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Eculizumab in Pediatric and Adult Participants With Atypical Hemolytic Uremic Syndrome (aHUS) in China (Soliris)

Primary Purpose

Atypical Hemolytic Uremic

Status
Recruiting
Phase
Not Applicable
Locations
China
Study Type
Interventional
Intervention
Eculizumab
Sponsored by
Alexion
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Atypical Hemolytic Uremic focused on measuring atypical hemolytic uremic, aHUS

Eligibility Criteria

undefined - undefined (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Any age weighing ≥ 5 kg Complement treatment naïve with evidence of TMA. History of aHUS prior to kidney transplant,or persistent evidence of TMA at least 4 days after modifying the immunosuppressive regimen. Among participants with onset of TMA postpartum, persistent evidence of TMA for > 3 days after the day of childbirth All participants must be vaccinated against N meningitidis if not already vaccinated within the time period of active coverage specified by the vaccine manufacturer. Participants < 18 years of age must have been vaccinated against Haemophilus influenzae type b (Hib) and Streptococcus pneumoniae according to local vaccination schedule guidelines. In participants receiving treatment with medications known to cause TMA, persistent evidence of TMA at least 4 days after modifying the excluded medication Exclusion Criteria: Known familial or acquired ADAMTS13deficiency (activity < 5%). ST-HUS as demonstrated by local guidelines. Positive direct Coombs test which is indicative of a clinically significant immune-mediated hemolysis not due to aHUS. HIV infection, and /or unresolved meningococcal disease Ongoing sepsis, and / or presence or suspicion of active and untreated systemic infection Organ transplantation history, and/or Bone marrow transplant/hematopoietic stem cell transplant within 6 months prior to the start of Screening. Among participants with a kidney transplant, acute kidney dysfunction within 4 weeks of transplant consistent with the diagnosis of acute antibody-mediated rejection. Among participants without a kidney transplant, history of kidney disease other than aHUS Identified drug exposure-related HUS, and / or HUS related to vitamin B12 deficiency and / or known genetic defects of cobalamin C metabolism. History of malignancy within 5 years of Screening. Known systemic sclerosis (scleroderma), systemic lupus erythematosus, or antiphospholipid antibody positivity or syndrome. Chronic dialysis. Prior use of complement inhibitors. Use of tranexamic acid within 7 days prior to the start of Screening. Other immunosuppressive therapies. Receiving chronic intravenous immunoglobulin (IVIg) within 8 weeks prior to the start of Screening. Received vasopressors or inotropes within 7 days prior to Screening. Previously or currently treated with a complement inhibitor. Has participated in another interventional treatment study or used any experimental therapy. Hypersensitivity to any excipient in eculizumab. Pregnant or breastfeeding.

Sites / Locations

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Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Eculizumab

Arm Description

Participants will receive Eculizumab in a single dose vial.

Outcomes

Primary Outcome Measures

Number of Participants Considered as Complete Thrombotic Microangiopathy (TMA) Responders
To assess the efficacy of eculizumab in the treatment of participants with aHUS

Secondary Outcome Measures

Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
To characterize the safety and tolerability of eculizumab in participants with aHUS
Pharmacokinetics (PK): Serum Eculizumab Concentration
To characterize the pharmacokinetics of eculizumab in participants with aHUS
Change From Baseline in Serum Free and Total Complement 5 (C5) Concentration at Week 26
To characterize the pharmacodynamics of eculizumab in participants with aHUS
Number of Participants With Positive Antidrug Antibodies (ADAs) and Neutralizing Antibodies (NAbs) to Eculizumab
To characterize the immunogenicity of eculizumab in participants with aHUS
Time to Complete TMA Response
To characterize the immunogenicity of eculizumab in participants with aHUS
Number of Participants Requiring Dialysis
To evaluate the efficacy of eculizumab
Number of Participants Classified as Improved, Stable (No Change), or Worsened Per Chronic Kidney Disease (CKD) Stage Classification
To evaluate the efficacy of eculizumab
Number of participants observed value and change from baseline in hematologic parameters (platelets, LDH, hemoglobin) at visits
To evaluate the efficacy of eculizumab
Number of participants Increase in hemoglobin of ≥ 20 g/L
To evaluate the efficacy of eculizumab
Number of participants Changes from baseline in vital signs and laboratory parameters at scheduled visits
To characterize the safety profile of eculizumab by additional safety measures

Full Information

First Posted
May 17, 2023
Last Updated
October 10, 2023
Sponsor
Alexion
Collaborators
AstraZeneca
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1. Study Identification

Unique Protocol Identification Number
NCT05876351
Brief Title
Eculizumab in Pediatric and Adult Participants With Atypical Hemolytic Uremic Syndrome (aHUS) in China
Acronym
Soliris
Official Title
Prospective, Single-Arm, Multicenter Study to Evaluate the Efficacy, Safety, Pharmacokinetics, Pharmacodynamics, and Immunogenicity of Eculizumab in Complement Inhibitor Treatment-Naïve Pediatric and Adult Participants With Atypical Hemolytic Uremic Syndrome (aHUS) in China
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Recruiting
Study Start Date
July 14, 2023 (Actual)
Primary Completion Date
March 31, 2026 (Anticipated)
Study Completion Date
March 31, 2026 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Alexion
Collaborators
AstraZeneca

4. Oversight

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

5. Study Description

Brief Summary
This is a Phase 3b, open-label, single-arm, multicenter study to evaluate the efficacy and safety of eculizumab in participants with atypical hemolytic uremic syndrome (aHUS) in China.
Detailed Description
This is a Phase 3b, open-label, single-arm, multicenter study to evaluate the efficacy and safety of eculizumab in participants with aHUS in China. The study will be conducted in participants of any age who weigh ≥ 5 kg and who previously have not been treated with complement inhibitors. The study consists of an up to 7-day Screening Period and a 26-week Treatment Period. An 8-week Safety Follow-up Phone Call will be required only for participants who discontinue eculizumab treatment during the study or for participants who will not receive continued access to eculizumab after completing study treatment. Approximately 25 eligible participants in China will be enrolled.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Atypical Hemolytic Uremic
Keywords
atypical hemolytic uremic, aHUS

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Model Description
open-label study
Masking
None (Open Label)
Allocation
N/A
Enrollment
25 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Eculizumab
Arm Type
Experimental
Arm Description
Participants will receive Eculizumab in a single dose vial.
Intervention Type
Drug
Intervention Name(s)
Eculizumab
Intervention Description
Weight-based doses of Eculizumab will be administered intravenously as an induction dose followed by maintenance dose at Day 8, 15, or 29 depending on weight; then every 2 or 3 weeks, depending upon weight.
Primary Outcome Measure Information:
Title
Number of Participants Considered as Complete Thrombotic Microangiopathy (TMA) Responders
Description
To assess the efficacy of eculizumab in the treatment of participants with aHUS
Time Frame
Baseline through Week 26
Secondary Outcome Measure Information:
Title
Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
Description
To characterize the safety and tolerability of eculizumab in participants with aHUS
Time Frame
Baseline through Week 26
Title
Pharmacokinetics (PK): Serum Eculizumab Concentration
Description
To characterize the pharmacokinetics of eculizumab in participants with aHUS
Time Frame
Baseline through Week 26 (predose and postdose)
Title
Change From Baseline in Serum Free and Total Complement 5 (C5) Concentration at Week 26
Description
To characterize the pharmacodynamics of eculizumab in participants with aHUS
Time Frame
Baseline through Week 26 (predose and postdose)
Title
Number of Participants With Positive Antidrug Antibodies (ADAs) and Neutralizing Antibodies (NAbs) to Eculizumab
Description
To characterize the immunogenicity of eculizumab in participants with aHUS
Time Frame
Baseline through Week 26
Title
Time to Complete TMA Response
Description
To characterize the immunogenicity of eculizumab in participants with aHUS
Time Frame
Baseline through Week 26
Title
Number of Participants Requiring Dialysis
Description
To evaluate the efficacy of eculizumab
Time Frame
Baseline through Week 26
Title
Number of Participants Classified as Improved, Stable (No Change), or Worsened Per Chronic Kidney Disease (CKD) Stage Classification
Description
To evaluate the efficacy of eculizumab
Time Frame
Baseline through Week 26
Title
Number of participants observed value and change from baseline in hematologic parameters (platelets, LDH, hemoglobin) at visits
Description
To evaluate the efficacy of eculizumab
Time Frame
Baseline through Week 26
Title
Number of participants Increase in hemoglobin of ≥ 20 g/L
Description
To evaluate the efficacy of eculizumab
Time Frame
baseline through Week 26
Title
Number of participants Changes from baseline in vital signs and laboratory parameters at scheduled visits
Description
To characterize the safety profile of eculizumab by additional safety measures
Time Frame
baseline through week 26

10. Eligibility

Sex
All
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Any age weighing ≥ 5 kg Complement treatment naïve with evidence of TMA. History of aHUS prior to kidney transplant,or persistent evidence of TMA at least 4 days after modifying the immunosuppressive regimen. Among participants with onset of TMA postpartum, persistent evidence of TMA for > 3 days after the day of childbirth All participants must be vaccinated against N meningitidis if not already vaccinated within the time period of active coverage specified by the vaccine manufacturer. Participants < 18 years of age must have been vaccinated against Haemophilus influenzae type b (Hib) and Streptococcus pneumoniae according to local vaccination schedule guidelines. In participants receiving treatment with medications known to cause TMA, persistent evidence of TMA at least 4 days after modifying the excluded medication Exclusion Criteria: Known familial or acquired ADAMTS13deficiency (activity < 5%). ST-HUS as demonstrated by local guidelines. Positive direct Coombs test which is indicative of a clinically significant immune-mediated hemolysis not due to aHUS. HIV infection, and /or unresolved meningococcal disease Ongoing sepsis, and / or presence or suspicion of active and untreated systemic infection Organ transplantation history, and/or Bone marrow transplant/hematopoietic stem cell transplant within 6 months prior to the start of Screening. Among participants with a kidney transplant, acute kidney dysfunction within 4 weeks of transplant consistent with the diagnosis of acute antibody-mediated rejection. Among participants without a kidney transplant, history of kidney disease other than aHUS Identified drug exposure-related HUS, and / or HUS related to vitamin B12 deficiency and / or known genetic defects of cobalamin C metabolism. History of malignancy within 5 years of Screening. Known systemic sclerosis (scleroderma), systemic lupus erythematosus, or antiphospholipid antibody positivity or syndrome. Chronic dialysis. Prior use of complement inhibitors. Use of tranexamic acid within 7 days prior to the start of Screening. Other immunosuppressive therapies. Receiving chronic intravenous immunoglobulin (IVIg) within 8 weeks prior to the start of Screening. Received vasopressors or inotropes within 7 days prior to Screening. Previously or currently treated with a complement inhibitor. Has participated in another interventional treatment study or used any experimental therapy. Hypersensitivity to any excipient in eculizumab. Pregnant or breastfeeding.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
AstraZeneca Clinical Study Information Center
Phone
1-877-240-9479
Email
information.center@astrazeneca.com
Facility Information:
Facility Name
Research Site
City
Beijing
ZIP/Postal Code
100034
Country
China
Individual Site Status
Recruiting
Facility Name
Research Site
City
Beijing
ZIP/Postal Code
100045
Country
China
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Changsha
ZIP/Postal Code
410007
Country
China
Individual Site Status
Recruiting
Facility Name
Research Site
City
Chengdu
ZIP/Postal Code
610041
Country
China
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Guangzhou
ZIP/Postal Code
510062
Country
China
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Nanchang
ZIP/Postal Code
330006
Country
China
Individual Site Status
Recruiting
Facility Name
Research Site
City
Nanjing
ZIP/Postal Code
210002
Country
China
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Qingdao
ZIP/Postal Code
110016
Country
China
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Shenzhen
ZIP/Postal Code
518036
Country
China
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Suzhou
ZIP/Postal Code
215002
Country
China
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Taiyuan
ZIP/Postal Code
030012
Country
China
Individual Site Status
Recruiting
Facility Name
Research Site
City
Wuhan
ZIP/Postal Code
430030
Country
China
Individual Site Status
Recruiting
Facility Name
Research Site
City
Yantai
ZIP/Postal Code
264000
Country
China
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Zhengzhou
ZIP/Postal Code
450018
Country
China
Individual Site Status
Not yet recruiting
Facility Name
Research Site
City
Zhengzhou
ZIP/Postal Code
450052
Country
China
Individual Site Status
Not yet recruiting

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Qualified researchers can request access to anonymized individual patient-level data from AstraZeneca group of companies sponsored clinical trials via the request portal. All request will be evaluated as per the AZ disclosure commitment: https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure. Yes, indicates that AZ are accepting requests for IPD, but this does not mean all requests will be shared.
IPD Sharing Time Frame
AstraZeneca will meet or exceed data availability as per the commitments made to the EFPIA Pharma Data Sharing Principles. For details of our timelines, please refer to our disclosure commitment at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
IPD Sharing Access Criteria
When a request has been approved AstraZeneca will provide access to the deidentified individual patient-level data in an approved sponsored tool . Signed Data Sharing Agreement (non-negotiable contract for data accessors) must be in place before accessing requested information. Additionally, all users will need to accept the terms and conditions of the SAS MSE to gain access. For additional details, please review the Disclosure Statements at https://astrazenecagrouptrials.pharmacm.com/ST/Submission/Disclosure.
IPD Sharing URL
https://astrazenecagroup-dt.pharmacm.com/DT/Home

Learn more about this trial

Eculizumab in Pediatric and Adult Participants With Atypical Hemolytic Uremic Syndrome (aHUS) in China

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