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Study of Efficacy and Safety of CJM112 in Patients With Moderate to Severe Inflammatory Acne

Primary Purpose

Acne Vulgaris

Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
CJM112
Placebo
Sponsored by
Novartis Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Acne Vulgaris focused on measuring Acne, inflammatory acne, efficacy, safety, PK

Eligibility Criteria

18 Years - 45 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Male and female subjects aged 18 to 45 years of age included, and otherwise in good health as determined by medical history, physical examination, vital signs, ECGs and laboratory tests at screening.
  • Body weight between 50 and 120 kg, inclusive at screening.
  • Patients with papulo-pustular acne vulgaris with between 25 and 100 facial inflammatory lesions (papules, pustules and nodules), and presence of non-inflammatory lesions (open and closed comedones) in the face at screening and baseline, who have failed systemic therapy for inflammatory acne.
  • No more than 5 facial inflammatory nodules at screening and baseline.
  • Investigator's Global assessment (IGA) score of at least moderate (3) acne severity on the face at screening and baseline.

Exclusion Criteria:

  • Appropriate wash out periods are required for investigational drugs, any oral/systemic treatment for acne, systemic or lesional injected (for acne) corticosteroids or systemic immunomodulators, any systemic hormonal treatments, previous treatment with biologics, oral retinoids (in particular isotretinoin) and any topical anti-acne treatment.
  • Use of facial medium depth chemical peels (excluding home regimens) within 3 months prior to baseline.
  • Any live vaccines (this includes nasal-spray flu vaccine) starting from 6 weeks before baseline.
  • Any other forms of acne
  • Any severe, progressive or uncontrolled medical or psychiatric condition or other factors at randomization that in the judgment of the investigator prevents the patient from participating in the study.
  • History of hypersensitivity or allergy to the investigational compound/compound class being used in this study.
  • Active systemic infections (other than common cold) during the 2 weeks prior to baseline.
  • History of severe systemic Candida infections or evidence of Candidiasis in the 2 weeks prior to baseline.
  • Evidence of active tuberculosis at screening. All patients will be tested for tuberculosis status using a blood test (QuantiFERON®-TB (Tuberculosis) Gold In-Tube). Patients with evidence of tuberculosis may enter the trial afteradequate treatment has been started according to local regulations.
  • Patients with known active Crohn's disease
  • History of immunodeficiency diseases, including a positive HIV (ELISA and Western blot) test result at screening.
  • A positive Hepatitis B surface antigen or Hepatitis C test result at screening
  • Pregnant or nursing (lactating) women, where pregnancy is defined as the state of a female after conception and until the termination of gestation, confirmed by a positive Human chorionic gonadotropin (HCG) laboratory test.
  • WOCBP, defined as all women physiologically capable of becoming pregnant, unless they are using highly effective methods of contraception during dosing and for 13 weeks after stopping medication.

Other protocol-defined inclusion/exclusion criteria may apply.

Sites / Locations

  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site
  • Novartis Investigative Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

Group 1: CJM112 high dose

Group 2: CJM112 low dose

Group 3: Placebo, CJM112 low dose or high dose

Arm Description

CJM112 high dose in treatment period 1; CJM112 high dose in extension period 2

CJM112 low dose in treatment period 1; CJM112 low dose in extension period 2

Placebo in treatment period 1; CJM112 low dose or CJM112 high dose in extension period 2

Outcomes

Primary Outcome Measures

Total Inflammatory Facial Lesion Count at Day 85
Total inflammatory facial lesion count was the total count of papules, pustules and nodules assessed at day 85

Secondary Outcome Measures

Number and Severity of Adverse Events in Period 1
Frequency and severity of adverse events in Period 1
Number and Severity of Adverse Events in Period 2
Frequency and severity of adverse events in Period 2
Pharmacokinetics (PK): Serum Trough Concentrations of CJM112 in Period 1
Pharmacokinetics (PK): Serum trough concentrations of CJM112. Concentrations below the lower limit of quantification were reported as 0.
Pharmacokinetics (PK): Serum Trough Concentrations of CJM112 in Period 2
Pharmacokinetics (PK): Serum trough concentrations of CJM112. Concentrations below the lower limit of quantification were reported as 0.
Number of Patients With Clinically Significant Abnormal Hematology Laboratory Parameters
Abnormalities were considered clinically significant by the Investigator if they could impact the study conduct or safety of the subjects.
Number of Patients With Clinically Significant Abnormal Clinical Chemistry Laboratory Parameters Parameters
Abnormalities were considered clinically significant by the Investigator if they could impact the study conduct or safety of the subjects.
Number of Patients With Clinically Significant Abnormal Urinalysis Laboratory Parameters
Abnormalities were considered clinically significant by the Investigator if they could impact the study conduct or safety of the subjects.

Full Information

First Posted
December 13, 2016
Last Updated
June 17, 2022
Sponsor
Novartis Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT02998671
Brief Title
Study of Efficacy and Safety of CJM112 in Patients With Moderate to Severe Inflammatory Acne
Official Title
A Randomized, Subject and Investigator Blinded, Placebo-controlled, Multi-center Study in Parallel Groups to Assess the Efficacy and Safety of CJM112 in Patients With Moderate to Severe Inflammatory Acne
Study Type
Interventional

2. Study Status

Record Verification Date
June 2022
Overall Recruitment Status
Completed
Study Start Date
December 22, 2016 (Actual)
Primary Completion Date
August 1, 2018 (Actual)
Study Completion Date
August 1, 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Novartis Pharmaceuticals

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
The study was designed primarily to assess preliminary efficacy and safety of CJM112 in patients with moderate to severe inflammatory acne and to determine if CJM112 has an adequate clinical profile for further clinical development. In addition, sustainability of response and dose relationship were to be explored.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Acne Vulgaris
Keywords
Acne, inflammatory acne, efficacy, safety, PK

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
52 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group 1: CJM112 high dose
Arm Type
Experimental
Arm Description
CJM112 high dose in treatment period 1; CJM112 high dose in extension period 2
Arm Title
Group 2: CJM112 low dose
Arm Type
Experimental
Arm Description
CJM112 low dose in treatment period 1; CJM112 low dose in extension period 2
Arm Title
Group 3: Placebo, CJM112 low dose or high dose
Arm Type
Placebo Comparator
Arm Description
Placebo in treatment period 1; CJM112 low dose or CJM112 high dose in extension period 2
Intervention Type
Biological
Intervention Name(s)
CJM112
Intervention Type
Other
Intervention Name(s)
Placebo
Primary Outcome Measure Information:
Title
Total Inflammatory Facial Lesion Count at Day 85
Description
Total inflammatory facial lesion count was the total count of papules, pustules and nodules assessed at day 85
Time Frame
Day 85
Secondary Outcome Measure Information:
Title
Number and Severity of Adverse Events in Period 1
Description
Frequency and severity of adverse events in Period 1
Time Frame
Day 1 to Day 85
Title
Number and Severity of Adverse Events in Period 2
Description
Frequency and severity of adverse events in Period 2
Time Frame
Day 86 to Day 260
Title
Pharmacokinetics (PK): Serum Trough Concentrations of CJM112 in Period 1
Description
Pharmacokinetics (PK): Serum trough concentrations of CJM112. Concentrations below the lower limit of quantification were reported as 0.
Time Frame
Day 1, Day 29, Day 57 and Day 85
Title
Pharmacokinetics (PK): Serum Trough Concentrations of CJM112 in Period 2
Description
Pharmacokinetics (PK): Serum trough concentrations of CJM112. Concentrations below the lower limit of quantification were reported as 0.
Time Frame
Day 85, Day 113, Day 141 and Day 169
Title
Number of Patients With Clinically Significant Abnormal Hematology Laboratory Parameters
Description
Abnormalities were considered clinically significant by the Investigator if they could impact the study conduct or safety of the subjects.
Time Frame
38 Weeks
Title
Number of Patients With Clinically Significant Abnormal Clinical Chemistry Laboratory Parameters Parameters
Description
Abnormalities were considered clinically significant by the Investigator if they could impact the study conduct or safety of the subjects.
Time Frame
38 Weeks
Title
Number of Patients With Clinically Significant Abnormal Urinalysis Laboratory Parameters
Description
Abnormalities were considered clinically significant by the Investigator if they could impact the study conduct or safety of the subjects.
Time Frame
38 Weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male and female subjects aged 18 to 45 years of age included, and otherwise in good health as determined by medical history, physical examination, vital signs, ECGs and laboratory tests at screening. Body weight between 50 and 120 kg, inclusive at screening. Patients with papulo-pustular acne vulgaris with between 25 and 100 facial inflammatory lesions (papules, pustules and nodules), and presence of non-inflammatory lesions (open and closed comedones) in the face at screening and baseline, who have failed systemic therapy for inflammatory acne. No more than 5 facial inflammatory nodules at screening and baseline. Investigator's Global assessment (IGA) score of at least moderate (3) acne severity on the face at screening and baseline. Exclusion Criteria: Appropriate wash out periods are required for investigational drugs, any oral/systemic treatment for acne, systemic or lesional injected (for acne) corticosteroids or systemic immunomodulators, any systemic hormonal treatments, previous treatment with biologics, oral retinoids (in particular isotretinoin) and any topical anti-acne treatment. Use of facial medium depth chemical peels (excluding home regimens) within 3 months prior to baseline. Any live vaccines (this includes nasal-spray flu vaccine) starting from 6 weeks before baseline. Any other forms of acne Any severe, progressive or uncontrolled medical or psychiatric condition or other factors at randomization that in the judgment of the investigator prevents the patient from participating in the study. History of hypersensitivity or allergy to the investigational compound/compound class being used in this study. Active systemic infections (other than common cold) during the 2 weeks prior to baseline. History of severe systemic Candida infections or evidence of Candidiasis in the 2 weeks prior to baseline. Evidence of active tuberculosis at screening. All patients will be tested for tuberculosis status using a blood test (QuantiFERON®-TB (Tuberculosis) Gold In-Tube). Patients with evidence of tuberculosis may enter the trial afteradequate treatment has been started according to local regulations. Patients with known active Crohn's disease History of immunodeficiency diseases, including a positive HIV (ELISA and Western blot) test result at screening. A positive Hepatitis B surface antigen or Hepatitis C test result at screening Pregnant or nursing (lactating) women, where pregnancy is defined as the state of a female after conception and until the termination of gestation, confirmed by a positive Human chorionic gonadotropin (HCG) laboratory test. WOCBP, defined as all women physiologically capable of becoming pregnant, unless they are using highly effective methods of contraception during dosing and for 13 weeks after stopping medication. Other protocol-defined inclusion/exclusion criteria may apply.
Facility Information:
Facility Name
Novartis Investigative Site
City
Culver City
State/Province
California
ZIP/Postal Code
90230
Country
United States
Facility Name
Novartis Investigative Site
City
Sacramento
State/Province
California
ZIP/Postal Code
95819
Country
United States
Facility Name
Novartis Investigative Site
City
Austin
State/Province
Texas
ZIP/Postal Code
78759
Country
United States
Facility Name
Novartis Investigative Site
City
Bonn
ZIP/Postal Code
53111
Country
Germany
Facility Name
Novartis Investigative Site
City
Frankfurt
ZIP/Postal Code
60590
Country
Germany
Facility Name
Novartis Investigative Site
City
Muenster
ZIP/Postal Code
48149
Country
Germany
Facility Name
Novartis Investigative Site
City
Pommelsbrunn
ZIP/Postal Code
91224
Country
Germany
Facility Name
Novartis Investigative Site
City
Bergen op Zoom
ZIP/Postal Code
4624 VT
Country
Netherlands
Facility Name
Novartis Investigative Site
City
Groningen
ZIP/Postal Code
9713 GZ
Country
Netherlands
Facility Name
Novartis Investigative Site
City
Leiden
ZIP/Postal Code
2333 CL
Country
Netherlands

12. IPD Sharing Statement

Plan to Share IPD
Undecided
IPD Sharing Plan Description
Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com

Learn more about this trial

Study of Efficacy and Safety of CJM112 in Patients With Moderate to Severe Inflammatory Acne

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