Evaluating CABA-201 for treating active idiopathic inflammatory myopathy
Official title: A Phase 1/2, Open-Label Study to Evaluate the Safety and Efficacy of Autologous CD19-specific Chimeric Antigen Receptor T Cells (CABA-201) in Subjects With Active Idiopathic Inflammatory Myopathy or Juvenile Idiopathic Inflammatory Myopathy
Run by Cabaletta Bio · NCT06154252 · Data updated 2026-11-12
This study is testing a new cell therapy called CABA-201 to see if it can help people with active idiopathic inflammatory myopathy feel better by reducing muscle inflammation and weakness.
Quick facts
| Phase | Phase2; Phase3 |
|---|---|
| Study type | Interventional |
| Ages | 6 Years to 75 Years |
| Sex | All |
| Enrollment | 74 (estimated) |
| Sponsor | Cabaletta Bio Industry-sponsored |
| Drugs / interventions | CAR T, cyclophosphamide, fludarabine |
| Locations | 38 sites (Orange, California and 37 other locations) |
| Status | Recruiting |
| Started | December 20, 2023 |
| Main results expected | July 2028 |
| Study ends | July 2028 |
| Registry record updated | October 15, 2026 |
| Trial ID | NCT06154252 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults aged 18 to 75 with a clinical diagnosis of active idiopathic inflammatory myopathy, including dermatomyositis, anti-synthetase syndrome, or immune-mediated necrotizing myopathy.
✕Probably not a fit
Patients with contraindications to leukapheresis or severe uncontrolled comorbidities may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study evaluates the safety and efficacy of CABA-201, an investigational cell therapy, in patients with active idiopathic inflammatory myopathy (IIM) or juvenile idiopathic inflammatory myopathy (JIIM). Participants will receive a single dose of CABA-201 following preconditioning with fludarabine and cyclophosphamide. The study aims to assess the treatment's effectiveness in reducing muscle inflammation and weakness associated with various subtypes of IIM. Patients will be monitored for safety and response to treatment through clinical assessments and laboratory tests.
Why it matters
Potential benefit: If successful, this treatment could significantly improve muscle strength and reduce inflammation in patients with IIM.
How similar studies have gone: While the approach of using CAR-T therapy in autoimmune diseases is novel, similar studies have shown promise in other conditions, suggesting potential for success.
Who can join: the full rules
Show full inclusion / exclusion criteria
Adult Cohorts Inclusion Criteria: * Age ≥18 and ≤75 * A clinical diagnosis of IIM, based on the 2017 The European League Against Rheumatism/American College of Rheumatology classification criteria * Diagnosis of DM, ASyS, or IMNM * Evidence of active disease, despite prior or current treatment with standard of care treatments, as defined by the presence of elevated creatine kinase (CK), DM rash, or active disease on muscle biopsy, magnetic resonance imaging (MRI), or electromyography * Presence of muscle weakness Other protocol-defined criteria apply. 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 * Previous CAR T cell therapy * Prior solid organ (heart, liver, kidney, lung) transplant or hematopoietic cell transplant Other protocol-defined criteria apply. Juvenile Cohort Inclusion Criteria: * Age ≥6 and ≤17 years at enrollment * A clinical diagnosis of IIM, based on the 2017 The European League Against Rheumatism/American College of Rheumatology classification criteria * Evidence of active disease, despite prior or current treatment with standard of care treatments, as defined by the presence of elevated muscle enzymes, DM rash, or active disease on muscle biopsy, magnetic resonance imaging (MRI), or electromyography Other protocol-defined criteria apply. 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 * Previous CAR T cell therapy * Prior solid organ (heart, liver, kidney, lung) transplant or hematopoietic cell transplant Other protocol-defined criteria apply.
Where it's running
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University of California Irvine - Accepting Adult Patients
Orange, California, United States Recruiting -
University of California, San Francisco Benioff Children's Hospital - Accepting Young Adult and Juvenile Patients
San Francisco, California, United States Recruiting -
Children's Hospital Colorado - Accepting Juvenile Patients
Aurora, Colorado, United States Recruiting -
Mayo Clinic Florida - Accepting Adult Patients
Jacksonville, Florida, United States Recruiting -
Johns Hopkins All Children's Hospital - Accepting Juvenile Patients
St. Petersburg, Florida, United States Recruiting -
Children's Healthcare of Atlanta - Accepting Juvenile Patients
Atlanta, Georgia, United States Recruiting
Show 32 more locations
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Emory University - Accepting Adult Patients
Atlanta, Georgia, United States Recruiting -
Ann & Robert H. Lurie Children's Hospital of Chicago - Accepting Young Adult and Juvenile Patients
Chicago, Illinois, United States Recruiting -
Northwestern Memorial Hospital - Accepting Adult Patients
Chicago, Illinois, United States Recruiting -
The University of Chicago Medical Center - Accepting Adult and Juvenile Patients
Chicago, Illinois, United States Recruiting -
University of Kansas Medical Center - Accepting Adult Patients
Kansas City, Kansas, United States Recruiting -
National Institutes of Health - Accepting Adult and Juvenile Patients
Bethesda, Maryland, United States Recruiting -
Boston Children's Hospital - Accepting Young Adults and Juvenile Patients
Boston, Massachusetts, United States Recruiting -
University of Michigan - Accepting Young Adult and Juvenile Patients
Ann Arbor, Michigan, United States Recruiting -
Mayo Clinic - Accepting Adult Patients
Rochester, Minnesota, United States Recruiting -
Hospital for Special Surgery - Accepting Adult and Juvenile Patients
New York, New York, United States Recruiting -
Memorial Sloan Kettering Cancer Center - Accepting Adult and Juvenile Patients
New York, New York, United States Recruiting -
Children's Hospital at Montefiore - Accepting Young Adult and Juvenile Patients
The Bronx, New York, United States Recruiting -
University of North Carolina at Chapel Hill - Accepting Adult Patients
Chapel Hill, North Carolina, United States Recruiting -
Duke University Medical Center - Accepting Young Adults and Juvenile Patients
Durham, North Carolina, United States Recruiting -
Oregon Health & Science University - Accepting Adult Patients
Portland, Oregon, United States Recruiting -
Children's Hospital of Philadelphia - Accepting Young Adult and Juvenile Patients
Philadelphia, Pennsylvania, United States Recruiting -
UPMC Children's Hospital of Pittsburgh - Accepting Juvenile Patients
Pittsburgh, Pennsylvania, United States Recruiting -
UPMC Arthritis and Autoimmunity Center - Accepting Adult Patients
Pittsburgh, Pennsylvania, United States Recruiting -
Vanderbilt University Medical Center - Accepting Adult Patients
Nashville, Tennessee, United States Recruiting -
University of Texas Southwestern Medical Center - Accepting Juvenile Patients
Dallas, Texas, United States Recruiting -
Houston Methodist Hospital - Accepting Adult Patients
Houston, Texas, United States Recruiting -
University of Texas MD Anderson Cancer Center - Accepting Adult Patients
Houston, Texas, United States Recruiting -
Primary Children's Hospital/University of Utah - Accepting Juvenile Patients
Salt Lake City, Utah, United States Recruiting -
Seattle Children's Research Institute - Accepting Juvenile Patients
Seattle, Washington, United States Recruiting -
Kings College Hospital NHS Foundation Trust - Accepting Adult Patients
London, United Kingdom Recruiting -
University College London Hospitals NHS Foundation Trust - Accepting Adult Patients
London, United Kingdom Recruiting -
Great Ormond Street Hospital for Children NHS Foundation Trust - Accepting Juvenile Patients
London, United Kingdom Recruiting -
Manchester Royal Infirmary - Accepting Adult Patients
Manchester, United Kingdom Recruiting -
Salford Royal Hospital - Accepting Adult Patients
Salford, United Kingdom Recruiting -
Children's Wisconsin Pediatric Rheumatology -Accepting Young Adult and Juvenile Patients
Milwaukee, Wisconsin, United States Not yet recruiting -
Universitätsmedizin Göttingen - Accepting Adult Patients
Göttingen, Germany Not yet recruiting -
Ospedale Pediatrico Bambino Gesù - Accepting Young Adult and Juvenile Patients
Roma, Italy Not yet recruiting
Study contacts
- Study coordinator: Cabaletta Bio
- Email: clinicaltrials@cabalettabio.com
- Phone: 267-759-3100
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.