Clinical trial • Phase I/II • Musculoskeletal
QEL-005 for Diffuse cutaneous systemic sclerosis | Difficult-to-treat rheumatoid arthritis
Phase I/II trial of QEL-005 for Diffuse cutaneous systemic sclerosis | Difficult-to-treat rheumatoid arthritis.
Overview
- Trial Therapeutic Area
- Musculoskeletal
- Trial Disease
- Diffuse cutaneous systemic sclerosis | Difficult-to-treat rheumatoid arthritis
- Trial Stage
- Phase I/II
- Drug Modality
- Cell therapy
Key dates
- Initial CTIS Submission Date
- 12-12-2025
- First CTIS Authorization Date
- 21-04-2026
Trial design
open-label, none/not specified-controlled, adaptive Phase I/II trial in Spain, Germany.
- Open Label
- Yes
- Comparator
- None/Not specified
- Adaptive
- Yes
- Single Multiple Or Escalation Dose Combined
- Yes
- Target Sample Size
- 8
- Trial Duration For Participant
- 5475
Eligibility
Recruits 8 adults.
Inclusion criteria
- {"criterion_text":"- Participants must be at least 18 years of age at the time of signing the informed consent."}
- {"criterion_text":"- Specific inclusion criteria for participants with systemic sclerosis (SSc) only 1.\tDiagnosis of diffuse cutaneous systemic sclerosis (dcSSc) as per the 2013 ACR-EULAR criteria. 2.\tSerologically positive for antinuclear antibodies 3.\tFailure to respond sufficiently to immunomodulatory disease modifying anti-rheumatic drugs (DMARDs). 4.\tSkin involvement with a total modified Rodnan Skin Score of at least 15 Evidence of lung fibrosis based on imaging or pulmonary function testing 5.\tEvidence of active disease based on a validated SSc activity assessment"}
- {"criterion_text":"- Up to date vaccination schedule as per local guidance"}
- {"criterion_text":"- Adequate haematological, liver and renal function as assessed by the Investigator according to local laboratory tests"}
- {"criterion_text":"- Willing to undergo annual influenza vaccination"}
- {"criterion_text":"- Willing to enter a 15-year follow-up"}
- {"criterion_text":"- Eastern Cooperative Oncology Group (ECOG) performance status grade < 3"}
- {"criterion_text":"- Able and willing to use a highly effective method of contraception"}
- {"criterion_text":"- Stable dose of steroid prior to screening"}
- {"criterion_text":"- Specific inclusion criteria for participants with difficult to treat rheumatoid arthritis (D2TRA) only: 1.\tDiagnosis of Rheumatoid Arthritis (RA) per 2010 ACR-EULAR criteria 2.\tDiagnosis of D2TRA per 2021 EULAR criteria 3.\tEvidence of clinically active disease a defined by validated clinical or laboratory results consistent with standard definitions of active RA. 4.\tEvidence of inflammation in target joints used for the DAS28 CRP assessment"}
Exclusion criteria
- {"criterion_text":"- Presence of a significant medical condition(s), or clinically significant laboratory abnormality, that, in the Investigator's opinion, may impact participant safety or the participant’s ability to undergo study procedures."}
- {"criterion_text":"- History or concern of autoimmune diseases other than those under study"}
- {"criterion_text":"- Active infection, or recurrent chronic infection requiring intervention"}
- {"criterion_text":"- Immunodeficiency or receiving immunoglobulin replacement therapy"}
- {"criterion_text":"- Past or current infection with Hepatitis B or C, tuberculosis (TB), syphilis or HIV."}
- {"criterion_text":"- Participants with clinically significant cardiac dysfunction or pulmonary disease"}
- {"criterion_text":"- History of malignancy within the past 5 years"}
- {"criterion_text":"- Receiving prohibited medications that cannot be stopped at screening"}
Endpoints
Primary endpoints
- {"endpoint_text":"- Dose escalation part: Incidence of protocol-defined dose-limiting toxicities (DLTs) within 14 days postinfusion; Treatment-emergent SAEs, adverse events (AEs) and AEs of Special Interest (AESIs); Clinically significant changes in safety laboratory assessments, ECG and vital signs.","definition_or_measurement_approach":"DLTs assessed within 14 days post-infusion; monitoring and reporting of treatment-emergent SAEs/AEs/AESIs; safety labs, ECG and vital signs assessed for clinically significant changes."}
- {"endpoint_text":"- Expansion part: Treatment-emergent serious adverse events (SAEs), adverse events (AEs) and AEs of Special Interest (AESIs); Clinically significant changes in safety laboratory assessments, electrocardiogram (ECG) and vital signs.","definition_or_measurement_approach":"Monitoring and reporting of treatment-emergent SAEs/AEs/AESIs; assessment of safety laboratory parameters, ECG and vital signs for clinically significant changes."}
Recruitment
- Digital Remote Recruitment
- Yes
- Planned Sample Size
- 8
- Recruitment Window Months
- 180
- Consent Approach
- Adult participants (≥18 years) provide informed consent. Subject information sheets and informed consent forms are available in country-specific languages (documents available: Spanish and German versions; English patient-facing statement also present). No assent process (no paediatric participants).
Methods
- Website (patient-facing recruitment material) — country-specific materials present for Spain and Germany (website pages and website animations).
- Posters (patient-facing recruitment posters) — country-specific posters for Spain and Germany.
- Website animations and accompanying scripts/storyboards (digital multimedia recruitment content) — available for Spain and Germany.
- Recruitment arrangements documents (country-specific K1 recruitment arrangements) — Spain and Germany.
- Patient concierge / expenses reimbursements provided by Greenphire LLC (support for participants' travel/expenses).
Geography
- Total Number Of Sites
- 4
- Total Number Of Participants
- 8
Spain
- Earliest CTIS Part Ii Submission Date
- 20-03-2026
- Latest Decision Or Authorization Date
- 22-04-2026
- Processing Time Days
- 33
- Number Of Sites
- 1
- Number Of Participants
- 4
Sites
- Site Name
- Hospital Universitario Fundacion Jimenez Diaz
- Department Name
- Rheumatology
- Contact Person Name
- Esperanza Naredo
- Contact Person Email
- investigacion@quironsalud.es
Germany
- Earliest CTIS Part Ii Submission Date
- 31-03-2026
- Latest Decision Or Authorization Date
- 30-04-2026
- Processing Time Days
- 30
- Number Of Sites
- 3
- Number Of Participants
- 4
Sites
- Site Name
- Universitaetsklinikum Erlangen AöR
- Department Name
- Medicine 3 - Rheumatology & immunology
- Contact Person Name
- Georg Schett
- Contact Person Email
- m3-studienambulanz@uk-erlangen.de
- Site Name
- Otto Von Guericke Universitaet Magdeburg
- Department Name
- Hematology, Oncology, and Cell Therapy
- Contact Person Name
- Dimitrios Mougiakakos
- Contact Person Email
- hem-onk@med.ovgu.de
- Site Name
- Universitaetsklinikum Duesseldorf AöR
- Department Name
- Rheumatology
- Contact Person Name
- Jörg Distler
- Contact Person Email
- Rheumastudien@med.uni-duesseldorf.de
Sponsor
Primary sponsor
- Full Name
- Quell Therapeutics Limited
- Organisation Type
- Pharmaceutical company
- Country Of Registered Address
- United Kingdom
Contract research organisations
- Name
- CTI Clinical Trial and Consulting Services Europe GmbH
- Responsibilities
- codes: 1,10,12,13,2,5,6,7
- Name
- Cti Clinical Trial Services Inc.
- Responsibilities
- code: 8
Third parties
- {"country":"United States","full_name":"Greenphire LLC","duties_or_roles":"Patient concierge/expenses reimbursements","organisation_type":"Non-Pharmaceutical company"}
- {"country":"Germany","full_name":"BioAgilytix Europe GmbH","duties_or_roles":"code: 4","organisation_type":"Pharmaceutical company"}
- {"country":"Belgium","full_name":"CellCarta","duties_or_roles":"code: 4","organisation_type":"Laboratory/Research/Testing facility"}
- {"country":"France","full_name":"Genosafe S.A.S.","duties_or_roles":"Replication Competent Lentivirus (RCL) testing","organisation_type":"Pharmaceutical company"}
- {"country":"United States","full_name":"Cti Clinical Trial Services Inc.","duties_or_roles":"code: 8","organisation_type":"Pharmaceutical company"}
- {"country":"Germany","full_name":"CTI Clinical Trial and Consulting Services Europe GmbH","duties_or_roles":"codes: 1,10,12,13,2,5,6,7","organisation_type":"Pharmaceutical company"}
- {"country":"United Kingdom","full_name":"The John Radcliffe Hospital","duties_or_roles":"Laboratory analysis - exploratory endpoints","organisation_type":"Hospital/Clinic/Other health care facility"}
- {"country":"Denmark","full_name":"Nordic Bioscience A/S","duties_or_roles":"code: 4","organisation_type":"Pharmaceutical company"}
Investigational products
- Investigational Product Name
- QEL-005
- Active Substance
- QEL-005
- Modality
- Cell therapy
- Routes Of Administration
- Intravenous administration (INFUSION)
- Route
- Intravenous
- Authorisation Status
- Investigational medicinal product (IMP)
- First In Human
- Yes
- Frequency
- Single dose
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