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Phase 1Recruiting
View on ClinicalTrials.gov

Comparing KITE-363 with Fludarabine for chronic inflammatory demyelinating polyneuropathy

Official title: A Study Evaluating the Safety and Efficacy of KITE-363 in Relapsed/Refractory Autoimmune Neurologic Diseases

A Phase 1 Open-label, Multiregional, Multicenter, Basket Study Evaluating the Safety and Efficacy of KITE-363, an Autologous Anti-CD19/CD20 CAR T-cell Therapy in Participants With Relapsed/Refractory Autoimmune Neurologic Diseases

Condition: Chronic Inflammatory Demyelinating PolyneuropathySponsor: Kite, A Gilead CompanyTarget enrollment: 52
  • Phase 1
  • 2 groups
  • One site, in Montreal
  • Recruiting
Jewish General Hospital, Montreal

Interventions

  • Biological therapy

    KITE-363

    A single infusion of CAR-transduced autologous T cells administered as intravenous infusion.

  • Medication

    Fludarabine

    Administered intravenously

  • Medication

    Cyclophosphamide

    Administered intravenously

Canadian Sites (1)

1 of 1 recruiting

  • Jewish General Hospital

    Montreal

    Recruiting

Eligibility Criteria

See who this study is looking for40 criteria

The trial’s own eligibility text, word for word from the registry. Only the trial site can say who takes part.

Inclusion

  • +Expanded Disability Status Scale (EDSS) 0 to 5.5
  • +EDSS of 3 to 6.5 who are ambulatory
  • +Inclusion CriteriaInclusion criteriaThe things you must have or be for a study to consider you.Read more → for multiple sclerosis (MS):
  • +MS (Relapsing and progressive forms):
  • +Diagnosed with MS according to the 2017 revision of the McDonald diagnostic criteria
  • +Relapsing forms of MS (relapsing-remitting multiple sclerosis (RRMS), active secondary-progressive multiple sclerosis (aSPMS)):
  • +Inadequate response to previous therapies is defined as evidence of breakthrough disease activity within 12 months prior to screeningScreeningThe checks done before joining, to see whether a study fits.Read more → while on high efficacy disease-modifying therapy (DMT) OR Inadequate response to previous therapies defined as intolerance to ≥ 2 DMTs due to side effectsSide effectAn unwanted effect thought to be caused by the treatment itself.Read more → prohibiting the chronic use of the DMT.
  • +Progressive forms of MS (primary-progressive multiple sclerosis (PPMS) and non-active secondary-progressive multiple sclerosis (naSPMS)):
  • +Inadequate response to previous therapies is defined as evidence of disease progression within 12 months prior to screening despite standard of careStandard of careThe treatment normally given for a condition outside a study.Read more → therapy for naSPMS or despite ocrelizumab, where available, for PPMS
  • +Absence of clinical relapses for at least 24 months
  • +No evidence of Gadolinium enhancing (GadE+) on magnetic resonance imaging (MRI) brain at screening or baselineBaselineYour starting measurements, taken before treatment begins.Read more →
  • +Inclusion Criteria for myasthenia gravis (MG):
  • +Documentation of autoantibodies against acetylcholine receptor (AChR), muscle-specific kinase (MuSK), or low-density lipoprotein receptor-related protein 4 (LRP4)
  • +Diagnosis of MG with generalized weakness meeting criteria as defined by the Myasthenia Gravis Foundation of American (MGFA) classification of II- IV at screening
  • +Myasthenia Gravis Activities of Daily Living (MG-ADL) score ≥ 6 (\> 50% of the total score due to non-ocular symptoms)
  • +Quantitative Myasthenia Gravis (QMG) score ≥ 10
  • +Inadequate response to previous therapies while taking at least 2 classes of immunosuppressants (ie, steroids, azathioprine (AZA), mycophenolate mofetil (MMF), intravenous immunoglobulin (IVIg), biologics (eg, rituximab, anti-neonatal fragment crystallizable (Fc) receptor (FcRN) class, and anti-complement class))
  • +Thymectomy allowed if completed ≥ 12 months prior to screening
  • +Inclusion Criteria for chronic inflammatory demyelinating polyneuropathy (CIDP):
  • +Probable or definite CIDP as defined by the 2010 European Federation of Neurological Societies/Peripheral Nerve Society (EFNS/PNS) criteria, relapsing or progressive forms
  • +CIDP Disease Activity Status (CDAS) score ≥ 3 at screening
  • +Inflammatory neuropathy cause and treatment (INCAT) score ≥ 3
  • +Inadequate response to previous therapies despite standard of care therapy (ie, steroids, IVIg, subcutaneous immunoglobulin (SCIg), plasmapheresis exchange (PLEX), rituximab, or anti FcRN) OR Unable to tolerate standard of care due to side effects with ongoing disease activity
  • +Except for nodal/paranodal CIDP, historical documentation of objective improvement in the past 24 months while on IVIg, SCIg, PLEX, or anti-FcRN OR Historical documentation of objective disease worsening in the past 24 months when IVIg, SCIg, PLEX, or anti-FcRN has been reduced or interrupted
  • +Reproductive status-related eligibilityEligibility criteriaThe full list of requirements for taking part in a study.Read more → and contraception requirements:
  • +Participants must agree to use protocolProtocolThe detailed plan a study must follow.Read more →-specified method(s) of contraception where applicable

Exclusion

  • History of hypersensitivity to parenteral administration of gadolinium-based contrast agents
  • History or presence of central nervous system (CNS) or peripheral nervous system disorders before enrollmentEnrolmentThe number of participants a study plans to include, or has included.Read more → that may impact cognition, strength, or cause weakness
  • History of autologous or allogeneic stem cell transplant and/or organ transplant
  • Exclusion CriteriaExclusion criteriaThe things that would prevent someone from taking part.Read more → for MS:
  • CohortCohortA group of participants sharing a characteristic, followed together.Read more → 1 or 2; inability to complete 9-hole Peg Test (9-HPT) in \< 240 seconds and Timed 25 foot Walk (T25FW) \< 150 seconds
  • Any renal condition that would preclude the administration of gadolinium (for the relapsing forms of MS and progressive forms of MS)
  • Any contraindication to lumbar puncture (LP) (for the relapsing forms of MS and progressive forms of MS)
  • Exclusion Criteria for MG:
  • Current myasthenic crisis not effectively controlled within 2 weeks before enrollment
  • Thymectomy performed within 12 months of baselineBaselineYour starting measurements, taken before treatment begins.Read more →
  • Exclusion Criteria for CIDP:
  • Pure sensory CIDP and focal CIDP
  • Polyneuropathy of other causes
  • Note: Other protocolProtocolThe detailed plan a study must follow.Read more → defined InclusionInclusion criteriaThe things you must have or be for a study to consider you.Read more →/Exclusion criteria may apply.
5 concepts to explore on this page · up to 1,300 pointsTap any term to learn what it means.

In plain language

Assembled directly from this trial’s registry record. Every sentence traces to a field below — nothing here is generated or interpreted.

Learning 
What this study is

This study is testing a treatment for a condition.

Phase 1Phase 1The earliest stage of human testing, in a small group, focused on safety.Read more → — an early safety study in a small group, checking how it is tolerated and at what dose.

From the trial registry

Built from these fields:

  • designModule.designInfo.primaryPurpose
  • designModule.phases
Who receives what

There are 2 groups in this study.

Groups A and B receive KITE-363, together with one or more of: Fludarabine and Cyclophosphamide.

Registry label: A: Phase 1a: KITE-363 (Dose Escalation) · B: Phase 1b: KITE-363 (Dose Expansion)

From the trial registry

Built from these fields:

  • armsInterventionsModule.armGroups[].label
  • armsInterventionsModule.armGroups[].type
  • armsInterventionsModule.armGroups[].interventionNames
How the study is run

Groups are assigned by the study team using set rules, rather than by chance.

This study is open-labelOpen-labelEveryone knows which treatment is being given — nothing is hidden.Read more →: everyone knows which treatment is being given, including you and the study team.

From the trial registry

Built from these fields:

  • designModule.designInfo.allocation
  • designModule.designInfo.maskingInfo.masking
Is there a placebo?

This study does not list a placeboPlaceboA dummy treatment with no active medicine, used for comparison.Read more → group.

From the trial registry

Built from these fields:

  • armsInterventionsModule.armGroups[].type
  • armsInterventionsModule.armGroups[].interventionNames
Who the study is looking for

The study lists an age range of 18 years to 75 years.

The study is open to people of any sex.

The study does not accept healthy volunteersHealthy volunteerSomeone without the condition being studied who takes part anyway.Read more →.

These are the criteria the study lists. Only the trial siteTrial siteA hospital or clinic where a study is actually run.Read more → can decide whether someone can take part.

From the trial registry

Built from these fields:

  • eligibilityModule.minimumAge
  • eligibilityModule.maximumAge
  • eligibilityModule.sex
  • eligibilityModule.healthyVolunteers
How big and how long

The study aims to enrol about 52 people.

The study is currently expected to finish around June 2029.

The main measurement is taken over: Up to 2 years.

From the trial registry

Built from these fields:

  • designModule.enrollmentInfo.count
  • statusModule.completionDateStruct.date
  • outcomesModule.primaryOutcomes[].timeFrame
What the study measures

Phase 1a: Percentage of Participants Experiencing Treatment-emergent Adverse EventAdverse eventAny medical problem that happens during a study, whether or not the treatment caused it.Read more → (TEAEs) — measured over Up to 2 years.

Phase 1a: Percentage of Participants Experiencing Dose-limiting Toxicities (DLTs) After the Infusion of KITE-363 — measured over Up to 28 days.

Phase 1b: (All CohortsCohortA group of participants sharing a characteristic, followed together.Read more →) Percentage of Participants Experiencing TEAEs — measured over Up to 2 years.

Phase 1b: Relapsing Forms of MS (RRMS) and (aSPMS): Number of New T1 Gadolinium Enhancing (GadE+) Lesions on Magnetic Resonance Imaging (MRI) at Week 12 — measured over Week 12.

The study lists 4 further main measurements.

From the trial registry

Built from these fields:

  • outcomesModule.primaryOutcomes[].measure
  • outcomesModule.primaryOutcomes[].timeFrame

Source: NCT07304154 on ClinicalTrials.gov. The full registry text is further down this page — this summary never replaces it.

Not medical advice. What do these terms mean?

What is being tested — in plain terms

About KITE-363Biological

A single infusion of CAR-transduced autologous T cells administered as intravenous infusion.

From the trial registry — its own words, unedited.

What a biological is here: A treatment made from or by living systems — such as antibodies, vaccines, or cell-based therapies.

Read the full explanation → · in clinical review

About FludarabineDrug

Administered intravenously

From the trial registry — its own words, unedited.

What a drug is here: A medicine — a chemical or small-molecule treatment — given as the thing being studied.

Read the full explanation → · in clinical review

About CyclophosphamideDrug

Administered intravenously

From the trial registry — its own words, unedited.

What a drug is here: A medicine — a chemical or small-molecule treatment — given as the thing being studied.

Read the full explanation → · in clinical review

Common questions

Answered from this trial’s registry record. Where the record doesn’t say, these answers say so rather than filling the gap.

Am I eligible for this trial?

Only the trial siteTrial siteA hospital or clinic where a study is actually run.Read more → can decide whether someone can take part. Concord cannot make that determination, and neither can any tool that has not examined you.

What the study lists: an age range of 18 years to 75 years.

The full inclusionInclusion criteriaThe things you must have or be for a study to consider you.Read more → and exclusion criteriaExclusion criteriaThe things that would prevent someone from taking part.Read more → are published on this page, exactly as the study team wrote them.

The useful next step is to bring this trial to your doctor. Answering a few questions first gives them something concrete to review.

From the trial registry
  • eligibilityModule.minimumAge
  • eligibilityModule.maximumAge
  • eligibilityModule.eligibilityCriteria
Is there a placebo?

This study does not list a placeboPlaceboA dummy treatment with no active medicine, used for comparison.Read more → group.

From the trial registry
  • armsInterventionsModule.armGroups[].type
Would I know which treatment I am getting?

This study is open-labelOpen-labelEveryone knows which treatment is being given — nothing is hidden.Read more →: everyone knows which treatment is being given, including you and the study team.

Groups are assigned by the study team using set rules, rather than by chance.

From the trial registry
  • designModule.designInfo.maskingInfo.masking
  • designModule.designInfo.allocation
Who can join?

The study lists an age range of 18 years to 75 years.

It is open to people of any sex.

It does not accept healthy volunteersHealthy volunteerSomeone without the condition being studied who takes part anyway.Read more →.

Only the trial siteTrial siteA hospital or clinic where a study is actually run.Read more → can confirm whether a particular person can take part.

From the trial registry
  • eligibilityModule.minimumAge
  • eligibilityModule.maximumAge
  • eligibilityModule.sex
  • eligibilityModule.healthyVolunteers
How long would this take?

The study's main measurement is taken over: Up to 2 years.

The study as a whole is currently expected to finish around 2029-06.

How long any one person takes part can differ from the study length. The study team can tell you what the schedule looks like in practice.

From the trial registry
  • outcomesModule.primaryOutcomes[].timeFrame
  • statusModule.completionDateStruct.date
How many people are taking part?

The study aims to enrol about 52 people.

From the trial registry
  • designModule.enrollmentInfo.count
Where is this happening?

This study lists 3 locations, including: Montreal, Canada; New York, New York, United States; Seattle, Washington, United States.

Sites can open and close during a study, so confirm with the team before travelling.

From the trial registry
  • trial_locations

About This Trial

This study will have two Phases: Phase 1a and Phase 1b. The goals of this clinical study are to learn more about the study drug KITE-363, by evaluating its safety, tolerability and efficacy in participants with relapsed/refractory autoimmune neurologic diseases. The primary objectives of this study are: * To evaluate the safety and tolerability of KITE-363 in participants with autoimmune neurologic diseases * To determine the recommended dose for Phase 1b. * To evaluate the preliminary efficacy of KITE-363 in participants with autoimmune neurologic diseases.

Other Sites (2)

Columbia University Irving Medical Center

New York, New York, United States

Fred Hutchinson Cancer Center

Seattle, Washington, United States

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This page is for informational purposes only and does not constitute medical advice. Clinical trial eligibility can only be determined by the trial site after proper screening. Trial information is sourced from ClinicalTrials.gov and may not reflect the most current status. Always consult your healthcare provider before making decisions about clinical trial participation.