Clinical trial Recruiting at 7 sites Phase 1 Interventional Ages 18 to 60

Obe-cel for refractory progressive multiple sclerosis

Official title: A Single-arm, Open-label, Phase I Study to Determine the Safety, Tolerability, and Preliminary Efficacy of Obe-cel in Participants With Refractory Progressive Forms of Multiple Sclerosis

Run by Autolus Limited · NCT07139743 · Data updated 2026-11-12

This trial will test whether a single infusion of obe-cel, a CD19-directed CAR‑T therapy, is safe and shows early benefit in adults 18–60 with progressive MS that has not responded to prior high-efficacy treatments.

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years to 60 Years
SexAll
Enrollment24 (estimated)
SponsorAutolus Limited
Industry-sponsored
Drugs / interventionschemotherapy, chimeric antigen receptor
Locations7 sites (Palo Alto, California and 6 other locations)
StatusRecruiting
StartedAugust 4, 2025
Main results expectedAugust 15, 2029
Study endsAugust 15, 2029
Registry record updatedOctober 16, 2026
Trial IDNCT07139743 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18–60 with progressive multiple sclerosis who remain symptomatic despite at least two prior disease-modifying therapies, are not pregnant or breastfeeding, and have no active infections or disqualifying medical conditions.

Probably not a fit

Patients with highly active MS, other autoimmune CNS diseases, uncontrolled infections, recent malignancy, or prior organ or hematopoietic stem cell transplants are excluded and unlikely to benefit from this protocol.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This Phase 1, single-arm trial enrolls adults 18–60 with refractory progressive multiple sclerosis who have received at least two disease-modifying therapies. Participants receive short-course lymphodepleting chemotherapy for 1–3 days followed by a single infusion of obe-cel on Day 1. Patients are monitored closely for the first 28 days for acute safety signals and followed for up to 24 months for tolerability and preliminary efficacy. The primary aim is to characterize safety and tolerability, with exploratory measures to look for early clinical or imaging signs of benefit.

Why it matters

Potential benefit: If successful, obe-cel could provide a new option that reduces disease activity or slows progression in patients with progressive MS who have exhausted other therapies.

How similar studies have gone: CD19-targeting antibodies have been effective in MS and early CAR‑T approaches in other refractory autoimmune diseases have shown promising signals, but CAR‑T therapy for progressive MS is largely experimental.

Who can join: the full rules

Show full inclusion / exclusion criteria
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 at least 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.

Where it's running

  • Stanford University
    Palo Alto, California, United States
    Recruiting
  • Hospital Universitario Vall d'Hebron - PPDS
    Barcelona, Spain
    Recruiting
  • Hospital Universitari i Politecnic La Fe de Valencia
    Valencia, Spain
    Recruiting
  • Addenbrooke's Hospital
    Cambridge, United Kingdom
    Recruiting
  • Western General Hospital Edinburgh - PPDSE Edinburgh
    Edinburgh, United Kingdom
    Recruiting
  • The National Hospital for Neurology & Neurosurgery
    London, United Kingdom
    Recruiting
Show 1 more location
  • Royal Hallamshire Hospital
    Sheffield, United Kingdom
    Recruiting

Study contacts

Similar studies

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

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.