Bristol Myers Squibb reports interim Phase 1 CAR T data in multiple sclerosis

Bristol Myers Squibb presented interim results from the Phase 1 Breakfree-2 study of investigational zolacabtagene autoleucel, or zola-cel, in highly active relapsing and progressive multiple sclerosis at MSToronto 2026 on October 23, 2026. The study enrolled 66 patients and found cytokine release syndrome in 42.4% and immune effector cell-associated neurotoxicity syndrome in 7.6%, while one patient later died from septic pneumonia 44 days after treatment. All 60 patients treated at dose level 2 remained off disease-modifying therapies, with efficacy signals reported across both patient groups.

The results add clinical data to Bristol Myers Squibb's investigational CAR T program in multiple sclerosis, but the reported fatal infection remains a material safety consideration. Because Breakfree-2 is a Phase 1 study with safety as its primary endpoint, the findings do not establish regulatory approval or commercial availability.

  • 1Breakfree-2 included 66 patients, comprising 30 with highly active relapsing multiple sclerosis and 36 with progressive forms of the disease.
  • 2Cytokine release syndrome occurred in 42.4% of patients, while immune effector cell-associated neurotoxicity syndrome occurred in 7.6%.
  • 3One patient with highly active relapsing multiple sclerosis died of septic pneumonia 44 days after receiving zola-cel.
  • 4All 60 patients treated at dose level 2 were still off disease-modifying therapies at the latest follow-up.
  • 5Among evaluable patients, six of seven with highly active relapsing multiple sclerosis met no-evidence-of-disease-activity criteria at or beyond Week 26.
  • 6Among evaluable progressive multiple sclerosis patients, 22 of 24 showed stable or improved disability progression, and all 24 had no new MRI activity.

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