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NCT Number: NCT07139743

Obe-cel in Refractory Progressive Forms of Multiple Sclerosis

The main purpose of this study is to evaluate if obe-cel is safe or causes any side effects in adults with refractory progressive MS. The study also plans to assess if obe-cel can show early signs of efficacy in MS. The trial includes only 1 group of participants (single-arm). The study population comprises participants with progressive forms of MS, not responsive to highly effective therapies.

Upon confirmation of study eligibility, participants will receive chemotherapy (used here for lymphodepletion) over 1 to 3 days in preparation for receiving a single obe-cel infusion.

Participants will be checked closely in the 28 days following obe-cel treatment. After this, participants will be monitored to evaluate safety and efficacy up to 24 months.

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Key information

Age range

18 year–60 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1

Primary location

Hospital Universitario Vall d'Hebron - PPDS, Barcelona, Spain

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About this study

This is a Phase 1 study to determine the safety, tolerability, and preliminary efficacy of obe-cel in participants with refractory progressive forms of multiple sclerosis.

The study comprises 3 periods:

Screening Period: From Day -30 to enrolment Treatment Period: From day of enrolment to End of Treatment (EOT) or Day 1 - Participants will be evaluated to confirm eligibility for lymphodepletion, and thereafter receive lymphodepletion to enhance treatment efficacy and cluster of differentiation (CD)19 chimeric antigen receptor (CAR) T cell survival.

Obe-cel Administration: If the participant's eligibility for receiving obe-cel infusion is confirmed, the participant is to receive a single obe-cel infusion on Day 1.

Post treatment Period: From Day 1 to End of Study all participants will be followed up for efficacy and safety evaluation.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Willing and able to give written informed consent for participation in the study.
  • Ability and willingness to adhere to the protocol's Schedule of Activities and other requirements.
  • Participants must be 18 to 60 years of age inclusive at the time of signing the informed consent form.
  • A female participant is eligible to participate if she is not pregnant or breastfeeding.
  • Current diagnosis of PMS.
  • Must have been treated previously with 2 disease-modifying therapies.

Exclusion criteria

  • Any medications prohibited by the protocol.
  • Highly active multiple sclerosis.
  • Diagnosis of another autoimmune central nervous system condition.
  • Active or uncontrolled fungal, bacterial, viral infection.
  • History of malignant neoplasms unless disease-free for at least 24 months.
  • History of heart, lung, kidney, liver transplant or hematopoietic stem cell transplant.

Treatment and study plan

Obecabtagene autoleucel (obe-cel)

Biological

Obecabtagene autoleucel (obe-cel) given as a single infusion.

Primary outcomes

  1. Percentage of participants receiving obe-cel who experience dose-limiting toxicities (DLTs))

    Time frame: Up to Day 28

  2. To evaluate the safety of obe-cel in participants with refractory forms of progressive multiple sclerosis (PMS)

    Time frame: Up to end of study

    To evaluate the safety of obe-cel in participants with refractory forms of progressive multiple sclerosis (PMS)

Secondary outcomes

  1. To evaluate the preliminary efficacy of obe-cel in participants with refractory forms of PMS using Expanded Disability Status Scale (EDSS) - Change from baseline in EDSS

    Time frame: Up to Month 24

    The EDSS is based on a standardized neurological examination focussing on assessment of 7 functional systems (visual, brainstem, pyramidal, cerebellar, sensory, bowel / bladder and cerebral). The range of the EDSS includes 20 half steps from 0 to 10, with EDSS step 0 corresponding to a completely normal examination and EDSS step 10 to death due to MS.

  2. To evaluate the preliminary efficacy of obe-cel in participants with refractory forms of PMS using Timed 25-foot Walk Test (T25FWT).

    Time frame: Up to Month 24

    Change from baseline in T25FWT

  3. To evaluate the preliminary efficacy of obe-cel in participants with refractory forms of PMS using 9-hole Peg Test (9-HPT)

    Time frame: Up to Month 24

    Change from baseline in 9-HPT

  4. To evaluate the preliminary efficacy of obe-cel in participants with refractory forms of PMS using Symbol Digit Modalities Test (SDMT)

    Time frame: Up to Month 24

    Change from baseline in SDMT

Study contacts

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

Sponsors and collaborators

Lead sponsor

Autolus Limited

Industry

Registry information

Official study title

A Single-arm, Open-label, Phase I Study to Determine the Safety, Tolerability, and Preliminary Efficacy of Obe-cel in Participants With Refractory Progressive Forms of Multiple Sclerosis

Acronym: BOBCAT

Important dates

Study start
2025
Primary completion
2029
Study completion
2029
First posted
Aug 24, 2025
Registry last updated
Mar 23, 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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