Evaluating CC-97540 for Multiple Sclerosis and Myasthenia Gravis
A Phase 1, Multicenter, Single-arm, Dose-escalation Study of CC-97540 (BMS-986353), CD19-Targeted NEX-T Chimeric Antigen Receptor (CAR) T Cells, Evaluating Safety and Tolerability in Participants With Autoimmune Neurological Diseases: Relapsing Forms of Multiple Sclerosis (RMS), Progressive Forms of Multiple Sclerosis (PMS), or Refractory Myasthenia Gravis (MG).
PHASE1 · Juno Therapeutics, Inc., a Bristol-Myers Squibb Company · NCT06220201
This study is testing a new drug called CC-97540 to see if it can help people with different types of Multiple Sclerosis or hard-to-treat Myasthenia Gravis feel better and manage their symptoms.
Quick facts
| Phase | PHASE1 |
|---|---|
| Study type | Interventional |
| Enrollment | 120 (estimated) |
| Ages | 18 Years to 60 Years |
| Sex | All |
| Sponsor | Juno Therapeutics, Inc., a Bristol-Myers Squibb Company (industry) |
| Locations | 35 sites (Birmingham, Alabama and 34 other locations) |
| Trial ID | NCT06220201 on ClinicalTrials.gov |
What this trial studies
This study evaluates the safety, tolerability, efficacy, and drug levels of CC-97540 in participants with relapsing forms of Multiple Sclerosis (RMS), progressive forms of Multiple Sclerosis (PMS), or refractory Myasthenia Gravis (MG). Participants will be grouped based on their specific condition and severity, with eligibility criteria focusing on their Expanded Disability Status Scale (EDSS) scores and treatment history. The study involves administering CC-97540 along with Fludarabine and Cyclophosphamide to assess its effects on disease progression and symptoms.
Who should consider this trial
Good fit: Ideal candidates include individuals with relapsing or progressive forms of Multiple Sclerosis or refractory Myasthenia Gravis who meet specific EDSS criteria.
Not a fit: Patients with mild forms of Multiple Sclerosis or Myasthenia Gravis who do not meet the eligibility criteria may not benefit from this study.
Why it matters
Potential benefit: If successful, this treatment could provide a new therapeutic option for patients with difficult-to-treat forms of Multiple Sclerosis and Myasthenia Gravis.
How similar studies have performed: Other studies have shown promise with similar approaches, but this specific treatment is novel in its application.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria \- Relapsing forms of Multiple Sclerosis (RMS) - Cohort 1. i) Participants must have an Expanded Disability Status Scale (EDSS) of ≥ 3.0 and ≤ 5.5. ii) Participants must have a diagnosis of Multiple Sclerosis (MS) with relapsed/refractory MS or conversion to active secondary progressive multiple sclerosis (aSPMS), and worsening of disease within 12 months prior to Screening and while on treatment with a high-efficacy DMT for at least 6 months. \- Progressive forms of MS - Cohort 2. i) Participants must have an EDSS ≥ 3.0 and ≤ 6.0. ii) Participants must have a diagnosis of primary progressive multiple sclerosis (PPMS) that is treatment-resistant or diagnosis of inactive secondary progressive multiple sclerosis (iSPMS). \- Myasthenia Gravis - Cohort 3 i)MGFA classification of II-IV at screening ii) Documentation of autoantibodies against AChR or MuSK (historical or at Screening) iii) Refractory disease defined as disease activity on at least 2 immunosuppressants, including steroids, NSIs, or biologics. iv) Has had thymectomy, only if indicated according to current guidelines. Exclusion Criteria * Cohorts 1 and 2: Participants that cannot complete the 9-Hole Peg Test (9-HPT) in at least 1 hand in \<240 seconds unless extenuating medical conditions unrelated to MS prohibit this. * Participants that cannot perform a Timed 25-Foot Walk Test (T25FWT) in \< 150 seconds. * Presence of other confounding peripheral nervous system disorders or other disorders that may impact muscle strength (eg, myositis) or cause weakness, stroke, chronic inflammatory demyelinating polyradiculoneuropathy, Lambert-Eaton myasthenic syndrome. * Other protocol-defined Inclusion/Exclusion criteria apply.
Where this trial is running
Birmingham, Alabama and 34 other locations
- University of Alabama at Birmingham — Birmingham, Alabama, United States (RECRUITING)
- University of California, Irvine — Irvine, California, United States (RECRUITING)
- University of Colorado Anschutz Medical Campus — Aurora, Colorado, United States (RECRUITING)
- Colorado Blood Cancer Institute — Denver, Colorado, United States (RECRUITING)
- Yale-New Haven Hospital — New Haven, Connecticut, United States (RECRUITING)
- University of Kansas Medical Center — Kansas City, Kansas, United States (RECRUITING)
- Local Institution - 0039 — New Orleans, Louisiana, United States (WITHDRAWN)
- Local Institution - 0005 — Boston, Massachusetts, United States (COMPLETED)
- Washington University School of Medicine — St Louis, Missouri, United States (RECRUITING)
- Hackensack University Medical Center — Hackensack, New Jersey, United States (RECRUITING)
- Icahn School of Medicine at Mount Sinai — New York, New York, United States (RECRUITING)
- Neurological Institute of New York — New York, New York, United States (RECRUITING)
- University of Cincinnati Medical Center — Cincinnati, Ohio, United States (RECRUITING)
- Cleveland Clinic Mellen Center — Cleveland, Ohio, United States (RECRUITING)
- Oregon Health and Science University — Portland, Oregon, United States (RECRUITING)
- Swedish Medical Center — Seattle, Washington, United States (RECRUITING)
- Medical College of Wisconsin — Milwaukee, Wisconsin, United States (RECRUITING)
- Antwerp University Hospital — Edegem, Antwerpen, Belgium (RECRUITING)
- UZ Gent — Ghent, Oost-Vlaanderen, Belgium (RECRUITING)
- Hopital Claude Huriez - CHU de Lille — Lille, Nord, France (RECRUITING)
- Pitie Salpetriere University Hospital — Paris, Ville de Paris, France (RECRUITING)
- Universitaetsklinikum Essen — Essen, North Rhine-Westphalia, Germany (RECRUITING)
- Universitaetsklinikum Magdeburg — Magdeburg, Saxony-Anhalt, Germany (RECRUITING)
- Local Institution - 0033 — Düsseldorf, Germany (COMPLETED)
- Universitaetsklinikum Erlangen — Erlangen, Germany (RECRUITING)
- Klinikum der Universität München Großhadern — München, Germany (RECRUITING)
- Hospital Universitari Vall d'Hebron — Barcelona, Barcelona [Barcelona], Spain (RECRUITING)
- Local Institution - 0016 — Barcelona, Barcelona [Barcelona], Spain (NOT_YET_RECRUITING)
- Hospital Clínic de Barcelona — Barcelona, Catalunya [Cataluña], Spain (RECRUITING)
- Hospital Universitario Ramón y Cajal — Madrid, Madrid, Comunidad de, Spain (RECRUITING)
- Hospital Universitari i Politecnic La Fe — Valencia, Spain (RECRUITING)
- Manchester Royal Infirmary — Manchester, Lancashire, United Kingdom (RECRUITING)
- University College London Hospital — London, London, City of, United Kingdom (RECRUITING)
- Salford Royal Hospital — Salford, Manchester, United Kingdom (RECRUITING)
- Barts Health NHS Trust — London, United Kingdom (RECRUITING)
Study contacts
- Study coordinator: BMS Clinical Trials Contact Center www.BMSClinicalTrials.com
- Email: Clinical.Trials@bms.com
- Phone: 855-907-3286
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions: Multiple Sclerosis, Myasthenia Gravis, CC-97540, CAR T, CART, NEX T, NEXT, BMS-986353