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Trial Title: RESET-MG: A Study to Evaluate the Safety and Efficacy of CABA-201 in Participants With Generalized Myasthenia Gravis

NCT ID: NCT06359041

Condition: Generalized Myasthenia Gravis (gMG)

Conditions: Official terms:
Myasthenia Gravis
Muscle Weakness

Conditions: Keywords:
CABA-201
autoimmune disease
anti-CD19 CAR-T therapy
cellular therapy
Myasthenia Gravis
Neuromuscular
Anti-AChR
Anti-LRP4
Anti-MuSK

Study type: Interventional

Study phase: Phase 1/Phase 2

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Biological
Intervention name: CABA-201
Description: Single intravenous infusion of CABA-201 at a single dose level following preconditioning with fludarabine and cyclophosphamide
Arm group label: CABA-201

Summary: RESET-MG: A Phase 1/2 Open-Label Study to Evaluate the Safety and Efficacy of CABA-201 in Participants with Generalized Myasthenia Gravis

Detailed description: Myasthenia gravis (MG) is a rare autoimmune disorder characterized by autoantibody responses that cause defective transmission of signals at the neuromuscular junction, resulting in a distinctive pattern of weakness. Patients with generalized MG (gMG) typically experience symptoms associated with ocular disease in addition to weakness of many other voluntary muscle groups, including extremity, bulbar, and respiratory muscles. MG is considered a classic example of a B-cell mediated autoimmune disease. Currently, there are no curative treatments for MG. This study is being conducted to evaluate the safety and efficacy of an investigational cell therapy, CABA-201, that can be given to patients with gMG. A single dose of CABA-201 in combination with cyclophosphamide (CY) and fludarabine (FLU) will be evaluated.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Age ≥18 and ≤70 years of age - Diagnosis of MG with generalized muscle weakness meeting criteria as defined by the MGFA class II, III , IVa, and IVb. - Diagnosis of seropositive (autoantibodies AChR, MuSK and/or LRP4) or seronegative MG 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 - 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 - Significant lung or cardiac impairment - Prior solid organ (heart, liver, kidney, lung) transplant or hematopoietic cell transplant Other protocol-defined inclusion/exclusion criteria may apply.

Gender: All

Minimum age: 18 Years

Maximum age: 70 Years

Healthy volunteers: No

Locations:

Facility:
Name: University of California Irvine

Address:
City: Orange
Zip: 92868
Country: United States

Status: Recruiting

Contact:
Last name: Alpha Clinic

Phone: 949-824-3990
Email: alphaclinic@uci.edu

Investigator:
Last name: Ali Habib, MD
Email: Principal Investigator

Facility:
Name: UC Davis, Department of Neurology

Address:
City: Sacramento
Zip: 95817
Country: United States

Status: Recruiting

Contact:
Last name: Evan Shen

Phone: 916-734-3009
Email: evshen@ucdavis.edu

Investigator:
Last name: David Richman, MD
Email: Principal Investigator

Facility:
Name: Houston Methodist Hospital

Address:
City: Houston
Zip: 77030
Country: United States

Status: Recruiting

Contact:
Last name: Delrose A Vernon, BS, MBA, CCRP

Phone: 346-238-8226
Email: davernon@houstonmethodist.org

Investigator:
Last name: Dr. Sheetal Shroff, MD
Email: Principal Investigator

Start date: October 2024

Completion date: September 2029

Lead sponsor:
Agency: Cabaletta Bio
Agency class: Industry

Source: Cabaletta Bio

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06359041

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