RESET-Myositis: An Open-Label Study to Evaluate the Safety and Efficacy of CABA-201 in Subjects With Active Idiopathic Inflammatory Myopathy or Juvenile Idiopathic Inflammatory Myopathy

Last updated: April 14, 2025
Sponsor: Cabaletta Bio
Overall Status: Active - Recruiting

Phase

1/2

Condition

Lupus

Myositis

Idiopathic Inflammatory Myopathies

Treatment

CABA-201 following preconditioning with fludarabine and cyclophosphamide

CAB-201 following preconditioning with fludarabine and cyclophosphamide

Clinical Study ID

NCT06154252
CAB-201-002
  • Ages 6-75
  • All Genders

Study Summary

RESET-Myositis: Open-Label Study to Evaluate the Safety and Efficacy of CABA-201 in Subjects with Active Idiopathic Inflammatory Myopathy or Juvenile Idiopathic Inflammatory Myopathy

Eligibility Criteria

Inclusion

Adult Cohorts

Inclusion Criteria:

  • Age ≥18 and ≤75

  • A clinical diagnosis of IIM, based on the 2017 The European League AgainstRheumatism/American College of Rheumatology classification criteria

  • Diagnosis of DM, ASyS, IMNM based on the presence of serum myositis-specificantibodies

  • Evidence of active disease, despite prior or current treatment with standard of caretreatments, as defined by the presence of elevated creatine kinase (CK), DM rash, oractive disease on muscle biopsy, magnetic resonance imaging (MRI), orelectromyography

  • Presence of muscle weakness

Exclusion

Exclusion Criteria:

  • Contraindication to leukapheresis

  • History of anaphylactic or severe systemic reaction to fludarabine, cyclophosphamideor any of their metabolites

  • Active infection requiring medical intervention at screening

  • Current symptoms of severe, progressive, or uncontrolled renal, hepatic,hematological, gastrointestinal, pulmonary, psychiatric, cardiac, neurological, orcerebral disease, including severe and uncontrolled infections, such as sepsis andopportunistic infections.

  • Concomitant medical conditions that, in the opinion of the investigator, might placethe subject at unacceptable risk for participation in this study, interfere with theassessment of the effects or safety of the investigational product or with the studyprocedures

  • Significant lung or cardiac impairment

  • Previous CAR T cell therapy

  • Prior solid organ (heart, liver, kidney, lung) transplant or hematopoietic celltransplant

Juvenile Cohort

Inclusion Criteria:

  • Age ≥6 and ≤17 years at enrollment

  • A clinical diagnosis of IIM, based on the 2017 The European League AgainstRheumatism/American College of Rheumatology classification criteria

  • Presence of serum myositis-specific antibodies or myositis-associated autoantibody

  • Evidence of active disease, despite prior or current treatment with standard of caretreatments, as defined by the presence of elevated muscle enzymes, DM rash, oractive disease on muscle biopsy, magnetic resonance imaging (MRI), orelectromyography

Exclusion Criteria:

  • Contraindication to leukapheresis

  • History of anaphylactic or severe systemic reaction to fludarabine, cyclophosphamideor any of their metabolites

  • Active infection requiring medical intervention at screening

  • Current symptoms of severe, progressive, or uncontrolled renal, hepatic,hematological, gastrointestinal, pulmonary, psychiatric, cardiac, neurological, orcerebral disease, including severe and uncontrolled infections, such as sepsis andopportunistic infections.

  • Concomitant medical conditions that, in the opinion of the investigator, might placethe subject at unacceptable risk for participation in this study, interfere with theassessment of the effects or safety of the investigational product or with the studyprocedures

  • Significant lung or cardiac impairment

  • Previous CAR T cell therapy

  • Prior solid organ (heart, liver, kidney, lung) transplant or hematopoietic celltransplant

Study Design

Total Participants: 24
Treatment Group(s): 2
Primary Treatment: CABA-201 following preconditioning with fludarabine and cyclophosphamide
Phase: 1/2
Study Start date:
December 20, 2023
Estimated Completion Date:
July 31, 2028

Study Description

Idiopathic inflammatory myopathies (IIMs, or myositis) are a group of rare autoimmune diseases characterized by inflammation and muscle weakness. Though the cause of IIM is not well understood, some subtypes of IIM, including dermatomyositis (DM), anti-synthetase syndrome (ASyS), immune-mediated necrotizing myopathy (IMNM), and juvenile idiopathic inflammatory myopathy (JIIM), are thought to involve B cells that cause the body to attack different tissues in the body. This study is being conducted to evaluate the safety and efficacy of an investigational cell therapy, CABA-201, that can be given to patients with DM, ASyS, IMNM, or JIIM who have active disease. A single dose of CABA-201 in combination with cyclophosphamide (CY) and fludarabine (FLU) will be evaluated.

Connect with a study center

  • Kings College Hospital NHS Foundation Trust - Accepting Adult Patients

    London, SE5 9RS
    United Kingdom

    Site Not Available

  • University College London Hospitals NHS Foundation Trust

    London, WC1N 3BG
    United Kingdom

    Site Not Available

  • University College London Hospitals NHS Foundation Trust - Accepting Adult Patients

    London, WC1N 3BG
    United Kingdom

    Active - Recruiting

  • Salford Royal Hospital - Accepting Adult Patients

    Salford, M6 8HD
    United Kingdom

    Site Not Available

  • University of California Irvine

    Orange, California 92868
    United States

    Active - Recruiting

  • University of California Irvine - Accepting Adult Patients

    Orange, California 92868
    United States

    Active - Recruiting

  • Mayo Clinic Florida

    Jacksonville, Florida 32224
    United States

    Active - Recruiting

  • Mayo Clinic Florida - Accepting Adult Patients

    Jacksonville, Florida 32224
    United States

    Active - Recruiting

  • Emory University

    Atlanta, Georgia 30032
    United States

    Site Not Available

  • Emory University - Accepting Adult Patients

    Atlanta, Georgia 30032
    United States

    Site Not Available

  • Northwestern Memorial Hospital

    Chicago, Illinois 60611
    United States

    Active - Recruiting

  • Northwestern Memorial Hospital - Accepting Adult Patients

    Chicago, Illinois 60611
    United States

    Active - Recruiting

  • The University of Chicago Medical Center

    Chicago, Illinois 60637
    United States

    Active - Recruiting

  • The University of Chicago Medical Center - Accepting Adult and Juvenile Patients

    Chicago, Illinois 60637
    United States

    Active - Recruiting

  • University of Kansas Medical Center

    Kansas City, Kansas 66160
    United States

    Active - Recruiting

  • University of Kansas Medical Center - Accepting Adult Patients

    Kansas City, Kansas 66160
    United States

    Active - Recruiting

  • Mayo Clinic

    Rochester, Minnesota 55902
    United States

    Active - Recruiting

  • Mayo Clinic - Accepting Adult Patients

    Rochester, Minnesota 55902
    United States

    Active - Recruiting

  • Oregon Health & Science University

    Portland, Oregon 97239
    United States

    Active - Recruiting

  • Oregon Health & Science University - Accepting Adult Patients

    Portland, Oregon 97239
    United States

    Active - Recruiting

  • Vanderbilt University Medical Center

    Nashville, Tennessee 37232
    United States

    Active - Recruiting

  • Vanderbilt University Medical Center - Accepting Adult Patients

    Nashville, Tennessee 37232
    United States

    Active - Recruiting

  • Houston Methodist Hospital

    Houston, Texas 77030
    United States

    Active - Recruiting

  • Houston Methodist Hospital - Accepting Adult Patients

    Houston, Texas 77030
    United States

    Active - Recruiting

  • University of Texas MD Anderson Cancer Center

    Houston, Texas 77030
    United States

    Active - Recruiting

  • University of Texas MD Anderson Cancer Center - Accepting Adult Patients

    Houston, Texas 77030
    United States

    Active - Recruiting

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