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
| Phase | Phase 1 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years to 60 Years |
| Sex | All |
| Enrollment | 24 (estimated) |
| Sponsor | Autolus Limited Industry-sponsored |
| Drugs / interventions | chemotherapy, chimeric antigen receptor |
| Locations | 7 sites (Palo Alto, California and 6 other locations) |
| Status | Recruiting |
| Started | August 4, 2025 |
| Main results expected | August 15, 2029 |
| Study ends | August 15, 2029 |
| Registry record updated | October 16, 2026 |
| Trial ID | NCT07139743 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
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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
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Royal Hallamshire Hospital
Sheffield, United Kingdom Recruiting
Study contacts
- Study coordinator: Autolus Ltd
- Email: clinicaltrials@autolus.com
- Phone: +44 (0)203 911 4385
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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.