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An open-label study to assess safety, efficacy, and cellular kinetics of YTB323 in treatment-resista

Neurology
Ali Habib
An open-label, multi-center, phase I/II study to assess safety, efficacy, and cellular kinetics of YTB323 in participants with treatment-resistant generalized myasthenia gravis
Myasthenia Gravis

Study Description

This is an open-label, multi-center, non-confirmatory study intended to assess safety, efficacy, and cellular kinetics of YTB323 treatment in participants with treatment-resistant generalized myasthenia gravis in order to enable a benefit to risk assessment for further development in generalized myasthenia gravis (gMS). The study plans to enroll approximately 15 participants with treatment-resistant gMG. The study utilizes a single dose design across 2 cohorts, consisting of a sentinel cohort of 3 patients followed by an expansion cohort of an additional 12 patients.

All participants dosed with YTB323 will be followed until 15 years after YTB323 administration in the Long-Term Follow-up (LTFU).

Eligibility

Confirmed gMG diagnosis supported by the following:

Documented report of positive serology testing for either AChR antibodies or

MuSK antibodies at screening AND at least one of the following:

History of abnormal neuromuscular transmission test demonstrated by repetitive nerve stimulation or single-fiber electromyography

History of positive acetylcholinesterase inhibitor test

Improvement in MG signs on an oral acetylcholinesterase inhibitor as assessed by the treating physician

MGFA Class III-IVa (gMG) at screening

Treatment-resistant gMG as defined by: MG-ADL score ≥ 6 at screening despite adequate treatment trials with at least two different non-steroidal immunosuppressive drugs given at adequate doses and duration of therapy.

If on chronic corticosteroids, the ability and willingness to taper to a maximum dose of 10 mg prednisolone daily or equivalent at least one week before leukapheresis

If treated with cholinesterase inhibitors, patients must be on a stable dose for at least two weeks prior to screening

YOU CAN'T JOIN IF:

If you've had prior treatment with anti-CD19 therapy, adoptive T cell therapy or any prior gene therapy product (e.g. CAR-T cell therapy).

Other protocol-defined inclusion/exclusion criteria may apply

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