- ICH GCP
- Registro de ensaios clínicos dos EUA
- Ensaio Clínico 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)
Visão geral do estudo
Status
Intervenção / Tratamento
Tipo de estudo
Inscrição (Estimado)
Estágio
- Fase 2
Contactos e Locais
Contato de estudo
- Nome: First line of the email MUST contain NCT # and Site #.
Estude backup de contato
- Nome: BMS Clinical Trials Contact Center www.BMSClinicalTrials.com
- Número de telefone: 855-907-3286
- E-mail: Clinical.Trials@bms.com
Locais de estudo
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Erlangen, Alemanha, 91054
- Local Institution - 302
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Contato:
- Site 302
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Saxony-Anhalt
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Magdeburg, Saxony-Anhalt, Alemanha, 39120
- Local Institution - 301
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Contato:
- Site 301
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Odense, Dinamarca, DK-5000
- Local Institution - 201
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Contato:
- Site 201
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Massachusetts
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Boston, Massachusetts, Estados Unidos, 02114
- Local Institution - 101
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Contato:
- Site 101
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Texas
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Houston, Texas, Estados Unidos, 77030-2740
- Local Institution - 103
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Contato:
- Site 103
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Washington
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Seattle, Washington, Estados Unidos, 98109
- Local Institution - 102
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Contato:
- Site 102
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Sheffield, Reino Unido, S10 2SJ
- Local Institution - 402
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Contato:
- Site 402
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Greater London
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London, Greater London, Reino Unido, W12 OHS
- Local Institution - 401
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Contato:
- Site 401
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Critérios de participação
Critérios de elegibilidade
Idades elegíveis para estudo
- Adulto
- Adulto mais velho
Aceita Voluntários Saudáveis
Descrição
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.
Plano de estudo
Como o estudo é projetado?
Detalhes do projeto
- Finalidade Principal: Tratamento
- Alocação: Não randomizado
- Modelo Intervencional: Atribuição de grupo único
- Mascaramento: Nenhum (rótulo aberto)
Armas e Intervenções
Grupo de Participantes / Braço |
Intervenção / Tratamento |
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Experimental: Coorte 2
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Dose especificada em dias especificados
Specified dose of specified days
Outros nomes:
Specified dose of specified days
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Experimental: Cohort 1 Part A ITP
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Dose especificada em dias especificados
Specified dose of specified days
Outros nomes:
Specified dose of specified days
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Experimental: Cohort 1 Part A AIHA
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Dose especificada em dias especificados
Specified dose of specified days
Outros nomes:
Specified dose of specified days
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Experimental: Cohort 1 Part B
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Dose especificada em dias especificados
Specified dose of specified days
Outros nomes:
Specified dose of specified days
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O que o estudo está medindo?
Medidas de resultados primários
Medida de resultado |
Prazo |
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Cohort 1 Part A: Number of participants with treatment-emergent adverse events (TEAEs)
Prazo: 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)
Prazo: 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)
Prazo: 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
Prazo: 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)
Prazo: Up to approximately Month 6
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Up to approximately Month 6
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Medidas de resultados secundários
Medida de resultado |
Prazo |
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Cohort 1 PART B: Hematologic Overall Response (OR)
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: Up to approximately Month 36
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Up to approximately Month 36
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Number of participants with Hematologic PR
Prazo: Up to approximately Month 6
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Up to approximately Month 6
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Number of participants with Hematologic CR
Prazo: Up to approximately Month 36
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Up to approximately Month 36
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Number of participants with Hematologic PR
Prazo: Up to approximately Month 36
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Up to approximately Month 36
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Number of participants with Hematologic OR
Prazo: 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)
Prazo: 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
Prazo: 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)
Prazo: Up to approximately Month 36
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Up to approximately Month 36
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Time to First Complete Response (TTCR)
Prazo: Up to approximately Month 36
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Up to approximately Month 36
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Duration of response (DOR)
Prazo: Up to approximately Month 36
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Up to approximately Month 36
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Treatment-free Remission (TFR)
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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)
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: 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
Prazo: Up to approximately Month 36
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Up to approximately Month 36
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Colaboradores e Investigadores
Investigadores
- Diretor de estudo: Bristol-Myers Squibb, Bristol-Myers Squibb
Publicações e links úteis
Datas de registro do estudo
Datas Principais do Estudo
Início do estudo (Estimado)
Conclusão Primária (Estimado)
Conclusão do estudo (Estimado)
Datas de inscrição no estudo
Enviado pela primeira vez
Enviado pela primeira vez que atendeu aos critérios de CQ
Primeira postagem (Real)
Atualizações de registro de estudo
Última Atualização Postada (Real)
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última verificação
Mais Informações
Termos relacionados a este estudo
Termos MeSH relevantes adicionais
- Doenças autoimunes
- Doenças do sistema imunológico
- Doenças Hematológicas
- Anemia Hemolítica
- Anemia
- Doenças hemic e linfáticas
- Anemia Hemolítica Autoimune
- Produtos químicos orgânicos
- Hidrocarbonetos
- Mustarazas de fosforamida
- Compostos de mostarda de nitrogênio
- Compostos de mostarda
- Hidrocarbonetos, halogenados
- Fosforamidas
- Compostos organofosforos
- Ciclofosfamida
- fosfato de fludarabina
Outros números de identificação do estudo
- CA061-1040
Plano para dados de participantes individuais (IPD)
Planeja compartilhar dados de participantes individuais (IPD)?
Descrição do plano IPD
Prazo de Compartilhamento de IPD
Critérios de acesso de compartilhamento IPD
Tipo de informação de suporte de compartilhamento de IPD
- PROTOCOLO DE ESTUDO
- SEIVA
- CSR
Informações sobre medicamentos e dispositivos, documentos de estudo
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