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Recruiting Phase 1, Phase 2 NCT06617793

An Open-label Study to Assess the Safety, Efficacy, and Cellular Kinetics of YTB323 in Relapsing Multiple Sclerosis

Trial Parameters

Condition Relapsing Multiple Sclerosis
Sponsor Novartis Pharmaceuticals
Study Type INTERVENTIONAL
Phase Phase 1, Phase 2
Enrollment 28
Sex ALL
Min Age 18 Years
Max Age 60 Years
Start Date 2025-02-24
Completion 2030-10-01
Interventions
rapcabtagene autoleucel (YTB323)

Brief Summary

This is an open-label, multi-center, non-confirmatory study to assess the safety, efficacy, and cellular kinetics of YTB323 in approximately 28 participants with Relapsing Multiple Sclerosis (RMS) with breakthrough disease activity during previous treatment with a highly efficacious therapy (BD-HET). The study design utilizes an ascending single dose design consisting of 3 sentinel cohorts followed by an expansion cohort.

Eligibility Criteria

Inclusion Criteria: * Signed informed consent, and able to communicate well with the investigator and comply with the requirements of the study * Adequate renal, hepatic, cardiac, hematological, and pulmonary function * Male or female participants, ≥18 years to ≤60 years at screening, with diagnosis of RMS according to the 2017 McDonald diagnostic criteria Evidence of recent (i.e. within 1 year) breakthrough disease activity while at least 6 months on a highly efficacious therapy (any of the following): rituximab (Rituxan®), ocrelizumab (Ocrevus®), natalizumab (Tysabri®), ofatumumab (Kesimpta®), ublituximab (Briumvi®) or evidence of breakthrough disease activity within 2 years after the latest alemtuzumab infusion (Lemtrada®). Evidence of breakthrough disease activity is defined as one or more of the following: 1. Confirmed Clinical MS relapse 2. Persistent radiological activity defined by one of the following: * ≥2 T1 gadolinium-enhancing lesions on a single MRI scan * ≥1 T1 gadoliniu

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