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临床试验/NCT07391605
NCT07391605招募中2 期

A Randomized Double-Blind Placebo-Controlled Study to Evaluate Efficacy, Safety, and Tolerability of Descartes-08 in Patients With Dermatomyositis and Antisynthetase Syndrome

Cartesian Therapeutics6 个研究点 分布在 1 个国家目标入组 60 人开始时间: 2026年4月28日最近更新:
适应症
干预措施

试验速览

阶段
2 期
状态
招募中
入组人数
60
试验地点
6
主要终点
Major improvement of 2016 ACR/EULAR Total Improvement score

研究概览

简要总结

This is a randomized, double-blind, placebo-controlled phase 2 study to evaluate the efficacy, safety and tolerability of an autologous T-cells expressing a chimeric antigen receptor (CAR) directed to B-Cell maturation antigen (BCMA) in patients with autoantibody-mediated myositis, including antisynthetase syndrome (ASyS) and dermatomyositis (DM).

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

入排标准

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

入选标准

  • Confirmed diagnosis of one of the following:
  • Dermatomyositis (DM): Probability score ≥55% on the 2017 EULAR/ACR (European Alliance of Associations of Rheumatology/ American College of Rheumatology) criteria for classification of dermatomyositis (corresponding to diagnosis of 'probable or definite' DM). OR Antisynthetase Syndrome (ASyS): Diagnosis based on ACR/EULAR Classification Criteria (1)."
  • Participants must have dermatomyositis or antisynthetase syndrome with muscle and/or skin involvement.
  • Refractory or intolerance to standard therapy.
  • Stable background immunosuppressive therapy for ≥8 weeks.
  • Adequate hematologic, renal, hepatic, and pulmonary function (SpO₂ ≥92% on room air).
  • Informed consent, compliance with visits, contraception, and vaccinations required.

排除标准

  • Isolated interstitial lung disease (ILD) without muscle or skin involvement
  • Severe irreversible muscle damage or advanced weakness (e.g., wheelchair-bound).
  • Interstitial lung disease (ILD) requiring oxygen, severe pulmonary impairment (FVC ≤45%, DLCO ≤40%), or pulmonary hypertension.
  • Other inflammatory myopathies (PM, IMNM, IBM, cancer- or drug-induced myositis, overlap myositis except Sjögren's).
  • Other severe neuromuscular, cardiac, pulmonary, or systemic autoimmune diseases requiring immunosuppression.
  • Significant uncontrolled chronic illnesses or psychiatric conditions interfering with participation.
  • Pregnancy or lactation.
  • Recent use of prohibited immunosuppressants/biologics or investigational agents (per washout periods).
  • Live vaccination within 4 weeks.
  • History of primary immunodeficiency, organ or bone marrow transplant.
  • Active or uncontrolled infections: HBV, HCV, HIV, tuberculosis, or recurrent/severe infections.

研究组 & 干预措施

Decartes-08

Experimental

干预措施: Descartes-08 (Drug)

Placebo

Placebo Comparator

干预措施: Placebo (Other)

结局指标

主要结局

Major improvement of 2016 ACR/EULAR Total Improvement score

时间窗: 24 weeks

Proportion of participants in the Descartes-08 group compared with placebo who achieve major improvement marked by ≥60 point improvement on the 2016 ACR/EULAR Total Improvement Score (TIS)

次要结局

未报告次要终点

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (6)

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