RecruitingPhase 2Phase 3NCT06193889

KYSA-6: A Study of Anti-CD19 Chimeric Antigen Receptor T-Cell Therapy, in Patients With Generalized Myasthenia Gravis

KYSA-6: A Phase 2/3, Open-Label, Randomized, Controlled, Multicenter Study of KYV-101, an Autologous Fully Human Anti-CD19 Chimeric Antigen Receptor T-cell (CD19 CAR T) Therapy, Versus Ongoing Standard-Of-Care Immunosuppressive Therapy in Patients With Generalized Myasthenia Gravis


Sponsor

Kyverna Therapeutics

Enrollment

66 participants

Start Date

Aug 28, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

A Study of the Anti-CD 19 Chimeric Antigen Receptor T Cell Therapy for Patients with Myasthenia Gravis


Eligibility

Min Age: 18 YearsMax Age: 75 Years

Inclusion Criteria10

  • Presence of autoantibodies to AChR or MuSK at screening.
  • Myasthenia Gravis Foundation of America (MGFA) Class II-IV
  • MG-Activities of Daily Living (MG-ADL) total score of ≥6 at screening and confirmed at pre-dose baseline
  • QMG total score of ≥11 at screening an confirmed at pre-dose baseline
  • Failed treatment with 2 or more immunosuppressive/immunomodulatory therapies, or failed at least 1 immunosuppressive therapy and required chronic plasmapheresis, or IVIG (\>4 times/year over ≥12 months) to control symptoms
  • On a stable dose of glucocorticoids and/or other immunotherapies for ≥1 month prior to screening. For patients treated with azathioprine, a stable dose for ≥2 months prior to screening is required
  • No change in dose of acetylcholinesterase inhibitors for ≥2 weeks prior to screening
  • No use of intravenous immune globulin (IVIG) or plasmapheresis (PLEX) within 4 weeks of screening or pre-dose baseline (unless this is part of their SOC treatment regimen)
  • No use of rituximab (or any other anti-CD20 or CD19 monoclonal antibody) within 12 weeks prior to screening
  • No use of FcRn inhibitors within 4 weeks prior to screening

Exclusion Criteria9

  • Unable to washout or interrupt autoimmune disease therapy prior to apheresis
  • Co-occurring neurological autoimmune disease (ie, Lambert-Eaton Myasthenic Syndrome) or any disease affecting the neuromuscular junction or muscle causing weakness (eg, myositis, myopathy, motor neuropathy)
  • History of stroke (with residual sequalae and/or risk for recurrence), seizure (even if well controlled on antiepileptics), neurodegenerative disease, altered mental status (unexplained and/or recent/current), or uncontrolled/severe psychiatric disease
  • Any serious and/or uncontrolled medical condition that, in the investigator's judgment, would cause unacceptable safety risk, interfere with study procedures or results, or compromise compliance with the protocol, including but not limited to, clinically significant cardiac or pulmonary disease
  • History of primary immunodeficiency, organ or allogeneic bone marrow transplant, or splenectomy
  • Active, uncontrolled, viral, bacterial, or systemic fungal infection or recent history of repeated infections
  • Thymectomy \<12 months of screening or planned during the study
  • Prior treatment with gene therapy product or cellular immunotherapy (eg, CAR T) requiring vector integration and directed at any target
  • Patients requiring chronic anticoagulation therapy that cannot be discontinued for medical procedures

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Interventions

DRUGStandard of Care Treatment

Standard of Care Medications Optional Crossover to receive KYV-101 treatment

DRUGStandard lymphodepletion regimen

Standard lymphodepletion regimen

BIOLOGICALKYV-101

Anti-CD19 CAR-T cell therapy


Locations(14)

University of California, Irvine

Orange, California, United States

Stanford University Medical Center

Palo Alto, California, United States

University of Miami

Miami, Florida, United States

Indiana University Health

Indianapolis, Indiana, United States

Thomas Jefferson University Hospital

Philadelphia, Pennsylvania, United States

Houston Methodist Hospital

Houston, Texas, United States

Intermountain Medical Center

Murray, Utah, United States

Hospital Israelita Albert Einstein

São Paulo, Brazil

Charite- Universitätsklinikum Berlin

Berlin, Germany

Universitätsklinikum der Ruhr-Universität Bochum

Bochum, Germany

Universitätsklinikum Hamburg-Eppendorf

Hamburg, Germany

Medizinische Hochscule Hannover

Hanover, Germany

Friedrich-Schiller-Universität Jena

Jena, Germany

Universitätsklinik Magdeburg

Magdeburg, Germany

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NCT06193889


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