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临床试验/NCT07015983
NCT07015983进行中(未招募)2 期

A Phase 2, Multicenter, Open-Label Study of CC-97540 (BMS-986353), CD19-Targeted NEX-T CAR T Cells, in Participants With Active SLE (Including Lupus Nephritis) With Inadequate Response to Glucocorticoids and at Least 2 Immunosuppressants (Breakfree-SLE)

Juno Therapeutics, Inc., a Bristol-Myers Squibb Company238 个研究点 分布在 11 个国家目标入组 89 人开始时间: 2025年7月14日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
状态
进行中(未招募)
发起方
入组人数
89
试验地点
238
主要终点
Proportion of participants achieving drug-free Definition of Remission in Systemic Lupus Erythematosus (DORIS) remission

研究概览

简要总结

The purpose of this study is to evaluate the efficacy, safety and drug levels of CC-97540 in participants with active systemic lupus erythematosus (SLE) including lupus nephritis with inadequate response to glucocorticoids and at least 2 immunosuppressants.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
16 Years 至 —(Child, Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Participants must meet EULAR/ACR 2019 criteria for SLE.
  • Participants must have an inadequate response to appropriate doses of glucocorticoids and ≥ 2 immunosuppressant therapies, used for at least 3 months.
  • Participants must have active disease when signing ICF.

排除标准

  • Participants must not have other diseases, conditions, or treatments that may confound interpretation of the effects of CC-97540 in SLE.
  • Uncontrolled or clinically significant cardiovascular conditions or CNS pathology participants must not have prior history of malignancies or lymphoproliferative disease, unless the participant has been free of the disease for ≥ 2 years, except for some non-invasive malignancies.
  • IOCBP who are pregnant, nursing, or breastfeeding, or who intend to become pregnant.
  • Participants must not have prior treatment with CAR T cell therapy, genetically modified T cell therapy, stem cell transplant or organ transplant.
  • Participants must not have received live vaccines within 6 weeks before LDC (lymphodepleting chemotherapy) administration.
  • Participant must not have inadequate organ function.
  • Other protocol-defined inclusion/exclusion criteria apply.

研究组 & 干预措施

Administration of CC-97540

Experimental

干预措施: CC-97540 (Drug)

Administration of CC-97540

Experimental

干预措施: Cyclophosphamide (Drug)

Administration of CC-97540

Experimental

干预措施: Fludarabine (Drug)

结局指标

主要结局

Proportion of participants achieving drug-free Definition of Remission in Systemic Lupus Erythematosus (DORIS) remission

时间窗: At month 6

次要结局

  • Complete renal response (CRR) for participants with baseline lupus nephritis (LN)(Up to Month 60)
  • Participants with drug-free DORIS remission(Up to month 60)
  • CRR for participants with baseline LN(Up to month 60)
  • Modified CRR for participants with baseline LN(Up to month 60)
  • Number of participants achieving Lupus Low Disease Activity State (LLDAS) with baseline Systemic Lupus Erythematosus Disease Activity Questionnaire (SLEDAI) ≥6(Up to month 60)
  • Number of participants achieving SLE Responder Index (SRI) - 4 with baseline SLEDAI ≥6(Up to month 60)
  • Number of participants with flares as assessed by SLEDAI flare index(Up to month 60)
  • Severity of participants with flares as assessed by SLEDAI flare index(Up to month 60)
  • Change from baseline in proteinuria(Up to month 60)
  • Change from baseline in estimated glomerular filtration rate (eGFR)(Up to month 60)
  • Percentage of participants achieving maintenance of drug-free DORIS remission(Up to month 60)
  • Percentage of participants achieving maintenance of LLDAS(Up to month 60)
  • Percentage of participants achieving maintenance of SRI-4(Up to month 60)
  • Time from first response to loss of response for drug-free DORIS remission(Up to month 60)
  • Time from first response to loss of response for LLDAS(Up to month 60)
  • Time from first response to loss of response for SRI-4(Up to month 60)
  • Time from baseline to first drug-free DORIS remission(Up to month 60)
  • Time from baseline to LLDAS(Up to month 60)
  • Time from baseline to SRI-4(Up to month 60)
  • Duration of drug-free status(Up to month 60)
  • Percentage of participants achieving DORIS remission regardless of drug-free status(Up to month 60)
  • Glucocorticoid used post-infusion for SLE treatment(Up to month 60)
  • Change of serum autoantibodies from baseline(Up to month 60)
  • Change in complement factor (C3 and C4) levels from baseline(Up to month 60)
  • Change from baseline in patient reported outcomes (PRO) as assessed by FACIT-Fatigue(Up to month 60)
  • Change from baseline in PRO as assessed by SF 36 v2 Acute(Up to month 60)
  • Change from baseline in PRO as assessed by EQ-5D-5L(Up to month 60)
  • Change from baseline in PRO as assessed by Patient Global Impression of Severity (PGI-S) Pain(Up to month 60)
  • Change from baseline in PRO as assessed by PGI-S Fatigue(Up to month 60)
  • Patient Global Impression of Change (PGI-C) Pain(Up to month 60)
  • PGI-C Fatigue(Up to month 60)
  • Change from baseline in Systemic Lupus International Collaborating Clinics (SLICC)/ACR (American College of Rheumatology) damage index(Up to month 60)
  • Number of participants with Adverse Events (AEs)(Up to month 60)
  • Number of participants with serious AEs (SAEs)(Up to month 60)
  • Number of participants with AESIs (AEs of Special Interest)(Up to month 60)
  • Number of participants with clinically significant laboratory abnormalities(Up to month 60)

研究者

发起方
Juno Therapeutics, Inc., a Bristol-Myers Squibb Company
申办方类型
Industry
责任方
Sponsor

研究点 (238)

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