A Phase 2a of RSLV-132 in Subjects With Systemic Lupus Erythematosus (SLE)
Primary Purpose
Systemic Lupus Erythematosus
Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
RSLV-132
Placebo
Sponsored by
About this trial
This is an interventional treatment trial for Systemic Lupus Erythematosus
Eligibility Criteria
Inclusion Criteria:
- CLASI score greater than or equal to 10 at Baseline
- Positive for one or more RNA autoantibodies
Exclusion Criteria:
- severe, active central nervous system (CNS) involvement at Screening;
- severe renal involvement at Screening (urine protein/creatinine ratio of >200 mg/mmol, or an estimated creatinine clearance of <30 mL/min);
- use of cyclophosphamide within 3 months of the Baseline visit;
- use of rituximab within 6 months of the Baseline visit;
- use of belimumab within 3 months of the Baseline visit;
- use of background medications within 1 month of Baseline in excess of: i. mycophenolate mofetil > 3 g/day; ii. azathioprine > 200 mg/day; iii. methotrexate > 25 mg/day; iv. hydroxychloroquine > 400 mg/day; v. prednisone (or equivalent) > 15 mg/day;
- use of an intravenous steroid "pulse" within 2 months of Baseline;
- use of an intramuscular steroid injection within 1 month of Baseline;
- change in SLE medications within 1 month of Baseline;
- the presence of a clinically significant infection in the judgement of the Investigator within seven days prior to the receipt of the first dose of study drug;
- positive viral load test for hepatitis B, C, or HIV at Screening;
- participation in another clinical trial with receipt of an investigational product within 3 months or 5 half- lives, of last administration (whichever is longer) from Baseline;
- positive pregnancy test at Screening or at Baseline;
- female subjects currently breast feeding at Baseline;
- inability or unwillingness to comply with protocol-specified procedures which, in the opinion of the Investigator, would make the subject unsuitable for study participation.
Sites / Locations
- TriWest Research Associates
- University of California San Diego
- Valerius Research Center
- Wallace Rheumatic Study Center
- University of Colorado
- Clinical Research of West Florida
- Center for Rheumatology, Immunology and Arthritis
- Alper Research
- Northwell Health/ Division of Rheumatology
- Feinstein Institute for Medical Research
- DJL Clinical Research
- Cleveland Clinic
- Temple University
- Vanderbilt University
- Metroplex Clinical Research Center
- Accurate Clinical Research
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Placebo Comparator
Arm Label
RSLV-132
Placebo
Arm Description
10 mg/kg RSLV-132
Saline placebo
Outcomes
Primary Outcome Measures
Mean Cutaneous Lupus Erythematosus Disease Area and Severity Index (CLASI) Improvement Compared to Placebo.
Mean change from baseline (from baseline to Day 85; or baseline to Day 169) in CLASI activity scores (Last Observation Carried Forward [LOCF] post censoring values).
The CLASI is a single-page tool that separately quantifies disease activity and damage. For the activity score, points are given for the presence of erythema, scale, mucous membrane lesions, recent hair loss, and inflammatory alopecia. The total score represents the sum of the individual scores and ranges from 0 to 70. Higher scores are awarded for more severe manifestations.
Secondary Outcome Measures
Percentage of Participants Achieving a 50% Improvement in CLASI Activity Score
Percentage of participants achieving a 50% improvement in CLASI activity score at Day 85 and Day 169 (LOCF post censoring due to use of exclusionary medications)
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT02660944
Brief Title
A Phase 2a of RSLV-132 in Subjects With Systemic Lupus Erythematosus (SLE)
Official Title
A Phase 2a, Double-blind, Placebo-Controlled Study of RSLV-132 in Subjects With Systemic Lupus Erythematosus (SLE)
Study Type
Interventional
2. Study Status
Record Verification Date
March 2021
Overall Recruitment Status
Completed
Study Start Date
January 3, 2016 (Actual)
Primary Completion Date
May 28, 2020 (Actual)
Study Completion Date
August 10, 2020 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Resolve Therapeutics
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
This study evaluates the impact of 13 bi-weekly intravenous infusions of RSLV-132 on the cutaneous manifestations in subjects with systemic lupus erythematosus.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Systemic Lupus Erythematosus
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
64 (Actual)
8. Arms, Groups, and Interventions
Arm Title
RSLV-132
Arm Type
Experimental
Arm Description
10 mg/kg RSLV-132
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Saline placebo
Intervention Type
Drug
Intervention Name(s)
RSLV-132
Intervention Description
RNase-Fc fusion protein
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Saline placebo
Primary Outcome Measure Information:
Title
Mean Cutaneous Lupus Erythematosus Disease Area and Severity Index (CLASI) Improvement Compared to Placebo.
Description
Mean change from baseline (from baseline to Day 85; or baseline to Day 169) in CLASI activity scores (Last Observation Carried Forward [LOCF] post censoring values).
The CLASI is a single-page tool that separately quantifies disease activity and damage. For the activity score, points are given for the presence of erythema, scale, mucous membrane lesions, recent hair loss, and inflammatory alopecia. The total score represents the sum of the individual scores and ranges from 0 to 70. Higher scores are awarded for more severe manifestations.
Time Frame
Baseline and Days 29, 57, 85, 99, 113, 127, 141, 155, 169
Secondary Outcome Measure Information:
Title
Percentage of Participants Achieving a 50% Improvement in CLASI Activity Score
Description
Percentage of participants achieving a 50% improvement in CLASI activity score at Day 85 and Day 169 (LOCF post censoring due to use of exclusionary medications)
Time Frame
Baseline and Days 29, 57, 85, 99, 113, 127, 141, 155, 169
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
70 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
CLASI score greater than or equal to 10 at Baseline
Positive for one or more RNA autoantibodies
Exclusion Criteria:
severe, active central nervous system (CNS) involvement at Screening;
severe renal involvement at Screening (urine protein/creatinine ratio of >200 mg/mmol, or an estimated creatinine clearance of <30 mL/min);
use of cyclophosphamide within 3 months of the Baseline visit;
use of rituximab within 6 months of the Baseline visit;
use of belimumab within 3 months of the Baseline visit;
use of background medications within 1 month of Baseline in excess of: i. mycophenolate mofetil > 3 g/day; ii. azathioprine > 200 mg/day; iii. methotrexate > 25 mg/day; iv. hydroxychloroquine > 400 mg/day; v. prednisone (or equivalent) > 15 mg/day;
use of an intravenous steroid "pulse" within 2 months of Baseline;
use of an intramuscular steroid injection within 1 month of Baseline;
change in SLE medications within 1 month of Baseline;
the presence of a clinically significant infection in the judgement of the Investigator within seven days prior to the receipt of the first dose of study drug;
positive viral load test for hepatitis B, C, or HIV at Screening;
participation in another clinical trial with receipt of an investigational product within 3 months or 5 half- lives, of last administration (whichever is longer) from Baseline;
positive pregnancy test at Screening or at Baseline;
female subjects currently breast feeding at Baseline;
inability or unwillingness to comply with protocol-specified procedures which, in the opinion of the Investigator, would make the subject unsuitable for study participation.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
James Posada, Ph.D.
Organizational Affiliation
Resolve Therapeutics
Official's Role
Study Chair
Facility Information:
Facility Name
TriWest Research Associates
City
El Cajon
State/Province
California
ZIP/Postal Code
92020
Country
United States
Facility Name
University of California San Diego
City
La Jolla
State/Province
California
ZIP/Postal Code
92093
Country
United States
Facility Name
Valerius Research Center
City
Los Alamitos
State/Province
California
ZIP/Postal Code
90720
Country
United States
Facility Name
Wallace Rheumatic Study Center
City
Los Angeles
State/Province
California
ZIP/Postal Code
90048
Country
United States
Facility Name
University of Colorado
City
Aurora
State/Province
Colorado
ZIP/Postal Code
80045
Country
United States
Facility Name
Clinical Research of West Florida
City
Clearwater
State/Province
Florida
ZIP/Postal Code
33765
Country
United States
Facility Name
Center for Rheumatology, Immunology and Arthritis
City
Fort Lauderdale
State/Province
Florida
ZIP/Postal Code
33309
Country
United States
Facility Name
Alper Research
City
Naples
State/Province
Florida
ZIP/Postal Code
34102
Country
United States
Facility Name
Northwell Health/ Division of Rheumatology
City
Great Neck
State/Province
New York
ZIP/Postal Code
11042
Country
United States
Facility Name
Feinstein Institute for Medical Research
City
Manhasset
State/Province
New York
ZIP/Postal Code
11030
Country
United States
Facility Name
DJL Clinical Research
City
Charlotte
State/Province
North Carolina
ZIP/Postal Code
28210
Country
United States
Facility Name
Cleveland Clinic
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44195
Country
United States
Facility Name
Temple University
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19140
Country
United States
Facility Name
Vanderbilt University
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37232
Country
United States
Facility Name
Metroplex Clinical Research Center
City
Dallas
State/Province
Texas
ZIP/Postal Code
75231
Country
United States
Facility Name
Accurate Clinical Research
City
Sugar Land
State/Province
Texas
ZIP/Postal Code
77479
Country
United States
12. IPD Sharing Statement
Plan to Share IPD
No
Citations:
PubMed Identifier
33687069
Citation
Hannon CW, McCourt C, Lima HC, Chen S, Bennett C. Interventions for cutaneous disease in systemic lupus erythematosus. Cochrane Database Syst Rev. 2021 Mar 9;3(3):CD007478. doi: 10.1002/14651858.CD007478.pub2.
Results Reference
derived
Learn more about this trial
A Phase 2a of RSLV-132 in Subjects With Systemic Lupus Erythematosus (SLE)
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