Case study of CD19 CAR T therapy in a subject with immune-mediate necrotizing myopathy treated in the RESET-Myositis phase I/II trial.
Jenell Volkov, Daniel Nunez, Tahseen Mozaffar...
https://pubmed.ncbi.nlm.nih.gov/39245937/Actively Recruiting
Led by Cabaletta Bio · Updated on 2026-07-23
74
Participants Needed
35
Research Sites
N/A
Total Duration
Researchers are evaluating the safety and effectiveness of an investigational cell therapy called CABA-201 in people with active idiopathic inflammatory myopathy IIM or juvenile idiopathic inflammatory myopathy JIIM. These are rare autoimmune diseases that cause muscle inflammation and weakness. The study focuses on specific subtypes including dermatomyositis, anti-synthetase syndrome, immune-mediated necrotizing myopathy, and juvenile idiopathic inflammatory myopathy, which may involve B cells attacking the bodys tissues. Participants receive a single intravenous infusion of CABA-201 after preconditioning treatment with the drugs fludarabine and cyclophosphamide. The study includes different cohorts based on the specific subtype of myopathy. The treatment is given once, and the study evaluates the effects in this open-label, non-randomized setting. During the study, participants are closely monitored for adverse events up to 28 days after infusion, and the improvement in disease symptoms is assessed over weeks to months depending on the subtype. Researchers also track laboratory results, biomarkers related to muscle inflammation and autoantibodies, and pharmacokinetics and pharmacodynamics of the therapy. Follow-up assessments extend up to 156 weeks for some measures, allowing long-term evaluation of safety and response. The study involves participants aged 6 to 75 years with active disease despite prior or current standard treatments.
CONDITIONS
RESET-Myositis: An Open-Label Study to Evaluate the Safety and Efficacy of CABA-201 in Subjects With Active Idiopathic Inflammatory Myopathy or Juvenile Idiopathic Inflammatory Myopathy
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Cabaletta Bio
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 | CABA‑201 CAR T cell therapy | Standard immunosuppressive care |
|---|---|---|
| What it is | An investigational single infusion of CABA‑201 CAR T cells after preconditioning with fludarabine and cyclophosphamide | Established immunosuppressive treatments such as corticosteroids plus agents like methotrexate, azathioprine, mycophenolate mofetil or rituximab, and intravenous immunoglobulin for refractory cases |
| Role in trial | Single‑group investigational intervention under evaluation for safety and efficacy | Not part of this study; used here to reflect usual practice for comparison |
| Primary use | Being studied as a treatment for active, refractory idiopathic inflammatory myopathy | Used to induce and maintain remission in idiopathic inflammatory myopathy |
| How it is given or performed | One intravenous infusion following chemotherapy preconditioning | Typically oral or IV immunosuppressive drugs and IVIG infusions per established protocols |
| Evidence status | Evidence limited to early‑phase study; safety and efficacy under investigation | Established efficacy in inducing remission though based on small studies and consensus recommendations |
| Important risks | Unknown full risk profile; early reports of CD19 CAR T in IIM show low‑grade cytokine release syndrome and hypogammaglobulinemia | Risks include infection, organ toxicity, and immune suppression from steroids and immunosuppressants |
| Important limitations | Very early evidence in small trial populations; long‑term outcomes unknown | Lack of large randomized trials; variable response rates; treatment side effects common |
| Patient impact | Not yet established patient outcomes; study aims to assess safety and response | Known to induce remission in many patients, though sustained responses and drug‑free remission are often limited |
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.
1 to 2 visits depending on assessments
Duration - Up to 28 days post-infusion monitoring
Participants receive a single infusion of CABA-201 after preconditioning with fludarabine and cyclophosphamide.
Regular visits during the first 28 days after infusion
Duration - Up to 156 weeks depending on cohort
Participants are monitored for safety and disease improvement using scores, muscle strength tests, and biomarker assessments.
Scheduled visits for assessments over months to years
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NON_RANDOMIZED
Model
SINGLE_GROUP
Primary Purpose
TREATMENT
Number of Arms
3
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Jenell Volkov, Daniel Nunez, Tahseen Mozaffar...
https://pubmed.ncbi.nlm.nih.gov/39245937/Cabaletta Bio
Lead Sponsor