Safety of IFNa Kinoid in Systemic Lupus Erythematosus
Primary Purpose
Systemic Lupus Erythematosus
Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
IFN-K
Sponsored by
About this trial
This is an interventional treatment trial for Systemic Lupus Erythematosus focused on measuring SLE
Eligibility Criteria
Inclusion Criteria:
- 1. Diagnosis of SLE according to current American College of Rheumatology (ACR) criteria (4 of 11 ACR criteria),
- 2. SLEDAI ≥4 and ≤10,
- 3. Positive Anti-nuclear Antibodies (ANA) and/or Positive anti-dsDNA antibodies
- 4. Male or female between 18 and 50 years of age
- 5. Current immunity to measles, mumps, rubella and varicella, as evidenced by positive IgG titers at the time of screening,
- 6. For subjects recruited during local influenza season, current vaccination against seasonal influenza at least 7 days prior to randomization,
- 7. Vaccination against H1N1 influenza at least 7 days prior to randomization.
- 8. For subjects with reproductive potential (males and females), use of a reliable means of contraception
- 9. Written informed consent obtained from the subject.
Exclusion Criteria:
- 1. Any serious manifestation of lupus at entry, that, in the opinion of the investigator is likely to require initiation of off-protocol medication changes during the course of the study and in particular no BILAG A score,
- 2. Any non-SLE manifestation likely to require, in the investigator's judgment, treatment with high-dose corticosteroids or the addition of an immunosuppressive regimen during the course of the trial,
- 3. Received > 20 mg/day of prednisone equivalent for > 7 days during the 30 days prior to screening,
- 4. Currently receiving or having received pulse dose corticosteroids or intravenous immunoglobulin (IVIg) within 3 months prior to screening,
- 5. Received cyclophosphamide within 3 months prior to screening,
- 6. Received a monoclonal antibody during the 6 months prior to screening,
- 7. Previously received an investigational treatment directed against IFNa,
- 8. Received B-cell depleting therapy (e.g. Rituximab) within 12 months
- 9. Received IV antibiotics during the 30 days prior to screening,
- 10. Significant electrocardiogram (ECG) abnormalities ,
- 11. Evidence of any clinically significant abnormality on a chest X-ray which, in the opinion of the investigator could represent active infection, latent tuberculosis or treatable manifestation of lupus,
- 12. Any laboratory abnormality that is clinically relevant
- 13. History of malignancy except completely excised basal cell carcinoma,
- 14. Congenital immune deficiency,
- 15. Positive IgM antibody titers in the presence of negative IgG titers to Epstein-Barr virus (EBV) or cytomegalovirus (CMV),
- 16. Frequent recurrences of oral or genital herpes simplex lesions (≥ 6 / year),
- 17. Episode of shingles within one year of screening,
- 18. Human Immunodeficiency Virus (HIV), hepatitis C virus (HCV) or HBV (HBsAg, anti-HBc ab) positive,
- 19. Any current signs or symptoms of infection at entry,
- 20. Administration of any live vaccine within the 3 months prior to study entry
- 21. Planned use of any investigational or non-registered product
Sites / Locations
- Cliniques Universitaires St Luc
- MHAT "Sveti Ivan Rilski"
- University Hospital Split
- KBC Zagreb
- Hopital Claude Huriez
- Hopital Lapeyronie
- Hopital de la Pitie Salpetriere
- Hopital du Kremlin Bicetre
- Hopital Haut-Leveque
- Kerckhoff-Klinik Gmbh
- Charite
- Inselspital
- Geneva University Hospital
- Geneva University Hospital
- Centre Hospitalier Universitaire Vaudois
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm Type
Experimental
Experimental
Experimental
Experimental
Placebo Comparator
Arm Label
IFN-K 1
IFN-K-2
IFN-K 3
IFN-K 4
Saline
Arm Description
IFN kinoid dose 1
IFN kinoid dose 2
IFN kinoid dose 3
IFN kinoid dose 4
saline at same dose as IFN K
Outcomes
Primary Outcome Measures
Frequency and severity of adverse events
Secondary Outcome Measures
Proportion of patients with anti IFNa antibodies
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT01058343
Brief Title
Safety of IFNa Kinoid in Systemic Lupus Erythematosus
Official Title
A Phase I-II, Randomized, Double-blind, Placebo-controlled, Dose Escalation Study of Neovacs' IFNα-Kinoid in Adult Subjects With Systemic Lupus Erythematosus.
Study Type
Interventional
2. Study Status
Record Verification Date
March 2019
Overall Recruitment Status
Completed
Study Start Date
March 2010 (undefined)
Primary Completion Date
April 2011 (Actual)
Study Completion Date
June 2016 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Neovacs
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
Interferon alpha (IFNa) is involved in the pathogenesis of systemic lupus erythematosus (SLE)and IFNa levels are associated with the severity of the disease. Blocking IFNa could be an attractive therapeutic strategy. Active immunization with IFNa kinoid (IFN-K) induces a polyclonal antibody response.
This study will evaluate the safety of IFN-K in patients with mild to moderate SLE. It will also measure the induction of anti-IFNa antibodies and evaluate the clinical impact on SLE disease.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Systemic Lupus Erythematosus
Keywords
SLE
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigator
Allocation
Randomized
Enrollment
28 (Actual)
8. Arms, Groups, and Interventions
Arm Title
IFN-K 1
Arm Type
Experimental
Arm Description
IFN kinoid dose 1
Arm Title
IFN-K-2
Arm Type
Experimental
Arm Description
IFN kinoid dose 2
Arm Title
IFN-K 3
Arm Type
Experimental
Arm Description
IFN kinoid dose 3
Arm Title
IFN-K 4
Arm Type
Experimental
Arm Description
IFN kinoid dose 4
Arm Title
Saline
Arm Type
Placebo Comparator
Arm Description
saline at same dose as IFN K
Intervention Type
Biological
Intervention Name(s)
IFN-K
Intervention Description
3 to 4 IM injections over 3 months
Primary Outcome Measure Information:
Title
Frequency and severity of adverse events
Time Frame
study duration
Secondary Outcome Measure Information:
Title
Proportion of patients with anti IFNa antibodies
Time Frame
Month 4
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
1. Diagnosis of SLE according to current American College of Rheumatology (ACR) criteria (4 of 11 ACR criteria),
2. SLEDAI ≥4 and ≤10,
3. Positive Anti-nuclear Antibodies (ANA) and/or Positive anti-dsDNA antibodies
4. Male or female between 18 and 50 years of age
5. Current immunity to measles, mumps, rubella and varicella, as evidenced by positive IgG titers at the time of screening,
6. For subjects recruited during local influenza season, current vaccination against seasonal influenza at least 7 days prior to randomization,
7. Vaccination against H1N1 influenza at least 7 days prior to randomization.
8. For subjects with reproductive potential (males and females), use of a reliable means of contraception
9. Written informed consent obtained from the subject.
Exclusion Criteria:
1. Any serious manifestation of lupus at entry, that, in the opinion of the investigator is likely to require initiation of off-protocol medication changes during the course of the study and in particular no BILAG A score,
2. Any non-SLE manifestation likely to require, in the investigator's judgment, treatment with high-dose corticosteroids or the addition of an immunosuppressive regimen during the course of the trial,
3. Received > 20 mg/day of prednisone equivalent for > 7 days during the 30 days prior to screening,
4. Currently receiving or having received pulse dose corticosteroids or intravenous immunoglobulin (IVIg) within 3 months prior to screening,
5. Received cyclophosphamide within 3 months prior to screening,
6. Received a monoclonal antibody during the 6 months prior to screening,
7. Previously received an investigational treatment directed against IFNa,
8. Received B-cell depleting therapy (e.g. Rituximab) within 12 months
9. Received IV antibiotics during the 30 days prior to screening,
10. Significant electrocardiogram (ECG) abnormalities ,
11. Evidence of any clinically significant abnormality on a chest X-ray which, in the opinion of the investigator could represent active infection, latent tuberculosis or treatable manifestation of lupus,
12. Any laboratory abnormality that is clinically relevant
13. History of malignancy except completely excised basal cell carcinoma,
14. Congenital immune deficiency,
15. Positive IgM antibody titers in the presence of negative IgG titers to Epstein-Barr virus (EBV) or cytomegalovirus (CMV),
16. Frequent recurrences of oral or genital herpes simplex lesions (≥ 6 / year),
17. Episode of shingles within one year of screening,
18. Human Immunodeficiency Virus (HIV), hepatitis C virus (HCV) or HBV (HBsAg, anti-HBc ab) positive,
19. Any current signs or symptoms of infection at entry,
20. Administration of any live vaccine within the 3 months prior to study entry
21. Planned use of any investigational or non-registered product
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Christian Jorgensen, MD, PhD
Organizational Affiliation
Unité Clinique d'Immuno-Rhumatologie Thérapeutique, Hôpital Lapeyronie, Montpellier, France
Official's Role
Principal Investigator
Facility Information:
Facility Name
Cliniques Universitaires St Luc
City
Brussels
Country
Belgium
Facility Name
MHAT "Sveti Ivan Rilski"
City
Sofia
Country
Bulgaria
Facility Name
University Hospital Split
City
Split
Country
Croatia
Facility Name
KBC Zagreb
City
Zagreb
Country
Croatia
Facility Name
Hopital Claude Huriez
City
Lille
ZIP/Postal Code
59037
Country
France
Facility Name
Hopital Lapeyronie
City
Montpellier
ZIP/Postal Code
34295
Country
France
Facility Name
Hopital de la Pitie Salpetriere
City
Paris
Country
France
Facility Name
Hopital du Kremlin Bicetre
City
Paris
Country
France
Facility Name
Hopital Haut-Leveque
City
Pessac
Country
France
Facility Name
Kerckhoff-Klinik Gmbh
City
Bad-Nauheim
Country
Germany
Facility Name
Charite
City
Berlin
Country
Germany
Facility Name
Inselspital
City
Bern
Country
Switzerland
Facility Name
Geneva University Hospital
City
Geneva
ZIP/Postal Code
1211
Country
Switzerland
Facility Name
Geneva University Hospital
City
Geneva
Country
Switzerland
Facility Name
Centre Hospitalier Universitaire Vaudois
City
Lausanne
Country
Switzerland
12. IPD Sharing Statement
Citations:
PubMed Identifier
27354683
Citation
Ducreux J, Houssiau FA, Vandepapeliere P, Jorgensen C, Lazaro E, Spertini F, Colaone F, Roucairol C, Laborie M, Croughs T, Grouard-Vogel G, Lauwerys BR. Interferon alpha kinoid induces neutralizing anti-interferon alpha antibodies that decrease the expression of interferon-induced and B cell activation associated transcripts: analysis of extended follow-up data from the interferon alpha kinoid phase I/II study. Rheumatology (Oxford). 2016 Oct;55(10):1901-5. doi: 10.1093/rheumatology/kew262. Epub 2016 Jun 28.
Results Reference
derived
PubMed Identifier
23203821
Citation
Lauwerys BR, Hachulla E, Spertini F, Lazaro E, Jorgensen C, Mariette X, Haelterman E, Grouard-Vogel G, Fanget B, Dhellin O, Vandepapeliere P, Houssiau FA. Down-regulation of interferon signature in systemic lupus erythematosus patients by active immunization with interferon alpha-kinoid. Arthritis Rheum. 2013 Feb;65(2):447-56. doi: 10.1002/art.37785.
Results Reference
derived
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Safety of IFNa Kinoid in Systemic Lupus Erythematosus
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