Clinical trial Recruiting at 2 sites Early Phase 1 Interventional Ages 18 and up

mRNA (ABO2203) that delivers a CD19/CD3 T‑cell engager for people with refractory autoimmune diseases

Official title: A Clinical Study to Investigate Safety, Tolerability, and Preliminary Efficacy of mRNA Encoding CD19/CD3 T Cell Engager (ABO2203) in Patients With Refractory Autoimmune Diseases

Run by Ruijin Hospital · NCT06747156 · Data updated 2026-11-12

This trial will test whether an mRNA injection called ABO2203, which produces a CD19/CD3 T‑cell engager, is safe and helpful for adults whose autoimmune disease did not respond to standard treatments.

More Autoimmune Diseases trials

Quick facts

PhaseEarly Phase 1
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment66 (estimated)
SponsorRuijin Hospital
Academic / other
Locations3 sites (Wuhan, Hubei and 2 other locations)
StatusRecruiting
StartedDecember 23, 2024
Main results expectedNovember 2027
Study endsDecember 2028
Registry record updatedMarch 24, 2026
Trial IDNCT06747156 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults (≥18) with a diagnosed autoimmune disease who relapsed or did not respond to standard of care, are on a stable dose of background therapy, and have sufficient organ function would be typical candidates.

Probably not a fit

Patients with active infections, severe hypogammaglobulinemia or liver/cardiac dysfunction, recent cancers, uncontrolled allergic conditions, or recent B‑cell/biologic therapies per protocol are unlikely to benefit or would be excluded.

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

What this trial studies

This early phase 1 program gives escalating doses of ABO2203, an mRNA formulation that encodes a CD19/CD3 T‑cell engager, by injection to adults with autoimmune diseases who had inadequate response or relapse after standard therapies. The design includes a dose‑escalation portion to find a tolerable dose and a dose‑expansion portion to gather additional safety and early activity data. Key outcomes collected include safety, tolerability, pharmacokinetics, pharmacodynamics, and preliminary efficacy signals. Participants must meet disease‑specific diagnostic criteria, be on a stable background therapy, and have adequate organ function.

Why it matters

Potential benefit: If successful, ABO2203 could become a new treatment option for patients whose autoimmune conditions have not responded to standard therapies by temporarily directing T cells to target B cells.

How similar studies have gone: CD19‑targeting approaches such as B‑cell depleting antibodies and CAR‑T therapies have benefited some autoimmune patients, but delivering a CD19/CD3 engager via mRNA is a newer strategy with limited prior clinical data.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. ≥18 years of age at time of informed consent.
2. Diagnosis of autoimmune diseases according to the corresponding disease classification criteria.
3. Inadequate response to SoCs or relapsed after the treatment.
4. Patients were on a stable dose of SoCs for at least 4 weeks prior to enrollment.
5. Sufficient organ function.

Exclusion Criteria:

1. Active infection, including tuberculosis, active or relapsed peptic ulcer, etc.
2. Severe hypogammaglobulinemia or IgA deficiency.
3. Active hepatitis or with a history of severe liver disease.
4. History of rapid allergic reactions, eczema or asthma that cannot be controlled by topical corticosteroids.
5. Severe cardiovascular diseases.
6. History of cancer within past 5 years.
7. Have other serious medical conditions.
8. Received any of B cell targeted therapies and biologic therapies within the defined time window.
9. History of severe allergies or known allergies to any active or inactive component of the study drug(s).
10. A history of organ transplantation, bone marrow transplantation or hematopoietic stem cell transplantation.

Where it's running

  • Nanjing Drum Tower Hospital
    Nanjing, Jiangsu, China
    Recruiting
  • Ruijin Hospital
    Shanghai, China
    Recruiting
  • Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
    Wuhan, Hubei, China
    Not yet recruiting

Study contacts

Similar studies

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

  • ETHY-001 safety and activity in Thyroid Eye Disease (TED)

    This study tests ETHY-001 versus placebo to see if it is safe, tolerable, and shows activity in people with thyroid eye disease.

    Recruiting at 2 sites Phase 1 Ethyreal Bio, Inc. · Orland Park, Illinois and 2 other locations · NCT07885605

  • CR-402 treatment for refractory autoimmune disease

    This study tests CRT-402, a CD19-targeted CAR-T therapy, in adults with active, treatment-resistant autoimmune diseases like SLE, systemic sclerosis, and inflammatory myopathy to see if it is safe and capable of helping control disease.

    Recruiting Phase 1/2 Myeloid Therapeutics · Nedlands, Western Australia · NCT07778446

  • Music-4-MS: A 12-week music-based program to support thinking skills in people with MS

    A 12-week music-based program is tested to see if it helps cognitive function and mood in people living with multiple sclerosis.

    Recruiting University of Texas at Austin · Austin, Texas · NCT07759115

  • ATG-201 in adults with autoimmune diseases

    This early, open-label study tests ATG-201 in adults with autoimmune diseases to see if it is safe and tolerable, and to get initial clues about how the body handles the drug and its effects.

    Recruiting Phase 1 Antengene Corporation · Bengbu, Anhui and 21 other locations · NCT07732309

  • AMX0035 in adults with Type 1 Diabetes

    This study tests whether 24 weeks of the oral medication AMX0035 help improves metabolic health in adults with Type 1 Diabetes compared with a placebo.

    Recruiting Phase 2 University of Washington · Seattle, Washington and 1 other locations · NCT07699380

  • CD19/BCMA UCART for B cell–related autoimmune diseases

    This early-stage study tests QT-219CX, a universal allogeneic CAR-T cell therapy that targets CD19 and BCMA, in people with refractory B-cell–related autoimmune diseases to see if it can be given safely and provide early signs of benefit.

    Recruiting Early Phase 1 The Children's Hospital of Zhejiang University School of Medicine · Hangzhou, Zhejiang · NCT07586267

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.