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- Klinische proef NCT07603557
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)
Studie Overzicht
Toestand
Interventie / Behandeling
Studietype
Inschrijving (Geschat)
Fase
- Fase 2
Contacten en locaties
Studiecontact
- Naam: First line of the email MUST contain NCT # and Site #.
Studie Contact Back-up
- Naam: BMS Clinical Trials Contact Center www.BMSClinicalTrials.com
- Telefoonnummer: 855-907-3286
- E-mail: Clinical.Trials@bms.com
Studie Locaties
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Odense, Denemarken, DK-5000
- Local Institution - 201
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Contact:
- Site 201
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Erlangen, Duitsland, 91054
- Local Institution - 302
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Contact:
- Site 302
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Saxony-Anhalt
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Magdeburg, Saxony-Anhalt, Duitsland, 39120
- Local Institution - 301
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Contact:
- Site 301
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Sheffield, Verenigd Koninkrijk, S10 2SJ
- Local Institution - 402
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Contact:
- Site 402
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Greater London
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London, Greater London, Verenigd Koninkrijk, W12 OHS
- Local Institution - 401
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Contact:
- Site 401
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Massachusetts
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Boston, Massachusetts, Verenigde Staten, 02114
- Local Institution - 101
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Contact:
- Site 101
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Texas
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Houston, Texas, Verenigde Staten, 77030-2740
- Local Institution - 103
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Contact:
- Site 103
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Washington
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Seattle, Washington, Verenigde Staten, 98109
- Local Institution - 102
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Contact:
- Site 102
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Volwassen
- Oudere volwassene
Accepteert gezonde vrijwilligers
Beschrijving
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.
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Niet-gerandomiseerd
- Interventioneel model: Opdracht voor een enkele groep
- Masker: Geen (open label)
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
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Experimenteel: Cohort 2
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Gespecificeerde dosis op bepaalde dagen
Specified dose of specified days
Andere namen:
Specified dose of specified days
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Experimenteel: Cohort 1 Part A ITP
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Gespecificeerde dosis op bepaalde dagen
Specified dose of specified days
Andere namen:
Specified dose of specified days
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Experimenteel: Cohort 1 Part A AIHA
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Gespecificeerde dosis op bepaalde dagen
Specified dose of specified days
Andere namen:
Specified dose of specified days
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Experimenteel: Cohort 1 Part B
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Gespecificeerde dosis op bepaalde dagen
Specified dose of specified days
Andere namen:
Specified dose of specified days
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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Tijdsspanne |
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Cohort 1 Part A: Number of participants with treatment-emergent adverse events (TEAEs)
Tijdsspanne: 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)
Tijdsspanne: 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)
Tijdsspanne: 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
Tijdsspanne: 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)
Tijdsspanne: Up to approximately Month 6
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Up to approximately Month 6
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Secundaire uitkomstmaten
Uitkomstmaat |
Tijdsspanne |
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Cohort 1 PART B: Hematologic Overall Response (OR)
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: Up to approximately Month 36
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Up to approximately Month 36
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Number of participants with Hematologic PR
Tijdsspanne: Up to approximately Month 6
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Up to approximately Month 6
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Number of participants with Hematologic CR
Tijdsspanne: Up to approximately Month 36
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Up to approximately Month 36
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Number of participants with Hematologic PR
Tijdsspanne: Up to approximately Month 36
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Up to approximately Month 36
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Number of participants with Hematologic OR
Tijdsspanne: 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)
Tijdsspanne: 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
Tijdsspanne: 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)
Tijdsspanne: Up to approximately Month 36
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Up to approximately Month 36
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Time to First Complete Response (TTCR)
Tijdsspanne: Up to approximately Month 36
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Up to approximately Month 36
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Duration of response (DOR)
Tijdsspanne: Up to approximately Month 36
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Up to approximately Month 36
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Treatment-free Remission (TFR)
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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)
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: Up to approximately Month 36
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Up to approximately Month 36
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Medewerkers en onderzoekers
Onderzoekers
- Studie directeur: Bristol-Myers Squibb, Bristol-Myers Squibb
Publicaties en nuttige links
Studie record data
Bestudeer belangrijke data
Studie start (Geschat)
Primaire voltooiing (Geschat)
Studie voltooiing (Geschat)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Aanvullende relevante MeSH-voorwaarden
- Auto-immuunziekten
- Ziekten van het immuunsysteem
- Hematologische ziekten
- Bloedarmoede, hemolytisch
- Bloedarmoede
- Hemische en lymfatische ziekten
- Bloedarmoede, hemolytisch, auto-immuun
- Organische chemicaliën
- Koolwaterstoffen
- Fosforamide mosterd
- Stikstofmosterdverbindingen
- Mosterdverbindingen
- Koolwaterstoffen, gehalogeneerd
- Fosforamides
- Organofosforverbindingen
- Cyclofosfamide
- fludarabine fosfaat
Andere studie-ID-nummers
- CA061-1040
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
Beschrijving IPD-plan
IPD-tijdsbestek voor delen
IPD-toegangscriteria voor delen
IPD delen Ondersteunend informatietype
- LEERPROTOCOOL
- SAP
- MVO
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
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