Actively Recruiting

Phase 1
Age: 18Years +
All Genders
ID07041099

A Phase 1b, Open-Label Study of CLN-978 for the Treatment of Active, Moderate to Severe Sjogren's Disease

Led by Cullinan Therapeutics Inc. · Updated on 2026-03-23

36

Participants Needed

11

Research Sites

52 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are evaluating CLN-978, a subcutaneously administered CD19-directed T cell engager, in patients with active, moderate to severe Sjogren's Disease. This phase 1b, open-label study aims to assess the safety and tolerability of CLN-978 as well as its effects on B lymphocyte levels in peripheral blood over a 48-week period. Participants will receive CLN-978 in dose escalation cohorts during the initial phase, followed by further evaluation of the treatment. The drug is administered at specified doses on specified days, with no placebo group. The study consists of two parts: Part A for dose escalation and Part B for further dose evaluation. Throughout the 48 weeks of the study, participants will undergo safety monitoring, pharmacokinetic assessments, and tests for anti-drug antibodies. Blood tests will measure changes in lymphocyte counts and B cell numbers. The study involves regular visits for these evaluations and monitoring of tolerability and immune response.

CONDITIONS

Brief Title

A Study of CLN-978, a Subcutaneously Administered CD19-directed T Cell Engager, in Subjects With Sjogren's Disease

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Diagnosis of Sjogren's Disease at least 24 weeks before the screening visit
  • Meet the 2016 EULAR / ACR Classification Criteria for Sjogren's Disease at screening
  • Active moderate to severe disease with ESSDAI score of 5 or higher at screening
  • Absolute lymphocyte count (ALC) of 0.5 x 10^9/L or higher
  • Peripheral CD19+ B cell count of 25 cells/µL or higher
  • Absolute neutrophil count (ANC) of 1.0 x 10^9/L or higher
  • Hemoglobin (Hgb) of 8 g/dL or higher
  • Platelet count of 75 x 10^9/L or higher
  • Total bilirubin 1.5 times the upper limit of normal or less (except for confirmed Gilbert's Syndrome)
  • Aspartate aminotransferase (AST) and Alanine aminotransferase (ALT) up to 2 times the upper limit of normal
  • Estimated glomerular filtration rate (eGFR) of 30 mL/min/1.73 m2 or higher based on CKD-EPI formula
Not Eligible

You will not qualify if you...

  • Having another rheumatological autoimmune disease alongside Sjogren's Disease
  • Being at high risk for blood clots (thrombosis)
  • Rapidly progressive glomerulonephritis or urine protein/creatinine ratio over 3 mg/mg (339 mg/mmol)
  • Active, severe central nervous system symptoms related to Sjogren's Disease
  • History of stroke, seizure, dementia, Parkinson's disease, coordination or cerebellar disorders, psychosis, paresis, aphasia, or other neurologic disorders posing undue risk
  • Evidence of infections with hepatitis B, hepatitis C, HIV, Epstein-Barr virus, or cytomegalovirus
  • Primary immunodeficiency or history of repeated infections
  • Having had a splenectomy
  • Receiving live or attenuated vaccine within 28 days before screening or during screening period
  • Active significant infections, including COVID-19, within 14 days before day 1
  • Active or latent tuberculosis

AI-Screening

AI-Powered Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - Up to 48 weeks

Participants receive subcutaneous administration of CLN-978, a CD19-directed T cell engager, to treat active moderate to severe Sjogren's Disease.

Weekly visits for up to 48 weeks

Trial Site Locations

Total: 11 locations

1

Cullinan Investigative Site

Orlando, Florida, United States, 32808

Actively Recruiting

2

Cullinan Investigative Site

Memphis, Tennessee, United States, 38103

Actively Recruiting

3

Cullinan Investigative Site

Plano, Texas, United States, 75093

Actively Recruiting

4

Cullinan Investigative Site

Webster, Texas, United States, 77598

Actively Recruiting

5

Cullinan Investigative Site

Salt Lake City, Utah, United States, 84107

Actively Recruiting

6

Cullinan Investigative Site

Brest, France, 29609

Actively Recruiting

7

Cullinan Investigative Site

Le Kremlin-Bicêtre, France, 94270

Actively Recruiting

8

Cullinan Investigative Site

Strasbourg, France, 67098

Actively Recruiting

9

Cullinan Investigative Site

Erlangen, Germany, 91054

Actively Recruiting

10

Cullinan Investigative Site

Hanover, Germany, 30625

Actively Recruiting

11

Cullinan Investigative Site

Roma, Italy, 00168

Actively Recruiting

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Research Team

A

Amy Gubits, MPH

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NON_RANDOMIZED

Model

SEQUENTIAL

Primary Purpose

TREATMENT

Number of Arms

2

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