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A Phase I Multicohort Trial of Zamtocabtagene Autoleucel (Zamto-Cel) in Subjects With Severe Refractory Autoimmune Diseases

Status: Recruiting
Location: See location...
Intervention Type: Drug, Biological
Study Type: Interventional
Study Phase: Phase 1
SUMMARY

AID is a phase I multi-cohort study to assess the safety and tolerability of zamtocabtagene autoleucel (zamto-cel) in patients with refractory autoimmune diseases (SLE-Non renal, SLE-LN, SSc/dcSSc) after receiving standard therapy.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

∙ •Confirmed diagnosis of autoimmune disease (SLE-Non-renal, SLE-LN, SSc/ dcSSc)

• Positive for at least 1 of the following autoantibodies at Screening: anti- double stranded DNA or anti-Smith

• Systemic Lupus Erythematosus Disease Activity Index-2000 score ≥ 8 AND at least 1 British Isles Lupus Assessment Group (BILAG)-2004 Class A (severe manifestation) organ scores

• Inadequate response to glucocorticoids and to at least 2 of the following treatments, used for at least 3 months each: cyclophosphamide, mycophenolic acid or its derivatives, belimumab, azathioprine, anifrolumab, methotrexate, rituximab, or obinutuzumab

• Positive for at least 1 of the following autoantibodies at Screening: anti- double stranded DNA or anti-Smith

• Confirmed LN diagnosis by kidney biopsy during screening or within the previous 6 months, with severe active phase of the disease.

• Progressing despite maintenance on maximally tolerated doses of renin- angiotensin system (RAS) blocking agents, unless allergic to or intolerant of ACE inhibitors and ARBs

• Inadequate response to glucocorticoids and hydroxychloroquine and at least 1 of the following treatments, used for at least 3 months each: cyclophosphamide, mycophenolic acid derivatives, belimumab, azathioprine, methotrexate, rituximab, obinutuzumab, calcineurin inhibitor (cyclosporin, tacrolimus or voclosporin)

• Active disease defined as:

• Modified Rodnan skin score (mRSS) ≥ 16 units, in the prior 6 months, with 1 or more of the following:

‣ Increase in mRSS by ≥ 3 units or 10%

⁃ Involvement of 1 new body area with increase in mRSS by ≥ 2 units

⁃ Involvement of 2 new body areas with increase by ≥ 1 mRSS unit OR

• Progressive interstitial lung disease (ILD) defined as:

• \- Worsening of respiratory symptoms and an increased extent of fibrosis evaluated by high-resolution computed tomography

• Lack of response to standard therapy (e.g., failure of ≥ 2 immunosuppressive therapies)

Locations
United States
Wisconsin
Froedtert Hospital and the Medical College of Wisconsin
RECRUITING
Milwaukee
Contact Information
Primary
Sadie Swift
clinicaltrials@miltenyi.com
617-218-0044
Backup
Paris Jamiel
clinicaltrials@miltenyi.com
617-218-0044
Time Frame
Start Date: 2026-07
Estimated Completion Date: 2028-07
Participants
Target number of participants: 48
Treatments
Experimental: Dose Level 1
Experimental: Dose Level 2
Sponsors
Leads: Miltenyi Biomedicine GmbH

This content was sourced from clinicaltrials.gov