Study of Zola-cel (BMS-986353), in Participants With Autoimmune Cytopenia (Breakfree-AiCE)
A Phase 2, Multicenter, Open-Label Study of Zolacabtagene Autoleucel (BMS-986353), CD19-Targeted NEX-T CAR T Cells, in Participants With Chronic Immune Thrombocytopenia (cITP) and Autoimmune Hemolytic Anemia (AIHA)
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Studientyp
Studientyp
Einschreibung (Geschätzt)
Einschreibung
Phase
Phase
- Phase 2
Kontakte und Standorte
Studienkontakt
Studienkontakt
- Name: First line of the email MUST contain NCT # and Site #.
Studieren Sie die Kontaktsicherung
- Name: BMS Clinical Trials Contact Center www.BMSClinicalTrials.com
- Telefonnummer: 855-907-3286
- E-Mail: Clinical.Trials@bms.com
Studienorte
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Erlangen, Deutschland, 91054
- Local Institution - 302
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Kontakt:
- Site 302
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Saxony-Anhalt
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Magdeburg, Saxony-Anhalt, Deutschland, 39120
- Local Institution - 301
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Kontakt:
- Site 301
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Odense, Dänemark, DK-5000
- Local Institution - 201
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Kontakt:
- Site 201
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Massachusetts
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Boston, Massachusetts, Vereinigte Staaten, 02114
- Local Institution - 101
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Kontakt:
- Site 101
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Texas
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Houston, Texas, Vereinigte Staaten, 77030-2740
- Local Institution - 103
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Kontakt:
- Site 103
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Washington
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Seattle, Washington, Vereinigte Staaten, 98109
- Local Institution - 102
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Kontakt:
- Site 102
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Sheffield, Vereinigtes Königreich, S10 2SJ
- Local Institution - 402
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Kontakt:
- Site 402
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Greater London
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London, Greater London, Vereinigtes Königreich, W12 OHS
- Local Institution - 401
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Kontakt:
- Site 401
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Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
- Erwachsene
- Älterer Erwachsener
Akzeptiert gesunde Freiwillige
Beschreibung
Inclusion Criteria
Inclusion Criteria for ITP
- Documented clinical diagnosis of chronic ITP (cITP) without other clinical manifestations of systemic autoimmune disease.
- Has relapsed after or is intolerant to corticosteroids (with or without intravenous immunoglobulin (IVIG) or anti-Rh0(D) Ig) AND has failed, relapsed after, or is intolerant to therapies with ≥ 2 mechanisms of action, with at least one being immunosuppressive or immunomodulatory.
Platelet count < 30 × 109/L. For participants on thrombopoietin receptor agonist (TPO-RA): platelet count < 50 × 109/L.
Inclusion Criteria for AIHA
Documented clinical diagnosis of AIHA (including warm autoimmune hemolytic anemia (wAIHA), cold agglutinin disease (CAD), or mixed AIHA) without other clinical manifestations of systemic autoimmune disease.
o wAIHA and mixed warm and cold AIHA: Failed, relapsed after, or is intolerant to at least 2 prior lines of treatment with 2 mechanisms of action (not including corticosteroids or IVIG), one of which is an anti-CD20 monoclonal antibody unless there is a documented contraindication.
o CAD (all of the following must apply): Failed, relapsed after, or is intolerant to at least 2 prior lines of treatment with 2 mechanisms of action, one of which is an anti-CD20 monoclonal antibody with or without chemotherapy unless there is a documented contraindication.
- Hb <10 g/dL without red blood cell transfusion, or transfusion dependent
- Documented hemolysis
Exclusion Criteria
Medical Conditions
- ITP or AIHA associated with: Evans syndrome, other systemic autoimmune disease or single organ autoimmune disease requiring systemic immunosuppressive therapy, hepatitis C virus, HIV, drug induced (eg, non-steroidal anti-inflammatory drug (NSAIDS), trimethoprim/sulfamethoxazole (TMP-SMX), anticonvulsants), surgical procedures, or hematologic malignancies.
- COVID-19 Vaccine-induced immune thrombotic thrombocytopenia
- Prior history of solid organ malignancies, unless the participant has been free of the disease for ≥ 2 years.
Laboratory Test Findings
- Peripheral blood ANC < 1.5 × 109/L or requiring G-CSF or GM-CSF support o ALT/AST: ITP: ALT/AST: > 3 × ULN AIHA: ALT > 3 ULN. AST up to 5 × ULN may be permitted. o Bilirubin: ITP: total bilirubin > 1.5 × ULN AIHA: direct bilirubin > 1.5 × ULN o International normalized ratio (INR) > 1.5 × ULN
Other protocol-defined inclusion/exclusion criteria may apply.
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Nicht randomisiert
- Interventionsmodell: Einzelgruppenzuweisung
- Maskierung: Keine (Offenes Etikett)
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
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Experimental: Kohorte 2
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Angegebene Dosis an bestimmten Tagen
Specified dose of specified days
Andere Namen:
Specified dose of specified days
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Experimental: Cohort 1 Part A ITP
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Angegebene Dosis an bestimmten Tagen
Specified dose of specified days
Andere Namen:
Specified dose of specified days
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Experimental: Cohort 1 Part A AIHA
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Angegebene Dosis an bestimmten Tagen
Specified dose of specified days
Andere Namen:
Specified dose of specified days
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Experimental: Cohort 1 Part B
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Angegebene Dosis an bestimmten Tagen
Specified dose of specified days
Andere Namen:
Specified dose of specified days
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Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Zeitfenster |
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Cohort 1 Part A: Number of participants with treatment-emergent adverse events (TEAEs)
Zeitfenster: Up to approximately Month 36
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Up to approximately Month 36
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Cohort 1 Part A: Number of participants with serious AEs (SAEs)
Zeitfenster: Up to approximately Month 36
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Up to approximately Month 36
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Cohort 1 Part A: Number of participants with AEs of special interest (AESI)
Zeitfenster: Up to approximately Month 36
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Up to approximately Month 36
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Cohort 1 Part A: Number of participants with clinically significant laboratory abnormalities
Zeitfenster: Up to approximately Month 36
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Up to approximately Month 36
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Cohort 1 Part B: Hematologic Complete Response (CR)
Zeitfenster: Up to approximately Month 6
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Up to approximately Month 6
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Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Zeitfenster |
|---|---|
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Cohort 1 PART B: Hematologic Overall Response (OR)
Zeitfenster: Up to approximately Month 6
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Up to approximately Month 6
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Cohort 1 PART A and Cohort 2: Hematologic CR and OR
Zeitfenster: Up to approximately Month 6
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Up to approximately Month 6
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Cohort 1 PART B and Cohort 2: Number of participants with TEAEs
Zeitfenster: Up to approximately Month 36
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Up to approximately Month 36
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Cohort 1 PART B and Cohort 2: Number of participants with SAEs
Zeitfenster: Up to approximately Month 36
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Up to approximately Month 36
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Cohort 1 PART B and Cohort 2: Number of participants with AESIs
Zeitfenster: Up to approximately Month 36
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Up to approximately Month 36
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Cohort 1 PART B and Cohort 2: Number of participants with clinically significant laboratory abnormalities
Zeitfenster: Up to approximately Month 36
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Up to approximately Month 36
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Number of participants with Hematologic PR
Zeitfenster: Up to approximately Month 6
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Up to approximately Month 6
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Number of participants with Hematologic CR
Zeitfenster: Up to approximately Month 36
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Up to approximately Month 36
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Number of participants with Hematologic PR
Zeitfenster: Up to approximately Month 36
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Up to approximately Month 36
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Number of participants with Hematologic OR
Zeitfenster: Up to approximately Month 36
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Up to approximately Month 36
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Number of participants with Best Overall Response (BOR)
Zeitfenster: Up to approximately Month 36
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Up to approximately Month 36
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Number of participants with durable CR, PR and OR
Zeitfenster: Up to approximately 12 months from Zola-cel infusion
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Up to approximately 12 months from Zola-cel infusion
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Time to First Response (TTR)
Zeitfenster: Up to approximately Month 36
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Up to approximately Month 36
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Time to First Complete Response (TTCR)
Zeitfenster: Up to approximately Month 36
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Up to approximately Month 36
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Duration of response (DOR)
Zeitfenster: Up to approximately Month 36
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Up to approximately Month 36
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Treatment-free Remission (TFR)
Zeitfenster: Up to approximately Month 36
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Up to approximately Month 36
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Proportion of participants who requires rescue therapy for ITP or AIHA
Zeitfenster: Up to approximately Month 36
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Up to approximately Month 36
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Time to first administration of rescue therapy for ITP or AIHA
Zeitfenster: Up to approximately Month 36
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Up to approximately Month 36
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Proportion of AIHA participants who experience hemolysis features
Zeitfenster: Up to approximately Month 36
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Up to approximately Month 36
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Number of AIHA participants with cold agglutinin disease (CAD) who experience acrocyanosis
Zeitfenster: Up to approximately Month 36
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Up to approximately Month 36
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Change from baseline in hemolysis indicators in AIHA participants
Zeitfenster: Up to approximately Month 36
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Up to approximately Month 36
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Proportion of ITP participants with WHO-classified bleeding events as assessed by WHO bleeding scale
Zeitfenster: Up to approximately Month 36
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Up to approximately Month 36
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Change from baseline in 36-Item Short Form Health Questionnaire version 2 (SF-36 v2)
Zeitfenster: Up to approximately Month 36
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Up to approximately Month 36
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Change from baseline in Patient Global Impression of Severity (PGI-S) Fatigue score
Zeitfenster: Up to approximately Month 36
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Up to approximately Month 36
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Patient Global Impression of Change (PGI-C) Fatigue mean score
Zeitfenster: Up to approximately Month 36
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Up to approximately Month 36
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Change from baseline in Immune Thrombocytopenia-Patient Assessment Questionnaire (ITP - PAQ) score
Zeitfenster: Up to approximately Month 36
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Up to approximately Month 36
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Change from baseline in Functional Assessment of Chronic Illness Therapy (FACIT) Fatigue score
Zeitfenster: Up to approximately Month 36
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Up to approximately Month 36
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Mitarbeiter und Ermittler
Sponsor
Sponsor
Ermittler
Ermittler
- Studienleiter: Bristol-Myers Squibb, Bristol-Myers Squibb
Publikationen und hilfreiche Links
Nützliche Links
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Geschätzt)
Studienbeginn
Primärer Abschluss (Geschätzt)
Primärer Abschluss
Studienabschluss (Geschätzt)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Zusätzliche relevante MeSH-Bedingungen
- Autoimmunerkrankungen
- Erkrankungen des Immunsystems
- Hämatologische Erkrankungen
- Anämie, hämolytisch
- Anämie
- Hämische und lymphatische Krankheiten
- Anämie, Hämolyse, Autoimmun
- Organische Chemikalien
- Kohlenwasserstoffe
- Phosphoramid -Senf
- Stickstoffsenfverbindungen
- Senfverbindungen
- Kohlenwasserstoffe, halogeniert
- Phosphoramide
- Organophosphorverbindungen
- Cyclophosphamid
- Fludarabin -Phosphat
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- CA061-1040
Plan für individuelle Teilnehmerdaten (IPD)
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Beschreibung des IPD-Plans
IPD-Sharing-Zeitrahmen
IPD-Sharing-Zugriffskriterien
Art der unterstützenden IPD-Freigabeinformationen
- STUDIENPROTOKOLL
- SAFT
- CSR
Arzneimittel- und Geräteinformationen, Studienunterlagen
Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt
Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt
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