Lupus & antiphospholipid syndrome

B cell Maturation Antigen Targeted Chimeric Antigen Receptor T Cell Therapy for Refractory Systemic Lupus Erythematosus and Systemic Sclerosis

Arthritis RheumatolPublished Phase 1 trial

Authors' conclusion

HBI0101 demonstrated an acceptable safety profile and early clinical activity in patients with severe refractory systemic lupus erythematosus or systemic sclerosis

Study context

Population
Patients with severe refractory SLE or SSc; median age 41 years (range: 21–65), median disease duration 2.7 years (range: 1.1–20.5), median 3.5 previous lines of immunomodulatory therapy (range: 2–9)median follow-up six months
Participants
6 patients
Comparison
SLE vs SSc
  • SLEn = 3
  • SScn = 3
Outcome
Safety and preliminary efficacy of HBI0101
Methodological detailsongoing
  • Ongoing

Main finding

As reported in the abstract

Safety and preliminary efficacy
SLE: SLEDAI-2K decreased to 0
2 patients
SLE: SLEDAI-2K decreased to 4
1 patient
SSc: skin involvement improved, with reductions in mRSS and EUSTAR activity indices
all three patients

Safety

Grade 3 to 4 neutropenia

Patients with grade 3–4 neutropenia (managed with supportive care)
2

Hypogammaglobulinemia requiring IV immunoglobulin replacement

Patients
3

Cytokine release syndrome

Patients with CRS
5
Grade 2
3
Grade 1
2
Absent
1

Immune effector cell-associated neurotoxicity syndrome

None observed
0

Original publication

B cell Maturation Antigen Targeted Chimeric Antigen Receptor T Cell Therapy for Refractory Systemic Lupus Erythematosus and Systemic Sclerosis. Arthritis Rheumatol. Published 7 May 2026. doi:10.1002/art.70211

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