An Open-label, Multi-center, Phase I/II Study to Assess Safety, Efficacy, and Cellular Kinetics of YTB323 in Participants With Treatment-resistant Generalized Myasthenia Gravis
Summary
This is a phase I/II study to assess safety, efficacy, and cellular kinetics of YTB323 in participants with treatment-resistant generalized myasthenia gravis. YTB323 is a Biological CAR-T cell therapy.
Detailed description
This is an open-label, multi-center, non-confirmatory study intended to assess safety, efficacy, and cellular kinetics of YTB323 treatment in participants with treatment-resistant generalized myasthenia gravis in order to enable a benefit to risk assessment for further development in generalized myasthenia gravis (gMG). The study plans to enroll approximately 15 participants with treatment-resistant gMG. The study utilizes a single dose design across 2 cohorts, consisting of a sentinel cohort of 3 patients followed by an expansion cohort of an additional 12 patients. All participants dosed with YTB323 will be followed until 15 years after YTB323 administration in the Long-Term Follow-up (LTFU).
Arms & interventions
- GeneticYTB323
CAR-T cell suspension for intravenous infusion
Outcome measures
Primary
Occurrence, severity, and frequency of Adverse Events (AEs) and Serious Adverse Events (SAEs)
Incidence of AE's, including Cytokine Release Syndrome (CRS) and Immune Effector Cell-Associated Neurotoxicity Syndrome (ICANs), changes in Vital Signs, Laboratory parameters, ECG, and neurological status qualifying and reported as AEs.
Time frame: Baseline up to 2 years
Secondary
Plasma Pharmacokinetics (PK) of YTB323 - CMAX
Time frame: Pre-dose Day 1 up to 2 years
Plasma Pharmacokinetics (PK) of YTB323 - AUC
Time frame: Pre-dose Day 1 up to 2 years
Plasma Pharmacokinetics (PK) of YTB323 - Tmax
Time frame: Pre-dose Day 1 up to 2 years
Plasma Pharmacokinetics (PK) of YTB323 - Clast
Time frame: Pre-dose Day 1 up to 2 years
Plasma Pharmacokinetics (PK) of YTB323 - Tlast
Time frame: Pre-dose Day 1 up to 2 years
Cellular immunogenicity of YTB323
Time frame: Pre-dose lymphodepletion up to 2 years
Humoral immunogenicity of YTB323
Time frame: Pre-dose lymphodepletion up to 2 years
Neutralizing immunogenicity of YTB323
Time frame: Pre-dose lymphodepletion up to 2 years
Change from Baseline of MG-ADL score
Time frame: Baseline up to 2 years
Change from Baseline of QMG total score
Time frame: Baseline up to 2 years
Proportion of patients with a ≥3-point reduction of QMG total score sustained for 6 months post Baseline
Time frame: Baseline up to 2 years
Proportion of patients with a ≥2-point reduction of MG-ADL score sustained for 6 months post Baseline
Time frame: Baseline up to 2 years
Proportion of patients with a MGFA-PIS of minimal manifestations (MM) or better and sustained for 6 months post Baseline
Time frame: Baseline up to 2 years
Eligibility criteria
Study locations (3)
Univ Cali Irvine ALS Neuromuscular
Orange, California, 92868
Wake Forest Univ School of Medicine
Winston-Salem, North Carolina, 27157-1052
Houston Methodist Hospital
Houston, Texas, 77030