A Study to Evaluate the Safety and Efficacy of CCX168 in Subjects With ANCA-Associated Vasculitis
Primary Purpose
Vasculitis
Status
Completed
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
Placebo
CCX168
Sponsored by
About this trial
This is an interventional treatment trial for Vasculitis
Eligibility Criteria
Key Inclusion Criteria:
- Clinical diagnosis of granulomatosis with polyangiitis (Wegener's), microscopic polyangiitis or renal limited vasculitis
- Male and postmenopausal or surgically sterile female subjects aged at least 18 years with new or relapsed AAV where treatment with cyclophosphamide or rituximab would be required
- Positive indirect immunofluorescence (IIF) test for P-ANCA or C-ANCA, or positive ELISA test for anti-proteinase-3 (PR3) or anti-myeloperoxidase (MPO) at screening
- Estimated glomerular filtration rate (eGFR) ≥ 20mL/min
- Have at least one "major" item, or at least 3 non-major items, or at least 2 renal items on the BVAS version 3
Key Exclusion Criteria:
- Severe disease as determined by rapidly progressive glomerulonephritis, alveolar hemorrhage, hemoptysis, rapid-onset mononeuritis multiplex or central nervous system involvement
- Any other multi-system autoimmune disease
- Medical history of coagulopathy or bleeding disorder
- Received cyclophosphamide within 12 weeks of screening; if on azathioprine, mycophenolate mofetil or methotrexate at the time of screening, these drugs must be withdrawn prior to receiving the cyclophosphamide or rituximab dose on Day 1
- Received high-dose intravenous corticosteroids within 4 weeks of screening
- On an oral dose of a corticosteroid of more than 10mg prednisone-equivalent at the time of screening
- Received rituximab or other B-cell antibody within 52 weeks of screening or 26 weeks provided B cell reconstitution has occurred; received anti-TNF treatment, abatacept, alemtuzumab, IVIg or plasma exchange within 12 weeks of screening
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Placebo Comparator
Experimental
Arm Label
Placebo
CCX168
Arm Description
Active study medication
Outcomes
Primary Outcome Measures
Proportion of Subjects Achieving at Least 50% Reduction in Birmingham Vasculitis Activity Score [BVAS] by Week 12 and No Worsening in Any Body System
Secondary Outcome Measures
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01363388
Brief Title
A Study to Evaluate the Safety and Efficacy of CCX168 in Subjects With ANCA-Associated Vasculitis
Official Title
A Randomized, Double-Blind, Placebo-Controlled, Phase 2 Study to Evaluate the Safety and Efficacy of CCX168 in Subjects With Anti-Neutrophil Cytoplasmic Antibody (ANCA)-Associated Vasculitis on Background of Cyclophosphamide or Rituximab Treatment
Study Type
Interventional
2. Study Status
Record Verification Date
July 2020
Overall Recruitment Status
Completed
Study Start Date
August 2011 (undefined)
Primary Completion Date
October 2015 (Actual)
Study Completion Date
January 2016 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
ChemoCentryx
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The aim of this trial is to optimize the treatment to induce remission for patients with non-life-threatening anti-neutrophil cytoplasmic antibody vasculitis (AAV). The intent is to reduce the toxicity of induction therapy by reducing the overall exposure to or eliminating entirely the use of systemic corticosteroids during the induction period with an inhibitor of the complement C5a receptor plus cyclophosphamide or rituximab.
Detailed Description
The primary safety objective of this study is to evaluate the safety and tolerability of CCX168 in subjects with AAV on background cyclophosphamide or rituximab treatment.
The primary efficacy objective is to evaluate the efficacy of CCX168 based on the Birmingham Vasculitis Activity Score (BVAS) version 3.
The secondary objectives of this study include assessment of the feasibility of reducing or eliminating the use of corticosteroids in the treatment of subjects with ANCA-associated vasculitis without the need for rescue corticosteroid measures and the effect of CCX168 on several disease parameters.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Vasculitis
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
67 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Title
CCX168
Arm Type
Experimental
Arm Description
Active study medication
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
BID for 84 days
Intervention Type
Drug
Intervention Name(s)
CCX168
Intervention Description
BID for 84 days
Primary Outcome Measure Information:
Title
Proportion of Subjects Achieving at Least 50% Reduction in Birmingham Vasculitis Activity Score [BVAS] by Week 12 and No Worsening in Any Body System
Time Frame
84 days
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion Criteria:
Clinical diagnosis of granulomatosis with polyangiitis (Wegener's), microscopic polyangiitis or renal limited vasculitis
Male and postmenopausal or surgically sterile female subjects aged at least 18 years with new or relapsed AAV where treatment with cyclophosphamide or rituximab would be required
Positive indirect immunofluorescence (IIF) test for P-ANCA or C-ANCA, or positive ELISA test for anti-proteinase-3 (PR3) or anti-myeloperoxidase (MPO) at screening
Estimated glomerular filtration rate (eGFR) ≥ 20mL/min
Have at least one "major" item, or at least 3 non-major items, or at least 2 renal items on the BVAS version 3
Key Exclusion Criteria:
Severe disease as determined by rapidly progressive glomerulonephritis, alveolar hemorrhage, hemoptysis, rapid-onset mononeuritis multiplex or central nervous system involvement
Any other multi-system autoimmune disease
Medical history of coagulopathy or bleeding disorder
Received cyclophosphamide within 12 weeks of screening; if on azathioprine, mycophenolate mofetil or methotrexate at the time of screening, these drugs must be withdrawn prior to receiving the cyclophosphamide or rituximab dose on Day 1
Received high-dose intravenous corticosteroids within 4 weeks of screening
On an oral dose of a corticosteroid of more than 10mg prednisone-equivalent at the time of screening
Received rituximab or other B-cell antibody within 52 weeks of screening or 26 weeks provided B cell reconstitution has occurred; received anti-TNF treatment, abatacept, alemtuzumab, IVIg or plasma exchange within 12 weeks of screening
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Pirow Bekker, MD, PhD
Organizational Affiliation
ChemoCentryx Inc
Official's Role
Study Director
Facility Information:
City
Feldkirch
Country
Austria
City
Innsbruck
Country
Austria
City
Linz
Country
Austria
City
Brussels
Country
Belgium
City
Edegem
Country
Belgium
City
Gent
Country
Belgium
City
Leuven
Country
Belgium
City
Liege
Country
Belgium
City
Roeselare
Country
Belgium
City
Prague
Country
Czechia
City
Bordeaux
Country
France
City
Boulogne sur Mer
Country
France
City
Brest
Country
France
City
Colmar
Country
France
City
Grenoble
Country
France
City
Nantes
Country
France
City
Paris
Country
France
City
Saint Jacques
Country
France
City
Valenciennes
Country
France
City
Berlin
Country
Germany
City
Cologne
Country
Germany
City
Dresden
Country
Germany
City
Freiburg
Country
Germany
City
Fulda
Country
Germany
City
Heidelberg
Country
Germany
City
Budapest
Country
Hungary
City
Groningen
Country
Netherlands
City
Leiden
Country
Netherlands
City
Rotterdam
Country
Netherlands
City
Utrecht
Country
Netherlands
City
Bialystok
Country
Poland
City
Katowice
Country
Poland
City
Szczecin
Country
Poland
City
Wroclaw
Country
Poland
City
Linkoping
Country
Sweden
City
Lund
Country
Sweden
City
Malmo
Country
Sweden
City
Stockholm
Country
Sweden
City
Berkshire
Country
United Kingdom
City
Birmingham
Country
United Kingdom
City
Cambridge
Country
United Kingdom
City
London
Country
United Kingdom
City
Manchester
Country
United Kingdom
City
Oxford
Country
United Kingdom
12. IPD Sharing Statement
Citations:
PubMed Identifier
24033923
Citation
Cravedi P, Leventhal J, Lakhani P, Ward SC, Donovan MJ, Heeger PS. Immune cell-derived C3a and C5a costimulate human T cell alloimmunity. Am J Transplant. 2013 Oct;13(10):2530-9. doi: 10.1111/ajt.12405. Epub 2013 Sep 6.
Results Reference
derived
Links:
URL
https://jasn.asnjournals.org/content/28/9/2756
Description
Randomized Trial of C5a Receptor Inhibitor Avacopan in ANCA-Associated Vasculitis
Learn more about this trial
A Study to Evaluate the Safety and Efficacy of CCX168 in Subjects With ANCA-Associated Vasculitis
We'll reach out to this number within 24 hrs