A Study to Evaluate the Safety, Tolerability, Efficacy, and Drug Levels of CC-97540 in Participants With Relapsing Forms of Multiple Sclerosis, Progressive Forms of Multiple Sclerosis or Refractory Myasthenia Gravis (MG) (Breakfree-2)

Trial statusRecruiting
Trial phasePhase 1
Trial typeInterventional
Biological sexAll
Age18-60
SponsorJuno Therapeutics, Inc., a Bristol-Myers Squibb Company

About this trial

The purpose of this study is to evaluate the safety, tolerability, efficacy, and drug levels of CC-97540 in participants with Relapsing Forms of Multiple Sclerosis (RMS), Progressive Forms of Multiple Sclerosis (PMS) or Refractory Myasthenia Gravis (MG).

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

None

Disqualifiers

Cohorts 1 and 2: Participants that cannot complete the 9-Hole Peg Test (9-HPT) in at least 1 hand in <240 seconds unless extenuating medical conditions unrelated to MS prohibit this.

Participants that cannot perform a Timed 25-Foot Walk Test (T25FWT) in < 150 seconds.

Presence of other confounding peripheral nervous system disorders or other disorders that may impact muscle strength (eg, myositis) or cause weakness, stroke, chronic inflammatory demyelinating polyradiculoneuropathy, Lambert-Eaton myasthenic syndrome.

Other protocol-defined Inclusion/Exclusion criteria apply.

Trial design

Design model

Single group

Treatments tested in this trial

  • CC-97540

    Drug

    Specified dose on specified days

  • Fludarabine

    Drug

    Specified dose on specified days

  • Cyclophosphamide

    Drug

    Specified dose on specified days

Treatment groups

120 Participants
are divided into 3 treatment groups
Group A: Administration of CC-97540 (RMS arm)Experimental treatment 3 interventions
Group B: Administration of CC-97540 (PMS arm)Experimental treatment 3 interventions
Group C: Administration of CC-97540 (MG arm)Experimental treatment 3 interventions

Trial outcomes

Primary outcomes

1

Number of participants with adverse events (AEs)

Time frame
Up to week 104
2

Number of participants with serious adverse events (SAEs)

Time frame
Up to week 104
3

Number of participants with adverse events of special interest (AESIs)

Time frame
Up to week 104
4

Number of participants with laboratory test result abnormalities

Time frame
Up to week 104

Secondary outcomes

1

Number of participants meeting no evidence of disease activity (NEDA) criteria

Time frame
Up to week 104
2

Number of participants with confirmed disability progression per Expanded Disability Status Scale (EDSS)

Time frame
Up to week 12
3

Annualized relapse rate

Time frame
Up to week 104
4

Change from baseline in magnetic resonance imaging (MRI) metrics

MRI metrics assessed are 1) number of gadolinium-enhancing T1 lesions and 2) total number of new or enlarging hyperintense T2-weigted lesions

Time frame
Up to week 104

Other outcomes

Sponsors and contacts

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