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A Study to Evaluate VIB7734 in Participants With Systemic Lupus Erythematosus (SLE), Cutaneous Lupus Erythematosus (CLE), Sjogren's Syndrome, Systemic Sclerosis, Polymyositis, and Dermatomyositis

Primary Purpose

Systemic Lupus Erythematosus, Cutaneous Lupus Erythematosus, Sjogren's Syndrome

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
VIB7734
Placebo
Sponsored by
Viela Bio
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Systemic Lupus Erythematosus

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Participants aged 18 through 75 years at the time of screening
  • Participants with at least one of the following diagnoses:

    1. Systemic Lupus Erythematosus
    2. Cutaneous lupus erythematosus, including acute CLE, subacute CLE, and discoid lupus erythematosus
    3. Sjogren's syndrome (for Cohort 1 only)
    4. Systemic sclerosis (for Cohort 1 only)
    5. Probable or definite polymyositis (for Cohort 1 only)
    6. Probable or definite dermatomyositis (for Cohort 1 only)
  • For Cohorts 2 and 3 only: Participants with CLASI activity score greater than or equal to (>=) 8 at both Visits 1 (screening) and 2 (baseline)
  • For Cohorts 2 and 3 only: a skin lesion amenable to punch skin biopsy and willingness of the participant to undergo skin biopsy at two time points
  • For Cohorts 2 and 3 only: photographs of skin lesions must be submitted for review to confirm the diagnosis of SLE or CLE with active skin lesions confirmation of the diagnosis by the central reviewer must be received prior to randomization
  • Females of childbearing potential and nonsterilized males who are ready to use protocol defined contraception methods

Exclusion Criteria:

  • Severe manifestations of the diseases under study that could impact the participant safety
  • Known history of a primary immunodeficiency or an underlying condition such as known human immunodeficiency virus (HIV) infection, a positive result for HIV infection, splenectomy, or any underlying condition that predisposes the participant to infection
  • At screening, have adequate central laboratory test results: aspartate transaminase greater than (>) 2.5 x upper limit of normal (ULN); alanine transaminase >2.5 x ULN; total bilirubin 1.5 x ULN; total immunoglobulin < 500 gram/decilitre; neutrophil count less than (<) 1,000/μL; platelet count < 85,000/μL; haemoglobin < 10 g/dL; glycosylated haemoglobin > 8 percent (%); total lymphocyte count < 300 cells/mm^3; glomerular filtration rate < 50 mL/min/1.73 m^2; plasmacytoid dendritic cells (pDC) level < 0.02% of peripheral blood mononuclear cells (PBMCs)
  • Positive test for chronic hepatitis B infection at screening and for hepatitis C virus antibody
  • History of or active tuberculosis (TB), or a positive QuantiFERON®-TB Gold test at screening; a primary immunodeficiency or an underlying condition such as known human immunodeficiency virus (HIV) infection, a positive result for HIV infection per central laboratory; cancer; clinically significant cardiac disease
  • Herpes zoster infection within 3 months before randomization and/or any severe herpes virus family infection at any time prior to randomization
  • Any acute illness or evidence of clinically significant active infection, such as fever >= 38.0 degrees Celsius (>= 100.5 degrees Fahrenheit) at screening (Visit 1) or Day 1 (Visit 2)
  • Cohorts 2 and 3 only: use of Group 1 (super-high potency) or Group 2 (high potency) topical corticosteroids
  • Receipt of a live-attenuated vaccine within 4 weeks prior to Day 1
  • Cohorts 2 and 3 only: have received changing doses of mycophenolate mofetil, methotrexate, leflunomide, azathioprine, or non-steroidal topical immunosuppressants within 28 days before study Day 1 or changing doses of oral or topical corticosteroids within 14 days before study Day 1

Sites / Locations

  • Viela Bio Investigative Site
  • Viela Bio Investigative Site
  • Viela Bio Investigative Site
  • Viela Bio Investigative Site
  • Viela Bio Investigative Site
  • Viela Bio Investigative Site
  • Viela Bio Investigative Site
  • Viela Bio Investigative Site
  • Viela Bio Investigative Site
  • Viela Bio Investigative Site
  • Viela Bio Investigative Site
  • Viela Bio Investigative Site
  • Viela Bio Investigative Site
  • Viela Bio Investigative Site
  • Viela Bio Investigative Site
  • Viela Bio Investigative Site
  • Viela Bio Investigative Site
  • Viela Bio Investigative Site
  • Viela Bio Investigative Site
  • Viela Bio Investigative Site
  • Viela Bio Investigative Site
  • Viela Bio Investigative Site
  • Viela Bio Investigative Site
  • Viela Bio Investigative Site
  • Viela Bio Investigative Site
  • Viela Bio Investigative Site
  • Viela Bio Investigative Site
  • Viela Bio Investigative Site
  • Viela Bio Investigative Site
  • Viela Bio Investigative Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm Type

Experimental

Experimental

Experimental

Placebo Comparator

Arm Label

Cohort 1: VIB7734 Dose 1

Cohort 2: VIB7734 Dose 2

Cohort 3: VIB7734 Dose 3

Placebo

Arm Description

Participants will receive VIB7734 Dose 1 via injection q4w for a total of 3 doses on Days 1, 29, and 57.

Participants will receive VIB7734 Dose 2 via injection q4w for a total of 3 doses on Days 1, 29, and 57.

Participants will receive VIB7734 Dose 3 via injection q4w for a total of 3 doses on Days 1, 29, and 57.

Participants will receive placebo matching to VIB7734 via injection q4w for a total of 3 doses on Days 1, 29, and 57.

Outcomes

Primary Outcome Measures

Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Treatment-Emergent Serious Adverse Events (TESAEs)
Number of Participants With Adverse Events of Special Interest (AESIs)
Number of Participants With Laboratory Abnormalities Reported as TEAEs
Number of Participants With Vital Sign Abnormalities Reported as TEAEs
Number of Participants With 12-Lead Electrocardiogram Abnormalities Reported as TEAEs

Secondary Outcome Measures

Maximum Observed Serum Concentration (Cmax) of VIB7734 Maximum Observed Serum Concentration (Cmax) of VIB7734
Area Under the Concentration-time Curve (AUC) of VIB7734
Systemic Clearance (CL) of VIB7734
Terminal Half-life (t1/2) of VIB7734
Number of Participants With Positive Anti-Drug Antibodies of VIB7734
Change from Baseline in Cutaneous Lupus Erythematosus Disease Area and Severity Index (CLASI) Activity Score (Cohorts 2 and 3)
Blood Levels of pDCs

Full Information

First Posted
January 22, 2019
Last Updated
August 11, 2020
Sponsor
Viela Bio
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1. Study Identification

Unique Protocol Identification Number
NCT03817424
Brief Title
A Study to Evaluate VIB7734 in Participants With Systemic Lupus Erythematosus (SLE), Cutaneous Lupus Erythematosus (CLE), Sjogren's Syndrome, Systemic Sclerosis, Polymyositis, and Dermatomyositis
Official Title
A Phase 1 Randomized, Placebo-Controlled, Blinded, Multiple Ascending Dose Study to Evaluate VIB7734 in Systemic Lupus Erythematosus, Cutaneous Lupus Erythematosus, Sjogren's Syndrome, Systemic Sclerosis, Polymyositis, and Dermatomyositis
Study Type
Interventional

2. Study Status

Record Verification Date
August 2020
Overall Recruitment Status
Completed
Study Start Date
December 13, 2018 (Actual)
Primary Completion Date
July 20, 2020 (Actual)
Study Completion Date
July 20, 2020 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Viela Bio

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 purpose of this study is to evaluate the safety and tolerability of escalating, multiple subcutaneous (SC) doses of VIB7734 in participants with Systemic Lupus Erythematosus (SLE), Cutaneous Lupus Erythematosus (CLE), Sjogren's Syndrome, Systemic Sclerosis, Polymyositis, and Dermatomyositis.
Detailed Description
This study will have 3 periods: screening, treatment period, and extended follow-up. The screening period is 28 days. A total of 32 participants will be enrolled in 3 cohorts with 8 participants in Cohort 1, and 12 participants each in Cohorts 2 and 3. In Cohort 1, participants will be randomized in a 3:1 ratio to receive VIB7734 or matching placebo by injection every 4 weeks (q4w) for a total of 3 doses on Days 1, 29, and 57. In Cohorts 2 and 3, participants diagnosed with lupus only will be randomized in a 2:1 ratio to receive VIB7734 or matching placebo by injection q4w for 3 doses on Days 1, 29, and 57. Participants will be followed until at least Day 141. After the Day 141 visit, participants will exit the study if participants meets adequate plasmacytoid dendritic cells (pDCs). If an adequate pDC level does not meet at Day 141 visit, the participant will continue the follow-up for pDC repletion until they meet the protocol defined adequate pDC level or Day 337 visit has been reached.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Systemic Lupus Erythematosus, Cutaneous Lupus Erythematosus, Sjogren's Syndrome, Systemic Sclerosis, Polymyositis, Dermatomyositis

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Cohort 1: VIB7734 Dose 1
Arm Type
Experimental
Arm Description
Participants will receive VIB7734 Dose 1 via injection q4w for a total of 3 doses on Days 1, 29, and 57.
Arm Title
Cohort 2: VIB7734 Dose 2
Arm Type
Experimental
Arm Description
Participants will receive VIB7734 Dose 2 via injection q4w for a total of 3 doses on Days 1, 29, and 57.
Arm Title
Cohort 3: VIB7734 Dose 3
Arm Type
Experimental
Arm Description
Participants will receive VIB7734 Dose 3 via injection q4w for a total of 3 doses on Days 1, 29, and 57.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Participants will receive placebo matching to VIB7734 via injection q4w for a total of 3 doses on Days 1, 29, and 57.
Intervention Type
Drug
Intervention Name(s)
VIB7734
Other Intervention Name(s)
MEDI7734
Intervention Description
Participants will receive VIB7734 via injection.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Participants will receive placebo matching to VIB7734 via injection.
Primary Outcome Measure Information:
Title
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Treatment-Emergent Serious Adverse Events (TESAEs)
Time Frame
Day 1 up to Day 337
Title
Number of Participants With Adverse Events of Special Interest (AESIs)
Time Frame
Day 1 up to Day 337
Title
Number of Participants With Laboratory Abnormalities Reported as TEAEs
Time Frame
Day 1 up to Day 337
Title
Number of Participants With Vital Sign Abnormalities Reported as TEAEs
Time Frame
Day 1 up to Day 337
Title
Number of Participants With 12-Lead Electrocardiogram Abnormalities Reported as TEAEs
Time Frame
Day 1 up to Day 337
Secondary Outcome Measure Information:
Title
Maximum Observed Serum Concentration (Cmax) of VIB7734 Maximum Observed Serum Concentration (Cmax) of VIB7734
Time Frame
Days 1 (pre-dose), 8, 15, 29 (pre-dose), 36, 43, 57 (pre-dose), 64, 71, 85, 113, 141, 169, 197, 225, and 253
Title
Area Under the Concentration-time Curve (AUC) of VIB7734
Time Frame
Days 1 (pre-dose), 8, 15, 29 (pre-dose), 36, 43, 57 (pre-dose), 64, 71, 85, 113, 141, 169, 197, 225, and 253
Title
Systemic Clearance (CL) of VIB7734
Time Frame
Days 1 (pre-dose), 8, 15, 29 (pre-dose), 36, 43, 57 (pre-dose), 64, 71, 85, 113, 141, 169, 197, 225, and 253
Title
Terminal Half-life (t1/2) of VIB7734
Time Frame
Days 1 (pre-dose), 8, 15, 29 (pre-dose), 36, 43, 57 (pre-dose), 64, 71, 85, 113, 141, 169, 197, 225, and 253
Title
Number of Participants With Positive Anti-Drug Antibodies of VIB7734
Time Frame
Day 1 up to Day 309
Title
Change from Baseline in Cutaneous Lupus Erythematosus Disease Area and Severity Index (CLASI) Activity Score (Cohorts 2 and 3)
Time Frame
Day 1 up to Day 253
Title
Blood Levels of pDCs
Time Frame
Day 1 up to Day 337

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Participants aged 18 through 75 years at the time of screening Participants with at least one of the following diagnoses: Systemic Lupus Erythematosus Cutaneous lupus erythematosus, including acute CLE, subacute CLE, and discoid lupus erythematosus Sjogren's syndrome (for Cohort 1 only) Systemic sclerosis (for Cohort 1 only) Probable or definite polymyositis (for Cohort 1 only) Probable or definite dermatomyositis (for Cohort 1 only) For Cohorts 2 and 3 only: Participants with CLASI activity score greater than or equal to (>=) 8 at both Visits 1 (screening) and 2 (baseline) For Cohorts 2 and 3 only: a skin lesion amenable to punch skin biopsy and willingness of the participant to undergo skin biopsy at two time points For Cohorts 2 and 3 only: photographs of skin lesions must be submitted for review to confirm the diagnosis of SLE or CLE with active skin lesions confirmation of the diagnosis by the central reviewer must be received prior to randomization Females of childbearing potential and nonsterilized males who are ready to use protocol defined contraception methods Exclusion Criteria: Severe manifestations of the diseases under study that could impact the participant safety Known history of a primary immunodeficiency or an underlying condition such as known human immunodeficiency virus (HIV) infection, a positive result for HIV infection, splenectomy, or any underlying condition that predisposes the participant to infection At screening, have adequate central laboratory test results: aspartate transaminase greater than (>) 2.5 x upper limit of normal (ULN); alanine transaminase >2.5 x ULN; total bilirubin 1.5 x ULN; total immunoglobulin < 500 gram/decilitre; neutrophil count less than (<) 1,000/μL; platelet count < 85,000/μL; haemoglobin < 10 g/dL; glycosylated haemoglobin > 8 percent (%); total lymphocyte count < 300 cells/mm^3; glomerular filtration rate < 50 mL/min/1.73 m^2; plasmacytoid dendritic cells (pDC) level < 0.02% of peripheral blood mononuclear cells (PBMCs) Positive test for chronic hepatitis B infection at screening and for hepatitis C virus antibody History of or active tuberculosis (TB), or a positive QuantiFERON®-TB Gold test at screening; a primary immunodeficiency or an underlying condition such as known human immunodeficiency virus (HIV) infection, a positive result for HIV infection per central laboratory; cancer; clinically significant cardiac disease Herpes zoster infection within 3 months before randomization and/or any severe herpes virus family infection at any time prior to randomization Any acute illness or evidence of clinically significant active infection, such as fever >= 38.0 degrees Celsius (>= 100.5 degrees Fahrenheit) at screening (Visit 1) or Day 1 (Visit 2) Cohorts 2 and 3 only: use of Group 1 (super-high potency) or Group 2 (high potency) topical corticosteroids Receipt of a live-attenuated vaccine within 4 weeks prior to Day 1 Cohorts 2 and 3 only: have received changing doses of mycophenolate mofetil, methotrexate, leflunomide, azathioprine, or non-steroidal topical immunosuppressants within 28 days before study Day 1 or changing doses of oral or topical corticosteroids within 14 days before study Day 1
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jack Ratchford, MD
Organizational Affiliation
Viela Bio
Official's Role
Study Director
Facility Information:
Facility Name
Viela Bio Investigative Site
City
Anniston
State/Province
Alabama
ZIP/Postal Code
36201
Country
United States
Facility Name
Viela Bio Investigative Site
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35294
Country
United States
Facility Name
Viela Bio Investigative Site
City
Los Angeles
State/Province
California
ZIP/Postal Code
90022
Country
United States
Facility Name
Viela Bio Investigative Site
City
Upland
State/Province
California
ZIP/Postal Code
91786
Country
United States
Facility Name
Viela Bio Investigative Site
City
Danbury
State/Province
Connecticut
ZIP/Postal Code
06810
Country
United States
Facility Name
Viela Bio Investigative Site
City
Fort Lauderdale
State/Province
Florida
ZIP/Postal Code
33309
Country
United States
Facility Name
Viela Bio Investigative Site
City
Hialeah
State/Province
Florida
ZIP/Postal Code
33016
Country
United States
Facility Name
Viela Bio Investigative Site
City
Jacksonville
State/Province
Florida
ZIP/Postal Code
32216
Country
United States
Facility Name
Viela Bio Investigative Site
City
Miami Lakes
State/Province
Florida
ZIP/Postal Code
33014
Country
United States
Facility Name
Viela Bio Investigative Site
City
Saint Petersburg
State/Province
Florida
ZIP/Postal Code
33710
Country
United States
Facility Name
Viela Bio Investigative Site
City
Lawrenceville
State/Province
Georgia
ZIP/Postal Code
30046
Country
United States
Facility Name
Viela Bio Investigative Site
City
Great Neck
State/Province
New York
ZIP/Postal Code
11021
Country
United States
Facility Name
Viela Bio Investigative Site
City
Charlotte
State/Province
North Carolina
ZIP/Postal Code
28204
Country
United States
Facility Name
Viela Bio Investigative Site
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27713
Country
United States
Facility Name
Viela Bio Investigative Site
City
Duncansville
State/Province
Pennsylvania
ZIP/Postal Code
16635
Country
United States
Facility Name
Viela Bio Investigative Site
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19104
Country
United States
Facility Name
Viela Bio Investigative Site
City
Memphis
State/Province
Tennessee
ZIP/Postal Code
38119
Country
United States
Facility Name
Viela Bio Investigative Site
City
Allen
State/Province
Texas
ZIP/Postal Code
75013
Country
United States
Facility Name
Viela Bio Investigative Site
City
Mesquite
State/Province
Texas
ZIP/Postal Code
75150
Country
United States
Facility Name
Viela Bio Investigative Site
City
Białystok
Country
Poland
Facility Name
Viela Bio Investigative Site
City
Bydgoszcz
Country
Poland
Facility Name
Viela Bio Investigative Site
City
Kraków
Country
Poland
Facility Name
Viela Bio Investigative Site
City
Poznań
Country
Poland
Facility Name
Viela Bio Investigative Site
City
Rzeszów
Country
Poland
Facility Name
Viela Bio Investigative Site
City
Warsaw
Country
Poland
Facility Name
Viela Bio Investigative Site
City
Wrocław
Country
Poland
Facility Name
Viela Bio Investigative Site
City
Barcelona
Country
Spain
Facility Name
Viela Bio Investigative Site
City
Bilbao
Country
Spain
Facility Name
Viela Bio Investigative Site
City
Madrid
Country
Spain
Facility Name
Viela Bio Investigative Site
City
Sevilla
Country
Spain

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Study to Evaluate VIB7734 in Participants With Systemic Lupus Erythematosus (SLE), Cutaneous Lupus Erythematosus (CLE), Sjogren's Syndrome, Systemic Sclerosis, Polymyositis, and Dermatomyositis

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