A Research Study to Assess if CC-930 is Safe in Treating Subjects With Discoid Lupus Erythematosus
Primary Purpose
Discoid Lupus
Status
Terminated
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
CC-930
Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Discoid Lupus focused on measuring Lupus, Discoid Lupus, DLE, Cutaneous Lupus
Eligibility Criteria
Inclusion Criteria:
- Male or female with clinical diagnosis of Discoid Lupus Erythematosus (DLE) aged 18 to 64 years
- Good health as assessed by Investigator
- DLE for at least 16 weeks prior to screening and consistent histological findings.
- Considered a candidate for systemic therapy. May be naïve to systemic therapy or experiencing incomplete or refractory disease on systemic therapy.
- Cutaneous Lupus Area and Severity Index (CLASI) activity score of at least 10, as determined by investigator.
- Subjects using hydroxychloroquine, chloroquine, or quinacrine must have documented ophthalmologic exam within 24 weeks of baseline visit.
- Must meet laboratory criteria for white blood cells, absolute neutrophils, platelets, serum creatinine, aspartate aminotransferase (AST), alanine aminotransferase (ALT), bilirubin and hemoglobin.
- Subjects, male and female, must agree to strict pregnancy prevention and testing requirements.
Exclusion Criteria:
- Significant illnesses as determined by physician.
- History of significant cardiac conditions or interventions within prior 6 months including abnormal electrocardiogram (ECG) findings.
- Systolic blood pressure < 95 or > 150 mm Hg
- Diastolic blood pressure > 90 mm Hg.
- Pregnancy or breast feeding.
- Other dermatological conditions that would interfere with CLASI Activity Score assessments.
- History of or active; malignancy, human immunodeficiency virus (HIV), tuberculosis infection, other mycobacterial infection, congenital or acquired immunodeficiency, Hepatitis B and C.
- Clinically significant abnormality on chest X-ray.
- Participation in multiple CC-930 cohorts.
- History of thrombolytic event.
- Positive tests for lupus anticoagulant, anti-cardiolipin antibodies, antibodies to beta-2 glycoprotein 1 or phosphatidylserine at screening.
- Positive antineutrophilic cytoplasmic antibody (ANCA) at screening.
- Diagnosis of SLE.
- Presence or history of medically significant Systemic Lupus Erythematosis (SLE) or Lupus Erythematosis (LE) comorbidities.
- History of seizures, chorea or psychosis.
- Presence or history of persistent proteinuria or urinary cellular casts.
- Prohibited prior or concomitant medications.
Sites / Locations
- UAB Dermatology
- The Regents of the University of California
- Medical Faculty Associates
- Advanced Pharma, CR, LLC
- University of Miami - Department of Dermatology
- Rush Medical Center
- North Shore University Health System
- SIU School of Medicine
- Tulane University School of Medicine
- John Hopkins University
- Boston Cancer Center
- University of Minnesota-Department of Dermatology
- University of Rochester Medical Center
- Ohio State Univ Medical Center, Division of Dermatology
- Rhode Island Hospital University Dermatology, Inc.
- Medical University of South Carolina
- Dermatology and Research
- University of Texas Dermatology
- Sun Research Institute
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm Type
Experimental
Experimental
Experimental
Experimental
Arm Label
Cohort 1
Cohort 2
Cohort 3
Cohort 4
Arm Description
25 mg daily for 4 weeks (8 active/2 control)
50 mg once daily for 4 weeks (8 active/2 control)
100 mg daily for 6 weeks (8 active/2 control)
100 mg twice daily for 6 weeks (8 active/2 control)
Outcomes
Primary Outcome Measures
Number of subjects with adverse events
Secondary Outcome Measures
To describe the pharmacokinetics of CC-930 in subjects with recalcitrant DLE.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01466725
Brief Title
A Research Study to Assess if CC-930 is Safe in Treating Subjects With Discoid Lupus Erythematosus
Official Title
A Phase 2, Pilot, Multicenter, Randomized, Placebo-Controlled Sequential, Ascending Dose Study to Characterize the Safety, Tolerability, Pharmacokinetic and Pharmacodynamic Activity of CC-930 in Subjects With Recalcitrant Discoid Lupus Erythematosus (DLE)
Study Type
Interventional
2. Study Status
Record Verification Date
November 2019
Overall Recruitment Status
Terminated
Why Stopped
The benefit/risk profile does not support continuation of this study.
Study Start Date
November 1, 2011 (Actual)
Primary Completion Date
July 30, 2012 (Actual)
Study Completion Date
July 30, 2012 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Celgene
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The purpose of the study is to assess if CC-930 is safe and tolerable in treating subjects with Discoid Lupus Erythematosus. Pharmacokinetic and pharmacodynamics will also be evaluated.
Detailed Description
Enrollment will occur in sequential, ascending, dose-sequence design, where a higher CC-930 dose level and longer duration of dosing (cohort) will not be initiated until supportive safety profile is demonstrated in the preceding cohort. There will be 4 cohorts as described here;
Cohort 1: 25 mg once daily for 4 weeks Cohort 2: 50 mg once daily for 4 weeks Cohort 3: 100 mg once daily for 6 weeks Cohort 4: 100 mg twice daily for 6 weeks
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Discoid Lupus
Keywords
Lupus, Discoid Lupus, DLE, Cutaneous Lupus
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
5 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Cohort 1
Arm Type
Experimental
Arm Description
25 mg daily for 4 weeks (8 active/2 control)
Arm Title
Cohort 2
Arm Type
Experimental
Arm Description
50 mg once daily for 4 weeks (8 active/2 control)
Arm Title
Cohort 3
Arm Type
Experimental
Arm Description
100 mg daily for 6 weeks (8 active/2 control)
Arm Title
Cohort 4
Arm Type
Experimental
Arm Description
100 mg twice daily for 6 weeks (8 active/2 control)
Intervention Type
Drug
Intervention Name(s)
CC-930
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo
Primary Outcome Measure Information:
Title
Number of subjects with adverse events
Time Frame
4 to 6 weeks
Secondary Outcome Measure Information:
Title
To describe the pharmacokinetics of CC-930 in subjects with recalcitrant DLE.
Time Frame
18 months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
64 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Male or female with clinical diagnosis of Discoid Lupus Erythematosus (DLE) aged 18 to 64 years
Good health as assessed by Investigator
DLE for at least 16 weeks prior to screening and consistent histological findings.
Considered a candidate for systemic therapy. May be naïve to systemic therapy or experiencing incomplete or refractory disease on systemic therapy.
Cutaneous Lupus Area and Severity Index (CLASI) activity score of at least 10, as determined by investigator.
Subjects using hydroxychloroquine, chloroquine, or quinacrine must have documented ophthalmologic exam within 24 weeks of baseline visit.
Must meet laboratory criteria for white blood cells, absolute neutrophils, platelets, serum creatinine, aspartate aminotransferase (AST), alanine aminotransferase (ALT), bilirubin and hemoglobin.
Subjects, male and female, must agree to strict pregnancy prevention and testing requirements.
Exclusion Criteria:
Significant illnesses as determined by physician.
History of significant cardiac conditions or interventions within prior 6 months including abnormal electrocardiogram (ECG) findings.
Systolic blood pressure < 95 or > 150 mm Hg
Diastolic blood pressure > 90 mm Hg.
Pregnancy or breast feeding.
Other dermatological conditions that would interfere with CLASI Activity Score assessments.
History of or active; malignancy, human immunodeficiency virus (HIV), tuberculosis infection, other mycobacterial infection, congenital or acquired immunodeficiency, Hepatitis B and C.
Clinically significant abnormality on chest X-ray.
Participation in multiple CC-930 cohorts.
History of thrombolytic event.
Positive tests for lupus anticoagulant, anti-cardiolipin antibodies, antibodies to beta-2 glycoprotein 1 or phosphatidylserine at screening.
Positive antineutrophilic cytoplasmic antibody (ANCA) at screening.
Diagnosis of SLE.
Presence or history of medically significant Systemic Lupus Erythematosis (SLE) or Lupus Erythematosis (LE) comorbidities.
History of seizures, chorea or psychosis.
Presence or history of persistent proteinuria or urinary cellular casts.
Prohibited prior or concomitant medications.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
William Smith, MD
Organizational Affiliation
Celgene
Official's Role
Study Director
Facility Information:
Facility Name
UAB Dermatology
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35233
Country
United States
Facility Name
The Regents of the University of California
City
Irvine
State/Province
California
ZIP/Postal Code
92697
Country
United States
Facility Name
Medical Faculty Associates
City
Washington
State/Province
District of Columbia
ZIP/Postal Code
20037
Country
United States
Facility Name
Advanced Pharma, CR, LLC
City
Miami
State/Province
Florida
ZIP/Postal Code
33136
Country
United States
Facility Name
University of Miami - Department of Dermatology
City
Miami
State/Province
Florida
ZIP/Postal Code
33136
Country
United States
Facility Name
Rush Medical Center
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60612
Country
United States
Facility Name
North Shore University Health System
City
Skokie
State/Province
Illinois
ZIP/Postal Code
60077
Country
United States
Facility Name
SIU School of Medicine
City
Springfield
State/Province
Illinois
ZIP/Postal Code
62702
Country
United States
Facility Name
Tulane University School of Medicine
City
New Orleans
State/Province
Louisiana
ZIP/Postal Code
70112
Country
United States
Facility Name
John Hopkins University
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21205
Country
United States
Facility Name
Boston Cancer Center
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02118
Country
United States
Facility Name
University of Minnesota-Department of Dermatology
City
Minneapolis
State/Province
Minnesota
ZIP/Postal Code
55455
Country
United States
Facility Name
University of Rochester Medical Center
City
Rochester
State/Province
New York
ZIP/Postal Code
14623
Country
United States
Facility Name
Ohio State Univ Medical Center, Division of Dermatology
City
Columbus
State/Province
Ohio
ZIP/Postal Code
43221
Country
United States
Facility Name
Rhode Island Hospital University Dermatology, Inc.
City
Providence
State/Province
Rhode Island
ZIP/Postal Code
02903
Country
United States
Facility Name
Medical University of South Carolina
City
Charleston
State/Province
South Carolina
ZIP/Postal Code
29425
Country
United States
Facility Name
Dermatology and Research
City
Dallas
State/Province
Texas
ZIP/Postal Code
75230
Country
United States
Facility Name
University of Texas Dermatology
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Facility Name
Sun Research Institute
City
San Antonio
State/Province
Texas
ZIP/Postal Code
78215
Country
United States
12. IPD Sharing Statement
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A Research Study to Assess if CC-930 is Safe in Treating Subjects With Discoid Lupus Erythematosus
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