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Double-blind, Randomized, Placebo-controlled Trial of Etanercept for 12 Months in Subjects With Inclusion Body Myositis

Primary Purpose

Inclusion Body Myositis

Status
Completed
Phase
Early Phase 1
Locations
United States
Study Type
Interventional
Intervention
Etanercept
Sponsored by
Washington University School of Medicine
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Inclusion Body Myositis

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • A clinical diagnosis of definite or probable IBM.
  • Male or female aged 18-80.
  • Subjects must be able to provide informed consent.
  • Subjects must be on no immunosuppressive medication for 3 months and agree not to take immunosuppressive medication during the study.
  • Subjects must not be on sulfasalazine
  • Subjects or caregivers must be able to administer SQ medication.
  • Women of childbearing potential (not postmenopausal or surgically sterile) must have a negative pregnancy test at screening and be using adequate birth control.
  • Absence of exclusion criteria.

Exclusion Criteria:

  • Exposure to etanercept within 3 months of study entry
  • Exposure to other investigational drugs within 3 months of study entry.
  • Subject with known hypersensitivity to etanercept.
  • Subject with active medical or psychiatric condition that in the opinion of the principal investigator, may affect the interpretation of the safety and efficacy data or which otherwise contraindicates participation in the study.
  • Signs, symptoms or laboratory evidence of severe renal, pulmonary, hepatic, neurologic, or cardiac (congestive heart failure, or coronary artery) disease, including creatinine > 2.0, LFT > 2x the upper limit of normal and hemoglobin < 12.5 (male) and < 11.0 (female).
  • Subject with weakness from any other neurological or neuromuscular disease, including multiple sclerosis or other CNS demyelinating disease.
  • Subject with sepsis or any active, chronic, or local infection or on antibiotic, antiviral or antifungal medication within 3 months prior to the first dose of Etanercept.
  • A prior history of tuberculosis and/or a positive PPD skin test at screening (including reading of borderline, reactive but non-diagnostic) or prior inoculated subjects.
  • Human immunodeficiency virus infection.
  • Subject with history of opportunistic infection.
  • Subject with a known history of anti-Jo-1, anti-SRP or anti-MI-2 antibodies.
  • The presence of an associated connective tissue disease, including systemic lupus erythematous, Sjögren's syndrome, scleroderma or mixed connective tissue disease.
  • History of a new diagnosis or treatment of invasive malignancy within 5 years of enrollment, including patients with a history of squamous cell carcinoma or basal cell carcinoma.
  • History of drug or alcohol abuse within 1 year prior to study entry.
  • Unwillingness to practice effective contraception, except for female patients who are post-menopausal or surgically sterile. The rhythm method is not to be used as the sloe method of contraception.
  • Subjects are not to receive live vaccines while in the study.

Sites / Locations

  • Washington University Department of Neurology

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Etanercept

Arm Description

Outcomes

Primary Outcome Measures

Change in Quantitative Muscle Testing on 12 proximal and 12 distal muscles

Secondary Outcome Measures

Full Information

First Posted
December 4, 2008
Last Updated
May 28, 2014
Sponsor
Washington University School of Medicine
Collaborators
Amgen
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1. Study Identification

Unique Protocol Identification Number
NCT00802815
Brief Title
Double-blind, Randomized, Placebo-controlled Trial of Etanercept for 12 Months in Subjects With Inclusion Body Myositis
Official Title
Double-blind, Randomized, Placebo-controlled Trial of Etanercept for 12 Months in Subjects With Inclusion Body Myositis
Study Type
Interventional

2. Study Status

Record Verification Date
May 2014
Overall Recruitment Status
Completed
Study Start Date
April 2005 (undefined)
Primary Completion Date
May 2014 (Actual)
Study Completion Date
May 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Washington University School of Medicine
Collaborators
Amgen

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Inclusion body myositis (IBM) is the most common late onset acquired muscle disease. Patients develop progressive weakness that may result in the need for assistive devices including a wheelchair. IBM may be due to abnormal immune activation, due in part to overproduction of tumor necrosis factor (TNF)-alpha. Etanercept blocks the activity of TNF-alpha, thereby blunting immune overactivation. Previous unblinded studies and case reports suggest that etanercept may improve strength or slow the progressive weakness in IBM. We are conducting a double-blind, randomized, placebo-controlled study to test if Etanercept is beneficial in slowing the progressive weakness in patients with IBM.
Detailed Description
Travel expenses not covered by the study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Inclusion Body Myositis

7. Study Design

Primary Purpose
Treatment
Study Phase
Early Phase 1
Interventional Study Model
Single Group Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
20 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Etanercept
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
Etanercept
Other Intervention Name(s)
Enbrel
Intervention Description
50 milligrams subcutaneously every week
Primary Outcome Measure Information:
Title
Change in Quantitative Muscle Testing on 12 proximal and 12 distal muscles
Time Frame
12 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: A clinical diagnosis of definite or probable IBM. Male or female aged 18-80. Subjects must be able to provide informed consent. Subjects must be on no immunosuppressive medication for 3 months and agree not to take immunosuppressive medication during the study. Subjects must not be on sulfasalazine Subjects or caregivers must be able to administer SQ medication. Women of childbearing potential (not postmenopausal or surgically sterile) must have a negative pregnancy test at screening and be using adequate birth control. Absence of exclusion criteria. Exclusion Criteria: Exposure to etanercept within 3 months of study entry Exposure to other investigational drugs within 3 months of study entry. Subject with known hypersensitivity to etanercept. Subject with active medical or psychiatric condition that in the opinion of the principal investigator, may affect the interpretation of the safety and efficacy data or which otherwise contraindicates participation in the study. Signs, symptoms or laboratory evidence of severe renal, pulmonary, hepatic, neurologic, or cardiac (congestive heart failure, or coronary artery) disease, including creatinine > 2.0, LFT > 2x the upper limit of normal and hemoglobin < 12.5 (male) and < 11.0 (female). Subject with weakness from any other neurological or neuromuscular disease, including multiple sclerosis or other CNS demyelinating disease. Subject with sepsis or any active, chronic, or local infection or on antibiotic, antiviral or antifungal medication within 3 months prior to the first dose of Etanercept. A prior history of tuberculosis and/or a positive PPD skin test at screening (including reading of borderline, reactive but non-diagnostic) or prior inoculated subjects. Human immunodeficiency virus infection. Subject with history of opportunistic infection. Subject with a known history of anti-Jo-1, anti-SRP or anti-MI-2 antibodies. The presence of an associated connective tissue disease, including systemic lupus erythematous, Sjögren's syndrome, scleroderma or mixed connective tissue disease. History of a new diagnosis or treatment of invasive malignancy within 5 years of enrollment, including patients with a history of squamous cell carcinoma or basal cell carcinoma. History of drug or alcohol abuse within 1 year prior to study entry. Unwillingness to practice effective contraception, except for female patients who are post-menopausal or surgically sterile. The rhythm method is not to be used as the sloe method of contraception. Subjects are not to receive live vaccines while in the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Glenn Lopate, MD
Organizational Affiliation
Washington University School of Medicine
Official's Role
Principal Investigator
Facility Information:
Facility Name
Washington University Department of Neurology
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63110
Country
United States

12. IPD Sharing Statement

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Double-blind, Randomized, Placebo-controlled Trial of Etanercept for 12 Months in Subjects With Inclusion Body Myositis

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