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NCT Number: NCT06680037

A Study to Assess the Safety and Clinical Activity of Azer-cel in Participants With B-cell Mediated Autoimmune Disorders

The main objective of the study is to determine the recommended phase 2 dose (RP2D) of Azercabtagene zapreleucel (azer-cel).

Recruiting

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Key information

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

PMS and RMS inclusion criteria:

  • Age 18 years to ≤60 years (inclusive) at screening.
  • Expanded Disability Status Scale (EDSS) score 3.0 - 6.5 (inclusive) at screening.
  • Diagnosis of primary progressive multiple sclerosis (PPMS), secondary progressive multiple sclerosis (non-active or active), or Relapsing MS (RMS).
  • Documented evidence of disability progression independent of relapse (PIRA) at any point over the 12 months prior to the screening visit.

NMOSD inclusion criteria:

  • Between age 18 and 65 years, inclusive at the time of signing the informed consent.
  • EDSS score between 2.0 and 7.0 at screening, inclusive (for higher EDSS, the Investigator must assess that the participant is reasonably able to participate in the study).
  • Diagnosis of anti-aquaporin-4 immunoglobulin G (AQP4-IgG) seropositive at screening (verified by the allocated central laboratory) and Neuromyelitis Optica Spectrum Disorder (NMOSD).
  • Must meet the appropriate NMOSD treatment washout criteria prior to receiving lymphodepletion.

MG Inclusion criteria:

  • Age ≥18 and ≤70 years of age at the time of signing the informed consent.
  • Diagnosed with gMG at least 1 year prior to the date of signing the informed consent.
  • Confirmation of MG Diagnosis:
  • Positive serologic test for anti-acetylcholine receptor (AChR) antibodies or anti-muscle-specific kinase (MuSK) antibodies confirmed at screening AND
  • One of the following (either historical or during screening):
  • Abnormal neuromuscular transmission test demonstrated by single-fiber electromyography or repetitive nerve stimulation.
  • Positive anticholinesterase test (e.g., edrophonium chloride test).
  • Demonstrated improvement in MG signs on oral cholinesterase inhibitors, as assessed by the treating physician.
  • MG activities of daily living (MG-ADL) score ≥6 at screening.

CIDP Inclusion criteria

  • Age ≥18 and ≤70 years of age at the time of signing the informed consent.
  • Participant must have either typical CIDP, or one of the following two CIDP variants: motor CIDP, multifocal CIDP (also known as Lewis Sumner Syndrome).
  • CIDP Disease Activity Status (CDAS): CDAS score ≥3 at screening.
  • INCAT Disability Score: INCAT disability score ≥4 to ≤9 score at screening.

General Exclusion Criteria:

  • History of malignancy that has not been in remission for at least 2 years.
  • Viral Screening
  • Evidence of chronic active or history of hepatitis B virus (HBV).
  • Seropositive for human immunodeficiency virus (HIV) antibody.
  • History of bone marrow/hematopoietic stem cell or solid organ transplantation.
  • Prior treatment with adoptive T-cell therapy or any gene therapy product directed at any target (e.g. CAR T-cell therapy).

Note: Other protocol-specified Inclusion/Exclusion criteria may apply.

Treatment and study plan

Azercabtagene zapreleucel (azer-cel)

Drug

IV infusion

Primary outcomes

  1. Number of Participants with Dose-Limiting Toxicities (DLTs)

    Time frame: From Day 0 to Day 28

    DLT will be determined using the National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 5.0.

Secondary outcomes

  1. Number of Participants with Treatment Emergent Adverse Events (TEAEs), Adverse Events (AEs), Serious Adverse Events (SAEs), Adverse Events of Special Interest (AESIs)

    Time frame: Up to Day 720

  2. Change From Baseline in CAR T-cell Toxicities

    Time frame: Baseline, up to Day 720

  3. Pharmacokinetics (PK) Plasma Concentrations of Azer-cel

    Time frame: Up to Day 720

  4. Pharmacodynamics (PD) Plasma Concentrations of Azer-cel

    Time frame: Up to Day 720

  5. Time to Confirmed Disability Progression (CDP)

    Time frame: Up to Day 720

  6. Time to Confirmed Disability Improvement (CDI)

    Time frame: Up to Day 720

  7. Change From Baseline in Brain MRI Gadolinium Enhancing T1, New or Enlarging Hyperintense T2

    Time frame: Baseline, up to Day 720

  8. Change From Baseline in Whole Brain Atrophy

    Time frame: Baseline, up to Day 720

  9. Change From Baseline in Modified Rankin Scale (mRS)

    Time frame: Baseline, up to Day 720

  10. Change From Baseline in Visual Acuity on Landolt C Broken Ring Chart (Low Contrast Visual Acuity [LCVA]) and High Contrast Visual Acuity (HCVA)

    Time frame: Baseline, up to Day 720

  11. Change from Baseline in Myasthenia Gravis Activities of Daily Living Profile (MG-ADL) Total Score

    Time frame: Baseline, up to Day 720

  12. Change from Baseline in the Revised 15-Component Myasthenia Gravis Quality of Life (MG-QOL15r)

    Time frame: Baseline, up to Day 720

  13. Time to Relapse, as Defined by a 1 Point Change in Adjusted Inflammatory Neuropathy Cause and Treatment (aINCAT)

    Time frame: Baseline, up to Day 720

  14. Change From Baseline in Inflammatory Neuropathy Cause and Treatment (INCAT) Score

    Time frame: Baseline, up to Day 720

Study contacts

Contact information is provided by the study sponsor or research team.

TG Therapeutics Clinical Support Team

CONTACT

[email protected]

1-877-575-8489

Sponsors and collaborators

Lead sponsor

TG Therapeutics, Inc.

Industry

Registry information

Official study title

A Phase 1, Open-label Study to Evaluate the Safety and Clinical Activity of Azercabtagene Zapreleucel in Participants With B-cell Mediated Autoimmune Disorders

Important dates

Study start
2025
Primary completion
2027
Study completion
2030
First posted
Nov 8, 2024
Registry last updated
Jul 20, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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