Anti-CD19 CAR T cell therapy for refractory systemic lupus erythematosus.
Andreas Mackensen, Fabian Müller, Dimitrios Mougiakakos...
https://pubmed.ncbi.nlm.nih.gov/36109639/Actively Recruiting
Led by Stanford University · Updated on 2026-02-27
12
Participants Needed
1
Research Sites
N/A
Total Duration
Researchers are investigating KYV-101, an anti-CD19 chimeric antigen receptor CAR T-cell therapy, in adults with non-relapsing and progressive forms of Multiple Sclerosis MS. MS is a neurodegenerative disease where the immune system attacks the nervous system, leading to worsening neurologic function over time. This study focuses on progressive MS patients whose disease is worsening but without recent inflammatory activity or relapses and who have not responded to existing treatments. The study involves administering KYV-101 CAR T cells following a standard lymphodepletion regimen to reduce certain immune cells before the treatment. This therapy aims to target and reduce B cells involved in MS progression. The trial is open-label and conducted at a single center, with participants receiving the investigational therapy and being closely monitored during the treatment and follow-up periods. Participants will undergo evaluations including safety assessments, laboratory tests, and clinical response measurements up to 12 months after treatment. Researchers will monitor dose-limiting toxicities, adverse events, pharmacokinetics, and pharmacodynamics of KYV-101. The study includes ongoing safety follow-up and detailed monitoring to understand the effects and response to the therapy over time.
CONDITIONS
A Study of Anti-CD19 Chimeric Antigen Receptor T-Cell ( CAR-T) Therapy in Subjects With Non-relapsing and Progressive Forms of Multiple Sclerosis
M
Multiple Sclerosis and Neuroimmunology Study Team
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Stanford University
Lead Sponsor
Kyverna Therapeutics
Collaborating 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 | KYV‑101 CAR‑T therapy | Current anti‑CD20 therapy |
|---|---|---|
| What it is | An investigational sequential regimen combining lymphodepletion conditioning followed by a single infusion of KYV‑101 anti‑CD19 CAR‑T cells in adults with progressive forms of MS | Established disease‑modifying therapy using anti‑CD20 monoclonal antibodies to deplete B cells in progressive forms of MS |
| Role in the study | Investigational therapeutic intervention being administered to study participants | Not part of trial but represents current care option for progressive MS |
| Primary use | Administered to evaluate its safety, tolerability, and potential therapeutic activity in progressive MS | Used to reduce B‑cell–driven inflammation and slow disease progression in progressive MS |
| How it is given or performed | Participants receive lymphodepletion conditioning followed by a single infusion of KYV‑101 anti‑CD19 CAR‑T cells | Typically delivered via regular infusions or subcutaneous injections of monoclonal antibodies targeting CD20 |
| Evidence status | No published data yet; this trial will generate initial safety and response observations | Demonstrated efficacy in reducing disease activity and slowing progression in progressive MS populations |
| Important risks | Potential risks include cytokine release syndrome and neurotoxicity seen in CAR‑T therapies in other contexts; safety in MS remains unknown | Associated risks include infusion reactions, infections, and immunoglobulin reduction due to B‑cell depletion |
| Important limitations | Unproven in MS; unknown long‑term effects and durability; small sample size | Limited efficacy in some progressive MS cases with compartmentalized CNS inflammation unresponsive to peripheral B‑cell depletion |
| Patient impact | Not yet established; study will monitor clinical response outcomes | Shown to reduce relapses and slow disability progression in progressive MS |
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 visit (in-person)
Duration - Up to 12 months
Participants receive KYV-101 anti-CD19 CAR-T cell therapy following a standard lymphodepletion regimen.
Multiple visits during treatment period as scheduled by the study team
Duration - Up to 12 months
Participants are monitored for safety, clinical response, and pharmacokinetics/pharmacodynamics after treatment.
Regular visits for up to 12 months post-treatment
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SEQUENTIAL
Primary Purpose
TREATMENT
Number of Arms
1
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https://pubmed.ncbi.nlm.nih.gov/31959992/Stanford University
Lead Sponsor
Kyverna Therapeutics
Collaborating Sponsor