Lupus & antiphospholipid syndrome

BCMA-targeted chimeric antigen receptor (CAR) T cell therapy can effectively induce disease remission in refractory lupus nephritis

Ann Rheum DisPublished Single-arm clinical trial

Authors' conclusion

Anti-BCMA CAR T therapy can help LN patients inducing and maintaining disease remission status safely and effectively

Study context

Population
Biopsy-confirmed refractory lupus nephritis (LN)median follow-up 9 months
Participants
7 participants
Outcome
Safe dosage of single infusion and occurrence of adverse events
Methodological detailsopen-label
  • Open-label

Main finding

As reported in the abstract

Adverse events
Immune effector cell-associated neurotoxicity syndrome or severe infection
0

Secondary outcomes

SLEDAI-2K score · baseline to last follow-up

SLEDAI-2K at baseline, median (range)
18 (range 10-22)
SLEDAI-2K at last follow-up, median (range)
0 (range 0-4)
  • Median follow-up of 9 months

DORIS complete remission · last follow-up

Patients achieving DORIS complete remission
5 out of 7

Peripheral B cells

Effectively eliminated within the first month postinfusions and restored within 3 months except one patient

Renal biopsy and transcriptomic analyses

Decreased immune complex deposition, reduced clonal abundance and alleviated proinflammatory status of peripheral lymphocytes

Safety

Cytokine release syndrome and other adverse events

Immune effector cell-associated neurotoxicity syndrome or severe infection
0
Grade 1 cytokine release syndrome
Hypogammaglobulinemia frequently observed

Original publication

BCMA-targeted CAR T cell therapy can effectively induce disease remission in refractory lupus nephritis. Ann Rheum Dis. Published 18 July 2025. doi:10.1016/j.ard.2025.06.2128

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