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Cabaletta Bio's CABA-201 Shows Results in Autoimmune Disease Trials

Cabaletta Bio's CABA-201 Shows Results in Autoimmune Disease Trials

cabaletta bio的CABA-201在自身免疫疾病試驗中顯示出結果
Benzinga ·  11/18 07:11

Cabaletta Bio, Inc. (NASDAQ:CABA), a clinical-stage biotechnology company focused on developing and launching the first curative targeted cell therapies designed specifically for patients with autoimmune diseases, today announced new and updated clinical data on CABA-201 demonstrating the potential to achieve drug-free, compelling clinical responses based on eight patients dosed across the ongoing Phase 1/2 RESET-Myositis, RESET-SLE and RESET-SSc clinical trials. These data were presented in oral and poster presentations at the American College of Rheumatology (ACR) Convergence 2024, which is being held at the Walter E. Washington Convention Center in Washington, D.C. from November 14-19, 2024. Presentation materials featured at ACR Convergence 2024 can be accessed on the Company's website here.

Cabaletta Bio, Inc.(納斯達克股票代碼:CABA)是一家臨床階段的生物技術公司,專注於開發和推出首款專爲自身免疫性疾病患者設計的治療性靶向細胞療法。該公司今天公佈了新的和更新的有關 CABA-201 的臨床數據,表明在正在進行的1/2期重置肌炎、RESET-SLE和RESET-SSC臨床試驗中,八名患者給藥後,有可能實現無藥物、令人信服的臨床反應。這些數據是在2024年美國風溼病學會(ACR)Convergence上以口頭和海報展示的形式呈現的,該會議將於2024年11月14日至19日在華盛頓特區的沃爾特·華盛頓會議中心舉行。ACR Convergence 2024上精選的演示材料可在公司網站上查閱。

"The clinical data reported at ACR Convergence this weekend support the potential of the current dose of CABA-201 to provide immunosuppressant-free, compelling clinical responses in patients with active, refractory autoimmune disease. Data presented from the previously reported patient with lupus nephritis who experienced ICANS and had acute inflammatory events shortly before CABA-201 treatment demonstrated an abnormal, pro-inflammatory cytokine profile prior to and after CABA-201 infusion, suggestive of an occult infection. As a result of these data, subjects in the RESET clinical program who develop a fever prior to scheduled infusion will wait a minimum of two weeks before administration of CABA-201. Other than this patient with a second, later peak expansion, CABA-201 displayed a consistent PK and PD profile in all other patients," said David J. Chang, M.D., Chief Medical Officer of Cabaletta. "In addition to our promising clinical and translational data set from the RESET program, we believe our efficient clinical trial design, growing footprint of 40 actively recruiting U.S. clinical sites and anticipated expansion into Europe in 2025 provide us with a differentiated opportunity to accelerate development of CABA-201 for patients. Data permitting, we anticipate meeting with the FDA in 2025 to discuss potential registrational trial designs for CABA-201 that will allow us to bring the therapeutic potential of this investigational therapy closer to autoimmune patients."

“本週末在 ACR Convergence 上報告的臨床數據支持,當前劑量的 CABA-201 有可能爲活動性、難治性自身免疫性疾病患者提供不含免疫抑制劑、令人信服的臨床反應。先前報告的狼瘡腎炎患者在 CABA-201 治療前不久經歷過 ICANS 併發生急性炎症事件,該患者提供的數據顯示,輸液 CABA-201 前後出現異常的促炎細胞因子特徵,提示存在隱性感染。根據這些數據,在預定輸液前出現發燒的 reSET 臨床計劃的受試者將至少等待兩週才能給藥 CABA-201。Cabaletta首席醫學官David J. Changwand.D. 說,除了這名患者出現第二次峯值擴張的患者外,CABA-201 在所有其他患者中都表現出穩定的Pk和PD特徵。「除了我們來自reSet計劃的有前景的臨床和轉化數據集外,我們相信我們高效的臨床試驗設計、40個積極招募美國臨床研究機構的覆蓋範圍不斷擴大,以及預計將在2025年擴展到歐洲爲我們提供了一個差異化的機會,可以加速爲患者開發 CABA-201。如果數據允許,我們預計將在2025年與美國食品藥品管理局會面,討論 CABA-201 的潛在註冊試驗設計,這將使我們能夠使這種研究療法的治療潛力更接近自身免疫患者。」

Cabaletta designed CABA-201, a 4-1BB-containing fully human CD19-CAR T cell investigational therapy, to deeply and transiently deplete CD19-positive B cells following a one-time infusion that may enable a reset of the immune system with the potential for durable remission without chronic immunosuppressive therapies in patients with autoimmune diseases. Cabaletta is currently evaluating CABA-201 in the RESET clinical development program across five company-sponsored clinical trials that each have disease-specific cohorts with six patients per cohort. All cohorts are evaluating the same single, weight-based dose of CABA-201 at 1 x 106 cells/kg without a dose escalation requirement. Treatment with CABA-201 in each clinical trial includes a preconditioning regimen of fludarabine and cyclophosphamide, consistent with the dosing regimen used in the third-party academic studies, except for the RESET-PV trial which is evaluating CABA-201 without preconditioning.

Cabaletta 設計了 CABA-201,這是一種含有 4-1bB 的全人類 CD19-CAR t 細胞研究療法,可在一次性輸注後深度短暫地消耗 CD19 陽性 b 細胞,從而使免疫系統重啓,並有可能在不對自身免疫性疾病患者進行慢性免疫抑制療法的情況下實現持久緩解。Cabaletta 目前正在評估公司贊助的五項臨床試驗中的 RESET 臨床開發計劃中的 CABA-201,每項試驗都有特定疾病的隊列,每個隊列有六名患者。所有隊列都在評估相同的、基於體重的 CABA-201 劑量,每千克爲 1 x 106 個細胞,而沒有劑量遞增要求。在每項臨床試驗中,使用 CABA-201 進行治療都包括氟達拉濱和環磷酰胺的預處理方案,該方案與第三方學術研究中使用的給藥方案一致,但是在沒有預處理的情況下評估 CABA-201 的 RESET-PV 試驗除外。

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