The UK College of Medicine Division of Rheumatology is deeply committed to advancing clinical research, translational science, and research education in autoimmune and inflammatory diseases. Our mission is to integrate high-quality patient care with innovative clinical investigation; bringing cutting-edge therapies to our patients while training the next generation of physician-scientists and clinician-educators.

Clinical Research

All clinical trials, quality improvement initiatives, retrospective studies, and observational research are conducted under Institutional Review Board (IRB) oversight to ensure ethical compliance and patient safety.

Active Clinical Trials

Rapcabtagene Autoleucel Trial

A Phase 2 Adaptive Study Comparing Rapcabtagene Autoleucel vs Standard of Care in Refractory SLE 

Principal Investigator: Dr. Piranavan 

Co-Investigators: Dr. Rudy, Dr. Alkilany, Dr. Antic, Dr Chait 

Sponsor: Novartis 

Duration: November 8, 2024 – December 21, 2030

This multicenter Phase 2 adaptive study evaluates the efficacy and safety of Rapcabtagene Autoleucel in patients with active, refractory SLE, reflecting engagement in next-generation cellular immunotherapy.

Rapcabtagene Autoleucel Trial
A Phase 2 Adaptive Study Comparing Rapcabtagene Autoleucel vs Standard of Care in Refractory SLE 

Principal Investigator: Dr. Piranavan 

Co-Investigators: Dr. Rudy, Dr. Alkilany, Dr. Antic, Dr Chait 

Sponsor: Novartis 

Duration: November 8, 2024 – December 21, 2030

This multicenter Phase 2 adaptive study evaluates the efficacy and safety of Rapcabtagene Autoleucel in patients with active, refractory SLE, reflecting engagement in next-generation cellular immunotherapy.

ANCA Vasculitis Trial

Phase 4 Randomized, Double-Blind, Placebo-Controlled Trial of Avacopan in ANCA-Associated Vasculitis 

Principal Investigator: Dr. Piranavan 

Sponsor: Amgen

Duration: April 12, 2024 – April 12, 2027

This Phase 4 trial evaluates the long-term safety and efficacy of Avacopan in ANCA-associated vasculitis, focusing on complement pathway modulation.

ANCA Vasculitis Trial
Phase 4 Randomized, Double-Blind, Placebo-Controlled Trial of Avacopan in ANCA-Associated Vasculitis 

Principal Investigator: Dr. Piranavan 

Sponsor: Amgen

Duration: April 12, 2024 – April 12, 2027

This Phase 4 trial evaluates the long-term safety and efficacy of Avacopan in ANCA-associated vasculitis, focusing on complement pathway modulation.

TScan Biospecimen Study

Identification of Disease-Reactive T Cell Targets in Autoimmune Disease 

Principal Investigator: Dr. Flomenhoft & Dr. Piranavan 

Sponsor: TScan Therapeutics 

Duration: December 15, 2022 – January 8, 2027 

This translational study aims to identify antigenic targets of autoreactive T cells in autoimmune diseases through advanced immune profiling.

TScan Biospecimen Study
Identification of Disease-Reactive T Cell Targets in Autoimmune Disease 

Principal Investigator: Dr. Flomenhoft & Dr. Piranavan 

Sponsor: TScan Therapeutics 

Duration: December 15, 2022 – January 8, 2027 

This translational study aims to identify antigenic targets of autoreactive T cells in autoimmune diseases through advanced immune profiling.

SNAC Trial

Systemic Lupus Erythematosus (SLE) Treatment with N-Acetylcysteine (NAC)

Principal Investigator: Dr. Piranavan 

Sponsor: Research Foundation of State University of New York 

Duration: January 28, 2025 – May 31, 2026 

This investigator-initiated study evaluates the therapeutic potential of N-acetylcysteine (NAC) in patients with Systemic Lupus Erythematosus, targeting oxidative stress and immunometabolic pathways.

SNAC Trial
Systemic Lupus Erythematosus (SLE) Treatment with N-Acetylcysteine (NAC)

Principal Investigator: Dr. Piranavan 

Sponsor: Research Foundation of State University of New York 

Duration: January 28, 2025 – May 31, 2026 

This investigator-initiated study evaluates the therapeutic potential of N-acetylcysteine (NAC) in patients with Systemic Lupus Erythematosus, targeting oxidative stress and immunometabolic pathways.


Basic and Translational Science Research

The Chakravarti lab bridges basic immunology, translational medicine, and therapeutic innovation, with an ongoing NIH-funded project that explores immune regulation and next-generation strategies for treating autoimmune diseases.