A Study to Compare the Efficacy and Safety of BMS-986353 (Zolacaptagene- Autoleucel / Zola-cel), CD19-CAR T Cells, Versus Standard of Care in Participants With Active Systemic Sclerosis
Breakfree-SSc
A Phase 3, Randomized, Open-label, Multicenter Study to Compare the Efficacy and Safety of BMS-986353, CD19-targeted NEX-T CAR T Cells, Versus Standard of Care in Participants With Active Systemic Sclerosis (Breakfree-SSc)
3 other identifiers
interventional
92
10 countries
54
Brief Summary
The purpose of this study is to compare the efficacy and safety of BMS-986353 versus standard of care in participants with active Systemic Sclerosis
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_3
Started Apr 2026
Typical duration for phase_3
54 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 9, 2026
CompletedFirst Posted
Study publicly available on registry
January 13, 2026
CompletedStudy Start
First participant enrolled
April 30, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 14, 2028
ExpectedStudy Completion
Last participant's last visit for all outcomes
November 11, 2030
March 5, 2026
March 1, 2026
2.5 years
January 9, 2026
March 4, 2026
Conditions
Outcome Measures
Primary Outcomes (1)
The absolute change from baseline in Forced Vital Capacity (FVC) in mL
At 12 months
Secondary Outcomes (15)
The absolute change from baseline in Modified Rodnan Skin Score (mRSS)
At month 12
The absolute change from baseline in Quantitative Interstitial Lung Disease-Whole Lung (QILD-WL) score
Up to month 36
Time to progression, defined as the time from randomization to progressive disease
Approximately 54 months
The change from baseline in Patient-Reported Outcomes Measurement Information System (PROMIS)-Fatigue
Up to month 36
The change from baseline in Scleroderma Clinical Index (ScleroID)
Up to month 36
- +10 more secondary outcomes
Study Arms (2)
Arm A: BMS-986353
EXPERIMENTALArm B: Standard of Care
EXPERIMENTALInterventions
Eligibility Criteria
You may qualify if:
- \- Participants must fulfill the 2013 American College of Rheumatology (ACR) / European League Against Rheumatism (EULAR) classification criteria for Systemic Sclerosis (SSc), and additionally have the following:.
- i) Positive Antinuclear Antibodies (ANA) with nucleolar pattern and/or anti-Topoisomerase I (anti-Scl-70) antibodies.
- ii) Confirmation of Interstitial Lung Disease (ILD) on centrally read High-Resolution Computed Tomography (HRCT) with ≥ 10% total lung involvement, with at least one of the following attributed to active SSc:.
- A. Arthritis.
- B. Myositis.
- C. Carditis.
- D. Progressive skin disease.
- E. Elevated inflammatory markers.
- \- Participants must have a non-response or intolerance despite ≥ 6 months of treatment with at least one immunomodulatory drug. Non-response is defined as a patient, who in the opinion of the investigator, is not adequately controlled/treated and requires treatment escalation.
You may not qualify if:
- Participants must not have a requirement for supplemental oxygen therapy and/or Diffusing Capacity of the Lungs for Carbon Monoxide (DLCO) ≤ 40% (Hemoglobin (Hgb) corrected) at screening.
- Participants must not have moderate to severe Pulmonary Arterial Hypertension (PAH) requiring PAH-specific combination treatment
- Participants must not have pulmonary comorbidity including chronic obstructive pulmonary disease or asthma requiring daily oral corticosteroids, cigarette smoking (including e-cigarettes) within 3 months before screening or unwilling to avoid smoking throughout the study, and/or clinically significant abnormalities on HRCT not attributable to SSc assessed by the central reader at screening.
- Participants must not have gastrointestinal (GI) dysmotility requiring Total Parenteral Nutrition (TPN).
- Participants must not have current gangrene of a digit
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (54)
Local Institution - 0035
Scottsdale, Arizona, 85259, United States
Local Institution - 0092
Aurora, Colorado, 80045, United States
Local Institution - 0001
Denver, Colorado, 80218, United States
Local Institution - 0069
Miami, Florida, 33136, United States
Local Institution - 0014
Atlanta, Georgia, 30322, United States
Local Institution - 0139
Chicago, Illinois, 60611, United States
Local Institution - 0084
Worcester, Massachusetts, 01655, United States
Local Institution - 0034
Ann Arbor, Michigan, 48109, United States
Local Institution - 0037
Rochester, Minnesota, 55905, United States
Local Institution - 0082
Summit, New Jersey, 07901, United States
Local Institution - 0122
Cleveland, Ohio, 44195, United States
Local Institution - 0002
Charleston, South Carolina, 29425, United States
Local Institution - 0074
Dallas, Texas, 75390, United States
Local Institution - 0008
Seattle, Washington, 98109, United States
Local Institution - 0003
Antwerp, Flanders, 2030, Belgium
Local Institution - 0057
Leuven, Vlaams-Brabant, 3000, Belgium
Local Institution - 0080
Liège, 4000, Belgium
Local Institution - 0104
Halifax, Nova Scotia, B3H2Y9, Canada
Local Institution - 0088
Sherbrooke, Quebec, J1H 5N4, Canada
Local Institution - 0031
Strasbourg, Alsace, 67098, France
Local Institution - 0061
Toulouse, Haute-Garonne, 31059, France
Local Institution - 0049
Bordeaux, 33076, France
Local Institution - 0012
Bron, 69500, France
Local Institution - 0052
Paris, 75014, France
Local Institution - 0141
Rennes, 35033, France
Local Institution - 0046
Berlin, 10117, Germany
Local Institution - 0016
Cologne, 50937, Germany
Local Institution - 0028
Erlangen, 91054, Germany
Local Institution - 0042
Leipzig, 04103, Germany
Local Institution - 0032
München, 80336, Germany
Local Institution - 0033
Tübingen, 72076, Germany
Local Institution - 0038
Würzburg, 97080, Germany
Local Institution - 0103
Rome, Lazio, 00168, Italy
Local Institution - 0004
Milan, Milano, 20162, Italy
Local Institution - 0108
Pisa, Tuscany, 56126, Italy
Local Institution - 0106
Milan, 20132, Italy
Local Institution - 0026
Sapporo, Hokkaido, 0608648, Japan
Local Institution - 0132
Yokohama, Kanagawa, 236-0004, Japan
Local Institution - 0137
Suita, Osaka, 565-0871, Japan
Local Institution - 0117
Bunkyo-ku, Tokyo, 1138603, Japan
Local Institution - 0123
Fukuoka, 812-8582, Japan
Local Institution - 0136
Maebashi, 371-8511, Japan
Local Institution - 0118
Okayama, 700-8558, Japan
Local Institution - 0129
A Coruña, A Coruña [La Coruña], 15006, Spain
Local Institution - 0138
Barcelona, Catalunya [Cataluña], 08041, Spain
Local Institution - 0060
Barcelona, 08907, Spain
Local Institution - 0009
Málaga, 29011, Spain
Local Institution - 0047
Basel, 4031, Switzerland
Local Institution - 0068
Bern, 3010, Switzerland
Local Institution - 0078
Zurich, 8091, Switzerland
Local Institution - 0140
London, London, City of, NW1 2PG, United Kingdom
Local Institution - 0063
Leeds, West Yorkshire, LS8 7TF, United Kingdom
Local Institution - 0091
Sheffield, Yorkshire and the Humber, S102JF, United Kingdom
Local Institution - 0059
London, NW3 2QG, United Kingdom
Related Links
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Bristol-Myers Squibb
Bristol-Myers Squibb
Central Study Contacts
BMS Clinical Trials Contact Center www.BMSClinicalTrials.com
CONTACT
First line of the email MUST contain NCT # and Site #.
CONTACT
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 9, 2026
First Posted
January 13, 2026
Study Start
April 30, 2026
Primary Completion (Estimated)
November 14, 2028
Study Completion (Estimated)
November 11, 2030
Last Updated
March 5, 2026
Record last verified: 2026-03
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, SAP, CSR
- Time Frame
- See Plan Description
- Access Criteria
- See Plan Description
BMS will provide access to individual anonymized participant data upon request from qualified researchers, and subject to certain criteria. Additional information regarding Bristol Myer Squibb's data sharing policy and process can be found at https://www.bms.com/researchers-and-partners/clinical-trials-and-research.html