A Phase 1, Multicenter, Open-label Study of BMS-986515, Healthy Donor Allogeneic CD19-targeted Chimeric Antigen Receptor (CAR) T Cells, in Participants With Severe, Refractory Autoimmune Diseases
试验速览
- 阶段
- 1 期
- 状态
- 招募中
- 发起方
- 入组人数
- 125
- 试验地点
- 55
- 主要终点
- Number of participants with AEs of special interest (AESIs)
研究概览
简要总结
The purpose of this study is to determine the safety, tolerability, optimal dose, and preliminary efficacy of BMS-986515, a healthy donor (HD) allogeneic CD19-targeted CART cell product, in participants with severe, refractory autoimmune diseases.
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
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •- Systemic lupus erythematosus (SLE) population:.
- •i) Diagnosis of SLE based on the 2019 American College of Rheumatology (ACR)/European League Against Rheumatism (EULAR).
- •ii) Participant must be positive for at least one of the following antibodies at screening: anti-nuclear antibody, anti-dsDNA, anti-histone, anti-chromatin or anti-Sm antibody.
- •iii) Inadequate response or intolerance to steroids and immunosuppressive therapies.
- •iv) Participants must have active disease at screening.
- •- Inflammatory myopathy (IIM) population:.
- •i) Participants meeting the 2017 American College of Rheumatology (ACR) / European League Against Rheumatism (EULAR) classification criteria.
- •ii) Participants must meet criteria for with severe, refractory IIM. iii) Participants who had inadequate response to steroids and prior immunosuppressive therapies.
- •iv) Evidence of active disease.
- •- Systemic sclerosis (SSc) population:.
- •i) Participant must fulfill the 2013 American College of Rheumatology (ACR)/ European League Against Rheumatism (EULAR) classification criteria for systemic sclerosis.
- •ii) Inadequate disease response or intolerance to prior therapies. iii) Participants diagnosed with progressive systemic sclerosis including skin disease and/or interstitial lung disease.
- •- Rheumatoid arthritis (RA) population:.
- •i) Participants with difficult to treat RA. ii) Participants with a diagnosis of RA meeting 2010 ACR/EULAR criteria. iii) Rheumatoid arthritis disease activity at screening and baseline visit. iv) Inadequate disease response or intolerance to standard of care therapy.
排除标准
- •- All participants:.
- •i) Any other systemic autoimmune disease. ii) Pregnant or nursing women. iii) Active hepatitis B, C or HIV. iv) Prior history of malignancies. v) Uncontrolled or active infection. vi) History of certain cardiovascular conditions within 6 months prior to screening.
- •vii) Previous CAR-T cell therapy. viii) Significant lung impairment. ix) Inadequate organ function. x) Active, clinically significant, central nervous system (CNS) disorders.
- •SLE population:.
- •i) Participants who have SLE because of drugs or have other autoimmune diseases along with SLE.
- •IIM population:.
- •i) Participants who have other forms of myopathies other than IIM. ii) Severe muscle damage.
- •SSc population:.
- •i) People who have high blood pressure in the arteries of the lungs caused by SSc, which needs regular treatment to keep it under control.
- •ii) Rapidly deteriorating SSc, or history of severe kidney disease.
- •RA population:.
- •i) People who have additional autoimmune diseases along with RA.
- •Other protocol-defined inclusion/exclusion criteria apply.
研究组 & 干预措施
BMS-986515 Administration
干预措施: BMS-986515 (Genetic)
BMS-986515 Administration
干预措施: Tocilizumab (Drug)
BMS-986515 Administration
干预措施: Cyclophosphamide (Drug)
BMS-986515 Administration
干预措施: Fludarabine (Drug)
结局指标
主要结局
Number of participants with AEs of special interest (AESIs)
时间窗: Up to 24 months post BMS-986515 infusion
All participants
Number of participants with laboratory abnormalities
时间窗: Up to 24 months post BMS-986515 infusion
All participants
Number of participants with serious AEs (SAEs)
时间窗: Up to 24 months post BMS-986515 infusion
All participants
Number of participants with treatment-emergent adverse events (TEAEs)
时间窗: Up to 24 months post BMS-986515 infusion
All participants
Number of participants with Dose-Limiting Toxicities (DLTs)
时间窗: Up to 24 months post BMS-986515 infusion
All participants
Number of participants with DLTs that occur during the DLT evaluation period
时间窗: 28 days post-BMS-986515 infusion
All participants
次要结局
- Number of participants with a humoral immune response (anti-therapeutic antibodies) against BMS-986515(Up to 2 years)
- Maximum observed concentration (Cmax)(Up to 2 years)
- Area under the concentration-time curve (AUC)(Up to 2 years)
- Time of maximum observed concentration (Tmax)(Up to 2 years)
- Number of participants with interstitial lung disease (ILD) with no worsening of pulmonary function from baseline to Week 24(Up to 2 years)
- Number of participants who achieve definition of remission in systemic lupus erythematosus (DORIS) remission at Week 24(Up to Week 24)
- Number of participants who achieve Lupus Low Disease Activity State (LLDAS) at Week 24(Up to Week 24)
- Change in proteinuria measured by urine protein creatinine ratio (UPCR) from baseline to Week 24(Up to Week 24)
- Change in Health Assessment Questionnaire-Disability Index (HAQ-DI) from baseline to Week 24(Up to Week 24)
- Number of participants who achieve Myositis Response Criteria Total Improvement Score (MRC TIS) at Week 24(Up to Week 24)
- Change in International Myositis Outcome Assessment Collaborative Study Group (IMACS) outcome measure set for disease activity at week 24 from baseline(Up to Week 24)
- Change in Cutaneous Dermatomyositis Disease Area and Severity Index (CDASI) at week 24 from baseline(Up to Week 24)
- Number of participants who achieve an minimal clinically important differences in SSc (MCID) from baseline of the modified Rodnan Skin Score (mRSS) at Week 24(Up to Week 24)
- Change from baseline of the Revised Composite Response Index in Systemic Sclerosis (CRISS) at Week 24(Up to Week 24)
- Number of participants with low disease activity at Week 24 from baseline(Up to Week 24)
