Clinical trial Recruiting at 14 sites Phase 1 Interventional Ages 18 and up

Treatment of generalized myasthenia gravis with a new CAR-T therapy

Official title: A Phase 1 Study of Anitocabtagene Autoleucel for the Treatment of Subjects With Non-Oncology Plasma Cell-Related Diseases

Run by Gilead Sciences · NCT06626919 · Data updated 2026-11-12

This study is testing a new CAR-T therapy to see if it can safely help adults with generalized myasthenia gravis feel better.

More Autoimmune Diseases trials

Quick facts

PhasePhase 1
Study typeInterventional
Ages18 Years and up
SexAll
Enrollment30 (estimated)
SponsorGilead Sciences
Industry-sponsored
Drugs / interventionschimeric antigen receptor, methotrexate, cyclophosphamide, CAR-T, chemotherapy
Locations14 sites (Los Angeles, California and 13 other locations)
StatusRecruiting
StartedApril 30, 2025
Main results expectedOctober 2028
Study endsOctober 2028
Registry record updatedOctober 22, 2026
Trial IDNCT06626919 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18 and older with clinically active generalized myasthenia gravis requiring ongoing therapy.

Probably not a fit

Patients who have received prior gene therapy or CAR-T therapy, or those with certain chronic illnesses 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 Phase 1 open-label, multi-center study evaluates the safety, tolerability, and preliminary efficacy of anitocabtagene autoleucel (anito-cel) in adults with generalized myasthenia gravis (GMG). Participants will undergo leukapheresis followed by lymphodepletion chemotherapy and a single infusion of anito-cel. The study aims to identify the maximum tolerated dose and assess any dose-limiting toxicities within the first 28 days post-infusion. Safety data will be collected throughout the study to support further development of this CAR-T cell therapy.

Why it matters

Potential benefit: If successful, this therapy could provide a novel treatment option for patients with generalized myasthenia gravis, potentially improving their quality of life.

How similar studies have gone: While CAR-T therapies have shown success in oncology, this application in non-oncology plasma cell-related diseases is novel and untested.

Who can join: the full rules

Show full inclusion / exclusion criteria
Key Inclusion Criteria:

* Individuals must be 18 years of age or older
* Must have Myasthenia Gravis Foundation of America (MGFA) clinical classification Grades 2-4A at time of screening
* Participant must have clinically active disease and requiring ongoing therapy for Generalized Myasthenia Gravis (GMG)
* MG-ADL score ≥ 6 and QMG score ≥ 10 at screening
* GMG specific autoantibodies must be above the reference laboratory upper limit of normal (ULN)

Key Exclusion Criteria:

* Individual is pregnant or breastfeeding
* Treatment with Anti-CD20 agents, calcineurin inhibitors, FcRN inhibitors, azathioprine, mycophenolate mofetil, methotrexate, or cyclophosphamide within the specified time frame prior to leukapheresis or prior to anito-cel infusion
* Previous treatment with any gene therapy, chimeric antigen receptor therapy or T cell engager
* Previous thymectomy within 6 months of screening
* Major chronic illness that is not well managed at the time of study entry and in the opinion of the investigator

Note: Other protocol defined Inclusion/Exclusion criteria may apply.

Where it's running

  • Ronald Reagan UCLA Medical Center
    Los Angeles, California, United States
    Recruiting
  • UC Irvine Medical Center
    Orange, California, United States
    Recruiting
  • Stanford Blood and Marrow Transplant
    Palo Alto, California, United States
    Recruiting
  • Moffitt Cancer Center
    Tampa, Florida, United States
    Recruiting
  • University of South Florida - Carol and Frank Morsani Center for Advanced Healthcare
    Tampa, Florida, United States
    Recruiting
  • Karmanos Cancer Institute
    Detroit, Michigan, United States
    Recruiting
Show 8 more locations
  • University of Minnesota Delaware Clinical Research Unit
    Minneapolis, Minnesota, United States
    Recruiting
  • Mayo Clinic
    Rochester, Minnesota, United States
    Recruiting
  • Columbia University Irving Medical Center
    New York, New York, United States
    Recruiting
  • The Ohio State University Wexner Medical Center
    Columbus, Ohio, United States
    Recruiting
  • Oregon Health & Science University
    Portland, Oregon, United States
    Recruiting
  • Lewis Katz School of Medicine at Temple University
    Philadelphia, Pennsylvania, United States
    Recruiting
  • UT Southwestern Medical Center
    Dallas, Texas, United States
    Recruiting
  • Houston Methodist Hospital
    Houston, Texas, United States
    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.