Title:

A Phase II, Open-Label, Single-Center, Single-Arm Pilot Study to Evaluate the Safety, Tolerability and Efficacy of Blinatumomab for Treatment of Patients with Autoimmune B-Cell driven Diseases including Systemic Lupus Erythematosus (SLE), Systemic Sclerosis (SSc) and Granulomatous Polyangiitis (GPA), BlinA-B trial

EUCT number:

2025-523061-22-00

Protocol code:

BlinA-B

Table of Contents

1 Summary

1.1 Trial Information

Medical condition(s):

Granulomatous Polyangiitis, Systemic Lupus Erythematosus, Systemic Sclerosis

Trial Phase:

Therapeutic exploratory (Phase II)

Transition Trial:

No

Sponsor:

Universitaet Leipzig

Participants type:

Patients

Age range:

65+ years,18-64 years

Locations:

Germany

Main objective (English):

Safety and tolerability of blinatumomab as treatment regime in patients with SLE, SSc or GPA

1.2 Overall Trial status

Overall trial status:

Ongoing, recruiting

Start of Trial:

2025-11-14

End of trial:

Global end of trial:

Overall Trial Status:

Ongoing, recruiting

Application Trial Status:

Member State Application Trial Status Decision Date
Germany Ongoing, recruiting 2025-09-26

1.3 Trial Notifications

1.3.1 Germany

Start of trial:

2025-11-14

Restart trial:

End of trial:

Early termination:

Reason for early termination:

1.4 Recruitment Notifications

1.4.1 Germany

Start of recruitment:

2025-11-20

Restart of recruitment:

End of recruitment:

1.5 Trial duration

Estimated recruitment start date in EU/EEA:

2025-09-30

Estimated end of trial date in EU/EEA:

2027-10-29

Estimated global end date of the trial:

1.5.1 Source of monetary or financial support

Organisation name:

1.6 Serious Breaches

1.7 Unexpected Events

1.8 Urgent Safety Measures

1.9 Temporary Halts

1.10 Corrective Measures

1.11 Applications

1.11.1 IN

Application type:

INITIAL

Submission date:

2025-07-09

1.11.1.1 Assessment Part I

Reference Member State:

Germany

Final conclusion:

Acceptable

Conclusion reporting date:

2025-09-24

1.11.1.2 Assessment Part II

Member state Final conclusion Conclusion reporting date
Germany Acceptable 2025-09-08

1.11.1.3 Decision

Member state Decision Decision date Decision type
Germany Authorised
2025-09-26
Decision

1.11.2 NSM-1

Application type:

NON SUBSTANTIAL MODIFICATION

Submission date:

2025-11-18

1.11.2.1 Assessment Part I

Reference Member State:

Germany

Final conclusion:

Acceptable

Conclusion reporting date:

2025-09-24

1.11.2.2 Assessment Part II

Member state Final conclusion Conclusion reporting date

1.11.2.3 Decision

Member state Decision Decision date Decision type
Germany Authorised
2025-11-18
Decision

1.11.3 SM-1

Application type:

SUBSTANTIAL MODIFICATION

Submission date:

2026-02-20

1.11.3.1 Assessment Part I

Reference Member State:

Germany

Final conclusion:

Acceptable

Conclusion reporting date:

2026-03-17

1.11.3.2 Assessment Part II

Member state Final conclusion Conclusion reporting date
Germany Acceptable 2026-03-20

1.11.3.3 Decision

Member state Decision Decision date Decision type
Germany Authorised
2026-03-25
Decision

2 Full trial information (Part I)

2.1 Trial details

2.1.1 Trial identifiers

2.1.1.1 Clinical trial identifiers

EU trial number:

2025-523061-22-00

Full title (English):

A Phase II, Open-Label, Single-Center, Single-Arm Pilot Study to Evaluate the Safety, Tolerability and Efficacy of Blinatumomab for Treatment of Patients with Autoimmune B-Cell driven Diseases including Systemic Lupus Erythematosus (SLE), Systemic Sclerosis (SSc) and Granulomatous Polyangiitis (GPA)

Public title (English):

A Phase II, Open-Label, Single-Center, Single-Arm Pilot Study to Evaluate the Safety, Tolerability and Efficacy of Blinatumomab for Treatment of Patients with Autoimmune B-Cell driven Diseases including Systemic Lupus Erythematosus (SLE), Systemic Sclerosis (SSc) and Granulomatous Polyangiitis (GPA), BlinA-B trial

Protocol code:

BlinA-B

2.1.1.2 Secondary identifying numbers

WHO universal trial number (UTN):

ClinicalTrials.gov identifier (NCT number):

ISRCTN number:

2.1.1.3 Additional registries

2.1.2 Trial Information

2.1.2.1 Transition Trial

EudraCT number:

2.1.2.2 Trial Category

Trial phase:

Therapeutic exploratory (Phase II)

Trial category:

2

Justification for trial category:

Phase II Trial

2.1.2.3 Medical Conditions

Medical condition(s) (English):

Granulomatous Polyangiitis

Is the medical condition considered to be a rare disease:

No

Medical condition(s) (English):

Systemic Lupus Erythematosus

Is the medical condition considered to be a rare disease:

No

Medical condition(s) (English):

Systemic Sclerosis

Is the medical condition considered to be a rare disease:

No

Therapeutic area:

Diseases [C] - Immune System Diseases [C20]

2.1.2.4 Medical condition(s) MedDRA information

Version Level Classification code Term name System organ class
21.1 LLT 10072580 Granulomatous polyangiitis 10047065
21.1 LLT 10025139 Lupus erythematosus systemic 10028395
28.0 LLT 10079544 Systemic sclerosis sine scleroderma 10028395

2.1.2.5 Main objective

Trial scope:

Efficacy, Safety

Main objective (English):

Safety and tolerability of blinatumomab as treatment regime in patients with SLE, SSc or GPA

2.1.2.6 Secondary objective

Secondary objective number Secondary objective (English)
1 Long term safety of blinatumomab as treatment regime in patients with SLE, SSc or GPA
2 Evaluation of disease-related biomarkers such as: Anti ds-DNA antibodies in SLE, Pr3 antibodies in GPA, SCL-70 or RNAP III in diffuse cutaneous SSc
3 Clinical efficacy

2.1.2.7 Principal inclusion criteria

Inclusion criteria number Principal inclusion criteria (English)
1 GENERAL INCLUSION CRITERIA: Age over 18 years
10 GPA patients: Active or refractory disease
2 SLE patients: Diagnosis of SLE according to EULAR/ ACR criteria for more than six months
3 SLE patients: Serologically active disease: Positivity for ANA (1:160) and anti dsDNA, defined as more than ULN and Hypocomplementemia of C3 or C4
4 SLE patients: Prior treatment failure of at least two immunosuppressive agents
5 SLE patients: Clinical active disease: SLEDAI2k activity score > 6 and at least two BILAG B and/ or one BILAG A manifestation
6 SSc patients: Diagnosis of dcSSc (2013 ACR/EULAR criteria for systemic sclerosis and LeRoy criteria for dcSSc)
7 SSc patients: Disease onset from the first non-Raynaud symptoms within 6 years prior to screening visit.
8 GPA patients: Diagnosis of GPA according to the Chapel Hill Consensus Conference definitions
9 GPA patients: Positive serum Pr3-ANCA at screening or in medical history

2.1.2.8 Principal exclusion criteria

Exclusion criteria number Principal exclusion criteria (English)
1 Prior treatment with cellular immunotherapy (CAR T) or T cell engaging Antibodies
2 History of allogeneic stem cell transplant
3 Known infectious comorbidities (HIV positivity, Hepatitis B/C)
4 Severely impaired cardiac function

2.1.2.9 Primary end points

End point criteria number Primary end point (English)
1 Incidence of treatment-emergent adverse events (adverse events up to week 12)

2.1.2.10 Secondary end points

Secondary end point number Secondary end point (English)
1 Incidence of treatment-emergent adverse events (adverse events from week 13 up to week 52)
2 Reduction of Titers of significant autoantibodies such as anti-ds DNA antibodies, SCL-70 antibodies or Pr3 antibodies
3 Clinical efficacy (Selena SLEDAI in SLE patients, ACR-CRISS score in cutaneous SSc patients, BVAS Score in GPA patients)

2.1.2.11 Individual Participant Data (IPD) Sharing statement

Plan to share IPD:

No

Plan description:

2.1.2.12 Participants

Gender:

Male and Female

Age range:

65+ years, 18-64 years

Age range secondary identifier:

Clinical trial group:

Patients

Vulnerable population:

No

2.1.3 Protocol information

2.1.3.1 Study design

Period details:

Number Period title Period description Allocation method Blinding used Roles blinded Blinding implementation details Arm details

2.1.4 Scientific advice and paediatric investigation plan (PIP)

Competent authorities that have provided scientific advice:

EMA paediatric investigation number:

2.1.5 Associated clinical trials

Associated EU CTA number Full title Sponsor for associated clinical trial

2.1.7 References

Reference to publication:

Reference link to publication:

2.2 Products

2.2.1 Role: Test Name: BLINCYTO 38.5 micrograms powder for concentrate and solution for solution for infusion.

2.2.1.1 Product: BLINCYTO 38.5 micrograms powder for concentrate and solution for solution for infusion.

Type

Product

Excluded MSCs

2.2.1.1.1 Product details

Medicinal product name:

BLINCYTO 38.5 micrograms powder for concentrate and solution for solution for infusion.

EU medicinal product number/medicinal product unique ID:

PRD3418637

Pharmaceutical form:

SOLUTION FOR INFUSION

Strength:

Medicinal product other name:

Is this a specific paediatric formulation:

No

Product authorisation status:

Authorised

Medicinal product role in trial:

Test

Sponsors product code:

2.2.1.1.2 Products characteristics

Medicinal product characteristics:

Other medicinal product:

2.2.1.1.3 Dosage and administration Details

Route of administration:

INTRAVENOUS

Maximum duration of treatment:

10 Day(s)

Maximum daily dose allowed:

28

Daily dose unit of measure:

µg microgram(s)

Maximum total dose allowed:

280

Total dose unit of measure:

µg microgram(s)

2.2.1.1.4 Information about the modification of the medicinal product

Has the medicinal product been modified in relation to its Marketing Authorisation:

No

Description of the modification:

2.2.1.1.5 Product classification

Anatomical Therapeutic Chemical (ATC) Codes:

L01FX07

ATC name:

-

ATC level:

5

2.2.1.1.6 Product authorisation details

MA holder

AMGEN EUROPE B.V.

MA authorisation country

EU

Marketing authorisation number

EU/1/15/1047/001

Centralised procedure/MRP/DCP/registration procedure number

EMEA/H/C/003731

2.2.1.1.7 Orphan designation

Does this product have an orphan drug designation:

No

Designation number for orphan drug:

2.2.1.1.8 Active substance

Classification:

Protein - Other

Active Substance name:

BLINATUMOMAB

Active substance name synonyms:

Active Substance other descriptive name:

EU Active Substance Code:

SUB35403

Strength:

Status:

Authorised

2.2.1.1.9 Advanced therapy medicinal product
2.2.1.1.10 Device associated with medicinal product
Product used in combination with a device Product ID Device trade name Description of the device Type of device Device has CE mark Device notified body

2.2.1.1 Compliance with (GMP) for the medicinal product

Authorisation number of manufacturing and import:

3 Trial Results

3.1 Summaries of Results

3.2 Layperson Summaries of Results

3.3 Clinical Study Reports

4 Locations and contact points

4.1 Locations

4.1.1 Germany - Ongoing, recruiting

Planned number of subjects:

5

4.1.1.1 Site: Universitaet Leipzig

OMS ID:

ORG-100000273

Department name:

Early Clinical Trials Unit Leipzig

Site location:

Liebigstrasse 22, Zentrum-Suedost

Site street address:

Liebigstrasse 22

Site city:

Leipzig

Site post code:

04103

Site country:

Germany

First name:

Vladan

Last name:

Vucinic

Title:

Dr.

Telephone number:

+493419712674

Email:

ectul@medizin.uni-leipzig.de

4.1.2 Countries outside of the European Economic Area

Countries outside of the European Economic Area:

Participants in the rest of the world:

0

4.2 Sponsors

4.2.1 Sponsor:

Universitaet Leipzig

4.2.1.1 Sponsor details

ID:

ORG-100000273

Name of sponsor organisation:

Universitaet Leipzig

Address:

Ritterstrasse 26, Zentrum

Town/City:

Leipzig

Post code:

04109

Country:

Germany

Phone:

Email address:

4.2.1.2 Scientific contact point

Name of organisation:

Universitaet Leipzig

Functional contact point name:

Susanne Melzer

Phone:

+493419716317

Email address:

blinab@zks.uni-leipzig.de

4.2.1.3 Public contact point

Name of organisation:

Universitaet Leipzig

Functional contact point name:

Susanne Melzer

Phone:

+493419716317

Email address:

blinab@zks.uni-leipzig.de

4.2.1.4 Third parties associated with the trial

ID Organisation Name Address City Postcode Country Phone Email Duties

4.2.2 Responsibilities of the sponsor

Sponsor(s) responsible for compliance:

Sponsor(s) responsible for being a contact point:

Sponsor(s) responsible for implementing the measures taken in accordance with article 77: