Clinical trial Recruiting at 20 sites Phase 1 Interventional Ages 18 to 60

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.

More Lupus Nephritis (LN) trials

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years to 60 Years
SexAll
Enrollment90 (estimated)
SponsorRegeneron Pharmaceuticals
Industry-sponsored
Locations20 sites (San Francisco, California and 19 other locations)
StatusRecruiting
StartedDecember 22, 2025
Main results expectedSeptember 10, 2029
Study endsSeptember 10, 2029
Registry record updatedOctober 27, 2026
Trial IDNCT06975787 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

  • 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
  • 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

Similar studies

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

  • 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.

    Recruiting Phase 1/2 Instituto de Investigación Sanitaria de la Fundación Jiménez Díaz · Badalona, Barcelona and 7 other locations · NCT07799116

  • 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.

    Recruiting Duke University · Durham, North Carolina · NCT07783152

  • 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.

    Recruiting at 2 sites Phase 4 Peking Union Medical College Hospital · Beijing, Beijing Municipality and 7 other locations · NCT07719140

  • 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.

    Recruiting Phase 4 Beni-Suef University · Banī Suwayf · NCT07700940

  • 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.

    Recruiting Phase 1 Hinge Bio · Brisbane · NCT07491900

  • 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.

    Recruiting Phase 2 Haisco Pharmaceutical Group Co., Ltd. · Nanjing, Jiangsu · NCT07363460

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.