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Safety and Efficacy Study of IFX-1 in add-on to Standard of Care in GPA and MPA

Primary Purpose

Granulomatosis With Polyangiitis (GPA), Microscopic Polyangiitis (MPA)

Status
Terminated
Phase
Phase 2
Locations
International
Study Type
Interventional
Intervention
IFX-1 low dose
IFX-1 high dose
Placebo
Sponsored by
InflaRx GmbH
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Granulomatosis With Polyangiitis (GPA) focused on measuring Granulomatosis with Polyangiitis (GPA), Microscopic Polyangiitis (MPA), IFX-1, ANCA, AAV

Eligibility Criteria

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

Inclusion Criteria:

  1. Male or female, ≥18 years of age.
  2. Diagnosis of GPA or MPA according to the definitions of the Chapel Hill Consensus Conference.
  3. Have at least one "major" item, or at least three other items, or at least two renal items on the Birmingham Vasculitis Activity Score (BVAS) Version 3.0.
  4. New or relapsed GPA or MPA that require treatment with CYC or RTX plus GCs.

Exclusion Criteria:

  1. Any other multisystem autoimmune disease
  2. Requires mechanical ventilation because of alveolar hemorrhage at Screening.
  3. Human immunodeficiency virus, hepatitis B, or hepatitis C viral screening test showing evidence of active or chronic viral infection at Screening or a documented history of the human immunodeficiency virus, hepatitis B, or hepatitis C.
  4. Received CYC or RTX 12 weeks before Screening; if on azathioprine (AZA), methotrexate (MTX), mycophenolate mofetil (MMF), or mycophenolate sodium (MPS) at the time of Screening, these drugs must be withdrawn prior to receiving CYC or RTX.
  5. Received more than 3 g cumulative high dose intravenous GCs within 4 weeks before Screening.
  6. On an oral dose of a GC of more than 10 mg prednisone equivalent at Screening or for more than 6 weeks before Screening.
  7. Received a CD20 inhibitor, anti-tumor necrosis factor treatment, abatacept, alemtuzumab, any other experimental or biological therapy, intravenous immunoglobulin or plasma exchange, antithymocyte globulin, or required dialysis within 12 weeks before Screening.
  8. Received a live vaccination within 4 weeks before Screening or planned between Screening and Week 24.
  9. Female subjects of childbearing potential unwilling or unable to use a highly effective method of contraception (pearl index <1%) such as complete sexual abstinence, combined oral contraceptive, vaginal hormone ring, transdermal contraceptive patch, contraceptive implant, or depot contraceptive injection in combination with a second method of contraception such as condom, cervical cap, or diaphragm with spermicide during the study and for at least 4 weeks after last administration of IFX-1 (timeframes for SOC have to be considered as described in the respective Prescribing Information).

Sites / Locations

  • Mayo Clinic Scottsdale
  • Loma Linda University Clinical Trial Center
  • Science Connections, LLC
  • University of Miami
  • Rush University Medical Center
  • University of Kansas Medical Center Research Institute, Inc.
  • LSU Health Sciences Center Shreveport
  • Johns Hopkins Bayview Medical Center
  • Massachusetts General Hospital
  • University Of MI Medcl Ctr-RHU
  • Henry Ford Hospital
  • University of Minnesota
  • Mayo Clinic
  • Washington University
  • University of New Mexico
  • Northwell Health, LLC PRIME
  • Hospital for Special Surgery
  • University of Rochester Medical Center - Strong Memorial Hospital
  • UNC Kidney Center, UNC-CH Division of Nephrology and Hypertension
  • Trinity Medical Group
  • Ohio State University Clinical Trials Management Office
  • Oregon Health & Science University
  • BRCR Medical Center, Inc.
  • Altoona Center for Clinical Research, P.C.
  • University of Pennsylvania
  • Rhode Island Hospital
  • Low Country Rheumatology, PA
  • Adriana Pop Moody Clinic PA
  • Texas Health Resources
  • Texas Research Institute
  • Pioneer Research Solutions, Inc.
  • UVA University Physicians Charlottesville
  • West Virginia University
  • University of Alberta Hospital
  • St. Josephs Healthcare
  • Mount Sinai Hospital
  • CHUM Centre de Recherche
  • Centre de Recherche Musculo-Squelettique

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Placebo Comparator

Arm Label

IFX-1 low dose

IFX-1 high dose

Placebo

Arm Description

Will receive IFX-1 low dose regimen diluted in sodium chloride solution

Will receive IFX-1 high dose regimen diluted in sodium chloride solution

Will receive placebo

Outcomes

Primary Outcome Measures

Number and Percentage of Participants With at Least One TEAE Per Treatment Group.
Number and percentage of participants who experience at least one treatment-emergent adverse event (TEAE) per treatment group.

Secondary Outcome Measures

Percentage of Participants Achieving Clinical Response
Efficacy Endpoint based on clinical response evaluated through BVAS. Clinical response is defined as a reduction in BVAS of ≥50% and no worsening in any body system and no administration of rescue medication prior to the response assessment.
Percentage of Participants With Clinical Remission (BVAS = 0)
Efficacy Endpoint that evaluates participants with complete remission
IFX-1 Concentration Pre-dose
Assess the pharmacokinetic of the investigational medicinal product.
IFX 1 Concentration at Predose (0 Hours), After the End of the Infusion (+10minutes), and at 2, 6, 24, and 48 Hours After the Start of the Infusion for Participants in the PK Substudy
Analyze the IMP plasma concentration using a PK model: IFX 1 concentration at predose (0 hours), after the end of the infusion (+10minutes), and at 2, 6, 24, and 48 hours after the start of the infusion for participants in the PK substudy
C5a Plasma Concentration
Pharmacodynamic parameter concentration
IFX-1 Blocking Activity 2.5 nM
Pharmacodynamic Parameter of IFX-1 blocking activity 2.5 nM
IFX-1 Blocking Activity 10 nM
Pharmacodynamic Parameter of IFX-1 blocking activity 10 nM

Full Information

First Posted
October 16, 2018
Last Updated
May 3, 2022
Sponsor
InflaRx GmbH
Collaborators
Iqvia Pty Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT03712345
Brief Title
Safety and Efficacy Study of IFX-1 in add-on to Standard of Care in GPA and MPA
Official Title
Randomized, Double-Blind, Placebo-Controlled, Parallel-Group Phase II Efficacy and Safety Study of IFX-1 in Add-On to Standard of Care in Granulomatosis With Polyangiitis (GPA) and Microscopic Polyangiitis (MPA)
Study Type
Interventional

2. Study Status

Record Verification Date
May 2022
Overall Recruitment Status
Terminated
Why Stopped
Due to COVID-19 pandemic outbreak and its impact on overall study activities. All efforts were made to ensure that participants that were enrolled and/or were still in the study will continue to receive treatment and follow-up until study completion.
Study Start Date
October 15, 2018 (Actual)
Primary Completion Date
September 10, 2020 (Actual)
Study Completion Date
May 3, 2021 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
InflaRx GmbH
Collaborators
Iqvia Pty Ltd

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 investigate the safety and tolerability of two dose regimens of IFX-1 as add-on to standard of care (SOC) in subjects with GPA and MPA compared with placebo.
Detailed Description
Granulomatosis with polyangiitis (GPA) and microscopic polyangiitis (MPA) are related systemic v anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV), a potentially life-threatening disease. GPA is a necrotizing vasculitis predominantly involving small- to medium-sized vessels (e.g., capillaries, venules, arterioles, arteries, and veins). MPA is a necrotizing vasculitis that primarily affects capillaries, venules, or arterioles, most commonly manifesting as necrotizing glomerulonephritis and/or pulmonary capillaritis. MPA. Primed neutrophils are activated by ANCA and generate C5a that engages C5a receptors on neutrophils. Therefore, patients with ANCA-related disease have elevated plasma and urine levels of C5a in active disease and not in remission. IFX-1 is a monoclonal antibody specifically binding to the soluble human complement split product C5a and the resulting nearly complete blockade of C5a-induced biological effects may be effective in the treatment of subjects with AAV.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Granulomatosis With Polyangiitis (GPA), Microscopic Polyangiitis (MPA)
Keywords
Granulomatosis with Polyangiitis (GPA), Microscopic Polyangiitis (MPA), IFX-1, ANCA, AAV

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
20 (Actual)

8. Arms, Groups, and Interventions

Arm Title
IFX-1 low dose
Arm Type
Experimental
Arm Description
Will receive IFX-1 low dose regimen diluted in sodium chloride solution
Arm Title
IFX-1 high dose
Arm Type
Experimental
Arm Description
Will receive IFX-1 high dose regimen diluted in sodium chloride solution
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Will receive placebo
Intervention Type
Drug
Intervention Name(s)
IFX-1 low dose
Other Intervention Name(s)
CaCP29
Intervention Description
Single IV infusions of IFX-1
Intervention Type
Drug
Intervention Name(s)
IFX-1 high dose
Other Intervention Name(s)
CaCP29
Intervention Description
Single IV infusions of IFX-1
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
Placebo
Primary Outcome Measure Information:
Title
Number and Percentage of Participants With at Least One TEAE Per Treatment Group.
Description
Number and percentage of participants who experience at least one treatment-emergent adverse event (TEAE) per treatment group.
Time Frame
Week 24
Secondary Outcome Measure Information:
Title
Percentage of Participants Achieving Clinical Response
Description
Efficacy Endpoint based on clinical response evaluated through BVAS. Clinical response is defined as a reduction in BVAS of ≥50% and no worsening in any body system and no administration of rescue medication prior to the response assessment.
Time Frame
Week 16
Title
Percentage of Participants With Clinical Remission (BVAS = 0)
Description
Efficacy Endpoint that evaluates participants with complete remission
Time Frame
Week 16
Title
IFX-1 Concentration Pre-dose
Description
Assess the pharmacokinetic of the investigational medicinal product.
Time Frame
Week 16
Title
IFX 1 Concentration at Predose (0 Hours), After the End of the Infusion (+10minutes), and at 2, 6, 24, and 48 Hours After the Start of the Infusion for Participants in the PK Substudy
Description
Analyze the IMP plasma concentration using a PK model: IFX 1 concentration at predose (0 hours), after the end of the infusion (+10minutes), and at 2, 6, 24, and 48 hours after the start of the infusion for participants in the PK substudy
Time Frame
Weeks 1, 4 and 16
Title
C5a Plasma Concentration
Description
Pharmacodynamic parameter concentration
Time Frame
Week 16
Title
IFX-1 Blocking Activity 2.5 nM
Description
Pharmacodynamic Parameter of IFX-1 blocking activity 2.5 nM
Time Frame
Week 16
Title
IFX-1 Blocking Activity 10 nM
Description
Pharmacodynamic Parameter of IFX-1 blocking activity 10 nM
Time Frame
Week 16

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Male or female, ≥18 years of age. Diagnosis of GPA or MPA according to the definitions of the Chapel Hill Consensus Conference. Have at least one "major" item, or at least three other items, or at least two renal items on the Birmingham Vasculitis Activity Score (BVAS) Version 3.0. New or relapsed GPA or MPA that require treatment with CYC or RTX plus GCs. Exclusion Criteria: Any other multisystem autoimmune disease Requires mechanical ventilation because of alveolar hemorrhage at Screening. Human immunodeficiency virus, hepatitis B, or hepatitis C viral screening test showing evidence of active or chronic viral infection at Screening or a documented history of the human immunodeficiency virus, hepatitis B, or hepatitis C. Received CYC or RTX 12 weeks before Screening; if on azathioprine (AZA), methotrexate (MTX), mycophenolate mofetil (MMF), or mycophenolate sodium (MPS) at the time of Screening, these drugs must be withdrawn prior to receiving CYC or RTX. Received more than 3 g cumulative high dose intravenous GCs within 4 weeks before Screening. On an oral dose of a GC of more than 10 mg prednisone equivalent at Screening or for more than 6 weeks before Screening. Received a CD20 inhibitor, anti-tumor necrosis factor treatment, abatacept, alemtuzumab, any other experimental or biological therapy, intravenous immunoglobulin or plasma exchange, antithymocyte globulin, or required dialysis within 12 weeks before Screening. Received a live vaccination within 4 weeks before Screening or planned between Screening and Week 24. Female subjects of childbearing potential unwilling or unable to use a highly effective method of contraception (pearl index <1%) such as complete sexual abstinence, combined oral contraceptive, vaginal hormone ring, transdermal contraceptive patch, contraceptive implant, or depot contraceptive injection in combination with a second method of contraception such as condom, cervical cap, or diaphragm with spermicide during the study and for at least 4 weeks after last administration of IFX-1 (timeframes for SOC have to be considered as described in the respective Prescribing Information).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Korinna Pilz, MD, MS
Organizational Affiliation
InflaRx GmbH
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Peter A. Merkel, MD, MPH
Organizational Affiliation
University of Pennsylvania
Official's Role
Principal Investigator
Facility Information:
Facility Name
Mayo Clinic Scottsdale
City
Scottsdale
State/Province
Arizona
ZIP/Postal Code
85259
Country
United States
Facility Name
Loma Linda University Clinical Trial Center
City
Loma Linda
State/Province
California
ZIP/Postal Code
92354
Country
United States
Facility Name
Science Connections, LLC
City
Doral
State/Province
Florida
ZIP/Postal Code
33166
Country
United States
Facility Name
University of Miami
City
Miami
State/Province
Florida
ZIP/Postal Code
33136
Country
United States
Facility Name
Rush University Medical Center
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60612
Country
United States
Facility Name
University of Kansas Medical Center Research Institute, Inc.
City
Kansas City
State/Province
Kansas
ZIP/Postal Code
66160
Country
United States
Facility Name
LSU Health Sciences Center Shreveport
City
Shreveport
State/Province
Louisiana
ZIP/Postal Code
71103
Country
United States
Facility Name
Johns Hopkins Bayview Medical Center
City
Baltimore
State/Province
Maryland
ZIP/Postal Code
21224
Country
United States
Facility Name
Massachusetts General Hospital
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02114
Country
United States
Facility Name
University Of MI Medcl Ctr-RHU
City
Ann Arbor
State/Province
Michigan
ZIP/Postal Code
48109
Country
United States
Facility Name
Henry Ford Hospital
City
Detroit
State/Province
Michigan
ZIP/Postal Code
48084
Country
United States
Facility Name
University of Minnesota
City
Minneapolis
State/Province
Minnesota
ZIP/Postal Code
55414
Country
United States
Facility Name
Mayo Clinic
City
Rochester
State/Province
Minnesota
ZIP/Postal Code
55905
Country
United States
Facility Name
Washington University
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63110
Country
United States
Facility Name
University of New Mexico
City
Albuquerque
State/Province
New Mexico
ZIP/Postal Code
87131
Country
United States
Facility Name
Northwell Health, LLC PRIME
City
New Hyde Park
State/Province
New York
ZIP/Postal Code
11042
Country
United States
Facility Name
Hospital for Special Surgery
City
New York
State/Province
New York
ZIP/Postal Code
10021
Country
United States
Facility Name
University of Rochester Medical Center - Strong Memorial Hospital
City
Rochester
State/Province
New York
ZIP/Postal Code
14642
Country
United States
Facility Name
UNC Kidney Center, UNC-CH Division of Nephrology and Hypertension
City
Chapel Hill
State/Province
North Carolina
ZIP/Postal Code
27599-7155
Country
United States
Facility Name
Trinity Medical Group
City
Minot
State/Province
North Dakota
ZIP/Postal Code
58701
Country
United States
Facility Name
Ohio State University Clinical Trials Management Office
City
Columbus
State/Province
Ohio
ZIP/Postal Code
43203
Country
United States
Facility Name
Oregon Health & Science University
City
Portland
State/Province
Oregon
ZIP/Postal Code
97239
Country
United States
Facility Name
BRCR Medical Center, Inc.
City
Camp Hill
State/Province
Pennsylvania
ZIP/Postal Code
17011
Country
United States
Facility Name
Altoona Center for Clinical Research, P.C.
City
Duncansville
State/Province
Pennsylvania
ZIP/Postal Code
16635
Country
United States
Facility Name
University of Pennsylvania
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19104
Country
United States
Facility Name
Rhode Island Hospital
City
Providence
State/Province
Rhode Island
ZIP/Postal Code
02903
Country
United States
Facility Name
Low Country Rheumatology, PA
City
North Charleston
State/Province
South Carolina
ZIP/Postal Code
29406
Country
United States
Facility Name
Adriana Pop Moody Clinic PA
City
Corpus Christi
State/Province
Texas
ZIP/Postal Code
78404
Country
United States
Facility Name
Texas Health Resources
City
Dallas
State/Province
Texas
ZIP/Postal Code
75287
Country
United States
Facility Name
Texas Research Institute
City
Fort Worth
State/Province
Texas
ZIP/Postal Code
76104
Country
United States
Facility Name
Pioneer Research Solutions, Inc.
City
Houston
State/Province
Texas
ZIP/Postal Code
77099
Country
United States
Facility Name
UVA University Physicians Charlottesville
City
Charlottesville
State/Province
Virginia
ZIP/Postal Code
22903
Country
United States
Facility Name
West Virginia University
City
Morgantown
State/Province
West Virginia
ZIP/Postal Code
26506
Country
United States
Facility Name
University of Alberta Hospital
City
Edmonton
State/Province
Alberta
ZIP/Postal Code
T6G 2B7
Country
Canada
Facility Name
St. Josephs Healthcare
City
Hamilton
State/Province
Ontaria
ZIP/Postal Code
L8N 4A6
Country
Canada
Facility Name
Mount Sinai Hospital
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M5G 1X5
Country
Canada
Facility Name
CHUM Centre de Recherche
City
Québec
State/Province
Quebec
ZIP/Postal Code
H2X 0A9
Country
Canada
Facility Name
Centre de Recherche Musculo-Squelettique
City
Trois-Rivières
State/Province
Quebec
ZIP/Postal Code
G8Z1Y2
Country
Canada

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
33164993
Citation
Serling-Boyd N, Wallace ZS. Management of primary vasculitides with biologic and novel small molecule medications. Curr Opin Rheumatol. 2021 Jan;33(1):8-14. doi: 10.1097/BOR.0000000000000756.
Results Reference
derived

Learn more about this trial

Safety and Efficacy Study of IFX-1 in add-on to Standard of Care in GPA and MPA

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