KYSA-6: A Study of Anti-CD19 Chimeric Antigen Receptor T-Cell Therapy, in Patients With Generalized Myasthenia Gravis

Study Purpose

A Study of the Anti-CD 19 Chimeric Antigen Receptor T Cell Therapy for Patients with Myasthenia Gravis

Recruitment Criteria

Accepts Healthy Volunteers

Healthy volunteers are participants who do not have a disease or condition, or related conditions or symptoms

No
Study Type

An interventional clinical study is where participants are assigned to receive one or more interventions (or no intervention) so that researchers can evaluate the effects of the interventions on biomedical or health-related outcomes.


An observational clinical study is where participants identified as belonging to study groups are assessed for biomedical or health outcomes.


Searching Both is inclusive of interventional and observational studies.

Interventional
Eligible Ages 18 Years - 75 Years
Gender All
More Inclusion & Exclusion Criteria

Key Inclusion Criteria. 1. Presence of autoantibodies to AChR or MuSK at screening. 2. Myasthenia Gravis Foundation of America (MGFA) Class II-IV. 3. MG-Activities of Daily Living (MG-ADL) total score of ≥6 at screening and confirmed at pre-dose baseline. 4. QMG total score of ≥11 at screening an confirmed at pre-dose baseline. 5. Failed treatment with 2 or more immunosuppressive/immunomodulatory therapies, or failed at least 1 immunosuppressive therapy and required chronic plasmapheresis, or IVIG (>4 times/year over ≥12 months) to control symptoms. 6. On a stable dose of glucocorticoids and/or other immunotherapies for ≥1 month prior to screening. For patients treated with azathioprine, a stable dose for ≥2 months prior to screening is required. 7. No change in dose of acetylcholinesterase inhibitors for ≥2 weeks prior to screening. 8. No use of intravenous immune globulin (IVIG) or plasmapheresis (PLEX) within 4 weeks of screening or pre-dose baseline (unless this is part of their SOC treatment regimen) 9. No use of rituximab (or any other anti-CD20 or CD19 monoclonal antibody) within 12 weeks prior to screening. 10. No use of FcRn inhibitors within 4 weeks prior to screening.Key Exclusion Criteria. 1. Unable to washout or interrupt autoimmune disease therapy prior to apheresis. 2. Co-occurring neurological autoimmune disease (ie, Lambert-Eaton Myasthenic Syndrome) or any disease affecting the neuromuscular junction or muscle causing weakness (eg, myositis, myopathy, motor neuropathy) 3. History of stroke (with residual sequalae and/or risk for recurrence), seizure (even if well controlled on antiepileptics), neurodegenerative disease, altered mental status (unexplained and/or recent/current), or uncontrolled/severe psychiatric disease. 4. Any serious and/or uncontrolled medical condition that, in the investigator's judgment, would cause unacceptable safety risk, interfere with study procedures or results, or compromise compliance with the protocol, including but not limited to, clinically significant cardiac or pulmonary disease. 5. History of primary immunodeficiency, organ or allogeneic bone marrow transplant, or splenectomy. 6. Active, uncontrolled, viral, bacterial, or systemic fungal infection or recent history of repeated infections. 7. Thymectomy <12 months of screening or planned during the study. 8. Prior treatment with gene therapy product or cellular immunotherapy (eg, CAR T) requiring vector integration and directed at any target. 9. Patients requiring chronic anticoagulation therapy that cannot be discontinued for medical procedures

Trial Details

Trial ID:

This trial id was obtained from ClinicalTrials.gov, a service of the U.S. National Institutes of Health, providing information on publicly and privately supported clinical studies of human participants with locations in all 50 States and in 196 countries.

NCT06193889
Phase

Phase 1: Studies that emphasize safety and how the drug is metabolized and excreted in humans.

Phase 2: Studies that gather preliminary data on effectiveness (whether the drug works in people who have a certain disease or condition) and additional safety data.

Phase 3: Studies that gather more information about safety and effectiveness by studying different populations and different dosages and by using the drug in combination with other drugs.

Phase 4: Studies occurring after FDA has approved a drug for marketing, efficacy, or optimal use.

Phase 2/Phase 3
Lead Sponsor

The sponsor is the organization or person who oversees the clinical study and is responsible for analyzing the study data.

Kyverna Therapeutics
Principal Investigator

The person who is responsible for the scientific and technical direction of the entire clinical study.

MD
Principal Investigator Affiliation Kyverna Therapeutics, Inc.
Agency Class

Category of organization(s) involved as sponsor (and collaborator) supporting the trial.

Industry
Overall Status Recruiting
Countries Germany, United States
Conditions

The disease, disorder, syndrome, illness, or injury that is being studied.

Myasthenia Gravis, Generalized Myasthenia Gravis
Additional Details

Myasthenia gravis (MG) is a chronic autoimmune disease that affects the neuromuscular junction and is characterized by muscle weakness. B cells play a role in MG, and the disease is characterized by the presence of autoantibodies such as anti-AChR and anti-MuSK antibodies. CD-19 target chimeric antigen receptor (CAR) T cells harness the ability of cytotoxic T cells to directly and specifically lyse target cells to effectively deplete both normal and autoreactive B cells in the circulation as well as impacted lymphoid and potentially non-lymphoid tissues. KYV-101, a fully human anti-CD19 CAR T-cell therapy, will be investigated in adult subjects with myasthenia gravis (MG).

Arms & Interventions

Arms

Experimental: KYV-101 CAR-T cells with lymphodepletion conditioning

Phase 2: Dosing with KYV-101 CAR-T cells

Experimental: KYV-101 Treatment

Phase 3

Active Comparator: Standard of Care

Phase 3 Optional crossover to receive KYV-101 Treatment after 24 weeks

Interventions

Drug: - Standard of Care Treatment

Standard of Care Medications Optional Crossover to receive KYV-101 treatment

Drug: - Standard lymphodepletion regimen

Standard lymphodepletion regimen

Biological: - KYV-101

Anti-CD19 CAR-T cell therapy

Contact a Trial Team

If you are interested in learning more about this trial, find the trial site nearest to your location and contact the site coordinator via email or phone. We also strongly recommend that you consult with your healthcare provider about the trials that may interest you and refer to our terms of service below.

University of California, Irvine, Orange 5379513, California 5332921

Status

Recruiting

Address

University of California, Irvine

Orange 5379513, California 5332921, 92868

Site Contact

Study Coordinator

[email protected]

510-925-2484

Stanford University Medical Center, Palo Alto 5380748, California 5332921

Status

Recruiting

Address

Stanford University Medical Center

Palo Alto 5380748, California 5332921, 94305

Site Contact

Study Coordinator

[email protected]

510-925-2484

University of Miami, Miami 4164138, Florida 4155751

Status

Recruiting

Address

University of Miami

Miami 4164138, Florida 4155751, 33149

Site Contact

Study Coordinator

[email protected]

510-925-2484

Allegheny General Hospital, Pittsburgh 5206379, Pennsylvania 6254927

Status

Recruiting

Address

Allegheny General Hospital

Pittsburgh 5206379, Pennsylvania 6254927, 15212

Site Contact

Study Coordinator

[email protected]

510-925-2484

Intermountain Medical Center, Murray 5778755, Utah 5549030

Status

Recruiting

Address

Intermountain Medical Center

Murray 5778755, Utah 5549030, 84107

Site Contact

Study Coordinator

[email protected]

510-925-2484

International Sites

Charite- Universitätsklinikum Berlin, Berlin 2950159, Germany

Status

Recruiting

Address

Charite- Universitätsklinikum Berlin

Berlin 2950159, ,

Site Contact

Study Coordinator

[email protected]

510-925-2484

Bochum 2947416, Germany

Status

Recruiting

Address

Universitätsklinikum der Ruhr-Universität Bochum

Bochum 2947416, ,

Site Contact

Study Coordinator

[email protected]

510-925-2484

Universitätsklinikum Hamburg-Eppendorf, Hamburg 2911298, Germany

Status

Recruiting

Address

Universitätsklinikum Hamburg-Eppendorf

Hamburg 2911298, ,

Site Contact

Study Coordinator

[email protected]

510-925-2484

Medizinische Hochscule Hannover, Hanover 2910831, Germany

Status

Recruiting

Address

Medizinische Hochscule Hannover

Hanover 2910831, ,

Site Contact

Study Coordinator

[email protected]

510-925-2484

Friedrich-Schiller-Universität Jena, Jena 2895044, Germany

Status

Recruiting

Address

Friedrich-Schiller-Universität Jena

Jena 2895044, ,

Site Contact

Study Coordinator

[email protected]

510-925-2484

Universitätsklinik Magdeburg, Magdeburg 2874545, Germany

Status

Recruiting

Address

Universitätsklinik Magdeburg

Magdeburg 2874545, ,

Site Contact

Study Coordinator

[email protected]

510-925-2484

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