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NCT Number: NCT07603557

Study of Zola-cel (BMS-986353), in Participants With Autoimmune Cytopenia (Breakfree-AiCE)

The purpose of this study is to evaluate the safety and efficacy of Zola-cel (BMS-986353), in participants with chronic immune thrombocytopenia (cITP) and autoimmune hemolytic anemia (AIHA).

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Key information

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 2

Primary location

Local Institution - 201, Odense, Denmark

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Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

Inclusion criteria

for ITP

  • Documented clinical diagnosis of chronic ITP (cITP) without other clinical manifestations of systemic autoimmune disease.
  • Has relapsed after or is intolerant to corticosteroids (with or without intravenous immunoglobulin (IVIG) or anti-Rh0(D) Ig) AND has failed, relapsed after, or is intolerant to therapies with ≥ 2 mechanisms of action, with at least one being immunosuppressive or immunomodulatory.

Platelet count < 30 × 109/L. For participants on thrombopoietin receptor agonist (TPO-RA): platelet count < 50 × 109/L.

Inclusion criteria

for AIHA

  • Documented clinical diagnosis of AIHA (including warm autoimmune hemolytic anemia (wAIHA), cold agglutinin disease (CAD), or mixed AIHA) without other clinical manifestations of systemic autoimmune disease.

o wAIHA and mixed warm and cold AIHA: Failed, relapsed after, or is intolerant to at least 2 prior lines of treatment with 2 mechanisms of action (not including corticosteroids or IVIG), one of which is an anti-CD20 monoclonal antibody unless there is a documented contraindication.

o CAD (all of the following must apply): Failed, relapsed after, or is intolerant to at least 2 prior lines of treatment with 2 mechanisms of action, one of which is an anti-CD20 monoclonal antibody with or without chemotherapy unless there is a documented contraindication.

  • Hb <10 g/dL without red blood cell transfusion, or transfusion dependent
  • Documented hemolysis

Exclusion criteria

Medical Conditions

  • ITP or AIHA associated with: Evans syndrome, other systemic autoimmune disease or single organ autoimmune disease requiring systemic immunosuppressive therapy, hepatitis C virus, HIV, drug induced (eg, non-steroidal anti-inflammatory drug (NSAIDS), trimethoprim/sulfamethoxazole (TMP-SMX), anticonvulsants), surgical procedures, or hematologic malignancies.
  • COVID-19 Vaccine-induced immune thrombotic thrombocytopenia
  • Prior history of solid organ malignancies, unless the participant has been free of the disease for ≥ 2 years.

Laboratory Test Findings

  • Peripheral blood ANC < 1.5 × 109/L or requiring G-CSF or GM-CSF support o ALT/AST: ITP: ALT/AST: > 3 × ULN AIHA: ALT > 3 ULN. AST up to 5 × ULN may be permitted. o Bilirubin: ITP: total bilirubin > 1.5 × ULN AIHA: direct bilirubin > 1.5 × ULN o International normalized ratio (INR) > 1.5 × ULN

Other protocol-defined inclusion/exclusion criteria may apply.

Treatment and study plan

BMS-986353

Biological

Specified dose of specified days

Other names: Zolacabtagene autoleucel, Zola-cel, CC-97540

fludarabine phosphate

Drug

Specified dose of specified days

Cyclophosphamide

Drug

Specified dose on specified days

Primary outcomes

  1. Cohort 1 Part A: Number of participants with treatment-emergent adverse events (TEAEs)

    Time frame: Up to approximately Month 36

  2. Cohort 1 Part A: Number of participants with serious AEs (SAEs)

    Time frame: Up to approximately Month 36

  3. Cohort 1 Part A: Number of participants with AEs of special interest (AESI)

    Time frame: Up to approximately Month 36

  4. Cohort 1 Part A: Number of participants with clinically significant laboratory abnormalities

    Time frame: Up to approximately Month 36

  5. Cohort 1 Part B: Hematologic Complete Response (CR)

    Time frame: Up to approximately Month 6

Secondary outcomes

  1. Cohort 1 PART B: Hematologic Overall Response (OR)

    Time frame: Up to approximately Month 6

  2. Cohort 1 PART A and Cohort 2: Hematologic CR and OR

    Time frame: Up to approximately Month 6

  3. Cohort 1 PART B and Cohort 2: Number of participants with TEAEs

    Time frame: Up to approximately Month 36

  4. Cohort 1 PART B and Cohort 2: Number of participants with SAEs

    Time frame: Up to approximately Month 36

  5. Cohort 1 PART B and Cohort 2: Number of participants with AESIs

    Time frame: Up to approximately Month 36

  6. Cohort 1 PART B and Cohort 2: Number of participants with clinically significant laboratory abnormalities

    Time frame: Up to approximately Month 36

  7. Number of participants with Hematologic PR

    Time frame: Up to approximately Month 6

  8. Number of participants with Hematologic CR

    Time frame: Up to approximately Month 36

  9. Number of participants with Hematologic PR

    Time frame: Up to approximately Month 36

  10. Number of participants with Hematologic OR

    Time frame: Up to approximately Month 36

  11. Number of participants with Best Overall Response (BOR)

    Time frame: Up to approximately Month 36

  12. Number of participants with durable CR, PR and OR

    Time frame: Up to approximately 12 months from Zola-cel infusion

  13. Time to First Response (TTR)

    Time frame: Up to approximately Month 36

  14. Time to First Complete Response (TTCR)

    Time frame: Up to approximately Month 36

  15. Duration of response (DOR)

    Time frame: Up to approximately Month 36

  16. Treatment-free Remission (TFR)

    Time frame: Up to approximately Month 36

  17. Proportion of participants who requires rescue therapy for ITP or AIHA

    Time frame: Up to approximately Month 36

  18. Time to first administration of rescue therapy for ITP or AIHA

    Time frame: Up to approximately Month 36

  19. Proportion of AIHA participants who experience hemolysis features

    Time frame: Up to approximately Month 36

  20. Number of AIHA participants with cold agglutinin disease (CAD) who experience acrocyanosis

    Time frame: Up to approximately Month 36

  21. Change from baseline in hemolysis indicators in AIHA participants

    Time frame: Up to approximately Month 36

  22. Proportion of ITP participants with WHO-classified bleeding events as assessed by WHO bleeding scale

    Time frame: Up to approximately Month 36

  23. Change from baseline in 36-Item Short Form Health Questionnaire version 2 (SF-36 v2)

    Time frame: Up to approximately Month 36

  24. Change from baseline in Patient Global Impression of Severity (PGI-S) Fatigue score

    Time frame: Up to approximately Month 36

  25. Patient Global Impression of Change (PGI-C) Fatigue mean score

    Time frame: Up to approximately Month 36

  26. Change from baseline in Immune Thrombocytopenia-Patient Assessment Questionnaire (ITP - PAQ) score

    Time frame: Up to approximately Month 36

  27. Change from baseline in Functional Assessment of Chronic Illness Therapy (FACIT) Fatigue score

    Time frame: Up to approximately Month 36

Study contacts

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

BMS Clinical Trials Contact Center www.BMSClinicalTrials.com

CONTACT

[email protected]

855-907-3286

First line of the email MUST contain NCT # and Site #.

CONTACT

Sponsors and collaborators

Lead sponsor

Juno Therapeutics, Inc., a Bristol-Myers Squibb Company

Industry

Registry information

Official study title

A Phase 2, Multicenter, Open-Label Study of Zolacabtagene Autoleucel (BMS-986353), CD19-Targeted NEX-T CAR T Cells, in Participants With Chronic Immune Thrombocytopenia (cITP) and Autoimmune Hemolytic Anemia (AIHA)

Important dates

Study start
2026
Primary completion
2030
Study completion
2030
First posted
May 22, 2026
Registry last updated
Jul 9, 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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