A Study to Evaluate the Safety, Tolerability, Cellular Kinetics, and Pharmacodynamics of P-CD19CD20-ALLO1 in Participants With Multiple Sclerosis
Purpose
This study aims to explore the safety, tolerability, cellular kinetics, and pharmacodynamics of P-CD19CD20-ALLO1 in participants with progressive multiple sclerosis (PMS) and relapsing multiple sclerosis (RMS).
Condition
- Multiple Sclerosis
Eligibility
- Eligible Ages
- Between 18 Years and 60 Years
- Eligible Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- Age 18-60 years (inclusive) at the time of signing Informed Consent Form - Diagnosis of progressive MS according to the revised McDonald 2017 criteria, and: Expanded disability status scale (EDSS) score at screening, from 3 to 6 inclusive Evidence of disability progression and no relapses in the 2 years prior to screening - Diagnosis of relapsing MS according to the revised McDonald 2017 criteria, and: Evidence of clinical relapses and MRI activity within two years prior to screening while on a disease modifying therapy - EDSS score at screening, from 0 to 6 inclusive - No relapses within 45 days of screening
Exclusion Criteria
- Pregnant or breastfeeding, or intention of becoming pregnant within the timeframe in which contraception is required - Participants who have confirmed or suspected Progressive Multifocal Leukoencephalopathy (PML) - Known or suspected history of Hemophagocytic Lymphohistiocytosis/ Macrophage Activation Syndrome (HLH/MAS) or neurotoxicity with prior therapies - Known presence of other neurologic disorders that may mimic MS - History of currently active primary or secondary (non-drug-related) immunodeficiency - Significant or uncontrolled medical disease which would preclude patient participation - High risk for clinically significant bleeding or any condition requiring plasmapheresis, IV Ig, or acute blood product transfusions - History of recurrent serious infections or chronic infection - Prior treatment with CAR T-cell therapy, gene-therapy product, total body irradiation, bone marrow transplantation, allograft organ transplant, or hematopoietic stem cell transplant at any point - Any previous treatment with immunomodulatory or immunosuppressive medication without an appropriate washout period. - Inability to complete an MRI scan
Study Design
- Phase
- Phase 1
- Study Type
- Interventional
- Allocation
- N/A
- Intervention Model
- Sequential Assignment
- Primary Purpose
- Treatment
- Masking
- None (Open Label)
Arm Groups
| Arm | Description | Assigned Intervention |
|---|---|---|
|
Experimental Dose Escalation |
Participants will receive a lymphodepleting chemotherapy regimen followed by a single infusion of P-CD19CD20-ALLO1. Dose escalation decisions will be made after participants are observed for a minimum of 28 days for toxicity. |
|
Recruiting Locations
Washington University School of Medicine
St Louis 4407066, Missouri 4398678 63110-1010
St Louis 4407066, Missouri 4398678 63110-1010
More Details
- Status
- Recruiting
- Sponsor
- Genentech, Inc.
Study Contact
Reference Study ID Number: GN45773 https://forpatients.roche.com/888-662-6728 (U.S.)
global-roche-genentech-trials@gene.com