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NCT07139743PHASE1Recruiting

Obe-cel in Refractory Progressive Forms of Multiple Sclerosis

Autolus Limited

Start Date

8/4/2025

Completion Date

8/15/2029

Summary

The main purpose of this study is to evaluate if obe-cel is safe or causes any side effects in adults with refractory progressive MS. The study also plans to assess if obe-cel can show early signs of efficacy in MS. The trial includes only 1 group of participants (single-arm). The study population comprises participants with progressive forms of MS, not responsive to highly effective therapies. Upon confirmation of study eligibility, participants will receive chemotherapy (used here for lymphodepletion) over 1 to 3 days in preparation for receiving a single obe-cel infusion. Participants will be checked closely in the 28 days following obe-cel treatment. After this, participants will be monitored to evaluate safety and efficacy up to 24 months.

Detailed Description

This is a Phase 1 study to determine the safety, tolerability, and preliminary efficacy of obe-cel in participants with refractory progressive forms of multiple sclerosis. The study comprises 3 periods: Screening Period: From Day -30 to enrolment Treatment Period: From day of enrolment to End of Treatment (EOT) or Day 1 - Participants will be evaluated to confirm eligibility for lymphodepletion, and thereafter receive lymphodepletion to enhance treatment efficacy and cluster of differentiation (CD)19 chimeric antigen receptor (CAR) T cell survival. Obe-cel Administration: If the participant's eligibility for receiving obe-cel infusion is confirmed, the participant is to receive a single obe-cel infusion on Day 1. Post treatment Period: From Day 1 to End of Study all participants will be followed up for efficacy and safety evaluation.

Eligibility Criteria

Age Range: 18 years to 60 years

Inclusion Criteria: * Willing and able to give written informed consent for participation in the study. * Ability and willingness to adhere to the protocol's Schedule of Activities and other requirements. * Participants must be 18 to 60 years of age inclusive at the time of signing the informed consent form. * A female participant is eligible to participate if she is not pregnant or breastfeeding. * Current diagnosis of PMS. * Must have been treated previously with 2 disease-modifying therapies. Exclusion Criteria: * Any medications prohibited by the protocol. * Highly active multiple sclerosis. * Diagnosis of another autoimmune central nervous system condition. * Active or uncontrolled fungal, bacterial, viral infection. * History of malignant neoplasms unless disease-free for at least 24 months. * History of heart, lung, kidney, liver transplant or hematopoietic stem cell transplant.

Interventions

BIOLOGICAL

Obecabtagene autoleucel (obe-cel)

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Conditions

Progressive Multiple Sclerosis

Locations

Stanford University

Redwood City, California 94063

United States

Hospital Universitario Vall d'Hebron - PPDS

Barcelona,

Spain

Hospital Universitari i Politecnic La Fe de Valencia

Valencia,

Spain

Addenbrooke's Hospital

Cambridge,

United Kingdom

Western General Hospital Edinburgh - PPDSE Edinburgh

Edinburgh,

United Kingdom

The National Hospital for Neurology & Neurosurgery

London,

United Kingdom

Royal Hallamshire Hospital

Sheffield,

United Kingdom