CLINICAL TRIAL / NCT06154252
RESET-Myositis: An Open-Label Study to Evaluate the Safety and Efficacy of CABA-201 in Subjects With Active Idiopathic Inflammatory Myopathy or Juvenile Idiopathic Inflammatory Myopathy
- Interventional
- Active
- NCT06154252
A Phase 1/2, Open-Label Study to Evaluate the Safety and Efficacy of Autologous CD19-specific Chimeric Antigen Receptor T Cells (CABA-201) in Subjects With Active Idiopathic Inflammatory Myopathy or Juvenile Idiopathic Inflammatory Myopathy
RESET-Myositis: Open-Label Study to Evaluate the Safety and Efficacy of CABA-201 in Subjects with Active Idiopathic Inflammatory Myopathy or Juvenile Idiopathic Inflammatory Myopathy
Idiopathic inflammatory myopathies (IIMs, or myositis) are a group of rare autoimmune
diseases characterized by inflammation and muscle weakness. Though the cause of IIM is
not well understood, some subtypes of IIM, including dermatomyositis (DM),
anti-synthetase syndrome (ASyS), immune-mediated necrotizing myopathy (IMNM), and
juvenile idiopathic inflammatory myopathy (JIIM), are thought to involve B cells that
cause the body to attack different tissues in the body. This study is being conducted to
evaluate the safety and efficacy of an investigational cell therapy, CABA-201, that can
be given to patients with DM, ASyS, IMNM, or JIIM who have active disease. A single dose
of CABA-201 in combination with cyclophosphamide (CY) and fludarabine (FLU) will be
evaluated.
Gender
All
Age Group
6 Years to 75 Years
Accepting Healthy Volunteers
No
Adult Cohorts
Inclusion Criteria:
- Age ≥18 and ≤75
- A clinical diagnosis of IIM, based on the 2017 The European League Against
Rheumatism/American College of Rheumatology classification criteria
- Diagnosis of DM, ASyS, IMNM based on the presence of serum myositis-specific
antibodies
- Evidence of active disease, despite prior or current treatment with standard of care
treatments, as defined by the presence of elevated creatine kinase (CK), DM rash, or
active disease on muscle biopsy, magnetic resonance imaging (MRI), or
electromyography
- Presence of muscle weakness
Exclusion Criteria:
- Contraindication to leukapheresis
- History of anaphylactic or severe systemic reaction to fludarabine, cyclophosphamide
or any of their metabolites
- Active infection requiring medical intervention at screening
- Current symptoms of severe, progressive, or uncontrolled renal, hepatic,
hematological, gastrointestinal, pulmonary, psychiatric, cardiac, neurological, or
cerebral disease, including severe and uncontrolled infections, such as sepsis and
opportunistic infections.
- Concomitant medical conditions that, in the opinion of the investigator, might place
the subject at unacceptable risk for participation in this study, interfere with the
assessment of the effects or safety of the investigational product or with the study
procedures
- Significant lung or cardiac impairment
- Previous CAR T cell therapy
- Prior solid organ (heart, liver, kidney, lung) transplant or hematopoietic cell
transplant
Juvenile Cohort
Inclusion Criteria:
- Age ≥6 and ≤17 years at enrollment
- A clinical diagnosis of IIM, based on the 2017 The European League Against
Rheumatism/American College of Rheumatology classification criteria
- Presence of serum myositis-specific antibodies or myositis-associated autoantibody
- Evidence of active disease, despite prior or current treatment with standard of care
treatments, as defined by the presence of elevated muscle enzymes, DM rash, or
active disease on muscle biopsy, magnetic resonance imaging (MRI), or
electromyography
Exclusion Criteria:
- Contraindication to leukapheresis
- History of anaphylactic or severe systemic reaction to fludarabine, cyclophosphamide
or any of their metabolites
- Active infection requiring medical intervention at screening
- Current symptoms of severe, progressive, or uncontrolled renal, hepatic,
hematological, gastrointestinal, pulmonary, psychiatric, cardiac, neurological, or
cerebral disease, including severe and uncontrolled infections, such as sepsis and
opportunistic infections.
- Concomitant medical conditions that, in the opinion of the investigator, might place
the subject at unacceptable risk for participation in this study, interfere with the
assessment of the effects or safety of the investigational product or with the study
procedures
- Significant lung or cardiac impairment
- Previous CAR T cell therapy
- Prior solid organ (heart, liver, kidney, lung) transplant or hematopoietic cell
transplant