jun 2028, 17 months later.

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

Registered
Nov 5, 2026
First posted
Nov 12, 2026
StartEst.
Jan 2027
Primary completionEst.
Jun 2028
CompletionEst.
Sep 2028
Last update
Nov 12, 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.
Registered
First appeared on the registry. No changes since
Nov 12, 2026
Show all 1 update
  1. Nov 12, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07932262
Responsible party
Sponsor
First posted
Nov 12, 2026
Start date
Jan 2027 (estimated)
Primary completion
Jun 2028 (estimated)
Completion
Sep 2028 (estimated)
Last update
Nov 12, 2026

Study contacts

Ann-Christin Pecher, PD Dr. med.
Contact
ann-christin.pecher@med.uni-tuebingen.de
+49 07071 29-8409
Joerg Henes, Prof. Dr. med.
Contact
joerg.henes@med.uni-tuebingen.de
+49 7071 29-68795
Ann-Christin Pecher
principal investigator · University Hospital , Department of Internal Medicine II

Oversight

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

Not currently enrolling

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