A Study of rhuMAb IFNalpha in Adults With Systemic Lupus Erythematosus
Primary Purpose
Systemic Lupus Erythematosus
Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
rhuMAb IFNalpha
Sponsored by
About this trial
This is an interventional treatment trial for Systemic Lupus Erythematosus focused on measuring SLE
Eligibility Criteria
Inclusion Criteria:
- For patients with reproductive potential (males and females), use of a reliable means of contraception (e.g., hormonal contraceptive, patch, vaginal ring, intrauterine device, physical barrier) throughout their participation in the study
- Diagnosis of SLE according to current American College of Rheumatology (ACR) criteria
- Disease duration of ≥ 1 year (after first diagnosis by a physician)
- Current immunity to measles, mumps, rubella, and varicella, as evidenced by positive IgG titers at the time of screening
- Current vaccination against influenza unless contraindicated in the investigator's judgment
- Normal Pap smear within the applicable time interval recommended by current American Cancer Society guidelines
Exclusion Criteria:
- Presence of active lupus nephritis
- Presence of active central nervous system (CNS) disease requiring treatment with high-dose corticosteroids or immunosuppressive agents
- Presence of active vasculitis requiring treatment
- History of arterial or venous thromboses within 12 months of screening
- Moderate to severe anemia, thrombocytopenia, or neutropenia
- Any manifestation likely to require, in the investigator's judgment, treatment with high-dose corticosteroids or the addition of an immunosuppressive regimen during the course of the trial
- Pregnancy or lactation
- Lack of peripheral venous access
- History of alcohol or substance abuse within 6 months of screening
- History of severe allergic or anaphylactic reactions to antibodies or fusion proteins
- Evidence of significant uncontrolled concomitant diseases
- Significant laboratory or electrocardiogram (ECG) abnormalities
- Evidence of any clinically significant abnormality on a chest X-ray
- Severly impaired renal function
- Impaired hepatic function
- Poorly controlled diabetes
- Conditions other than SLE that could require treatment with corticosteroids
- History of malignancy except completely excised basal cell carcinoma
- Congenital immune deficiency
- Positive tests for antibodies to HIV, hepatitis B (HBS antigen, anti-HBC) or C
- Positive IgM antibody titers in the presence of negative IgG titers to Epstein-Barr virus (EBV) or cytomegalovirus (CMV)
- Frequent recurrence of herpes lesions
- Episode of shingles within one year of screening
- Positive screening test for latent mycobacterium tuberculosis infection
- History of severe systemic bacterial, fungal, viral, or parasitic infections within the year prior to screening
- Any current or recent signs or symptoms of infection
- Received antibiotics orally (PO) during the 30 days prior to screening or IV antibiotics during the 60 days prior to screening
- Received a live vaccine within the 30 days prior to screening
- Has been hospitalized within the 30 days prior to screening
- Received > 20 mg/day prednisone for > 3 days during the 30 days prior to screening
- Received azathioprine, methotrexate, mycophenolate mofetil, cyclosporine, tacrolimus, sirolimus, pulse dose corticosteroids, intravenous immunoglobulin (IVIG), or transfusions within 6 months prior to screening
- Received cyclophosphamide within 2 years prior to screening
- Received a monoclonal antibody during the 12 months prior to screening
- Previously received an investigational treatment directed against interferon alpha
- Received B-cell depleting therapy (e.g., anti-CD20, anti-CD22)
- Received investigational treatment during the 30 days prior to screening
Sites / Locations
Outcomes
Primary Outcome Measures
The incidence and nature of laboratory abnormalities
The incidence, nature, and severity of adverse events
Secondary Outcome Measures
The PK profile of rhuMAb IFNalpha
The incidence of antibodies directed against rhuMAb IFNalpha
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT00541749
Brief Title
A Study of rhuMAb IFNalpha in Adults With Systemic Lupus Erythematosus
Official Title
A Phase I, Randomized, Double-Blind, Placebo-Controlled, Escalating Single- and Multiple-Dose Study of the Safety, Tolerability, and Pharmacokinetics of rhuMAb IFNalpha in Adults With Systemic Lupus Erythematosus
Study Type
Interventional
2. Study Status
Record Verification Date
September 2011
Overall Recruitment Status
Completed
Study Start Date
February 2007 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
undefined (undefined)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Genentech, Inc.
4. Oversight
5. Study Description
Brief Summary
This is a Phase I, randomized, placebo-controlled, double-blind, dose-escalation study of single and repeat doses of rhuMAb IFNalpha, administered through the SC or IV route, in adults with Systemic Lupus Erythematosus.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Systemic Lupus Erythematosus
Keywords
SLE
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
60 (Anticipated)
8. Arms, Groups, and Interventions
Intervention Type
Drug
Intervention Name(s)
rhuMAb IFNalpha
Intervention Description
Intravenous repeating dose
Primary Outcome Measure Information:
Title
The incidence and nature of laboratory abnormalities
Time Frame
Length of study
Title
The incidence, nature, and severity of adverse events
Time Frame
Length of study
Secondary Outcome Measure Information:
Title
The PK profile of rhuMAb IFNalpha
Time Frame
Length of study
Title
The incidence of antibodies directed against rhuMAb IFNalpha
Time Frame
Length of study
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
For patients with reproductive potential (males and females), use of a reliable means of contraception (e.g., hormonal contraceptive, patch, vaginal ring, intrauterine device, physical barrier) throughout their participation in the study
Diagnosis of SLE according to current American College of Rheumatology (ACR) criteria
Disease duration of ≥ 1 year (after first diagnosis by a physician)
Current immunity to measles, mumps, rubella, and varicella, as evidenced by positive IgG titers at the time of screening
Current vaccination against influenza unless contraindicated in the investigator's judgment
Normal Pap smear within the applicable time interval recommended by current American Cancer Society guidelines
Exclusion Criteria:
Presence of active lupus nephritis
Presence of active central nervous system (CNS) disease requiring treatment with high-dose corticosteroids or immunosuppressive agents
Presence of active vasculitis requiring treatment
History of arterial or venous thromboses within 12 months of screening
Moderate to severe anemia, thrombocytopenia, or neutropenia
Any manifestation likely to require, in the investigator's judgment, treatment with high-dose corticosteroids or the addition of an immunosuppressive regimen during the course of the trial
Pregnancy or lactation
Lack of peripheral venous access
History of alcohol or substance abuse within 6 months of screening
History of severe allergic or anaphylactic reactions to antibodies or fusion proteins
Evidence of significant uncontrolled concomitant diseases
Significant laboratory or electrocardiogram (ECG) abnormalities
Evidence of any clinically significant abnormality on a chest X-ray
Severly impaired renal function
Impaired hepatic function
Poorly controlled diabetes
Conditions other than SLE that could require treatment with corticosteroids
History of malignancy except completely excised basal cell carcinoma
Congenital immune deficiency
Positive tests for antibodies to HIV, hepatitis B (HBS antigen, anti-HBC) or C
Positive IgM antibody titers in the presence of negative IgG titers to Epstein-Barr virus (EBV) or cytomegalovirus (CMV)
Frequent recurrence of herpes lesions
Episode of shingles within one year of screening
Positive screening test for latent mycobacterium tuberculosis infection
History of severe systemic bacterial, fungal, viral, or parasitic infections within the year prior to screening
Any current or recent signs or symptoms of infection
Received antibiotics orally (PO) during the 30 days prior to screening or IV antibiotics during the 60 days prior to screening
Received a live vaccine within the 30 days prior to screening
Has been hospitalized within the 30 days prior to screening
Received > 20 mg/day prednisone for > 3 days during the 30 days prior to screening
Received azathioprine, methotrexate, mycophenolate mofetil, cyclosporine, tacrolimus, sirolimus, pulse dose corticosteroids, intravenous immunoglobulin (IVIG), or transfusions within 6 months prior to screening
Received cyclophosphamide within 2 years prior to screening
Received a monoclonal antibody during the 12 months prior to screening
Previously received an investigational treatment directed against interferon alpha
Received B-cell depleting therapy (e.g., anti-CD20, anti-CD22)
Received investigational treatment during the 30 days prior to screening
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jorn Drappa, M.D.
Organizational Affiliation
Genentech, Inc.
Official's Role
Study Director
12. IPD Sharing Statement
Citations:
PubMed Identifier
22833362
Citation
McBride JM, Jiang J, Abbas AR, Morimoto A, Li J, Maciuca R, Townsend M, Wallace DJ, Kennedy WP, Drappa J. Safety and pharmacodynamics of rontalizumab in patients with systemic lupus erythematosus: results of a phase I, placebo-controlled, double-blind, dose-escalation study. Arthritis Rheum. 2012 Nov;64(11):3666-76. doi: 10.1002/art.34632.
Results Reference
derived
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A Study of rhuMAb IFNalpha in Adults With Systemic Lupus Erythematosus
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