A Study of Anti-CD19 Chimeric Antigen Receptor T Cell Therapy for Subjects with Systemic Sclerosis
SSc is an immune-mediated rheumatic disease that is characterized by fibrosis of the skin and internal organs and vasculopathy. B-cells play a role in SSc, and the disease is characterized by the presence of autoantibodies such as anti-Scl-70 and anti-RNAP III antibodies. CD19-targeted chimeric antigen receptor (CAR) T-cells harness the ability of cytotoxic T-cells to directly and specifically lyse target cells to effectively deplete B-cells in the circulation and in lymphoid and potentially non-lymphoid tissues. KYV-101, a fully human anti-CD19 CAR T-cell therapy, will be investigated in adult subjects with systemic sclerosis.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
3
Anti-CD19 CAR-T cell therapy
Standard lymphodepletion regimen
Stanford University Medical Center
Palo Alto, California, United States
Northwell Health
Great Neck, New York, United States
Incidence of adverse events and laboratory abnormalities (Phase 1)
Time frame: Up to 2 years
Frequency of Dose-Limiting Toxicities (DLTs) at each dose level (Phase 1)
Time frame: Up to 2 years
To evaluate efficacy of KYV-101(Phase 2)
via revised Composite Response Index in Systemic Sclerosis (rCRISS) 30/5
Time frame: 52 weeks
To evaluate pharmacodynamics (PK) of KYV-101 in blood (Phase 1 and Phase 2)
Chimeric antigen receptor-positive (CAR-positive) T-cell counts in blood
Time frame: Up to 2 years
To evaluate pharmacodynamics (PD) of KYV-101 in blood (Phase 1 and Phase 2)
Levels of B-cells in blood
Time frame: Up to 2 years
To evaluate pharmacodynamics (PD) of KYV-101 in blood (Phase 1 and Phase 2)
Levels of cytokines in serum
Time frame: Up to 2 years
To evaluate efficacy of KYV-101 (Phase 1 and Phase 2)
revised Composite Response Index in Systemic Sclerosis (rCRISS) 30/5 response rate
Time frame: 12, 24, 52 weeks
To evaluate immunogenicity (humoral response) of KYV-101 (Phase 1 and Phase 2)
Percentage of participants who develop anti-KYV-101 antibodies by immunoassays
Time frame: Up to 2 years
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To define the Recommended Phase 2 Dose (RP2D) (Phase 1)
Time frame: Up to 2 years