Anyone had CAR-T treatment for Scleroderma or Lupus? Any other CAR-T?
Multiple CAR-T treatments are available now through clinical trials. Most studies are in Phase I or just entering Phase II. Meaning these treatments are early on in the development. The limitations to getting CAR-T treatments via research are many. Inclusion criteria are strict and clinical studies are recruiting only in certain areas.
Some very promising results have been published in Lupus. Scleroderma has very limited Phase I data. Although CAR-Ts showed a big promise in advanced patients, toxicities are serious: cytokine release syndrome and neurological toxicities.
If you had CAR-T in autoimmune disease, please share your experience: response to treatment and how bad were toxicities. How long did it take to recover?
Any insights are appreciated.
Interested in more discussions like this? Go to the Autoimmune Diseases Support Group.
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CAR-T treatments for autoimmune diseases currently running in clinical trials are similar to already approved CAR-Ts for blood cancers, like B Cell Lymphoma, Multiple Myeloma and Acute Myeloid Leukemia.
Here is a link to Breyanzi CAR-T approved for multiple lymphoma indications. The website provides comprehensive information regarding what is involved in CAR-T treatment and potential toxicities. May be a good read for autoimmune disease as well.
https://www.breyanzi.com
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2 ReactionsHere is another CAR-T approved for Multiple Myeloma. Please see a link to CARVYKTI website.
CARVYKTI® (ciltacabtagene autoleucel) is a B-cell maturation antigen (BCMA)-directed genetically modified autologous T cell immunotherapy indicated for the treatment of adult patients with relapsed or refractory multiple myeloma.
Read carefully Important Safety Information section - its safety profile is similar to CAR-Ts currently tested in clinical trial for autoimmune diseases.
https://www.carvyktihcp.com/
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2 ReactionsThis is a clinical trial with BMS CAR-T for multiple autoimmune diseases which is ongoing and open to enrollment:
https://www.cartautoimmune.com/hcp/ssc
A Phase 1, Multicenter, Open-Label Study Of CC-97540 (BMS-986353), CD19-Targeted Nex-T Chimeric Antigen Receptor (CAR) T Cells, in Participants With Severe, Refractory Autoimmune Diseases: Systemic Lupus Erythematosus, Idiopathic Inflammatory Myopathy, Systemic Sclerosis, or Rheumatoid Arthritis (Breakfree-1)
You can look up the details on clinicaltrial.gov:
https://clinicaltrials.gov/study/NCT05869955
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2 ReactionsI am posting information for a biotech company Kyverna, which is specializing in the developement of CAR-T therapies for autoimmune diseases:
https://kyvernatx.com/platform-pipeline/car-t-cell-therapy/
Their treatments are early on in the development, but it may be worth watching the progress.
https://kyvernatx.com/platform-pipeline/clinical-trials/
From Kyverna website: CAR T cells have the potential for therapeutic breakthrough in
B-cell driven autoimmune diseases.
Kyverna is the exclusive worldwide licensee of a next-generation CAR T construct targeting CD19 for use in the autologous, mivocabtagene autoleucel (miv-cel, KYV-101) and KYV-102, and allogeneic, KYV-201, cell therapies for B-cell driven autoimmune diseases.
The diseases that are included in the clinical program: RA, Lupus, Systemic Sclerosis, Multiple Sclerosis, Myasthenia Gravis, Stiff Person Syndrome.
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2 Reactionshttps://www.novartis.com/clinicaltrials/study/nct06655896
A clinical trial from Novartis is now recruiting patients with diffuse systemic sclerosis. The design is randomized, CAR-T vs Rituximab.
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2 ReactionsAll ongoing clinical trials are posted on http://www.clinicaltrials.gov website. Here is a link to a search under systemic sclerosis CAR-T for the study with Belimumab:
https://clinicaltrials.gov/study/NCT05878717
Belimumab is already approved in Lupus. Now it is being tried in systemic sclerosis.
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2 ReactionsHere is an article covering overview of a small number of patients treated with CAR-t therapy that have been followed for more than 15 months.
CD19 CAR T-Cell Therapy in Autoimmune Disease — A Case Series with Follow-up
https://www.nejm.org/doi/full/10.1056/NEJMoa2308917
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1 Reaction@altabiznet Just wondering if you have an interest in CAR T trials for a specific reason.
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1 Reaction@becsbuddy
One study/site is offering me to go for CAR-T therapy. It would be helpful to hear from the patients with real-life experience how they tolerated the procedure and whether there was a good durable response.
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2 Reactions@becsbuddy Good morning..reason Becky is Systemic Lupus, Sjögren’s & type 2 Diabetes (under control AIC 6.1🎉 been taking Hydroxy like 10 years approx. moderate Arthritis everywhere..
I want to get better not worse 😢
I’m glad to meet you!
Thank you,
Wendy
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1 Reaction