RESET-SSc: An Open-Label Study to Evaluate the Safety and Efficacy of CABA-201, a CD19-CAR T Cell Therapy, in Subjects With Systemic Sclerosis

Trial statusRecruiting
Trial phasePhase 2, Phase 3
Trial typeInterventional
Biological sexAll
Age18-75
SponsorCabaletta Bio

About this trial

RESET-SSc: A Phase 1/2 Open-Label Study to Evaluate the Safety and Efficacy of CABA-201, a CD19-CAR T cell therapy, in Subjects with Systemic Sclerosis

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age ≥18 and ≤75

A clinical diagnosis of SSc, based on the 2013 American College of Rheumatology and European League Against Rheumatism classification criteria.

Early active disease

Evidence of significant skin, pulmonary, or cardiac involvement

Disqualifiers

Contraindication to leukapheresis

History of anaphylactic or severe systemic reaction to fludarabine, cyclophosphamide or any of their metabolites

Active infection requiring medical intervention at screening visit

Current symptoms of severe, progressive, or uncontrolled renal, hepatic, hematological, gastrointestinal, pulmonary, psychiatric, cardiac, neurological, or cerebral disease, including severe and uncontrolled infections, such as sepsis and opportunistic infections.

Trial design

Design model

Single group

Treatments tested in this trial

  • CABA-201

    Biological/Vaccine

    Single intravenous infusion of CABA-201 at a single dose level following preconditioning with fludarabine and cyclophosphamide

  • CABA-201

    Biological/Vaccine

    Single intravenous infusion of CABA-201 at a single dose level following preconditioning with fludarabine and cyclophosphamide

Treatment groups

37 Participants
are divided into 2 treatment groups
Group A: CABA-201 Phase 1/2Experimental treatment 1 intervention
Group B: CABA-201 Phase 2b - Sub-studyExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Phase 1/2: To evaluate incidence of adverse events

Incidence and severity of AEs

Time frame
Up to 28 days after CABA-201 infusion
2

Phase 2b Sub-study: To evaluate the efficacy of CABA-201 on % predicted forced vital capacity (FVC) in SSc-ILD subjects

Mean change from baseline in % predicted FVC without any immunomodulatory or anti-fibrotic medications and on no or low dose of steroids

Time frame
Week 52

Secondary outcomes

1

To evaluate adverse events and laboratory abnormalities

Incidence and severity of AEs, including changes in laboratory values and vital signs

Time frame
Up to 156 weeks (Phase 1/2) and through 104 weeks (Sub-study)
2

To characterize the pharmacodynamics (PD)

Levels of B cells in the blood

Time frame
Up to 156 weeks (Phase 1/2) and through 104 weeks (Sub-study)
3

To characterize the pharmacokinetics (PK)

Levels of CABA-201-positive T cells in the blood

Time frame
Up to 156 weeks (Phase 1/2) and through 104 weeks (Sub-study)
4

To evaluate efficacy

Proportion of subjects achieving revised Composite Response Index for Systemic Sclerosis (CRISS) criteria

Time frame
Up to 156 weeks (Phase 1/2) and at Week 52 (Sub-study)

Other outcomes

Sponsors and contacts

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