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A Single Ascending Dose Study in Healthy Participants and Multiple Dose Study of JNJ-55920839 in Participants With Mild to Moderate Systemic Lupus Erythematosus

Primary Purpose

Systemic Lupus Erythematosus, Healthy

Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
JNJ-55920839
Placebo
Sponsored by
Janssen Research & Development, LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Systemic Lupus Erythematosus focused on measuring Systemic Lupus Erythematosus, JNJ-55920839, Healthy Volunteers, CNTO 6358

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

Part A (Healthy Participants)

  • Participant must be willing/able to adhere to the study visit schedule and other requirements, prohibitions, and restrictions specified in this protocol
  • Participant must have a body weight in the range of 50 to 90 kilogram (kg), inclusive, and have a body mass index (BMI) of 18 to 30 kilogram per square meters kg/m^2, inclusive, at screening
  • Participant must be healthy on the basis of physical examination, medical history, vital signs, and 12-lead electrocardiogram (ECG) performed at screening. The determination that there is no evidence of active underlying illness by physical examination must be recorded in the Participant's source documents and initialed by the investigator
  • Participant must be healthy on the basis of clinical laboratory tests performed at screening
  • Before randomization, a woman must be: Not of childbearing potential: postmenopausal (>45 years of age with amenorrhea for at least 12 months or any age with amenorrhea for at least 6 months and a serum follicle stimulating hormone (FSH) level >40 international units per liters (IU/L) or mIU/mL); permanently sterilized (e.g., bilateral tubal occlusion [which includes tubal ligation procedures as consistent with local regulations], hysterectomy, bilateral salpingectomy, bilateral oophorectomy); or otherwise be incapable of pregnancy
  • A woman must agree not to donate eggs (ova, oocytes) for the purposes of assisted reproduction during the study and for 4 months (>= 5 half-lives) after receiving last dose of study agent
  • A man who is sexually active with a woman of childbearing potential and has not had a vasectomy must agree to use a barrier method of birth control e.g., either condom with spermicidal foam/gel/film/cream/suppository or partner with occlusive cap (diaphragm or cervical/vault caps) with spermicidal foam/gel/film/cream/suppository, and all men must also not donate sperm during the study and for 4 months (>=5 half-lives) after receiving the last dose of study agent

Part B (Participants with Systemic Lupus Erythematosus)

  • Participant must be willing/able to adhere to the study visit schedule and other requirements, prohibitions, and restrictions specified in this protocol
  • Participant must have a body weight in the range of 40 to 100 kg, inclusive, and have a BMI of 18 to 30 kilograms per square meters (kg/m^2), inclusive, at screening
  • Must meet Systemic Lupus International Collaborating Clinics (SLICC) criteria for diagnosis of lupus

Exclusion Criteria:

Part A (Healthy Participants)

  • Coexisting medical conditions or past medical history: Participant currently has or has had a history of any clinically significant medical illness or medical disorders the investigator considers significant should exclude the participant, including (but not limited to), neuromuscular disorder, hematological disease, immune deficiency states, respiratory disease, cardiovascular disease (including poor peripheral venous access), hepatic or gastrointestinal (GI) disease, neurological or psychiatric disease, ophthalmological disorders, neoplastic disease, renal or urinary tract diseases, or dermatological disease. Careful consideration should be given to whether the participant has had severe, progressive, or uncontrolled hepatic, hematological, gastrointestinal, endocrine, pulmonary, cardiac, neurologic/ cerebral, or psychiatric disease, or current signs and symptoms thereof
  • Participant has a condition that might confound assessments including major surgery, substance abuse or acute illness
  • Participant is a woman of childbearing potential or a woman who is pregnant, or breast-feeding, or planning to become pregnant while enrolled in this study or within 4 months (>=5 half-lives) after the last dose of study agent

Part B (Systemic Lupus Erythematosus [SLE] )

  • Participant with history or suspected occurrence of drug-induced SLE
  • Participant has active Central nervous system (CNS) lupus or history of severe CNS lupus including but not limited to seizures, psychosis, transverse myelitis, CNS vasculitis and optic neuritis
  • Participant currently has or has had a history of any clinically significant medical illness or medical disorders the investigator considers significant should exclude the Participant, including (but not limited to), neuromuscular disorder, hematological disease, immune deficiency states, respiratory disease, cardiovascular disease (including poor peripheral venous access), hepatic or gastrointestinal (GI) disease, neurological or psychiatric disease, ophthalmological disorders, neoplastic disease, renal or urinary tract diseases, or dermatological disease. Careful consideration should be given to whether the Participant has had severe, progressive, or uncontrolled hepatic, hematological, gastrointestinal, endocrine, pulmonary, cardiac, neurologic/ cerebral, or psychiatric disease, or current signs and symptoms thereof
  • Participant has had major surgery, (e.g., requiring general anesthesia) within 4 months before screening, or will not have fully recovered from surgery, or has surgery planned within 4 weeks prior to study agent administration or during the time the Participant is expected to participate in the study, or within 4 months (>=5 half-lives) after the last dose of study agent administration
  • Participant has laboratory findings or biopsy results consistent with severe lupus nephritis

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Part A: Dose 1

Part A: Dose 2

Part A: Dose 3

Part A: Dose 4

Part A: Dose 5

Part A: Dose 6

Part B

Arm Description

Drug JNJ-55920839 or Placebo administered IV infusion Dose 1.

Drug JNJ-55920839 or Placebo administered IV infusion Dose 2.

Drug JNJ-55920839 or Placebo administered IV infusion Dose 3.

Drug JNJ-55920839 or Placebo administered IV infusion Dose 4.

Drug JNJ-55920839 or Placebo administered IV infusion Dose 5.

Drug JNJ-55920839 or Placebo subcutaneous injection Dose 6.

Participants will receive 6 doses of JNJ-55920839 or placebo (every 2 weeks) as an IV infusion.

Outcomes

Primary Outcome Measures

Number of Participants with Treatment Emergent Adverse Events (TEAEs) as a Measure of Safety and Tolerability of JNJ-55920839 (Part 1)
The incidence of TEAEs from treatment until the last scheduled follow-up visit will be summarized by treatment group.
Number of Participants with Treatment Emergent Adverse Events (TEAEs) as a Measure of Safety and Tolerability of JNJ-55920839 (Part 2)
The incidence of TEAEs from treatment until the last scheduled follow-up visit will be summarized by treatment group.

Secondary Outcome Measures

Maximum Observed Serum Concentration (Cmax) after IV infusion in Part A
Maximum Observed Serum Concentration (Cmax) after SC injection in Part A
Maximum Observed Serum Concentration during a dosing interval (Cmax) after IV infusion in Part B
Area under the serum concentration versus time curve from time 0 to the time corresponding to the last quantifiable serum concentration (AUC0-t) after IV infusion in Part A
Area under the serum concentration versus time curve from time 0 to the time corresponding to the last quantifiable serum concentration (AUC0-t) after SC injection in Part A
Area under the serum concentration versus time curve between 2 defined sample points, t1 and t2 (AUCt1-t2) after IV infusion in Part B
Terminal half-life (T1/2) after IV infusion in Part A
Terminal half-life (T1/2) after SC injection in Part A
Terminal half-life (T1/2) after IV infusion in Part B
Bioavailability (F) after SC injection in Part A
Number of Participants With Antibodies to JNJ-55920839 after IV infusion in Part A
Number of Participants With Antibodies to JNJ-55920839 after SC injection in Part A
Number of Participants With Antibodies to JNJ-55920839 after IV infusion in Part B

Full Information

First Posted
November 18, 2015
Last Updated
March 13, 2019
Sponsor
Janssen Research & Development, LLC
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1. Study Identification

Unique Protocol Identification Number
NCT02609789
Brief Title
A Single Ascending Dose Study in Healthy Participants and Multiple Dose Study of JNJ-55920839 in Participants With Mild to Moderate Systemic Lupus Erythematosus
Official Title
A Phase 1, Randomized, Double-blind, Placebo-controlled, Single Ascending Dose Study in Healthy Subjects and Multiple Dose Study of JNJ-55920839 in Subjects With Mild to Moderate Systemic Lupus Erythematosus
Study Type
Interventional

2. Study Status

Record Verification Date
March 2019
Overall Recruitment Status
Completed
Study Start Date
December 2015 (Actual)
Primary Completion Date
September 2018 (Actual)
Study Completion Date
September 2018 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Janssen Research & Development, LLC

4. Oversight

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

5. Study Description

Brief Summary
The purpose of this study is to assess the safety and tolerability of JNJ-55920839 following single ascending intravenous (IV) dose administration in healthy participants and a single subcutaneous dose in healthy participants and multiple IV dose administrations in participants with mild to moderate Systemic Lupus Erythematosus (SLE).
Detailed Description
This is a Phase 1, randomized, placebo-controlled, multicenter study of JNJ-55920839. The study consists of Screening Period of 28 days. The healthy participants will have a 6-day/5-night inpatient period. All Participants will receive study agent on Day 1 and SLE Participants will receive additional doses on Days 15, 29, 43, 57, and 71. The total duration of participation for each participant will be approximately 13 weeks for healthy participants, 22 weeks for participants with SLE. All eligible participants will be randomly assigned to receive active agent or placebo. The study will be conducted in 2 parts. In Part 1, single ascending doses of JNJ55920839 or placebo will be administered to sequential cohorts of healthy participants as an IV infusion or as a subcutaneous injection. In Part 2, multiple doses of JNJ-55920839 or placebo will be administered as IV infusions to participants with SLE. Blood samples will be collected for assessment of pharmacokinetic and pharmacodynamics parameters in both part 1 and 2, along with assessment of safety and clinical outcomes. Participants' safety will be monitored throughout the study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Systemic Lupus Erythematosus, Healthy
Keywords
Systemic Lupus Erythematosus, JNJ-55920839, Healthy Volunteers, CNTO 6358

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
72 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Part A: Dose 1
Arm Type
Experimental
Arm Description
Drug JNJ-55920839 or Placebo administered IV infusion Dose 1.
Arm Title
Part A: Dose 2
Arm Type
Experimental
Arm Description
Drug JNJ-55920839 or Placebo administered IV infusion Dose 2.
Arm Title
Part A: Dose 3
Arm Type
Experimental
Arm Description
Drug JNJ-55920839 or Placebo administered IV infusion Dose 3.
Arm Title
Part A: Dose 4
Arm Type
Experimental
Arm Description
Drug JNJ-55920839 or Placebo administered IV infusion Dose 4.
Arm Title
Part A: Dose 5
Arm Type
Experimental
Arm Description
Drug JNJ-55920839 or Placebo administered IV infusion Dose 5.
Arm Title
Part A: Dose 6
Arm Type
Experimental
Arm Description
Drug JNJ-55920839 or Placebo subcutaneous injection Dose 6.
Arm Title
Part B
Arm Type
Experimental
Arm Description
Participants will receive 6 doses of JNJ-55920839 or placebo (every 2 weeks) as an IV infusion.
Intervention Type
Drug
Intervention Name(s)
JNJ-55920839
Other Intervention Name(s)
CNTO 6358
Intervention Description
JNJ-55920839 will be administered as either IV infusion or subcutaneous injection.
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
0.9 percent (%) normal saline.
Primary Outcome Measure Information:
Title
Number of Participants with Treatment Emergent Adverse Events (TEAEs) as a Measure of Safety and Tolerability of JNJ-55920839 (Part 1)
Description
The incidence of TEAEs from treatment until the last scheduled follow-up visit will be summarized by treatment group.
Time Frame
Through Week 13
Title
Number of Participants with Treatment Emergent Adverse Events (TEAEs) as a Measure of Safety and Tolerability of JNJ-55920839 (Part 2)
Description
The incidence of TEAEs from treatment until the last scheduled follow-up visit will be summarized by treatment group.
Time Frame
Through Week 22
Secondary Outcome Measure Information:
Title
Maximum Observed Serum Concentration (Cmax) after IV infusion in Part A
Time Frame
Up to Day 64 after dose
Title
Maximum Observed Serum Concentration (Cmax) after SC injection in Part A
Time Frame
Up to Day 64 after dose
Title
Maximum Observed Serum Concentration during a dosing interval (Cmax) after IV infusion in Part B
Time Frame
Up to Day 130 after dose
Title
Area under the serum concentration versus time curve from time 0 to the time corresponding to the last quantifiable serum concentration (AUC0-t) after IV infusion in Part A
Time Frame
Up to Day 64 after dose
Title
Area under the serum concentration versus time curve from time 0 to the time corresponding to the last quantifiable serum concentration (AUC0-t) after SC injection in Part A
Time Frame
Up to Day 64 after dose
Title
Area under the serum concentration versus time curve between 2 defined sample points, t1 and t2 (AUCt1-t2) after IV infusion in Part B
Time Frame
Up to Day 130 after dose
Title
Terminal half-life (T1/2) after IV infusion in Part A
Time Frame
Up to Day 64 after dose
Title
Terminal half-life (T1/2) after SC injection in Part A
Time Frame
Up to Day 64 after dose
Title
Terminal half-life (T1/2) after IV infusion in Part B
Time Frame
Up to Day 130 after dose
Title
Bioavailability (F) after SC injection in Part A
Time Frame
Up to Day 64 after dose
Title
Number of Participants With Antibodies to JNJ-55920839 after IV infusion in Part A
Time Frame
Up to Day 64 after dose
Title
Number of Participants With Antibodies to JNJ-55920839 after SC injection in Part A
Time Frame
Up to Day 64 after dose
Title
Number of Participants With Antibodies to JNJ-55920839 after IV infusion in Part B
Time Frame
Up to Day 130 after dose

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Part A (Healthy Participants) Participant must be willing/able to adhere to the study visit schedule and other requirements, prohibitions, and restrictions specified in this protocol Participant must have a body weight in the range of 50 to 90 kilogram (kg), inclusive, and have a body mass index (BMI) of 18 to 30 kilogram per square meters kg/m^2, inclusive, at screening Participant must be healthy on the basis of physical examination, medical history, vital signs, and 12-lead electrocardiogram (ECG) performed at screening. The determination that there is no evidence of active underlying illness by physical examination must be recorded in the Participant's source documents and initialed by the investigator Participant must be healthy on the basis of clinical laboratory tests performed at screening Before randomization, a woman must be: Not of childbearing potential: postmenopausal (>45 years of age with amenorrhea for at least 12 months or any age with amenorrhea for at least 6 months and a serum follicle stimulating hormone (FSH) level >40 international units per liters (IU/L) or mIU/mL); permanently sterilized (e.g., bilateral tubal occlusion [which includes tubal ligation procedures as consistent with local regulations], hysterectomy, bilateral salpingectomy, bilateral oophorectomy); or otherwise be incapable of pregnancy A woman must agree not to donate eggs (ova, oocytes) for the purposes of assisted reproduction during the study and for 4 months (>= 5 half-lives) after receiving last dose of study agent A man who is sexually active with a woman of childbearing potential and has not had a vasectomy must agree to use a barrier method of birth control e.g., either condom with spermicidal foam/gel/film/cream/suppository or partner with occlusive cap (diaphragm or cervical/vault caps) with spermicidal foam/gel/film/cream/suppository, and all men must also not donate sperm during the study and for 4 months (>=5 half-lives) after receiving the last dose of study agent Part B (Participants with Systemic Lupus Erythematosus) Participant must be willing/able to adhere to the study visit schedule and other requirements, prohibitions, and restrictions specified in this protocol Participant must have a body weight in the range of 40 to 100 kg, inclusive, and have a BMI of 18 to 30 kilograms per square meters (kg/m^2), inclusive, at screening Must meet Systemic Lupus International Collaborating Clinics (SLICC) criteria for diagnosis of lupus Exclusion Criteria: Part A (Healthy Participants) Coexisting medical conditions or past medical history: Participant currently has or has had a history of any clinically significant medical illness or medical disorders the investigator considers significant should exclude the participant, including (but not limited to), neuromuscular disorder, hematological disease, immune deficiency states, respiratory disease, cardiovascular disease (including poor peripheral venous access), hepatic or gastrointestinal (GI) disease, neurological or psychiatric disease, ophthalmological disorders, neoplastic disease, renal or urinary tract diseases, or dermatological disease. Careful consideration should be given to whether the participant has had severe, progressive, or uncontrolled hepatic, hematological, gastrointestinal, endocrine, pulmonary, cardiac, neurologic/ cerebral, or psychiatric disease, or current signs and symptoms thereof Participant has a condition that might confound assessments including major surgery, substance abuse or acute illness Participant is a woman of childbearing potential or a woman who is pregnant, or breast-feeding, or planning to become pregnant while enrolled in this study or within 4 months (>=5 half-lives) after the last dose of study agent Part B (Systemic Lupus Erythematosus [SLE] ) Participant with history or suspected occurrence of drug-induced SLE Participant has active Central nervous system (CNS) lupus or history of severe CNS lupus including but not limited to seizures, psychosis, transverse myelitis, CNS vasculitis and optic neuritis Participant currently has or has had a history of any clinically significant medical illness or medical disorders the investigator considers significant should exclude the Participant, including (but not limited to), neuromuscular disorder, hematological disease, immune deficiency states, respiratory disease, cardiovascular disease (including poor peripheral venous access), hepatic or gastrointestinal (GI) disease, neurological or psychiatric disease, ophthalmological disorders, neoplastic disease, renal or urinary tract diseases, or dermatological disease. Careful consideration should be given to whether the Participant has had severe, progressive, or uncontrolled hepatic, hematological, gastrointestinal, endocrine, pulmonary, cardiac, neurologic/ cerebral, or psychiatric disease, or current signs and symptoms thereof Participant has had major surgery, (e.g., requiring general anesthesia) within 4 months before screening, or will not have fully recovered from surgery, or has surgery planned within 4 weeks prior to study agent administration or during the time the Participant is expected to participate in the study, or within 4 months (>=5 half-lives) after the last dose of study agent administration Participant has laboratory findings or biopsy results consistent with severe lupus nephritis
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Janssen Research & Development, LLC Clinical Trial
Organizational Affiliation
Janssen Research & Development, LLC
Official's Role
Study Director
Facility Information:
City
Birmingham
State/Province
Alabama
Country
United States
City
Rochester
State/Province
Minnesota
Country
United States
City
Durham
State/Province
North Carolina
Country
United States
City
Leuven
Country
Belgium
City
Merksem
Country
Belgium
City
Chisinau
Country
Moldova, Republic of
City
Otwock
Country
Poland
City
Szczecin
Country
Poland
City
Bucuresti
Country
Romania
City
Timisoara
Country
Romania
City
Barcelona
Country
Spain
City
Madrid
Country
Spain
City
Santiago De Compostela
Country
Spain
City
Sevilla
Country
Spain
City
Kaohsiung
Country
Taiwan
City
Taichung
Country
Taiwan

12. IPD Sharing Statement

Citations:
PubMed Identifier
33085033
Citation
Yao Z, Loggia L, Fink D, Chevrier M, Marciniak S, Sharma A, Xu Z. Pharmacokinetics and Pharmacodynamics of JNJ-55920839, an Antibody Targeting Interferon alpha/omega, in Healthy Subjects and Subjects with Mild-to-Moderate Systemic Lupus Erythematosus. Clin Drug Investig. 2020 Dec;40(12):1127-1136. doi: 10.1007/s40261-020-00978-4. Epub 2020 Oct 21.
Results Reference
derived

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A Single Ascending Dose Study in Healthy Participants and Multiple Dose Study of JNJ-55920839 in Participants With Mild to Moderate Systemic Lupus Erythematosus

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