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MSC2364447C Phase 1b in Systemic Lupus Erythematosus

Primary Purpose

Lupus Erythematosus, Systemic

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
MSC2364447C
MSC2364447C
Placebo
Sponsored by
EMD Serono Research & Development Institute, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Lupus Erythematosus, Systemic focused on measuring MSC2364447C, Phase 1, BTK inhibitor, Systemic Lupus Erythematosus, M2951, Lupus

Eligibility Criteria

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

Inclusion Criteria:

  • Male or female of 18 to 65 years of age
  • Diagnosis of systemic lupus erythematosus (SLE) (at least 4 of the 11 American College of Rheumatology [ACR] classification criteria for SLE) of at least 6 months duration at the Screening visit
  • Positive test results for anti-nuclear antibody (ANA) (human epithelial cell-2 ANA greater than or equal to [>=] 1:80) and/or anti-dsDNA antibody (>= 30 international units per milliliter [IU/mL]) at the Screening visit
  • At least 1 SLE disease manifestation (assessed by Systemic Lupus Erythematosus Disease Activity Index-2000 [SLEDAI-2K]) other than positive antidsDNA and no central nervous system (CNS) SLE (psychosis, organic brain syndrome, cranial nerve disorder, lupus headache, or new-onset cerebrovascular accident)
  • History of vaccinations as follows or vaccination against these pathogens during Screening:

    1. Vaccination against Streptococcus pneumoniae with pneumococcal polysaccharide vaccine 23 or pneumococcal 13-valent conjugate vaccine as per local guidelines, and
    2. Vaccination against influenza virus (as per local seasonal recommendations). Subjects receiving 1 or more of these vaccinations during screening must have at least 2 weeks between the vaccination(s) and the date of randomization at Day 1.
  • Other protocol defined inclusion criteria could apply

Exclusion Criteria:

  • Active clinically significant CNS SLE
  • Initiation or change in dose of anti-malarial treatment after the screening visit
  • Within 2 weeks prior to Screening or during Screening: use of oral corticosteroids greater than (>) 40 mg daily prednisone equivalent, use of any injectable corticosteroids, or change in dose of corticosteroids
  • Within 2 weeks prior to Screening, initiation or change in dose of angiotensin-converting enzyme inhibitor or angiotensin receptor blocker, or nonsteroidal anti-inflammatory drugs (NSAIDs).
  • Within 2 months prior to Screening or during Screening: initiation of or change in dose of methotrexate, mycophenolate (mofetil or sodium), or azathioprine
  • Within 2 months prior to Screening or during Screening, use of cyclosporine, tacrolimus, leflunomide, abatacept, anti-tumor necrosis factor alpha agents, intravenous immunoglobulin, plasmapheresis, or other disease-modifying, immunosuppressive, or immunomodulatory therapies not otherwise specified in protocol
  • Within 6 months prior to Screening or during Screening: use of cyclophosphamide or chlorambucil
  • Within 12 months prior to screening or during screening: use of rituximab, belimumab, or any other B cell-depleting or modulating therapies
  • Within 1 month prior to Screening or during Screening, vaccination with live or live-attenuated virus vaccine.
  • Active clinically significant viral, bacterial or fungal infection, or any serious episode of infection requiring hospitalization within the last 6 months - Estimated glomerular filtration rate by the Modification of Diet in Renal Disease equation of less than (<) 60 milliliter per minute per 1.73 square meter (mL/min/1.73 m^2), or recent decline in kidney function, or proteinuria >= 3 gram per day (g/day) (spot urine protein/creatinine ratio >= 3 mg/mg)
  • Other protocol defined exclusion criteria could apply

Sites / Locations

  • Research site
  • Research site
  • Research site
  • Research site
  • Research site
  • Research site
  • Research site
  • Research site
  • Research site
  • Research site
  • Research site
  • Research site
  • Research site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

MSC2364447C 25 mg

MSC2364447C 75 mg

Placebo

Arm Description

Outcomes

Primary Outcome Measures

Number of subjects with treatment emergent adverse events (TEAEs)
TEAEs will be defined as the adverse events (AEs) that occur between first dose of study drug administration up to 4 weeks after the last dose of study drug administration that were absent before treatment or that worsened relative to pretreatment state.
Number of subjects with TEAEs according to severity
The severity of TEAEs will be graded using National cancer institute-Common Terminology Criteria for Adverse Events version 4.03 (NCI-CTCAE v 4.03) definitions of Grade 1 through Grade 5 following his/her best medical judgment. The severity of the AEs will be classified as follows: Grade 1 or mild, Grade 2 or moderate, Grade 3 or severe, Grade 4 or life-threatening and Grade 5 or death.
Number of subjects with clinically significant laboratory abnormalities
Clinical laboratory parameters being monitored for safety will be summarized using descriptive statistics, by postdose shifts relative to Baseline for relevant parameters using relevant cut-offs. Clinical significance will be determined by investigator.
Number of subjects with clinically significant abnormal vital signs: blood pressure, pulse rate, respiratory rate
Observed values and changes from Baseline in vital signs will be summarized for each treatment group using descriptive statistics. Clinically noteworthy changes in vital signs will be listed and summarized as appropriate. A semi-automated blood pressure and pulse rate recording device with an appropriate cuff size will be utilized. Blood pressure and pulse rate will be measured after 10 minutes' rest in the semi-supine position with the subject's arm unconstrained by clothing or other material. The blood pressure should be assessed on the same arm for each subject throughout the trial. Clinical significance will be determined by investigator.
Number of subjects with clinically significant abnormal electrocardiograms (ECGs)
Observed values and changes from Baseline in ECG will be summarized for each treatment group using descriptive statistics. Clinically noteworthy changes in ECG will be listed and summarized as appropriate. Clinical significance will be determined by investigator.

Secondary Outcome Measures

Area under the plasma concentration-time curve from time zero to 6 hours after administration (AUC0-6)
Maximum observed plasma concentration (Cmax)
Time to reach maximum plasma concentration (tmax)
Concentration observed immediately before next dosing (Cpre) (Day 28)
Dose-normalized AUC0-6h (AUC0-6h/dose)
Dose-normalized Cmax (Cmax/dose)
Accumulation ratio for AUC0-6 (Racc(AUC0-6))
Accumulation ratio for AUC will be calculated as AUC0-6, Day28 divided by AUC0-6, Day1
Accumulation ratio for Cmax (Racc(Cmax))
Accumulation ratio for Cmax, calculated as Cmax, Day28 divided by Cmax, Day1

Full Information

First Posted
August 28, 2015
Last Updated
October 6, 2017
Sponsor
EMD Serono Research & Development Institute, Inc.
Collaborators
Merck KGaA, Darmstadt, Germany
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1. Study Identification

Unique Protocol Identification Number
NCT02537028
Brief Title
MSC2364447C Phase 1b in Systemic Lupus Erythematosus
Official Title
A Phase Ib Double-blind, Randomized, Placebo-controlled Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Biological Effect of MSC2364447C in Systemic Lupus Erythematosus
Study Type
Interventional

2. Study Status

Record Verification Date
October 2017
Overall Recruitment Status
Completed
Study Start Date
November 30, 2015 (Actual)
Primary Completion Date
October 4, 2016 (Actual)
Study Completion Date
October 4, 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
EMD Serono Research & Development Institute, Inc.
Collaborators
Merck KGaA, Darmstadt, Germany

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The primary purpose of this Phase 1b double-blind, randomized, placebo-controlled trial is to evaluate the safety, tolerability, pharmacokinetic (PK), and biological effect of MSC2364447C administered for 4 weeks in systemic lupus erythematosus subjects (SLE).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Lupus Erythematosus, Systemic
Keywords
MSC2364447C, Phase 1, BTK inhibitor, Systemic Lupus Erythematosus, M2951, Lupus

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
24 (Actual)

8. Arms, Groups, and Interventions

Arm Title
MSC2364447C 25 mg
Arm Type
Experimental
Arm Title
MSC2364447C 75 mg
Arm Type
Experimental
Arm Title
Placebo
Arm Type
Placebo Comparator
Intervention Type
Drug
Intervention Name(s)
MSC2364447C
Other Intervention Name(s)
M2951, Evobrutinib
Intervention Description
Subjects will be administered with MSC2364447C 25 milligrams orally once daily for 4 weeks.
Intervention Type
Drug
Intervention Name(s)
MSC2364447C
Other Intervention Name(s)
M2951, Evobrutinib
Intervention Description
Subjects will be administered with MSC2364447C 75 milligrams orally once daily for 4 weeks.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Subjects will be administered with placebo matching to MSC2364447C orally once daily for 4 weeks.
Primary Outcome Measure Information:
Title
Number of subjects with treatment emergent adverse events (TEAEs)
Description
TEAEs will be defined as the adverse events (AEs) that occur between first dose of study drug administration up to 4 weeks after the last dose of study drug administration that were absent before treatment or that worsened relative to pretreatment state.
Time Frame
From the first dose of study drug administration up to 4 weeks after the last dose of study drug administration
Title
Number of subjects with TEAEs according to severity
Description
The severity of TEAEs will be graded using National cancer institute-Common Terminology Criteria for Adverse Events version 4.03 (NCI-CTCAE v 4.03) definitions of Grade 1 through Grade 5 following his/her best medical judgment. The severity of the AEs will be classified as follows: Grade 1 or mild, Grade 2 or moderate, Grade 3 or severe, Grade 4 or life-threatening and Grade 5 or death.
Time Frame
From the first dose of study drug administration up to 4 weeks after the last dose of study drug administration
Title
Number of subjects with clinically significant laboratory abnormalities
Description
Clinical laboratory parameters being monitored for safety will be summarized using descriptive statistics, by postdose shifts relative to Baseline for relevant parameters using relevant cut-offs. Clinical significance will be determined by investigator.
Time Frame
screening up to Day 56
Title
Number of subjects with clinically significant abnormal vital signs: blood pressure, pulse rate, respiratory rate
Description
Observed values and changes from Baseline in vital signs will be summarized for each treatment group using descriptive statistics. Clinically noteworthy changes in vital signs will be listed and summarized as appropriate. A semi-automated blood pressure and pulse rate recording device with an appropriate cuff size will be utilized. Blood pressure and pulse rate will be measured after 10 minutes' rest in the semi-supine position with the subject's arm unconstrained by clothing or other material. The blood pressure should be assessed on the same arm for each subject throughout the trial. Clinical significance will be determined by investigator.
Time Frame
screening up to Day 56
Title
Number of subjects with clinically significant abnormal electrocardiograms (ECGs)
Description
Observed values and changes from Baseline in ECG will be summarized for each treatment group using descriptive statistics. Clinically noteworthy changes in ECG will be listed and summarized as appropriate. Clinical significance will be determined by investigator.
Time Frame
screening up to Day 28
Secondary Outcome Measure Information:
Title
Area under the plasma concentration-time curve from time zero to 6 hours after administration (AUC0-6)
Time Frame
Predose, 0.25, 0.5, 1.0, 2.0, 4.0, and 6.0 hours post-dose on Day 1 and Day 28
Title
Maximum observed plasma concentration (Cmax)
Time Frame
Predose, 0.25, 0.5, 1.0, 2.0, 4.0, and 6.0 hours post-dose on Day 1 and Day 28
Title
Time to reach maximum plasma concentration (tmax)
Time Frame
Predose, 0.25, 0.5, 1.0, 2.0, 4.0, and 6.0 hours post-dose on Day 1 and Day 28
Title
Concentration observed immediately before next dosing (Cpre) (Day 28)
Time Frame
Predose (within 30 minutes prior to dosing) on Day 28
Title
Dose-normalized AUC0-6h (AUC0-6h/dose)
Time Frame
Predose, 0.25, 0.5, 1.0, 2.0, 4.0, and 6.0 hours post-dose on Day 1 and Day 28
Title
Dose-normalized Cmax (Cmax/dose)
Time Frame
Predose, 0.25, 0.5, 1.0, 2.0, 4.0, and 6.0 hours post-dose on Day 1 and Day 28
Title
Accumulation ratio for AUC0-6 (Racc(AUC0-6))
Description
Accumulation ratio for AUC will be calculated as AUC0-6, Day28 divided by AUC0-6, Day1
Time Frame
Predose, 0.25, 0.5, 1.0, 2.0, 4.0, and 6.0 hours post-dose on Day 1 and Day 28
Title
Accumulation ratio for Cmax (Racc(Cmax))
Description
Accumulation ratio for Cmax, calculated as Cmax, Day28 divided by Cmax, Day1
Time Frame
Predose, 0.25, 0.5, 1.0, 2.0, 4.0, and 6.0 hours post-dose on Day 1 and Day 28

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: Male or female of 18 to 65 years of age Diagnosis of systemic lupus erythematosus (SLE) (at least 4 of the 11 American College of Rheumatology [ACR] classification criteria for SLE) of at least 6 months duration at the Screening visit Positive test results for anti-nuclear antibody (ANA) (human epithelial cell-2 ANA greater than or equal to [>=] 1:80) and/or anti-dsDNA antibody (>= 30 international units per milliliter [IU/mL]) at the Screening visit At least 1 SLE disease manifestation (assessed by Systemic Lupus Erythematosus Disease Activity Index-2000 [SLEDAI-2K]) other than positive antidsDNA and no central nervous system (CNS) SLE (psychosis, organic brain syndrome, cranial nerve disorder, lupus headache, or new-onset cerebrovascular accident) History of vaccinations as follows or vaccination against these pathogens during Screening: Vaccination against Streptococcus pneumoniae with pneumococcal polysaccharide vaccine 23 or pneumococcal 13-valent conjugate vaccine as per local guidelines, and Vaccination against influenza virus (as per local seasonal recommendations). Subjects receiving 1 or more of these vaccinations during screening must have at least 2 weeks between the vaccination(s) and the date of randomization at Day 1. Other protocol defined inclusion criteria could apply Exclusion Criteria: Active clinically significant CNS SLE Initiation or change in dose of anti-malarial treatment after the screening visit Within 2 weeks prior to Screening or during Screening: use of oral corticosteroids greater than (>) 40 mg daily prednisone equivalent, use of any injectable corticosteroids, or change in dose of corticosteroids Within 2 weeks prior to Screening, initiation or change in dose of angiotensin-converting enzyme inhibitor or angiotensin receptor blocker, or nonsteroidal anti-inflammatory drugs (NSAIDs). Within 2 months prior to Screening or during Screening: initiation of or change in dose of methotrexate, mycophenolate (mofetil or sodium), or azathioprine Within 2 months prior to Screening or during Screening, use of cyclosporine, tacrolimus, leflunomide, abatacept, anti-tumor necrosis factor alpha agents, intravenous immunoglobulin, plasmapheresis, or other disease-modifying, immunosuppressive, or immunomodulatory therapies not otherwise specified in protocol Within 6 months prior to Screening or during Screening: use of cyclophosphamide or chlorambucil Within 12 months prior to screening or during screening: use of rituximab, belimumab, or any other B cell-depleting or modulating therapies Within 1 month prior to Screening or during Screening, vaccination with live or live-attenuated virus vaccine. Active clinically significant viral, bacterial or fungal infection, or any serious episode of infection requiring hospitalization within the last 6 months - Estimated glomerular filtration rate by the Modification of Diet in Renal Disease equation of less than (<) 60 milliliter per minute per 1.73 square meter (mL/min/1.73 m^2), or recent decline in kidney function, or proteinuria >= 3 gram per day (g/day) (spot urine protein/creatinine ratio >= 3 mg/mg) Other protocol defined exclusion criteria could apply
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical Responsible
Organizational Affiliation
EMD Serono Research & Development Institute, Inc., a business of Merck KGaA, Darmstadt, Germany
Official's Role
Study Director
Facility Information:
Facility Name
Research site
City
Anniston
State/Province
Alabama
ZIP/Postal Code
36207
Country
United States
Facility Name
Research site
City
El Cajon
State/Province
California
ZIP/Postal Code
92020-4124
Country
United States
Facility Name
Research site
City
Lakewood
State/Province
California
ZIP/Postal Code
90712
Country
United States
Facility Name
Research site
City
Los Angeles
State/Province
California
ZIP/Postal Code
90048
Country
United States
Facility Name
Research site
City
Clearwater
State/Province
Florida
ZIP/Postal Code
33765
Country
United States
Facility Name
Research site
City
DeBary
State/Province
Florida
ZIP/Postal Code
32713
Country
United States
Facility Name
Research site
City
Orlando
State/Province
Florida
ZIP/Postal Code
32806
Country
United States
Facility Name
Research site
City
Grand Blanc
State/Province
Michigan
ZIP/Postal Code
48439
Country
United States
Facility Name
Research site
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63117
Country
United States
Facility Name
Research site
City
Austin
State/Province
Texas
ZIP/Postal Code
78745
Country
United States
Facility Name
Research site
City
Sofia
ZIP/Postal Code
1336
Country
Bulgaria
Facility Name
Research site
City
Sofia
ZIP/Postal Code
1431
Country
Bulgaria
Facility Name
Research site
City
Sofia
ZIP/Postal Code
1612
Country
Bulgaria

12. IPD Sharing Statement

Learn more about this trial

MSC2364447C Phase 1b in Systemic Lupus Erythematosus

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