The purpose of this study is to evaluate the efficacy and safety of rapcabtagene autoleucel versus comparator in participants with severe active Granulomatosis with Polyangiitis (GPA) or Microscopic Polyangiitis (MPA)
This is a Phase 2, randomized, assessor-blinded active controlled study. This study comprises two cohorts: * A lead-in cohort enrolling participants to receive rapcabtagene autoleucel * A randomized cohort with participants receiving either rapcabtagene autoleucel or comparator. After end of study (EOS), participants who received rapcabtagene autoleucel infusion will enter a long-term follow-up (LTFU) period lasting up to 15 years after rapcabtagene autoleucel infusion. This LTFU will be described in a separate study protocol.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
126
Single infusion of rapcabtagene autoleucel
Active comparator option as per protocol
Concomitant glucocorticoids as per protocol
Event-free survival (EFS)
Event-free survival (EFS) defined as the time from Randomization to the first occurrence of as per protocol defined events.
Time frame: From randomization until the occurrence of an EFS event, up to approx. 4 years after randomization
Percentage of patients achieving complete remission
Complete remission is defined by Birmingham Vasculitis Activity Score version 3 (BVASv3)
Time frame: Up to Week 13
Adjusted annual cumulative GC dose between Randomization and analysis cutoff date
The adjusted annual cumulative glucocorticoid dose refers to the total amount of glucocorticoids administered to a patient over the course of a year, adjusted for any changes in dosage, and measured up to the defined week of treatment as per protocol.
Time frame: From randomization until the occurrence of an EFS event, up to approx. 4 years after randomization
ANCA seronegativity and sustaining ANCA seronegativity until the analysis cutoff date
ANCA seronegativity means that the patient tests negative for ANCA antibodies.
Time frame: From randomization until the occurrence of an EFS event, up to approx. 4 years after randomization
Change from baseline in estimated glomerular filtration rate (eGFR) at Week 39
Change from baseline in estimated glomerular filtration rate (eGFR) at Week 39.
Time frame: Up to Week 39
Change from baseline in symptoms of GPA/ MPA using the AAV-PRO at Week 39
Change from baseline in symptoms of GPA/ MPA using the AAV-PRO at Week 39.
Time frame: Up to Week 39
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University Of Colorado
Aurora, Colorado, United States
RECRUITINGMayo Clinic Jacksonville
Jacksonville, Florida, United States
RECRUITINGNorthwestern University
Chicago, Illinois, United States
RECRUITINGMassachusetts General Hospital
Boston, Massachusetts, United States
RECRUITINGMayo Clinic Rochester
Rochester, Minnesota, United States
RECRUITINGOregon Health Sciences University
Portland, Oregon, United States
RECRUITINGHouston Methodist Hospital
Houston, Texas, United States
RECRUITINGLDS Hospital
Salt Lake City, Utah, United States
RECRUITINGNovartis Investigative Site
Salvador, Estado de Bahia, Brazil
RECRUITINGNovartis Investigative Site
São Paulo, São Paulo, Brazil
RECRUITING...and 19 more locations
Change from baseline in Patient- Reported Outcome Measurement Information System (PROMIS)- Fatigue 7a at Week 91.
Change from baseline in PROMIS- Fatigue 7a at Week 91.
Time frame: Up to Week 91