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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
Genentech, Inc.
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Systemic Lupus Erythematosus focused on measuring SLE

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

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

    First Posted
    October 7, 2007
    Last Updated
    September 21, 2011
    Sponsor
    Genentech, Inc.
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    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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