Clinical trial Recruiting at 35 sites Phase2; Phase3 Interventional Ages 6 to 75

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

PhasePhase2; Phase3
Study typeInterventional
Ages6 Years to 75 Years
SexAll
Enrollment74 (estimated)
SponsorCabaletta Bio
Industry-sponsored
Drugs / interventionsCAR T, cyclophosphamide, fludarabine
Locations38 sites (Orange, California and 37 other locations)
StatusRecruiting
StartedDecember 20, 2023
Main results expectedJuly 2028
Study endsJuly 2028
Registry record updatedOctober 15, 2026
Trial IDNCT06154252 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

  • 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
  • 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

  • Patient-rooted insights to shape myositis science

    This global project asks people living with myositis (and their care partners) to share experiences and rank research questions so the community can see which issues matter most.

    Recruiting Myositis International Health & Research Collaborative Alliance Foundation · New Orleans, Louisiana · NCT07374107

  • Investigating environmental factors linked to anti-synthetase syndrome

    This study is trying to see if certain environmental factors, like infections or other triggers, might play a role in causing anti-synthetase syndrome in people with myositis.

    Recruiting at 2 sites National Institutes of Health Clinical Center (CC) · Miami, Florida and 7 other locations · NCT01276470

  • Anti-CD19/BCMA universal CAR-T cell therapy for refractory autoimmune diseases

    This will try anti-CD19/BCMA universal CAR-T cell therapy in adults with refractory rheumatoid arthritis, dermatomyositis, systemic lupus, or systemic sclerosis to see if it is safe and can control their disease.

    Recruiting The First Affiliated Hospital with Nanjing Medical University · Nanjing, Jiangsu · NCT07558850

  • Emapalumab for MDA5-positive RP-ILD in adults

    This study tests whether emapalumab can help adults with anti-MDA5 positive rapidly progressive interstitial lung disease who have dermatomyositis-related conditions.

    Recruiting Phase 2 University of Miami · Miami, Florida · NCT07486869

  • Long-term follow-up after KYV-101 (CAR T) treatment

    This follow-up will test how long KYV-101 CAR T cells persist and record any delayed side effects in people who previously received KYV-101 for autoimmune diseases like lupus nephritis, myasthenia gravis, stiff person syndrome, rheumatoid arthritis, or multiple sclerosis.

    Recruiting Kyverna Therapeutics · Denver, Colorado · NCT07403188

  • Tocilizumab treatment for anti-MDA5 positive dermatomyositis in adults

    This study will try giving tocilizumab or a placebo to adults with anti-MDA5 positive dermatomyositis to see if it improves symptoms and breathing.

    Recruiting Peking Union Medical College Hospital · Beijing, Beijing Municipality · NCT07377058

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.