A Study of Anti-CD19 Chimeric Antigen Receptor T-Cell Therapy, in Subjects With Generalized Myasthenia Gravis

2023-509892-17-00 Protocol KYV101-006 Phase II and Phase III (Integrated) Ongoing, recruiting

Start 9 Jul 2024 · Status Ongoing, recruiting · 1 EU/EEA countries · 7 sites · Protocol KYV101-006

Overview

Sponsor-declared trial summary

Phase Phase II and Phase III (Integrated)
Status Ongoing, recruiting
Participants planned 66
Countries 1
Sites 7

Generalized myasthenia gravis

1. Phase 2: To characterize the safety and tolerability of KYV-101. 2. Phase 2: …

Key facts

Sponsor
Kyverna Therapeutics Inc.
Participant type
Patients
Age range
18-64 years, 65+ years
Gender
Male and Female
Therapeutic area
Diseases [C] - Immune System Diseases [C20]
Trial duration
9 Jul 2024 → ongoing
Decision date (initial)
2024-05-13
Transition trial
No
Low-intervention
No
Rare-disease indication
Yes
Vulnerable population
Yes
Funding sources
Kyverna Therapeutics, Inc

External identifiers

EU CT number
2023-509892-17-00
ClinicalTrials.gov
NCT06193889

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Safety, Efficacy, Others

1. Phase 2: To characterize the safety and tolerability of KYV-101.
2. Phase 2: To evaluate the efficacy of KYV-101.
3. Phase 3: To evaluate the efficacy of KYV-101.

Secondary objectives 2

  1. 1. Phase 3: To evaluate the efficacy of KYV-101.
  2. 2. Phase 3: To characterize the safety and tolerability of KYV-101.

Conditions and MedDRA coding

Generalized myasthenia gravis

VersionLevelCodeTermSystem organ class
21.1 PT 10028417 Myasthenia gravis 100000004852

Regulatory references

Scientific advice from competent authorities
Paul-Ehrlich-Institut, European Medicines Agency
Plan to share IPD
No

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 12

  1. 1. Patients must be ≥ 18 to ≤ 75 years of age with a diagnosis of generalized MG
  2. 10. No use of intravenous immune globulin (IVIG) or plasmapheresis (PLEX) within 4 weeks of screening or pre-dose baseline (unless this is part of their SOC treatment regimen).
  3. 2. Presence of autoantibodies to AChR or MuSK at screening (not just historical).
  4. 3. Myasthenia Gravis Foundation of America (MGFA) Class IIb-IV.
  5. 4. MG-ADL total score of ≥6 at screening and confirmed at pre-dose baseline.
  6. 5. QMG total score of ≥11 at screening and confirmed at pre-dose baseline.
  7. 6. Failed treatment with 2 or more immunosuppressive/immunomodulatory therapies, or failed at least 1 immunosuppressive therapy and required chronic plasmapheresis, or IVIG to control symptoms. a. Failed treatment may consist of either lack of sufficient efficacy with an adequate trial, intolerable adverse effects, or contraindications to therapy, as determined by the investigator.
  8. 7. In Germany only, failed standard-of-care immunosuppressive and immunomodulatory therapies including complement inhibitors and FcRn modulators. o Failed treatment may consist of either lack of sufficient efficacy with an adequate trial, intolerable adverse effects, or contraindications to therapy, as determined by the investigator. o Failure of chronic plasmapheresis or IVIG to control symptoms.
  9. 8. On a stable dose of glucocorticoids and/or other immunotherapies for ≥1 month prior to screening. For azathioprine, being on a stable dose for ≥2 months prior to screening is required.
  10. 9. No change in dose of acetylcholinesterase inhibitors for ≥2 weeks prior to screening
  11. 11. No use of rituximab (or any other anti-CD20 or CD19 monoclonal antibody) within 12 weeks prior to screening.
  12. 12. No use of FcRn inhibitors within 4 weeks prior to screening.

Exclusion criteria 21

  1. 1. Unable to washout or interrupt autoimmune disease therapy prior to apheresis as specificed in protocol
  2. 2. Co-occurring neurological autoimmune disease (ie, Lambert-Eaton Myasthenic Syndrome) or any disease affecting the neuromuscular junction or muscle causing weakness (eg, myositis, myopathy, motor neuropathy)
  3. 3. History of stroke (with residual sequalae and/or risk for recurrence), seizure (even if well controlled on antiepileptics), neurodegenerative disease, altered mental status (unexplained and/or recent/current), or uncontrolled/severe psychiatric disease
  4. 4. Any serious and/or uncontrolled medical condition that, in the investigator’s judgment, would cause unacceptable safety risk, interfere with study procedures or results, or compromise compliance with the protocol, including but not limited to, clinically significant cardiac or pulmonary disease.
  5. 5. History of primary immunodeficiency, organ or allogeneic bone marrow transplant, or splenectomy.
  6. 6. Active, uncontrolled, viral, bacterial, or systemic fungal infection or recent history of repeated infections.
  7. 7. Previous or concurrent malignancy with the following exceptions: a. Adequately treated basal cell or squamous cell carcinoma (adequate wound healing is required prior to screening). b. In situ carcinoma (eg, of the cervix or breast), treated curatively and without evidence of recurrence for at least 3 years prior to screening. c. A primary malignancy which has been completely resected, or treated, and is in complete remission for at least 5 years prior to screening.
  8. 8. Major surgery within 4 weeks prior to apheresis or planned within 4 weeks after KYV-101 administration. For surgery planned after 4 weeks post KYV-101 administration, discuss with the sponsor
  9. 9. Thymectomy ≤ 12 months of screening or planned during the study.
  10. 10. Patients requiring chronic anticoagulation therapy that cannot be discontinued for medical procedures (such as apheresis
  11. 11. Prior treatment with gene therapy product or cellular immunotherapy (eg, CAR T) requiring vector integration and directed at any target.
  12. 12. Plan to receive live, attenuated vaccine after signing ICF (inactive vaccines, such as the flu vaccine, are allowed).
  13. 13. Contraindications or life-threatening allergies, hypersensitivity, or intolerance to KYV-101 or its excipients, including dimethyl sulfoxide; or to CYC, FLU, or tocilizumab.
  14. 14. Have evidence of latent or active TB infection, as documented by a positive QuantiFERON-TB Gold test at screening.
  15. 15. Positive hepatitis B surface antigen (HBsAg) at screening. Patients who are HBsAg negative but hepatitis B core antibody (HBcAb) positive must have negative hepatitis B virus (HBV) DNA testing.
  16. 16. Positive hepatitis C serology confirmed by polymerase chain reaction (PCR).
  17. 17. Positive serology for human immunodeficiency virus (HIV).
  18. 18. Positive screening test for SARS-CoV-2, by PCR or rapid antigen testing (not antibody testing). Note: Patients with a positive SARS-CoV-2 at screening can be enrolled if the patient has all 3 of the following: no active signs or symptoms of SARS-Cov-2 infection after 10 days, a negative repeat PCR or rapid antigen test, and no sequelae or complications of SARS-CoV-2 infection.
  19. 19. Any laboratory values at screening exceeding the cutoff values
  20. 20. Any of the following vital sign parameters at rest: • Systolic Blood Pressure (mmHg) < 95 or > 150 • Diastolic Blood pressure (mmHg) < 55 or > 95 • Heart Rate < 50 or > 100 bpm • Oral Temperature > 37.7° C/afebrile • Respiratory rate < 12 or > 20 bpm (Note: Up to 3 assessments of blood pressure, heart rate, and respiratory rate may be made within a 24-hour period)
  21. 21. Pregnant or breastfeeding, plans to become pregnant/breastfeed or father a child, risk of unintentional pregnancy/fathering, or plans to donate eggs/sperm in the timeframe provided in the protocol

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 4

  1. 1. Phase 2: Incidence and severity of AEs and laboratory abnormalities.
  2. 2. Phase 2: MG-ADL change from baseline at 24 weeks.
  3. 3. Phase 3: MG-ADL change from baseline at 24 weeks for KYV-101 compared to SOC (co-primary)
  4. 4. Phase 3: QMG change from baseline at 24 weeks for KYV-101 compared to SOC (co-primary)

Secondary endpoints 6

  1. 1. Phase 3: MGC change from baseline at 24 weeks for KYV-101 compared to SOC.
  2. 2. Phase 3: Percent change from baseline in anti-AChR or anti-MuSK antibody levels at week 24 for KYV-101 compared to SOC.
  3. 3. Phase 3: Proportion of patients with a ≥3 point improvement from baseline in MG-ADL at 24 weeks for KYV-101 compared to SOC.
  4. 4. Phase 3: Proportion of patients with MSE at week 24 for KYV-101 compared to SOC.
  5. 5. Phase 3: MG-QoL15r change from baseline at 24 weeks for KYV-101 compared to SOC.
  6. 6. Phase 3: Incidence and severity of AEs and laboratory abnormalities.

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

KYV-101

PRD9974051 · Product

Active substance
KYV-101
Pharmaceutical form
SUSPENSION
Route of administration
INTRAVENOUS INFUSION
Max daily dose
100000000 Other
Max total dose
100000000 Other
Max treatment duration
1 Day(s)
Authorisation status
Not Authorised
ATC code
NOTASSIGN — -
MA holder
KYVERNA THERAPEUTICS INC.
Paediatric formulation
No
Orphan designation
No

Comparator 23

Privigen 100 mg/ml solution for infusion

PRD339234 · Product

Active substance
Human Normal Immunoglobulin
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS INFUSION
Max daily dose
1000 mg/kg milligram(s)/kilogram
Max total dose
280 g gram(s)
Max treatment duration
40 Week(s)
Authorisation status
Authorised
ATC code
J06BA02 — IMMUNOGLOBULINS, NORMAL HUMAN, FOR INTRAVASCULAR ADM.
Marketing authorisation
EU/1/08/446/001
MA holder
CSL BEHRING GMBH
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

CellCept 250 mg capsules

PRD2153965 · Product

Active substance
Mycophenolate Mofetil
Pharmaceutical form
CAPSULE, HARD
Route of administration
ORAL
Max daily dose
2.5 g gram(s)
Max total dose
700 g gram(s)
Max treatment duration
40 Week(s)
Authorisation status
Authorised
ATC code
L04AA06 — MYCOPHENOLIC ACID
Marketing authorisation
EU/1/96/005/001
MA holder
ROCHE REGISTRATION GMBH
MA country
Iceland
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Prograf 1 mg Hartkapseln

PRD11855448 · Product

Active substance
Tacrolimus
Substance synonyms
TACROLIMUS ANHYDROUS
Pharmaceutical form
CAPSULE, HARD
Route of administration
ORAL
Max daily dose
4 mg milligram(s)
Max total dose
1.1 g gram(s)
Max treatment duration
40 Week(s)
Authorisation status
Authorised
ATC code
L04AD02 — -
Marketing authorisation
41954.01.00
MA holder
ASTELLAS PHARMA GMBH
MA country
Germany
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/17/1912
Modified vs. Marketing Authorisation
No

Ultomiris 300 mg/30 mL concentrate for solution for infusion

PRD7445250 · Product

Active substance
Ravulizumab
Substance synonyms
Fc- and CDR-modified humanised monoclonal antibody against C5, ALXN1210
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS INFUSION
Max daily dose
3600 mg milligram(s)
Max total dose
11.2 g gram(s)
Max treatment duration
40 Week(s)
Authorisation status
Authorised
ATC code
L04AJ02 — -
Marketing authorisation
EU/1/19/1371/001
MA holder
ALEXION EUROPE SAS
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Azathioprine Tablets 50mg Oprisine

PRD7713388 · Product

Active substance
Azathioprine
Pharmaceutical form
TABLET
Route of administration
ORAL
Max daily dose
2.5 mg/kg milligram(s)/kilogram
Max total dose
700 mg/kg milligram(s)/kilogram
Max treatment duration
40 Week(s)
Authorisation status
Authorised
ATC code
L04AX01 — AZATHIOPRINE
Marketing authorisation
PL 13606/0093
MA holder
STRIDES PHARMA UK LIMITED
MA country
XI
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Methotrexate 2.5 mg Tablets

PRD11534406 · Product

Active substance
Methotrexate Sodium
Substance synonyms
SODIUM METHOTREXATE, MTX SODIUM
Pharmaceutical form
TABLET
Route of administration
ORAL
Max daily dose
50 mg milligram(s)
Max total dose
2 g gram(s)
Max treatment duration
40 Week(s)
Authorisation status
Authorised
ATC code
L04AX03 — -
Marketing authorisation
PL 12762/0231
MA holder
MERCURY PHARMACEUTICALS LTD.
MA country
XI
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/25/3135
Modified vs. Marketing Authorisation
No

Methotrexate 2.5 mg Tablets

PRD11534403 · Product

Active substance
Methotrexate Sodium
Substance synonyms
SODIUM METHOTREXATE, MTX SODIUM
Pharmaceutical form
TABLET
Route of administration
ORAL
Max daily dose
50 mg milligram(s)
Max total dose
2 g gram(s)
Max treatment duration
40 Week(s)
Authorisation status
Authorised
ATC code
L04AX03 — -
Marketing authorisation
PL 12762/0231
MA holder
MERCURY PHARMACEUTICALS LTD.
MA country
XI
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/25/3135
Modified vs. Marketing Authorisation
No

Methotrexate 2.5 mg Tablets

PRD11534405 · Product

Active substance
Methotrexate Sodium
Substance synonyms
SODIUM METHOTREXATE, MTX SODIUM
Pharmaceutical form
TABLET
Route of administration
ORAL
Max daily dose
50 mg milligram(s)
Max total dose
2 g gram(s)
Max treatment duration
40 Week(s)
Authorisation status
Authorised
ATC code
L04AX03 — -
Marketing authorisation
PL 12762/0231
MA holder
MERCURY PHARMACEUTICALS LTD.
MA country
XI
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/25/3135
Modified vs. Marketing Authorisation
No

Methotrexate 2.5 mg Tablets

PRD11534408 · Product

Active substance
Methotrexate Sodium
Substance synonyms
SODIUM METHOTREXATE, MTX SODIUM
Pharmaceutical form
TABLET
Route of administration
ORAL
Max daily dose
50 mg milligram(s)
Max total dose
2 g gram(s)
Max treatment duration
40 Week(s)
Authorisation status
Authorised
ATC code
L04AX03 — -
Marketing authorisation
PL 12762/0231
MA holder
MERCURY PHARMACEUTICALS LTD.
MA country
XI
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/25/3135
Modified vs. Marketing Authorisation
No

Methotrexate 2.5 mg Tablets

PRD11534407 · Product

Active substance
Methotrexate Sodium
Substance synonyms
SODIUM METHOTREXATE, MTX SODIUM
Pharmaceutical form
TABLET
Route of administration
ORAL
Max daily dose
50 mg milligram(s)
Max total dose
2 g gram(s)
Max treatment duration
40 Week(s)
Authorisation status
Authorised
ATC code
L04AX03 — -
Marketing authorisation
PL 12762/0231
MA holder
MERCURY PHARMACEUTICALS LTD.
MA country
XI
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/25/3135
Modified vs. Marketing Authorisation
No

Zilbrysq 23 mg solution for injection in pre-filled syringe

PRD10984301 · Product

Active substance
Zilucoplan
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS INJECTION
Max daily dose
0.3 mg/kg milligram(s)/kilogram
Max total dose
0.9 g gram(s)
Max treatment duration
40 Week(s)
Authorisation status
Authorised
ATC code
L04AJ06 — -
Marketing authorisation
EU/1/23/1764/003
MA holder
UCB PHARMA S.A. (ANDERL BE)
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Zilbrysq 16.6 mg solution for injection in pre-filled syringe

PRD10982512 · Product

Active substance
Zilucoplan
Pharmaceutical form
SOLUTION FOR INJECTION
Route of administration
SUBCUTANEOUS INJECTION
Max daily dose
0.3 mg/kg milligram(s)/kilogram
Max total dose
0.9 g gram(s)
Max treatment duration
40 Week(s)
Authorisation status
Authorised
ATC code
L04AJ06 — -
Marketing authorisation
EU/1/23/1764/001
MA holder
UCB PHARMA S.A. (ANDERL BE)
MA country
EU
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Prednisolone 5mg Tablets

PRD992060 · Product

Active substance
Prednisolone
Pharmaceutical form
TABLET
Route of administration
ORAL
Max daily dose
60 mg milligram(s)
Max total dose
16.8 g gram(s)
Max treatment duration
40 Week(s)
Authorisation status
Authorised
ATC code
A07EA01 — PREDNISOLONE
Marketing authorisation
PL 29831/0178
MA holder
WOCKHARDT UK LTD
MA country
XI
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Soliris 300 mg concentrate for solution for infusion

PRD640284 · Product

Active substance
Eculizumab
Substance synonyms
ABP-959, H5G1.1
Pharmaceutical form
SOLUTION FOR INFUSION
Route of administration
INTRAVENOUS INFUSION
Max daily dose
1200 mg milligram(s)
Max total dose
24 g gram(s)
Max treatment duration
40 Week(s)
Authorisation status
Authorised
ATC code
L04AJ01 — -
Marketing authorisation
EU/1/07/393/001
MA holder
ALEXION EUROPE SAS
MA country
EU
Paediatric formulation
No
Orphan designation
Yes
Orphan designation number
EU/3/14/1304
Modified vs. Marketing Authorisation
No

NEORAL® Soft Gelatin Capsules 10mg

PRD11355194 · Product

Active substance
Ciclosporin
Pharmaceutical form
CAPSULE, SOFT
Route of administration
ORAL
Max daily dose
3.5 mg/kg milligram(s)/kilogram
Max total dose
980 mg/kg milligram(s)/kilogram
Max treatment duration
40 Week(s)
Authorisation status
Authorised
ATC code
L04AD01 — -
Marketing authorisation
PL 00101/0483
MA holder
NOVARTIS PHARMACEUTICALS UK LIMITED
MA country
XI
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

NEORAL® Soft Gelatin Capsules 10mg

PRD11355196 · Product

Active substance
Ciclosporin
Pharmaceutical form
CAPSULE, SOFT
Route of administration
ORAL
Max daily dose
3.5 mg/kg milligram(s)/kilogram
Max total dose
980 mg/kg milligram(s)/kilogram
Max treatment duration
40 Week(s)
Authorisation status
Authorised
ATC code
L04AD01 — -
Marketing authorisation
PL 00101/0483
MA holder
NOVARTIS PHARMACEUTICALS UK LIMITED
MA country
XI
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

NEORAL® Soft Gelatin Capsules 50mg

PRD11355209 · Product

Active substance
Ciclosporin
Substance synonyms
CYCLOSPORIN A, CYCLOSPORINE, CICLOSPORINE, CYCLOSPORIN
Pharmaceutical form
CAPSULE, SOFT
Route of administration
ORAL
Max daily dose
3.5 mg/kg milligram(s)/kilogram
Max total dose
980 mg/kg milligram(s)/kilogram
Max treatment duration
40 Week(s)
Authorisation status
Authorised
ATC code
L04AD01 — -
Marketing authorisation
PL 00101/0388
MA holder
NOVARTIS PHARMACEUTICALS UK LIMITED
MA country
XI
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

NEORAL® Soft Gelatin Capsules 25mg

PRD11355208 · Product

Active substance
Ciclosporin
Substance synonyms
CYCLOSPORIN A, CYCLOSPORINE, CICLOSPORINE, CYCLOSPORIN
Pharmaceutical form
CAPSULE, SOFT
Route of administration
ORAL
Max daily dose
3.5 mg/kg milligram(s)/kilogram
Max total dose
980 mg/kg milligram(s)/kilogram
Max treatment duration
40 Week(s)
Authorisation status
Authorised
ATC code
L04AD01 — -
Marketing authorisation
PL 00101/0387
MA holder
NOVARTIS PHARMACEUTICALS UK LIMITED
MA country
XI
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

NEORAL® Soft Gelatin Capsules 25mg

PRD11355214 · Product

Active substance
Ciclosporin
Substance synonyms
CYCLOSPORIN A, CYCLOSPORINE, CICLOSPORINE, CYCLOSPORIN
Pharmaceutical form
CAPSULE, SOFT
Route of administration
ORAL
Max daily dose
3.5 mg/kg milligram(s)/kilogram
Max total dose
980 mg/kg milligram(s)/kilogram
Max treatment duration
40 Week(s)
Authorisation status
Authorised
ATC code
L04AD01 — -
Marketing authorisation
PL 00101/0387
MA holder
NOVARTIS PHARMACEUTICALS UK LIMITED
MA country
XI
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

NEORAL® Soft Gelatin Capsules 10mg

PRD11355195 · Product

Active substance
Ciclosporin
Pharmaceutical form
CAPSULE, SOFT
Route of administration
ORAL
Max daily dose
3.5 mg/kg milligram(s)/kilogram
Max total dose
980 mg/kg milligram(s)/kilogram
Max treatment duration
40 Week(s)
Authorisation status
Authorised
ATC code
L04AD01 — -
Marketing authorisation
PL 00101/0483
MA holder
NOVARTIS PHARMACEUTICALS UK LIMITED
MA country
XI
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

NEORAL® Soft Gelatin Capsules 100mg

PRD11355207 · Product

Active substance
Ciclosporin
Substance synonyms
CYCLOSPORIN A, CYCLOSPORINE, CICLOSPORINE, CYCLOSPORIN
Pharmaceutical form
CAPSULE, SOFT
Route of administration
ORAL
Max daily dose
3.5 mg/kg milligram(s)/kilogram
Max total dose
980 mg/kg milligram(s)/kilogram
Max treatment duration
40 Week(s)
Authorisation status
Authorised
ATC code
L04AD01 — -
Marketing authorisation
PL 00101/0389
MA holder
NOVARTIS PHARMACEUTICALS UK LIMITED
MA country
XI
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

NEORAL® Soft Gelatin Capsules 100mg

PRD11355213 · Product

Active substance
Ciclosporin
Substance synonyms
CYCLOSPORIN A, CYCLOSPORINE, CICLOSPORINE, CYCLOSPORIN
Pharmaceutical form
CAPSULE, SOFT
Route of administration
ORAL
Max daily dose
3.5 mg/kg milligram(s)/kilogram
Max total dose
980 mg/kg milligram(s)/kilogram
Max treatment duration
40 Week(s)
Authorisation status
Authorised
ATC code
L04AD01 — -
Marketing authorisation
PL 00101/0389
MA holder
NOVARTIS PHARMACEUTICALS UK LIMITED
MA country
XI
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

NEORAL® Soft Gelatin Capsules 50mg

PRD11355215 · Product

Active substance
Ciclosporin
Substance synonyms
CYCLOSPORIN A, CYCLOSPORINE, CICLOSPORINE, CYCLOSPORIN
Pharmaceutical form
CAPSULE, SOFT
Route of administration
ORAL
Max daily dose
3.5 mg/kg milligram(s)/kilogram
Max total dose
980 mg/kg milligram(s)/kilogram
Max treatment duration
40 Week(s)
Authorisation status
Authorised
ATC code
L04AD01 — -
Marketing authorisation
PL 00101/0388
MA holder
NOVARTIS PHARMACEUTICALS UK LIMITED
MA country
XI
Paediatric formulation
No
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Kyverna Therapeutics Inc.

Sponsor organisation
Kyverna Therapeutics Inc.
Address
5980 Horton Street Ste 550
City
Emeryville
Postcode
94608-2045
Country
United States

Scientific contact point

Organisation
Kyverna Therapeutics Inc.
Contact name
Medical Kyverna

Public contact point

Organisation
Kyverna Therapeutics Inc.
Contact name
Medical Kyverna

Third parties 17

OrganisationCity, countryDuties
PPD Global Central Labs
ORG-100046496
Zaventem, Belgium Laboratory analysis
Precision For Medicine Inc.
ORG-100041895
Houston, United States Laboratory analysis
Icon (Lr) Limited
ORG-100042612
Dublin 18, Ireland Laboratory analysis
Pra International
ORG-100032850
Lenexa, United States Laboratory analysis
Molecularmd Corp.
ORG-100047559
Portland, United States Laboratory analysis
PPD Development LP
ORG-100011560
Wilmington, United States On site monitoring, Code 10, Code 11, Code 12, Laboratory analysis, Code 5, Data management, E-data capture
Precision for Medicine GmbH
ORG-100044456
Berlin, Germany Other
Precision For Medicine Inc.
ORG-100041895
Frederick, United States Code 5
Definitive Media Corp.
ORG-100044065
Tustin, United States Other
Acm Global Central Laboratory Limited
ORG-100042459
York, United Kingdom Laboratory analysis
WCG Clinical Inc.
ORG-100040730
Puyallup, United States Other
Elevatebio Base Camp Inc.
ORG-100053841
Waltham, United States Other
Medidata Solutions Inc.
ORG-100016256
New York, United States Other
Wuxi Advanced Therapies Inc.
ORG-100032133
Philadelphia, United States Other
Pharma Bio-Research Group
ORG-100006268
Assen, Netherlands Laboratory analysis
SYNLAB International GmbH
ORG-100013007
Munich, Germany Laboratory analysis
Icon Laboratory Services Inc.
ORG-100037135
Farmingdale, United States Other

Locations

1 EU/EEA country · 7 investigational sites

By country

CountryMS statusPlanned subjectsSites
Germany Ongoing, recruiting 17 7
Rest of world
Brazil, Australia, United States, United Kingdom, Saudi Arabia
49

Investigational sites

Germany

7 sites · Ongoing, recruiting
Charite Universitaetsmedizin Berlin KöR
Neurology, Chariteplatz 1, Mitte, Berlin
University Medical Center Hamburg-Eppendorf
Stem Cell Transplantation, Center of Oncology, Martinistrasse 52, Eppendorf, Hamburg
Universitaetsklinikum Magdeburg AöR
Hematology, Oncology and Cell Therapy, Leipziger Strasse 44, 39120, Magdeburg
St. Josef-Hospital
Neurology, Gudrunstrasse 56, Grumme, Bochum
Medizinische Hochschule Hannover
Neurology, Carl-Neuberg-Strasse 1, Gross Buchholz, Hanover
Universitaetsklinikum Jena KöR
Neurology, Am Klinikum 1, Lobeda, Jena
Klinikum der Technischen Universitaet Muenchen (TUM Klinikum)
Neurology, Ismaninger Strasse 22, Au-Haidhausen, Munich

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Germany 2024-07-09 2024-09-26

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 22 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) D1_Kyverna_KYV101-006_Protocol_2023-509892-17-00_EEA_Public 8.2.1 EEA
Protocol (for publication) D1_Kyverna_KYV101-006_Risk-Benefit-Assessment_2023-509892-17-00_Public 8.2
Protocol (for publication) D4_Kyverna_KVY-101-006_Publication Of Licensed Patient Questionnaires_Public N/A
Recruitment arrangements (for publication) K1_DE_Recruitment arrangements_For publication N/A
Recruitment arrangements (for publication) K1_KYV101-006_Add-Recruitment-IC-Procedure_DEU_Public 1.0
Subject information and informed consent form (for publication) L1_KYV101-006_ Main-ICF_Phase-3_DEU_deu_Public 9.2
Subject information and informed consent form (for publication) L1_KYV101-006_ICF_Main Phase 2_DEU_deu_clean_Public 7.4
Subject information and informed consent form (for publication) L1_KYV101-006_optFutResearch-ICF_DEU_deu_Public 1.0
Subject information and informed consent form (for publication) L1_KYV101-006_PP-ICF_DEU_deu_clean_Public 4.0
Subject information and informed consent form (for publication) L2_KYV101-006_Patient-card_DEU_deu_Public 1.0.0
Subject information and informed consent form (for publication) L2_KYV101-006_Patient-diary_DEU_deu_clean_Public 2.0
Summary of Product Characteristics (SmPC) (for publication) E2_Kyverna_KYV-101-006_SmPC_Azathioprine_Public N/A
Summary of Product Characteristics (SmPC) (for publication) E2_Kyverna_KYV-101-006_SmPC_Cyclosporin_Public N/A
Summary of Product Characteristics (SmPC) (for publication) E2_Kyverna_KYV-101-006_SmPC_Eculizumab_Public N/A
Summary of Product Characteristics (SmPC) (for publication) E2_Kyverna_KYV-101-006_SmPC_Ivig_Public N/A
Summary of Product Characteristics (SmPC) (for publication) E2_Kyverna_KYV-101-006_SmPC_Methotrexate_Public N/A
Summary of Product Characteristics (SmPC) (for publication) E2_Kyverna_KYV-101-006_SmPC_Mycophenolate-mofetil_Public N/A
Summary of Product Characteristics (SmPC) (for publication) E2_Kyverna_KYV-101-006_SmPC_Prednisolone_Public N/A
Summary of Product Characteristics (SmPC) (for publication) E2_Kyverna_KYV-101-006_SmPC_Ravulizumab_Public N/A
Summary of Product Characteristics (SmPC) (for publication) E2_Kyverna_KYV-101-006_SmPC_Tacrolimus_Public N/A
Summary of Product Characteristics (SmPC) (for publication) E2_Kyverna_KYV-101-006_SmPC_Zilucoplan_Public N/A
Synopsis of the protocol (for publication) D1_Kyverna_KYV101-006_Protocol synopsis_2023-509892-17-00_EEA_Public 8.2

Application history

10 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-01-31 Germany Acceptable
2024-05-08
2024-05-13
2 NON SUBSTANTIAL MODIFICATION NSM-1 2024-08-19 Germany Acceptable
2024-05-08
2024-08-19
3 SUBSTANTIAL MODIFICATION SM-1 2024-09-24 Germany Acceptable
2024-10-24
2024-10-24
4 NON SUBSTANTIAL MODIFICATION NSM-2 2025-01-16 Germany Acceptable
2024-10-24
2025-01-16
5 NON SUBSTANTIAL MODIFICATION NSM-3 2025-05-21 Germany Acceptable
2024-10-24
2025-05-21
6 SUBSTANTIAL MODIFICATION SM-4 2025-05-26 Germany Acceptable 2025-06-13
7 SUBSTANTIAL MODIFICATION SM-5 2025-07-03 Germany Acceptable
2025-07-18
2025-07-22
8 NON SUBSTANTIAL MODIFICATION NSM-4 2025-07-25 Germany Acceptable
2025-07-18
2025-07-25
9 NON SUBSTANTIAL MODIFICATION NSM-5 2025-08-07 Germany Acceptable
2025-07-18
2025-08-07
10 SUBSTANTIAL MODIFICATION SM-8 2025-12-05 Germany Acceptable
2026-02-04
2026-02-06