A Study to Evaluate the Efficacy and Safety of CC-220 in Subjects With Active Systemic Lupus Erythematosus
Lupus Erythematosus, Systemic
About this trial
This is an interventional treatment trial for Lupus Erythematosus, Systemic focused on measuring CC-220, Safety, Efficacy, Active Systemic Lupus Erythematosus
Eligibility Criteria
Inclusion Criteria:
- Male or female 18 years of age or older at the time of signing the informed consent.
- Have a diagnosis of SLE for at least 6 months prior to the Screening Visit and fulfill the 1997 update of the 1982 American College of Rheumatology (ACR) Classification Criteria for SLE at the Screening Visit.
- A SLEDAI 2K score of ≥ 6 points, WITH at least 4 points being a "clinical" SLEDAI 2K score. The "clinical" score excludes points attributable to any urine or blood laboratory results including immunologic measures.
- At the Baseline Visit, a clinical SLEDAI 2K score of ≥ 4 points.
Have at least one of the following positive antibodies associated with SLE per the central laboratory within the Screening Phase:
- Positive antinuclear antibody (ANA) test at the central laboratory with a titer of 1:40 or greater, associated with a diagnosis of SLE,
- Anti-dsDNA antibodies elevated to above normal
- Anti-Smith (anti-Sm) antibody elevated to above normal
Females of childbearing potential must: Have two negative pregnancy tests as verified by the Investigator prior to starting study therapy. She must agree to ongoing pregnancy testing during the course of the study, and after end of study treatment.
o Either commit to true abstinence from heterosexual contact or agree to use two forms of reliable contraception simultaneously.
- Male subjects must: Practice true abstinence or agree to use a barrier contraception during sexual contact.
All subjects must:
- Understand that the IP could have potential teratogenic risk.
Agree to abstain from donating blood while taking IP and for 28 days following discontinuation of the IP.
- Have been treated with at least one of the following SLE medications prior to the Screening Visit: antimalarials, immunosuppressants, and/or corticosteroids.
- Currently receiving stable doses of at least one of the following medications: systemic corticosteroids, antimalarials, and/or immunosuppressants.
Exclusion Criteria:
- Received intra-articular, intralesional, subcutaneous, intradermal, intramuscular or IV pulse corticosteroids 6 weeks prior to the Baseline Visit.
- Received any other biologic or non-biologic immunosuppressive agent within 2 months of 5 pharmacokinetic half-lives (whichever is longer) prior to the Baseline Visit.
- Have severe lupus nephritis defined as: estimated glomerular filtration rate of < 45 mL/1.73 m2 or proteinuria > 2000 mg/day based on protein to creatinine ratio, or active lupus nephritis that may require 'induction' therapy
- Have active, severe or unstable neuropsychiatric lupus disease within 6 months of the Screening Visit.
- Have serologic tests consistent with infection with either hepatitis B or hepatitis C, and/or confirmed history of hepatitis B or hepatitis C infection.
- Have history of congenital and/or acquired immunodeficiencies (eg, common variable immunodeficiency, human immunodeficiency virus, etc).
- Have active or history of recurrent bacterial, viral, fungal, mycobacterial or other infections, or any major episode of infection requiring hospitalization or treatment with intravenous or oral antibiotics within 4 weeks of the Screening Visit and at any time during the Screening Phase, up through the first dose of IP.
- Have active tuberculosis or a history of latent or active tuberculosis
Have malignancy or history of malignancy, except for:
- treated (eg, cured) basal cell or squamous cell in situ skin carcinomas
- treated (eg, cured) cervical intraepithelial neoplasia Grade 1 and Grade 2
- treated (eg, cured) carcinoma in situ of the cervix with no evidence of recurrence within 5 years of the Screening Visit.
- Have a diagnosis or history consistent with Antiphospholipid Syndrome or "triple antiphospholipid positivity" (ie, positive lupus anticoagulant, anticardiolipin, and anti-B2 glycoprotein).
- Have history of arterial or venous thrombosis
- Have history or current diagnosis of peripheral neuropathy (sensory or motor) ≥ Grade 2.
- Have presence of active uveitis or any other ophthalmological finding that in the opinion of the Investigator is clinically significant.
- Have other non-SLE driven inflammatory joint or skin disease or overlap syndromes as the primary disease.
- Have clinically significant or unstable or uncontrolled acute or chronic disease not due to SLE
- Does not meet required laboratory criteria.
- Does not meet pre-specified periods for prohibited medications.
- Pregnant or a breast-feeding female.
NOTE: Other protocol defined Inclusion/Exclusion criteria may apply
Sites / Locations
- Clinical and Translational Research Center of Alabama, PC
- AZ Arthritis and Rheum Rsch, PLLC
- Saint Jude Heritage Medical Center
- University of California San Diego Medical Center
- UCLA Division of Rheumatology
- Desert Medical Advances
- C Michael Neuwelt M D
- Inland Rheumatology Clinical Trials
- University of Colorado Denver
- Yale University School of Medicine
- Centre For Rheumatology, Immun. And Arthritis
- University of Florida College of Medicine
- University of Miami
- Integral Rheumatology and Immunology Specialists
- Bay Care Medical Group
- Emory University School of Medicine
- Piedmont Hospital - Atlanta
- Jefrey Lieberman, MD, PC
- North Georgia Rheumatology
- Clinic of Robert Hozman
- University of Maryland - School of Medicine
- Beth Israel Deaconness Medical Center
- Advanced Rheumatology
- Great Lakes Center of Rheumatology
- Arthritis and Osteoporosis Associates of New Mexico
- Montefiore Medical Center
- Local Institution - 134
- North Shore-LIJ Health System-Division of Rheumatology
- NYU Langone Medical Center
- Local Institution - 124
- SUNY Upstate Medical University
- DJL Clinical Research
- Local Institution - 101
- Shanahan Rheumatology and Immunotherapy
- MetroHealth Medical Systems
- St. Anthony's Medical Center
- Hershey Medical Center
- Local Institution - 136
- University of Pennsylvania Department of Dermatology
- University Of Pennsylvania
- University of Pittsburgh UPMC Lupus Center of Excellence
- Advanced Rheumatology & Arthritis Research Center, PC
- Medical University of South Carolina
- UT Southwestern Medical Center
- Pioneer Research Solutions
- Virginia Mason Medical Center
- Local Institution - 628
- Organización Médica de Investigación
- Hospital General de Agudos Dr. Jose Maria Ramos Mejia
- Local Institution - 625
- Hospital Britanico de Buenos Aires
- Consultora Integral de Salud Centro Médico Privado
- Local Institution - 626
- Hospital Privado Centro Medico de Cordoba
- CER Instituto Mèdico
- Local Institution - 630
- Instituto de Investigaciones Clinicas de Quilmes
- Local Institution - 629
- Centro Medico Privado de Reumatologia
- Local Institution - 627
- Hopital Erasme
- Local Institution - 425
- Local Institution - 427
- Universitaire Ziekenhuizen (UZ) Leuven - Gasthuisberg
- CHU de Liege
- Local Institution - 426
- Centro Internacional de Pesquisas
- Local Institution - 655
- Centro de Estudos em Terapias Inovadoras LTDA
- Local Institution - 653
- LMK Servicos Medicos S/S
- Local Institution - 650
- Local Institution - 657
- State University of Campinas UNICAMP
- Local Institution - 652
- Santa Casa de Misericórdia de Belo Horizonte
- Hospital de Clinicas de Porto Alegre
- Centro de Imunoterapia de Ipanema (CITIPA)
- Local Institution - 651
- Local Institution - 205
- The University of Calgary
- Local Institution - 204
- University of Manitoba
- Local Institution - 201
- MAC Research Incorporated
- Local Institution - 202
- Toronto Western Hospital
- CHUL du CHU de Quebec
- Local Institution - 203
- Clinique de Rhumatologie Du Centre Du Quebec
- Local Institution - 200
- IPS Centro Integral de Reumatologia del Caribe Circaribe S.A.S.
- Local Institution - 675
- Centro de Investigacion en Reumatologia y Especialidades Medicas S.A.S. - Cireem S.A.S
- Local Institution - 682
- Idearg S.A.S.
- Local Institution - 676
- Local Institution - 679
- Medicity S.A.S.
- Servimed S.A.S.
- Local Institution - 677
- Preventive Care
- Local Institution - 678
- Reumalab - Centro Integral de Reumatologia
- Hospital Pablo Tobon Uribe
- Local Institution - 680
- CHRU de Lille France
- Assistance Publique - Hopitaux de Paris - Hopital Universitaire Pitie Salpetriere
- Local Institution - 326
- CHU Hautepierre
- Local Institution - 302
- Universitatsklinikum Schleswig-Holstein
- Local Institution - 300
- Universitaetsklinikum Koeln
- Universitätsmedizin der Johannes Gutenberg-Universität Mainz
- Local Institution - 352
- Qualiclinic kft
- Egyesitett Szent Istvan es Szent Laszlo Korhaz - Rendelointezet
- Local Institution - 350
- Bekes Megyei Kozponti Korhaz
- Local Institution - 351
- ASST Spedali Civili P.O. di Brescia
- University of Ferrara, Azienda Ospedaliera-Universitaria S.Anna
- Azienda Ospedaliero - Universitaria di Cagliari
- Centro de Investigacion en Artritis y Osteoporosis
- Local Institution - 610
- Biológicos Especializados S.A. de C.V.
- Local Institution - 602
- Clinica Integral de Osteoporosis y Artitis Reumatoide CLINOSAR
- Local Institution - 608
- Centro de Investigación y Tratamiento Reumatológico
- Local Institution - 607
- Centro Integral en Reumatología, S.A. de C.V.
- Local Institution - 600
- Centro de Alta Especialidad en Reumatología e Investigación del Potosí S.C.
- Local Institution - 603
- Local Institution - 605
- Unidad de Atencion Medica e Investigacion en Salud, S.C.
- Hospital Angeles Lindavista
- Local Institution - 606
- Local Institution - 380
- Local Institution - 377
- Szpital Uniwersytecki nr 2 im. Dr Jana Biziela w Bydgoszczy
- Local Institution - 376
- Samodzielny Publiczny Zespól Opieki Zdrowotnej w Koscianie Szpital im. Teodora Dunina
- Centrum Medyczne Plejady
- Local Institution - 375
- Local Institution - 378
- Samodzielny Publiczny Szpital Kliniczny nr 4, Klinika Reumatologii i Ukladowych Chorob Tkanki Laczne
- Niepubliczny Zaklad Opieki Zdrowotnej Biogenes Sp. z o.o.
- City Clinical Hospital
- Local Institution - 506
- Kemerovo State Medical Academy
- Local Institution - 505
- Institution of the Russian Academy of Medical Sciences Research Institute of Rheumatology of the Ru
- Local Institution - 507
- Local Institution - 500
- Orenburg State Medical Academy
- Saint Petersburg Research Institute for Emergency Medical Care
- Leningrad Regional Clinical Hospital
- Local Institution - 502
- Local Institution - 503
- State Higher Educational Institution
- BioMed, LLC.
- Local Institution - 504
- Voronezh Regional Clinical Hopsital #1, Voronezh State Medical Academy
- Institute of Rheumatology Belgrade
- Local Institution - 475
- Local Institution - 476
- Local Institution - 477
- Local Institution - 478
- Military Medical Academy
- Clinical Center Kragujevac
- Local Institution - 480
- Institute Niska Banja
- Local Institution - 479
- Hospital Universitario a Coruna
- Local Institution - 400
- Hospital Universitario Vall D hebron
- Local Institution - 403
- Hospital Universitario de Canarias
- Hospital Marques de Valdecilla
- Local Institution - 405
- Hospital Universitario Araba - Txagorritxu
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
Experimental
Experimental
Placebo Comparator
CC-220 0.45 mg QD Placebo Controlled Phase
C-220 0.3 mg QD Placebo Controlled Phase
CC-220 0.15 mg QD Placebo Controlled Phase
Placebo
At Weeks 0 to 24: CC-220 Placebo Controlled Phase: CC-220 0.45 mg once daily (QD) At Weeks 24 to 52: CC-220 Active Treatment Phase: CC-220 0.45 mg once daily (QD) Long-term Extension Phase (52 weeks to 104 weeks): At Week 52 all subjects who elect to continue in the Long-term Extension will stay on the same dose they were on at the conclusion of the randomized, double-blind, active treatment phase.
At Weeks 0 to 24: CC-220 Placebo Controlled Phase: CC-220 0.3 mg once daily (QD) At Weeks 24 to 52: CC-220 Active Treatment Phase: CC-220 0.30 mg once daily (QD) Long-term Extension Phase (52 weeks to 104 weeks): At Week 52 all subjects who elect to continue in the Long-term Extension will stay on the same dose they were on at the conclusion of the randomized, double-blind, active treatment phase.
At Weeks 0 to 24: CC-220 Placebo Controlled Phase: CC-220 0.15 mg once daily (QD) At Weeks 24 to 52: CC-220 Active Treatment Phase: CC-220 0.15 mg once daily (QD) Long-term Extension Phase (52 weeks to 104 weeks): At Week 52 all subjects who elect to continue in the Long-term Extension will stay on the same dose they were on at the conclusion of the randomized, double-blind, active treatment phase.
Weeks 0 to 24: CC-220 Placebo Controlled Phase: placebo once daily (QD)