Increasing doses of bispecific antibodies for adults with lupus nephritis
Official title: A Dose Escalation Study Investigating Bispecific Antibody Therapy in Patients With Lupus Nephritis
Run by Regeneron Pharmaceuticals · NCT06975787 · Data updated 2026-11-12
This research will try different doses of bispecific antibody medicines in adults with lupus nephritis to see if they are safe and tolerable over long-term follow-up.
Quick facts
| Phase | Phase 1 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 60 Years |
| Sex | All |
| Enrollment | 90 (estimated) |
| Sponsor | Regeneron Pharmaceuticals Industry-sponsored |
| Locations | 20 sites (San Francisco, California and 19 other locations) |
| Status | Recruiting |
| Started | December 22, 2025 |
| Main results expected | September 10, 2029 |
| Study ends | September 10, 2029 |
| Registry record updated | October 27, 2026 |
| Trial ID | NCT06975787 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults with SLE and class III or IV lupus nephritis who have relapsed or refractory disease and meet the full protocol eligibility criteria.
✕Probably not a fit
Patients with active severe or unstable neuropsychiatric lupus, recent overlap syndromes, catastrophic antiphospholipid syndrome, or other protocol-defined exclusion criteria are unlikely to benefit from participation.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a phase 1 dose-escalation umbrella study testing multiple bispecific antibodies (including vonsetamig and odronextamab) given for a short treatment period with long-term safety follow-up. Each sub-study enrolls adults with relapsed or refractory systemic lupus erythematosus and class III or IV lupus nephritis to determine safety, tolerability, pharmacokinetics, and immunogenicity. The protocol includes monitoring for adverse events, measuring drug levels in blood, and testing for anti-drug antibodies. The sponsor is Regeneron and sites include Mayo Clinic (Rochester, MN), Baylor College of Medicine (Houston, TX), and University Medical Center Mainz (Mainz, Germany).
Why it matters
Potential benefit: If successful, these bispecific antibodies could provide a new targeted option to reduce kidney inflammation and improve outcomes for some people with lupus nephritis.
How similar studies have gone: Bispecific antibodies are a relatively new approach in autoimmune disease; while related agents have shown promise in early studies in other conditions, their effectiveness specifically in lupus nephritis remains largely unproven.
Who can join: the full rules
Show full inclusion / exclusion criteria
Key General Inclusion Criteria: 1. Diagnosis of Systemic Lupus Erythematosus (SLE) and LN, as described in the protocol 2. Participant must have refractory or relapsed disease, as described in the protocol Key General Exclusion Criteria: 1. History of or active severe or unstable lupus-associated neuropsychiatric disease that is likely to require acute or emergent medical treatment or hospitalization 2. Active overlap syndrome with mixed connective tissue disease or systemic sclerosis within 12 months prior to screening or during screening 3. Catastrophic or severe antiphospholipid syndrome within 12 months prior to screening or during screening NOTE: Other protocol defined inclusion/exclusion criteria apply
Where it's running
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University of California San Francisco - Zuckerberg San Francisco General
San Francisco, California, United States Recruiting -
University of Florida
Gainesville, Florida, United States Recruiting -
Mayo Clinic
Rochester, Minnesota, United States Recruiting -
Baylor College of Medicine
Houston, Texas, United States Recruiting -
Centre Hospitalier Universitaire (CHU) Bordeaux
Bordeaux, New Aquitaine, France Recruiting -
University Hospital Regensburg
Regensburg, Bavaria, Germany Recruiting
Show 14 more locations
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University Medical Center of the Johannes Gutenberg-University Mainz
Mainz, Germany Recruiting -
Hallym University Sacred Heart Hospital
Anyang-si, Gyeonggi-do, South Korea Recruiting -
Seoul National University Hospital
Seoul, South Korea Recruiting -
Samsung Medical Center
Seoul, South Korea Recruiting -
Yonsei University College of Medicine, Severance Hospital
Seoul, South Korea Recruiting -
Hospital Universitario Virgen del Rocio
Seville, Andalusia, Spain Recruiting -
Clinica Universidad de Navarra
Pamplona, Navarre, Spain Recruiting -
Hospital Gregorio Maranon
Madrid, Spain Recruiting -
Hospital Universitario 12 de Octubre
Madrid, Spain Recruiting -
Hospital Regional Universitario de Malaga
Málaga, Spain Recruiting -
Changhua Christian Hospital
Changhua, Taiwan Recruiting -
Taichung General Veterans Hospital
Taichung, Taiwan Recruiting -
National Taiwan University Hospital
Taipei, Taiwan Recruiting -
Taipei Veterans General Hospital
Taipei, Taiwan Recruiting
Study contacts
- Study coordinator: Clinical Trials Administrator
- Email: clinicaltrials@regeneron.com
- Phone: 844-734-6643
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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TranspoCART19 CAR-T therapy in adults with refractory lupus nephritis
This trial tests whether a patient’s own CD19 CAR-T cells can be safely given and potentially help adults with lupus nephritis that isn’t responding to standard treatments.
-
Lupus Nephritis Care Pathway
A small group of adults with lupus nephritis will try a team-based care path that uses telemedicine and pharmacist-led support to help manage their treatment and see if it improves adherence and outcomes.
-
Initial glucocorticoid-dose harmonization in childhood lupus nephritis
This trial tests whether starting children with Lupus Nephritis on a lower or higher prednisone dose makes a difference in treatment outcomes.
-
See if empagliflozin helps kidney function in people with lupus nephritis
This study tests whether adding empagliflozin to standard care improves kidney function in adults with active lupus nephritis.
-
HB2198 for adults with moderate to severe lupus, including lupus nephritis and extra‑renal lupus
This trial will test whether two intravenous doses of HB2198 can safely reduce B cells and improve disease measures in adults with moderate to severe lupus, including lupus nephritis and extra‑renal lupus.
-
HSK39297 tablets for lupus nephritis
This trial will test whether once-daily oral HSK39297 (200 mg or 300 mg) is safe and well tolerated compared with placebo in adults with active lupus nephritis.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.