A Phase 1 Study of HB2198 in Participants With Moderately to Severely Active Systemic Lupus Eryth… (NCT07491900) | Clinical Trial Compass
RecruitingPhase 1
A Phase 1 Study of HB2198 in Participants With Moderately to Severely Active Systemic Lupus Erythematosus (SLE)
Australia30 participantsStarted 2026-03-23
Plain-language summary
This Phase 1, open label, dose escalation study evaluates the safety, tolerability, pharmacokinetics, pharmacodynamics, and preliminary clinical activity of HB2198, a tetravalent bispecific anti CD19/CD20 antibody, in adults with moderately to severely active systemic lupus erythematosus (SLE), including lupus nephritis and extra renal lupus. Approximately 30 participants will receive two intravenous doses of HB2198 and be followed for 12 months to assess safety, B cell depletion, disease activity, immunologic biomarkers, and renal outcomes.
Who can participate
Age range18 Years – 65 Years
SexALL
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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion Criteria:
* • Meet 2019 ACR / 2023 EULAR SLE classification criteria
* Moderate or high disease activity (SLEDAI 2K ≥6; PGA ≥1)
* LN participants: biopsy confirmed active Class III/IV ± V or Class V LN; proteinuria ≥0.8 g/g; eGFR ≥30 mL/min/1.73 m²
* ERL participants: inadequate response/intolerance to ≥1 standard SLE therapy
* Positive ANA (≥1:80) or SLE associated autoantibodies
* Required minimum lab values (lymphocytes ≥500/µL, B cells ≥25/µL, ANC ≥1000/mm³, IgG ≥600 mg/dL, etc.)
* Women of childbearing potential: negative pregnancy test; contraception required
* Voluntary informed consent
Exclusion Criteria:
* (Key) Inclusion Criteria:
* Meet 2019 ACR / 2023 EULAR SLE classification criteria
* Moderate or high disease activity (SLEDAI 2K ≥6; PGA ≥1)
* LN participants: biopsy confirmed active Class III/IV ± V or Class V LN; proteinuria ≥0.8 g/g; eGFR ≥30 mL/min/1.73 m²
* ERL participants: inadequate response/intolerance to ≥1 standard SLE therapy
* Positive ANA (≥1:80) or SLE associated autoantibodies
* Required minimum lab values (lymphocytes ≥500/µL, B cells ≥25/µL, ANC ≥1000/mm³, IgG ≥600 mg/dL, etc.)
* Women of childbearing potential: negative pregnancy test; contraception required
* Voluntary informed consent
(Key) Exclusion Criteria:
* Anti CD19 or anti CD20 therapy within 6 months
* Active CNS lupus
* Significant cardiovascular, pulmonary, hepatic, or uncontrolled systemic disease
* Active infection or recent serious i…
What they're measuring
1
Number of participants experiencing treatment-emergent adverse events (TEAEs) and serious adverse events (SAEs)
Timeframe: Day 1, Day 8, Day 14, Day 29
2
Maximum tolerated dose (MTD)
Timeframe: Day 1, Day 8, Day 14, Day 29
3
Number of participants experiencing dose-limiting toxicities (DLTs)