An Open-label Study of GB261 in Refractory Seropositive Systemic Lupus Erythematosus

Launched by WUHAN UNION HOSPITAL, CHINA · Apr 17, 2025

Keywords

ClinConnect Summary

This clinical trial is testing a new treatment called GB261 for patients with a type of autoimmune disease known as systemic lupus erythematosus (SLE), specifically for those who have not responded well to previous treatments. The goal is to see if GB261 is safe and effective for these patients. The study will include adults aged 18 to 75 who have been diagnosed with SLE and have certain antibodies in their blood that indicate active disease.

To be eligible, participants need to have active SLE and may need to have experienced a lack of improvement with other medications. They must also meet specific health criteria, like not having serious infections or certain other medical conditions. While the trial is not recruiting yet, those who join can expect to be closely monitored for their health and how well the treatment works. It's important for potential participants to understand the study's requirements and to discuss any concerns with their healthcare provider before considering joining.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • 1. 18 to 75 years old at the time of signing the informed consent form (ICF)
• • 2. Diagnosis of SLE according to the 2019 American College of Rheumatology (ACR), European Alliance of Associations for Rheumatology (EULAR) classification criteria
• • 3. 3. Positive for 2 out of 3 antibodies at Screening: a. Anti-dsDNA; b. Anti-Smith antibodies; c. Antinuclear antibody (ANA) titer ≥1:80
• • 4. Active SLE disease
• • 5. Inadequate response
• • 6. Current and stable use of some medication up to Day 1
• • 7. Current and stable use of some medication must be discontinued ≥1 week prior to Day 1
• • Additional Inclusion Criteria for SLE with Active LN
• SLE patients with active LN are eligible to be included in the study only if all of the following additional criteria apply:
• • 1. Active, biopsy-proven, proliferative LN Class III or IV according to the 2018 International Society of Nephrology/Renal Pathology Society criteria
• • 2. Inadequate response
• • 3. Stable angiotensin-converting enzyme inhibitors/angiotensin receptor blockers for at least 4 weeks prior to Screening
• Exclusion Criteria:
• 1. Inadequate clinical laboratory parameters at Screening:
• • 2. Patients will be excluded if they are known to have active infection
• • 3. Receipt of or inability to discontinue any excluded therapies
• • 4. Receipt of live vaccine within 4 weeks prior to Screening
• • 5. Presence of any concomitant autoimmune disease
• • 6. Active or known history of catastrophic anti-phospholipid syndrome (APS)
• • 7. APS or thrombotic event not adequately controlled by anticoagulation therapy
• • 8. History of progressive multifocal leukoencephalopathy
• • 9. History of primary immunodeficiency or a hereditary deficiency of the complement system
• • 10. Central nervous system (CNS) disease
• • 11. Presence of 1 or more significant concurrent medical conditions per investigator judgment
• • 12. Have a diagnosis or history of malignant disease within 5 years prior to Screening
• • 13. Serious mental illness, alcohol or drug abuse, dementia, or any other condition that would impair the patient's ability to receive the planned treatment or to understand informed consent at the study site as determined by local practice
• • 14. Inability to comply with protocol-mandated requirements
• • 15. History of severe allergic or anaphylactic reactions to mAb therapy (or recombinant antibody-related fusion proteins) or any constituents of study drug.
• • 16. History of or planned organ transplant and/or autologous or allogeneic hematopoietic stem cell transplantation for the duration of the study.
• • 17. Major surgery requiring use of general anesthesia within 12 weeks prior to Screening or planned or expected major surgery during the study period (from Screening to patient's last visit).
• • 18. Any serious medical condition or abnormality on clinical laboratory testing
• • 19. Women who are pregnant or breastfeeding.
• • 20. Sexually active male patients who do not agree to refrain from donating semen