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NCT06328777PHASE1, PHASE2Recruiting

RESET-SSc: An Open-Label Study to Evaluate the Safety and Efficacy of CABA-201, a CD19-CAR T Cell Therapy, in Subjects With Systemic Sclerosis

Cabaletta Bio

Start Date

7/2/2024

Completion Date

7/1/2029

Summary

RESET-SSc: A Phase 1/2 Open-Label Study to Evaluate the Safety and Efficacy of CABA-201, a CD19-CAR T cell therapy, in Subjects with Systemic Sclerosis

Detailed Description

Systemic sclerosis (SSc), also known as scleroderma , is a rare autoimmune disorder characterized by autoantibody production and abnormal B cell function. Though the cause of SSc is not well understood, it is thought to involve B cells that cause the body to attack different tissues in one's own body, causing skin and organ fibrosis. This study is being conducted to evaluate the safety and efficacy of an investigational therapy, CABA-201, a CD19-CAR T cell therapy, that can be given to patients with SSc who have active disease. A single dose of CABA-201 in combination with cyclophosphamide (CY) and fludarabine (FLU) will be evaluated.

Eligibility Criteria

Age Range: 18 years to 75 years

Inclusion Criteria: * Age ≥18 and ≤75 * A clinical diagnosis of SSc, based on the 2013 American College of Rheumatology and European League Against Rheumatism classification criteria. * Early active disease * Evidence of significant skin, pulmonary, renal, or cardiac involvement 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 visit * 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 * Severe lung or cardiac impairment * Previous CAR T cell therapy * Prior solid organ (heart, liver, kidney, lung) transplant or hematopoietic cell transplant Other protocol-defined inclusion/exclusion criteria may apply.

Interventions

BIOLOGICAL

CABA-201

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Conditions

Systemic SclerosisScleroderma

Locations

Yale University

New Haven, Connecticut 06519

United States

Mayo Clinic Florida

Jacksonville, Florida 55905

United States

Northwestern Memorial Hospital

Chicago, Illinois 60611

United States

The University of Chicago Medical Center

Chicago, Illinois 60637

United States

University of Kansas Medical Center

Kansas City, Kansas 66160

United States

University of Michigan

Ann Arbor, Michigan 48109

United States

Mayo Clinic Rochester

Rochester, Minnesota 55905

United States

Columbia University Irving Medical Center

New York, New York 10032

United States

University of Rochester

Rochester, New York 14642

United States

Duke University

Durham, North Carolina 27710

United States