Recruiting
Phase 1

Zamtocabtagene Autoleucel

Sponsor:

Miltenyi Biomedicine GmbH

Code:

NCT06708845

Conditions

Lupus Nephritis

Systemic Lupus Erythematosus

Systemic Sclerosis (SSc)

Diffuse Cutaneous Systemic Sclerosis

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Interventions

zamtocabtagene autoleucel

Cyclophosphamide

Fludarabine

Study Details

Brief summary:

AID is a phase I multi-cohort study to assess the safety and tolerability of zamtocabtagene autoleucel (zamto-cel) in patients with refractory autoimmune diseases (SLE-Non renal, SLE-LN, SSc/dcSSc) after receiving standard therapy.

Conditions

Lupus Nephritis

Systemic Lupus Erythematosus

Systemic Sclerosis (SSc)

Diffuse Cutaneous Systemic Sclerosis

Study ID

NCT06708845

Start date

Jul, 2026

Status verified date

Jun, 2026

Completion date

Jul, 2028

Anticipated

Primary completion date

Jan, 2028

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

General Key Inclusion/Exclusion Criteria Across All Cohorts

Inclusion Criteria:

•Confirmed diagnosis of autoimmune disease (SLE-Non-renal, SLE-LN, SSc/ dcSSc)

Exclusion Criteria:

  • Prior gene therapy treatment
  • Active malignancy within past 5 years
  • Significant active fungal or bacterial infection
  • History or presence of CNS lupus or other CNS disease
  • eGFR < 45 mL/min/1.73 m\^2
  • Total bilirubin outside the normal range (unless congenital hyperbilirubinemia such as Gilbert syndrome has been confirmed).

Systemic Lupus Erythematosus-Non-renal Key Inclusion/Exclusion Criteria

Inclusion Criteria:

  • Positive for at least 1 of the following autoantibodies at Screening: anti- double stranded DNA or anti-Smith
  • Systemic Lupus Erythematosus Disease Activity Index-2000 score ≥ 8 AND at least 1 British Isles Lupus Assessment Group (BILAG)-2004 Class A (severe manifestation) organ scores
  • Inadequate response to glucocorticoids and to at least 2 of the following treatments, used for at least 3 months each: cyclophosphamide, mycophenolic acid or its derivatives, belimumab, azathioprine, anifrolumab, methotrexate, rituximab, or obinutuzumab

Exclusion Criteria:

  • Subjects with neuropsychiatric SLE.
  • Drug-induced SLE.

Systemic Lupus Erythematosus - Lupus Nephritis Key Inclusion/Exclusion Criteria

Inclusion Criteria:

  • Positive for at least 1 of the following autoantibodies at Screening: anti- double stranded DNA or anti-Smith
  • Confirmed LN diagnosis by kidney biopsy during screening or within the previous 6 months, with severe active phase of the disease.
  • Progressing despite maintenance on maximally tolerated doses of renin- angiotensin system (RAS) blocking agents, unless allergic to or intolerant of ACE inhibitors and ARBs
  • Inadequate response to glucocorticoids and hydroxychloroquine and at least 1 of the following treatments, used for at least 3 months each: cyclophosphamide, mycophenolic acid derivatives, belimumab, azathioprine, methotrexate, rituximab, obinutuzumab, calcineurin inhibitor (cyclosporin, tacrolimus or voclosporin)

Exclusion Criteria:

•Evidence of Rapidly progressive glomerulonephritis (defined as a doubling of serum creatinine within 3 months prior to enrollment) or as determined by the study investigator.

Systemic Sclerosis/Diffuse Cutaneous Systemic Sclerosis Cohort Key Inclusion/ Exclusion Criteria

Inclusion Criteria:

  • Active disease defined as:
  • Modified Rodnan skin score (mRSS) ≥ 16 units, in the prior 6 months, with 1 or more of the following:

  • Increase in mRSS by ≥ 3 units or 10%
  • Involvement of 1 new body area with increase in mRSS by ≥ 2 units
  • Involvement of 2 new body areas with increase by ≥ 1 mRSS unit OR
  • Progressive interstitial lung disease (ILD) defined as:

\- Worsening of respiratory symptoms and an increased extent of fibrosis evaluated by high-resolution computed tomography
  • Lack of response to standard therapy (e.g., failure of ≥ 2 immunosuppressive therapies)

Exclusion Criteria:

  • "Active" gastric antral vascular ectasia, as evidenced by bleeding (ie, on esophagogastroduodenoscopy) in the past 6 months or as per Investigator's assessment.
  • History of SSc renal crisis within 1 year prior to Screening; presence of kidney impairment due to conditions other than SSc

Study Design

Enrollment

48 participants

Anticipated

Allocation

Non randomized

Intervention Model

Sequential

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: Dose Level 1

experimental: Dose Level 2

Interventions

zamtocabtagene autoleucel

chimeric antigen receptor T-cell (CAR-T) therapy

Cyclophosphamide

Lymphodepleting chemotherapy

Fludarabine

Lymphodepleting chemotherapy

Primary outcome measure

  • The incidence and severity of adverse events (AEs), adverse events of special interest (AESIs), and serious adverse events (SAEs) [ Time Frame: From enrollment through study completion 12 months post zamto-cel infusion ]
  • The proportion of subjects with dose-limiting toxicities (DLTs) up to Day 28 and determination of recommended Phase 2 dose (RP2D) [ Time Frame: From enrollment through Day 28 post zamto-cel infusion ]

Central Contacts and Locations

Locations

Froedtert Hospital and the Medical College of Wisconsin

Recruiting

Milwaukee, Wisconsin, United States, 53226

Contacts

Kiley Timler

ktimler@mcw.edu

More Information

Sponsor

Miltenyi Biomedicine GmbH

Last update posted

Jun 11, 2026

Last verified

Jun, 2026

Keywords

  • Chimeric antigen receptor
  • CAR T
  • Zamtocabtagene autoleucel
  • Autoimmune Disease
  • Immune System Diseases
  • SLE-Non renal
  • SLE-LN
  • SSc
  • dcSSc
  • Lupus

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-08. This information was provided to ClinicalTrials.gov by Miltenyi Biomedicine GmbH on 2026-06-11.