Mass General IgG4-related Disease Center
Official title: An autoimmune center of excellence for the study of IgG4-related disease
Funded at Massachusetts General Hospital · NIH-11323975 · Data updated 2026-11-12
This center follows people with IgG4-related disease to learn how immune cells, antibodies, and the microbiome drive flare-ups and remissions.
Quick facts
| Grant type | NIH-funded research |
|---|---|
| Study type | NIH-funded research |
| Funding institution | Massachusetts General Hospital NIH-funded |
| Lab location | 1 site (Boston, United States) |
| Project start | May 1, 2014 |
| Project end | April 30, 2029 |
| Funding year | 2026 |
| Award (this year) | $667,334 |
| NIH project number | 5U19AI110495-13 |
| Project ID | NIH-11323975 on NIH RePORTER |
Who could benefit from this research
✓Could help
Adults diagnosed with IgG4-related disease, including those untreated, undergoing B-cell depletion, in remission, or experiencing relapse and willing to provide blood, stool, and sometimes tissue samples, are ideal candidates.
✕Less likely to help
People without IgG4-related disease, those unwilling or unable to provide samples or travel for visits, or those seeking immediate therapeutic benefit may not gain from participating.
What this research studies
If you join, doctors will follow you over time and collect blood, stool, and sometimes tissue samples to track changes before, during, and after treatment. The team will measure autoantibodies, identify antigen-specific B and T cells, and compare immune profiles using protein arrays, ELISAs, and specialized immunoprecipitation tests. They will also look at the gut microbiome for microbes that might trigger immune cross-reactions and study how patients respond to B-cell depletion therapies as they go into remission and later relapse. All of this is done to pinpoint what starts and sustains disease and to find markers that could warn of relapse or guide therapy.
Why it matters
Potential benefit: If successful, this work could help predict flares, personalize treatments like B-cell therapies, and point to new targets to prevent or better control IgG4-related disease.
How similar studies have gone: B-cell depletion therapies (for example, rituximab) have produced strong clinical remissions in IgG4-related disease, while the proposed comprehensive immune and microbiome profiling builds on that success and is relatively novel.
Where this research is happening
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Massachusetts General Hospital
Boston, United States Active
Researchers
- Principal investigator: Pillai, Shiv Subramaniam — Massachusetts General Hospital
- Study coordinator: Pillai, Shiv Subramaniam
Related research
Other NIH-funded projects on the same topics.
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Identifying immune responses in a specific fibrotic disease
This study is looking into how the immune system works in people with IgG4-related disease to find out what specific proteins might be causing the unusual immune responses, which could help improve treatments for patients like you.
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Dermal priming to boost flu vaccine response in people on B cell depletion
This study tests whether applying a topical cream with imiquimod on the skin around vaccination can boost the body’s response to the flu shot in people who are receiving B cell–depleting therapy.
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FAPI‑74 PET/CT versus FDG PET/CT for inflammation in FUO, IgG4‑RD, and axial spondyloarthritis
This project will test whether [18F]-AlF-FAPI-74 PET/CT finds inflammation more accurately than standard [18F]-FDG PET/CT in people with fever of unknown origin, IgG4‑related disease, or axial spondyloarthritis.
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Anti-BCMA-CD19 CAR-T therapy for relapsed or refractory IgG4-related disease
This trial will test a personalized CAR-T cell therapy that targets BCMA and CD19 in adults (18–75) whose IgG4-related disease has come back or not responded to standard treatments like steroids or rituximab.
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Comparing low- and higher-dose lenalidomide plus prednisone versus prednisone alone for active proliferative IgG4‑related disease
This 52-week randomized trial will test whether adding 5 mg or 10 mg lenalidomide to prednisone helps adults with active proliferative IgG4‑related disease do better than prednisone alone.
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ACE1831 cell therapy for safety, effectiveness, and persistence in people with IgG4-related disease
This trial will test ACE1831, an off-the-shelf gamma delta T cell therapy from healthy donors, to see if it is safe and helps adults with active IgG4-related disease.
About this research
- This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
- Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
- For full project details, budget, and progress reports, visit the official NIH RePORTER page.