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Cartesian Therapeutics Announces First Participant Enrolled in the Phase 3 AURORA Trial of Descartes-08 in Patients with Myasthenia Gravis

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Cartesian Therapeutics (NASDAQ: RNAC) has initiated its Phase 3 AURORA trial for Descartes-08, enrolling the first participant to treat myasthenia gravis (MG). Descartes-08 is an autologous CAR-T cell therapy targeting BCMA, designed for outpatient administration without preconditioning chemotherapy. The Phase 3 trial will evaluate Descartes-08 against placebo in approximately 100 AChR Ab+ MG patients. Previous Phase 2b results showed promising efficacy, with patients experiencing an average 4.8-point reduction in MG-ADL scores at 12 months. Notably, treatment-naive patients showed even better results with a 7.1-point reduction, and 57% maintained minimum symptoms at 12 months. The AURORA trial's primary endpoint will measure the proportion of participants achieving a ≥3-point improvement in MG-ADL score at Month 4 compared to placebo.
Cartesian Therapeutics (NASDAQ: RNAC) ha avviato la sperimentazione di Fase 3 AURORA per Descartes-08, arruolando il primo partecipante per il trattamento della miastenia grave (MG). Descartes-08 è una terapia cellulare CAR-T autologa che mira a BCMA, progettata per la somministrazione ambulatoriale senza chemioterapia di precondizionamento. Lo studio di Fase 3 confronterà Descartes-08 con un placebo in circa 100 pazienti con MG AChR Ab+. I risultati precedenti della Fase 2b hanno mostrato un'efficacia promettente, con una riduzione media di 4,8 punti nel punteggio MG-ADL a 12 mesi. Particolarmente, i pazienti non trattati precedentemente hanno ottenuto risultati migliori con una riduzione di 7,1 punti, e il 57% ha mantenuto sintomi minimi a 12 mesi. L'endpoint primario dello studio AURORA sarà la proporzione di partecipanti che ottengono un miglioramento di almeno 3 punti nel punteggio MG-ADL al mese 4 rispetto al placebo.
Cartesian Therapeutics (NASDAQ: RNAC) ha iniciado su ensayo de Fase 3 AURORA para Descartes-08, inscribiendo al primer participante para tratar la miastenia gravis (MG). Descartes-08 es una terapia celular CAR-T autóloga dirigida a BCMA, diseñada para administración ambulatoria sin quimioterapia de acondicionamiento previa. El ensayo de Fase 3 evaluará Descartes-08 frente a placebo en aproximadamente 100 pacientes con MG AChR Ab+. Los resultados previos de la Fase 2b mostraron una eficacia prometedora, con una reducción media de 4.8 puntos en la puntuación MG-ADL a los 12 meses. Destacadamente, los pacientes sin tratamiento previo mostraron mejores resultados con una reducción de 7.1 puntos, y el 57% mantuvo síntomas mínimos a los 12 meses. El criterio principal del ensayo AURORA será la proporción de participantes que logren una mejora ≥3 puntos en la puntuación MG-ADL en el mes 4 comparado con placebo.
Cartesian Therapeutics (NASDAQ: RNAC)은 미아스테니아 중증(MG) 치료를 위한 Descartes-08의 3상 AURORA 임상을 시작하여 첫 참가자를 등록했습니다. Descartes-08은 BCMA를 표적으로 하는 자가 CAR-T 세포 치료제로, 선행 화학요법 없이 외래에서 투여할 수 있도록 설계되었습니다. 3상 임상은 약 100명의 AChR Ab+ MG 환자를 대상으로 Descartes-08과 위약을 비교 평가할 예정입니다. 이전 2b상 결과에서는 12개월 시점에 MG-ADL 점수가 평균 4.8점 감소하는 유망한 효능이 나타났습니다. 특히 치료 경험이 없는 환자들은 7.1점 감소하는 더 좋은 결과를 보였으며, 57%는 12개월 동안 최소 증상을 유지했습니다. AURORA 임상의 주요 평가변수는 4개월 시점에 MG-ADL 점수가 위약군 대비 3점 이상 개선된 참가자 비율입니다.
Cartesian Therapeutics (NASDAQ : RNAC) a lancé son essai de phase 3 AURORA pour Descartes-08, en inscrivant le premier participant pour traiter la myasthénie grave (MG). Descartes-08 est une thérapie cellulaire CAR-T autologue ciblant BCMA, conçue pour une administration en ambulatoire sans chimiothérapie de préconditionnement. L’essai de phase 3 évaluera Descartes-08 contre placebo chez environ 100 patients MG AChR Ab+. Les résultats précédents de la phase 2b ont montré une efficacité prometteuse, avec une réduction moyenne de 4,8 points du score MG-ADL à 12 mois. Notamment, les patients non traités auparavant ont obtenu de meilleurs résultats avec une réduction de 7,1 points, et 57 % ont maintenu des symptômes minimaux à 12 mois. Le critère principal de l’essai AURORA sera la proportion de participants obtenant une amélioration ≥3 points du score MG-ADL au mois 4 par rapport au placebo.
Cartesian Therapeutics (NASDAQ: RNAC) hat die Phase-3-Studie AURORA für Descartes-08 gestartet und den ersten Teilnehmer zur Behandlung der Myasthenia gravis (MG) eingeschlossen. Descartes-08 ist eine autologe CAR-T-Zelltherapie, die auf BCMA abzielt und für die ambulante Verabreichung ohne präconditionierende Chemotherapie entwickelt wurde. Die Phase-3-Studie wird Descartes-08 mit Placebo bei etwa 100 AChR Ab+ MG-Patienten vergleichen. Frühere Ergebnisse der Phase 2b zeigten vielversprechende Wirksamkeit mit einer durchschnittlichen Reduktion des MG-ADL-Scores um 4,8 Punkte nach 12 Monaten. Besonders behandlungsnaive Patienten erzielten bessere Ergebnisse mit einer Reduktion um 7,1 Punkte, und 57 % hielten nach 12 Monaten minimale Symptome aufrecht. Der primäre Endpunkt der AURORA-Studie ist der Anteil der Teilnehmer, die nach 4 Monaten eine Verbesserung des MG-ADL-Scores um mindestens 3 Punkte gegenüber Placebo erreichen.
Positive
  • Phase 2b trial showed sustained deep responses through 12 months with average 4.8-point reduction in MG-ADL score
  • Treatment-naive patients showed superior results with 7.1-point reduction in MG-ADL score
  • 57% of treatment-naive patients maintained minimum symptom expression at Month 12
  • Safety profile supports convenient outpatient administration without preconditioning chemotherapy
  • Single course of therapy shows potential for durable treatment effects
Negative
  • None.

Insights

Cartesian's Phase 3 trial launch for Descartes-08 is significant progress for their novel, outpatient CAR-T therapy targeting myasthenia gravis.

Cartesian Therapeutics has reached a significant clinical milestone with the enrollment of the first participant in their Phase 3 AURORA trial for Descartes-08 in myasthenia gravis (MG). This represents a critical advancement in their clinical pipeline and validates their continued commitment to this therapeutic approach.

The trial design reveals several key competitive advantages of Descartes-08 compared to conventional treatments. Unlike traditional CAR-T therapies that require hospitalization and preconditioning chemotherapy, Descartes-08 is administered in an outpatient setting without preconditioning. This dramatically improves the safety profile and patient experience, potentially expanding the addressable market significantly.

The Phase 2b data supporting this Phase 3 trial is compelling. After a single treatment course, patients showed an average 4.8-point reduction in MG-ADL scores at 12 months, with even stronger results (7.1-point reduction) in biologic-naive patients. Importantly, 57% of biologic-naive patients maintained minimal symptoms at 12 months, suggesting potential for durable remission with a single course of therapy.

The Phase 3 AURORA trial will enroll approximately 100 participants, randomized 1:1 to receive either Descartes-08 or placebo. The primary endpoint focuses on the proportion of patients achieving a clinically meaningful improvement (≥3 points) in MG-ADL score at Month 4. This endpoint aligns with regulatory expectations and previous studies in MG, increasing the likelihood of approval if the data is positive.

MG represents a clear unmet medical need, characterized by chronic immunosuppression with limited efficacy. A single-course therapy with durable benefit would be transformative for this patient population and potentially establish Cartesian as a leader in autoimmune cell therapy.

FREDERICK, Md., May 30, 2025 (GLOBE NEWSWIRE) -- Cartesian Therapeutics, Inc. (NASDAQ: RNAC) (“Cartesian” or the “Company”), a clinical-stage biotechnology company pioneering cell therapy for autoimmune diseases, today announced that the first participant has been enrolled in its Phase 3 AURORA trial of Descartes-08 in patients with myasthenia gravis (MG).

Descartes-08, Cartesian’s lead cell therapy candidate, is an autologous engineered chimeric antigen receptor T-cell therapy (CAR-T) product candidate targeting B-cell maturation antigen (BCMA). Descartes-08 is designed to be administered without preconditioning chemotherapy in an outpatient setting and does not use integrating vectors.

“With the first participant now successfully enrolled, commencement of our Phase 3 AURORA trial represents a significant milestone in our mission to deliver a differentiated, durable treatment option to patients with MG,” said Carsten Brunn, Ph.D., President and Chief Executive Officer of Cartesian. “With sustained benefits observed through 12 months in our Phase 2b trial, we believe Descartes-08 has the potential to transform the current MG treatment paradigm with just a single course of therapy.”

“Marked by chronic use of steroids and other immunosuppressants while often delivering only limited efficacy, the current standard of care for patients with MG is inadequate,” said James (Chip) F. Howard, Jr., M.D., Cartesian Clinical Advisor and Professor of Neurology, Medicine, and Allied Health at the University of North Carolina School of Medicine. “Supported by compelling results from the Phase 2b trial, I firmly believe that Descartes-08 has the potential to serve as a safe, flexible, and durable treatment option for patients with MG. I look forward to helping advance this important study.”

The Phase 3 AURORA trial is designed to assess Descartes-08 versus placebo (1:1 randomization) administered as six once-weekly outpatient infusions without preconditioning chemotherapy in approximately 100 participants with acetylcholine receptor autoantibody positive (AChR Ab+) MG. The primary endpoint will assess the proportion of Descartes-08 participants with an improvement in MG Activities of Daily Living (MG-ADL) score of three points or more at Month 4 compared to placebo.

In April 2025, the Company announced updated efficacy and safety data from the Phase 2b trial of Descartes-08 in participants with MG. After a single course of therapy, Descartes-08-treated participants were observed to sustain deep responses through long-term follow-up, with an average 4.8-point reduction in the MG-ADL score at Month 12. The deepest and most compelling sustained responses were observed in Descartes-08-treated participants who did not have prior exposure to biologic therapies, with an average 7.1-point reduction in MG-ADL and 57% of patients in this subgroup maintaining minimum symptom expression at Month 12. The safety profile of Descartes-08 was consistent with previously reported data and continues to support outpatient administration.

About Cartesian Therapeutics

Cartesian Therapeutics is a clinical-stage company pioneering cell therapy for the treatment of autoimmune diseases. The Company’s lead asset, Descartes-08, is a CAR-T in Phase 3 clinical development for patients with generalized myasthenia gravis and Phase 2 development for systemic lupus erythematosus, with a Phase 2 basket trial planned in additional autoimmune indications. The Company’s clinical-stage pipeline also includes Descartes-15, a next-generation, autologous anti-BCMA CAR-T currently being evaluated in a Phase 1 trial in patients with multiple myeloma. For more information, please visit www.cartesiantherapeutics.com or follow the Company on LinkedIn or X, formerly known as Twitter.

Forward Looking Statements

Any statements in this press release about the future expectations, plans and prospects of the Company, including without limitation, statements regarding observations and data from the Company’s clinical trials, the anticipated timing or the outcome of ongoing and planned clinical trials, studies and data readouts, the ability of the Company’s product candidates to be administered in an outpatient setting or without the need for preconditioning lymphodepleting chemotherapy, the potential of Descartes-08, Descartes-15, or any of the Company’s other product candidates to treat myasthenia gravis, systemic lupus erythematosus, juvenile dermatomyositis, multiple myeloma, or any other disease, the anticipated timing or the outcome of the FDA’s review of the Company’s regulatory filings, the Company’s ability to conduct its clinical trials and preclinical studies, the timing or making of any regulatory filings, the novelty of treatment paradigms that the Company is able to develop, the potential of any therapies developed by the Company to fulfill unmet medical needs, and enrollment in the Company’s clinical trials and other statements containing the words “anticipate,” “believe,” “continue,” “could,” “estimate,” “expect,” “hypothesize,” “intend,” “may,” “plan,” “potential,” “predict,” “project,” “should,” “target,” “would,” and similar expressions, constitute forward-looking statements within the meaning of The Private Securities Litigation Reform Act of 1995. Actual results may differ materially from those indicated by such forward-looking statements as a result of various important factors, including, but not limited to, the following: the uncertainties inherent in the initiation, completion and cost of clinical trials including proof of concept trials, including uncertain outcomes, the availability and timing of data from ongoing and future clinical trials and the results of such trials, whether preliminary results from a particular clinical trial will be predictive of the final results of that trial, whether results of early clinical trials will be indicative of the results of later clinical trials, and whether results observed in certain patient subgroups will be indicative of the results in such subgroups in later clinical trials or are reflective of a product candidate’s overall characteristics, the ability to predict results of studies performed on human beings based on results of studies performed on non-human subjects, the unproven approach of the Company’s technology, potential delays in enrollment of patients, undesirable side effects of the Company’s product candidates, its reliance on third parties to conduct its clinical trials, the Company’s inability to maintain its existing or future collaborations, licenses or contractual relationships, its inability to protect its proprietary technology and intellectual property, potential delays in regulatory approvals, the availability of funding sufficient for its foreseeable and unforeseeable operating expenses and capital expenditure requirements, the Company’s recurring losses from operations and negative cash flows, substantial fluctuation in the price of the Company’s common stock, risks related to geopolitical conflicts and pandemics and other important factors discussed in the “Risk Factors” section of the Company’s most recent Annual Report on Form 10-K and subsequently filed Quarterly Reports on Form 10-Q, and in other filings that the Company makes with the Securities and Exchange Commission. In addition, any forward-looking statements included in this press release represent the Company’s views only as of the date of its publication and should not be relied upon as representing its views as of any subsequent date. The Company specifically disclaims any intention to update any forward looking statements included in this press release, except as required by law.

Contact Information:
Investor Contact:
Megan LeDuc
Associate Director, Investor Relations
megan.leduc@cartesiantx.com

Media Contact:
David Rosen
Argot Partners
david.rosen@argotpartners.com


FAQ

What is the primary endpoint of Cartesian's Phase 3 AURORA trial for Descartes-08?

The primary endpoint will measure the proportion of participants achieving a 3-point or greater improvement in MG Activities of Daily Living (MG-ADL) score at Month 4 compared to placebo.

How many participants will be enrolled in RNAC's Phase 3 AURORA trial?

The Phase 3 AURORA trial will enroll approximately 100 participants with acetylcholine receptor autoantibody positive (AChR Ab+) myasthenia gravis.

What were the key efficacy results from Descartes-08's Phase 2b trial?

The Phase 2b trial showed an average 4.8-point reduction in MG-ADL score at Month 12, with treatment-naive patients showing a 7.1-point reduction and 57% maintaining minimum symptoms.

How is Descartes-08 administered to myasthenia gravis patients?

Descartes-08 is administered as six once-weekly outpatient infusions without requiring preconditioning chemotherapy.

What type of therapy is RNAC's Descartes-08?

Descartes-08 is an autologous engineered chimeric antigen receptor T-cell therapy (CAR-T) targeting B-cell maturation antigen (BCMA).
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