Clinical trial Recruiting at 20 sites Phase1; Phase2 Interventional Ages 12 to 65

Evaluating CABA-201 for treating active systemic lupus erythematosus

Official title: A Phase 1/2, Open-label Study to Evaluate the Safety and Efficacy of Autologous CD19-specific Chimeric Antigen Receptor T Cells (CABA-201) in Subjects With Active Systemic Lupus Erythematosus

Run by Cabaletta Bio · NCT06121297 · Data updated 2026-11-12

This study is testing a new cell therapy called CABA-201 to see if it can help people with active lupus and kidney issues feel better and protect their organs.

Quick facts

PhasePhase1; Phase2
Study typeInterventional
Ages12 Years to 65 Years
SexAll
Enrollment28 (estimated)
SponsorCabaletta Bio
Industry-sponsored
Drugs / interventionsCAR T, cyclophosphamide, fludarabine
Locations23 sites (Orange, California and 22 other locations)
StatusRecruiting
StartedFebruary 16, 2024
Main results expectedDecember 2029
Study endsDecember 2029
Registry record updatedOctober 6, 2026
Trial IDNCT06121297 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18 to 65 with a clinical diagnosis of active systemic lupus erythematosus or biopsy-proven lupus nephritis.

Probably not a fit

Patients with contraindications to leukapheresis or severe uncontrolled comorbidities may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study evaluates the safety and efficacy of CABA-201, an investigational cell therapy, in patients with active systemic lupus erythematosus (SLE) and lupus nephritis (LN). Participants will be divided into two cohorts based on their condition, receiving a single dose of CABA-201 after being pretreated with standard medications, cyclophosphamide and fludarabine. The study aims to assess the therapeutic potential of this novel treatment in managing SLE symptoms and preventing organ damage.

Why it matters

Potential benefit: If successful, this treatment could significantly improve outcomes for patients with active systemic lupus erythematosus and lupus nephritis.

How similar studies have gone: Other studies have explored CAR-T therapies for autoimmune diseases, showing promising results, but this specific approach is novel.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

* Age ≥18 and ≤65 (Adults) or Age ≥12 to \<18 years (Adolescents)
* A clinical diagnosis of SLE, based on the 2019 European League Against Rheumatism (EULAR)/American College of Rheumatology (ACR) classification criteria for SLE.
* Positive antinuclear antibody (ANA) titer or anti-dsDNA antibody at screening.
* For LN subjects only, active, biopsy-proven LN class III or IV, with or without the presence of class V, according to 2018 Revised International Society of Nephrology/Renal Pathology Society (ISN/RPS) criteria
* For non-renal SLE subjects only: Active, moderate to severe SLE

Exclusion Criteria:

* Contraindication to leukapheresis
* History of anaphylactic or severe systemic reaction to fludarabine, cyclophosphamide or any of their metabolites
* Active infection requiring medical intervention at screening
* Current symptoms of severe, progressive, or uncontrolled renal, hepatic, hematological, gastrointestinal, pulmonary, psychiatric, cardiac, neurological, or cerebral disease, including severe and uncontrolled infections, such as sepsis and opportunistic infections.
* Concomitant medical conditions that, in the opinion of the investigator, might place the subject at unacceptable risk for participation in this study, interfere with the assessment of the effects or safety of the investigational product or with the study procedures
* For LN subjects only: The presence of kidney disease other than active lupus nephritis
* Previous CAR T cell therapy
* Prior solid organ (heart, liver, kidney, lung) transplant or hematopoietic cell transplant.

Where it's running

  • University of California Irvine
    Orange, California, United States
    Recruiting
  • UC Davis Health
    Sacramento, California, United States
    Recruiting
  • Mayo Clinic
    Jacksonville, Florida, United States
    Recruiting
  • Emory University
    Atlanta, Georgia, United States
    Recruiting
  • Northwestern Memorial Hospital
    Chicago, Illinois, United States
    Recruiting
  • The University of Chicago Medical Center - Accepting Adult and Adolescent Patients
    Chicago, Illinois, United States
    Recruiting
Show 17 more locations
  • University of Kansas Medical Center
    Kansas City, Kansas, United States
    Recruiting
  • Tufts Medical Center
    Boston, Massachusetts, United States
    Recruiting
  • Massachusetts General Hospital
    Boston, Massachusetts, United States
    Recruiting
  • Boston Children's Hospital - Accepting Young Adult and Adolescent Patients
    Boston, Massachusetts, United States
    Recruiting
  • Brigham and Women's Hospital
    Boston, Massachusetts, United States
    Recruiting
  • UMass Memorial Hospital
    Worcester, Massachusetts, United States
    Recruiting
  • University of Minnesota
    Minneapolis, Minnesota, United States
    Recruiting
  • University of Rochester
    Rochester, New York, United States
    Recruiting
  • UNC Chapel Hill
    Chapel Hill, North Carolina, United States
    Recruiting
  • Children's Hospital of Philadelphia - Accepting Young Adult and Adolescent Patients
    Philadelphia, Pennsylvania, United States
    Recruiting
  • Medical University of South Carolina
    Charleston, South Carolina, United States
    Recruiting
  • University of Texas MD Anderson Cancer Center
    Houston, Texas, United States
    Recruiting
  • Maisonneuve-Rosemont Hospital
    Montreal, Quebec, Canada
    Recruiting
  • Clinica Universitaria de Navarra
    Pamplona, Navarre, Spain
    Recruiting
  • Yale University
    New Haven, Connecticut, United States
    Terminated
  • University of Florida Health
    Gainesville, Florida, United States
    Active not recruiting
  • Columbia University Irving Medical Center
    New York, New York, United States
    Withdrawn

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.