A Study to Investigate the Safety and Preliminary Efficacy of ALLO-329, an Allogeneic CAR T-cell Therapy, in Adults With Autoimmune Disease

NCT ID: NCT07085104

Last Updated: 2025-07-25

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: PHASE1
• Total Enrollment: 54 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-09-30
• Study Completion Date: 2032-10-31

Brief Summary

This is a first-in-human, single-arm, open-label study evaluating the safety, tolerability, and preliminary efficacy of ALLO-329 in adults with autoimmune diseases: systemic lupus erythematosus (SLE) with and without renal involvement, idiopathic inflammatory myopathy (IIM), and systemic sclerosis (SSc).The purpose of this trial is to evaluate the safety and tolerability of ALLO-329, an allogeneic anti-CD19, anti-CD70 dual chimeric antigen receptor (CAR) T cell therapy, in adults with autoimmune disorders, provide initial evidence of biological activity and clinical response to the treatment and determine the recommended Phase 2 regimen (RP2R).

Conditions

Systemic Lupus Erythematosus (With and Without Nephritis); Idiopathic Inflammatory Myopathy; Systemic Sclerosis; Lupus Nephritis

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: SEQUENTIAL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

ALLO-329, Cyclophosphamide

Participants receive ALLO-329 following lymphodepletion regimen comprised of cyclophosphamide.

Group Type: EXPERIMENTAL

ALLO-329

Intervention Type: GENETIC

An allogeneic CAR T cell therapy targeting CD19 and CD70

Cyclophophamide

Intervention Type: DRUG

Chemotherapy for lymphodepletion

ALLO-329

Participants receive ALLO-329 without a lymphodepletion regimen.

Group Type: EXPERIMENTAL

ALLO-329

Intervention Type: GENETIC

An allogeneic CAR T cell therapy targeting CD19 and CD70

Interventions

ALLO-329

An allogeneic CAR T cell therapy targeting CD19 and CD70

Intervention Type: GENETIC

Cyclophophamide

Chemotherapy for lymphodepletion

Intervention Type: DRUG

Eligibility Criteria

Inclusion Criteria

1. Adults ≥ 18 to < 70 years of age.

2. Adequate hematological function and liver, cardiac, and pulmonary function.

3. A highly sensitive urine pregnancy test or serum pregnancy test (for females of childbearing potential) negative at screening. All participants of childbearing potential must be willing to use a highly effective method of contraception for at least 12 months (6 months for males) after LD chemotherapy or ALLO-329 administration, whichever is later.

4. Signed and dated informed consent form.

5. Willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other procedures.

6. Confirmed active disease (SLE, IIM, or SSc) as defined by the appropriate classification criteria for each respective disease, clinical evidence, and/or laboratory testing.

7. Disease activity as above despite prior treatment with standard of care therapy including at least one immunosuppressive agent for at least 3 months (in addition to hydroxychloroquine [HCQ]).

Exclusion Criteria

1. Participants with active systemic bacterial, fungal, or viral infection requiring systemic treatment or a clinically significant active, opportunistic, chronic or recurrent infection.

2. Any active malignancy within 3 years prior to enrollment, except for adequately treated localized basal cell or squamous cell skin cancer, carcinoma in situ or low risk prostate cancer (Gleason score ≤ 6).

3. Prior treatment with CD19 or CD70 targeted therapy or any prior engineered cell therapy (e.g., CAR T therapy).

4. Clinically significant or unstable or uncontrolled acute or chronic disease (e.g., hypothyroidism and diabetes) not due to SLE/IIM/SSc.

5. Symptomatic cardiac or vascular disease requiring medical intervention within 6 months prior to screening, hemodynamically symptomatic pericardial effusion, or symptomatic electrocardiogram abnormality requiring medical intervention.

6. Child-Pugh Class B or C cirrhosis.

7. Symptomatic airway disease requiring medical intervention, pleural effusion ≥ Grade 2, or history of pulmonary embolism requiring anticoagulant therapy within 6 months of enrollment.

8. Participants known to be refractory to platelet or red blood cell transfusions or who will refuse indicated transfusion support to manage cell counts following treatment.

9. Any form of primary, inherited immunodeficiency.

10. Unwilling to participate in an extended safety monitoring period.

11. For participants with SLE: Active disease involving CNS within the last 6 months or SLE that is drug-induced. For those with lupus nephritis, history of dialysis within 12 months or expected need for renal replacement therapy within the next 12 months, or National Institutes of Health (NIH) chronicity score of 3+ in any of the following domains: glomerular sclerosis, glomerular fibrous crescents, tubular atrophy, and/or interstitial fibrosis.

12. Participants with IIM: A myositis other than IIM classification, non-reversible, unrelated or weakness not amenable to assessment, or dermatomyositis with presence of anti-TIF1 gamma antibody.

13. Participants with SSc: Pulmonary arterial hypertension requiring treatment, rapidly progressive or severe SSc gastrointestinal involvement, or prior scleroderma renal crisis.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 69 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Allogene Therapeutics

INDUSTRY

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Allogene Study Director

Role: STUDY_DIRECTOR

Allogene Therapeutics, Inc.

Locations

Astera Cancer Care

East Brunswick, New Jersey, United States

Site Status: RECRUITING

Duke University Medical Center

Durham, North Carolina, United States

Site Status: RECRUITING

Countries

United States

Central Contacts

Allogene Therapeutics, Inc.

Role: CONTACT

clinicaltrials@allogene.com

+1 415-604-5696

Other Identifiers

ALLO-329-101

Identifier Type: -

Identifier Source: org_study_id