BCMA-directed mRNA CAR-T cell therapy for myasthenia gravis: exploratory biomarker analysis of a placebo-controlled phase 2b trial.
Renee R Fedak, Rachel N Ruggerie, Yufei Shan...
https://pubmed.ncbi.nlm.nih.gov/41514039/Actively Recruiting
Led by Cartesian Therapeutics · Updated on 2026-04-23
60
Participants Needed
2
Research Sites
26 weeks
Total Duration
Researchers are evaluating a new treatment called Descartes-08, which uses a patients own T-cells modified to target a specific protein BCMA, in adults with autoantibody-mediated myositis, including antisynthetase syndrome and dermatomyositis. This phase 2 study is randomized, double-blind, and placebo-controlled to assess the treatments effects on disease improvement, safety, and tolerability. Participants will be randomly assigned to receive either Descartes-08 or a placebo called Plasma-Lyte. The study compares these two groups to see how well Descartes-08 works and how safe it is. The treatment involves autologous T-cell therapy targeting B-cell maturation antigen, aiming to address muscle and skin involvement in these autoimmune conditions. During the study, participants will be monitored over 24 weeks for major improvement using a specific total improvement score. Researchers will assess safety, tolerability, and clinical responses. Participants must provide informed consent and comply with study visits, contraception, and vaccinations as part of the study procedures. The study excludes those with severe lung disease without muscle or skin involvement and other serious conditions, ensuring participants meet strict health criteria.
CONDITIONS
Descartes-08 in Autoantibody Myositis
V
Vera MD
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Cartesian Therapeutics
Lead Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | Descartes‑08 CAR‑T | Placebo | Standard care (e.g. high‑dose steroids plus immunosuppressants) |
|---|---|---|---|
| What it is | A genetically engineered autologous CAR‑T therapy targeting BCMA delivered to participants with refractory dermatomyositis or antisynthetase syndrome | Plasma‑Lyte placebo used as an inactive comparator arm | Combination of high‑dose corticosteroids plus steroid‑sparing immunosuppressants is typical current treatment for this condition |
| Role in trial | Investigational therapeutic arm under evaluation | Placebo control arm to distinguish investigational treatment effects | Common real‑world treatment option outside trial |
| Primary use | To induce clinical improvement in refractory autoantibody‑mediated myositis | Control to assess efficacy and safety of investigational CAR‑T | Manage disease symptoms and prevent progression using established therapies |
| How it is given or performed | Autologous T‑cells are modified to express BCMA‑targeted CAR and infused into participants | Plasma‑Lyte placebo administered similar to investigational infusion process | Oral or intravenous immunosuppressive medications according to standard clinical practice |
| Evidence status | No efficacy results available yet; recruitment ongoing | Comparator in trial; not an active treatment | Immunosuppressive regimens like rituximab or cyclophosphamide have shown improved pulmonary outcomes over time |
| Important risks | Unknown safety profile in this condition; investigational CAR‑T carries risks of immune‑mediated toxicities | Minimal risk beyond infusion‑related effects from placebo | Long‑term use of steroids and immunosuppressants can increase infection risk and organ toxicity |
| Important limitations | Unproven efficacy and safety; long‑term outcomes unknown; complex manufacturing and delivery | Does not provide therapeutic benefit; serves only for control comparison | Evidence largely retrospective or observational; therapies are not curative and may not work in refractory disease |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
screening and enrollment visit
Duration - 24 weeks
Participants receive either Descartes-08 or placebo to evaluate efficacy, safety, and tolerability over the treatment period.
Multiple visits during the 24-week treatment period
Study Type
INTERVENTIONAL
Masking
QUADRUPLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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Renee R Fedak, Rachel N Ruggerie, Yufei Shan...
https://pubmed.ncbi.nlm.nih.gov/41514039/Cartesian Therapeutics
Lead Sponsor