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.
Quick facts
| Phase | Phase 1 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 30 (estimated) |
| Sponsor | Gilead Sciences Industry-sponsored |
| Drugs / interventions | chimeric antigen receptor, methotrexate, cyclophosphamide, CAR-T, chemotherapy |
| Locations | 14 sites (Los Angeles, California and 13 other locations) |
| Status | Recruiting |
| Started | April 30, 2025 |
| Main results expected | October 2028 |
| Study ends | October 2028 |
| Registry record updated | October 22, 2026 |
| Trial ID | NCT06626919 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
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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
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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
- Study coordinator: Medical Information
- Email: medinfo@kitepharma.com
- Phone: 844-454-5483(1-844-454-KITE)
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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.