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Study Comparing Two VAY736 Drug Products in Patients With Rheumatoid Arthritis

Primary Purpose

Rheumatoid Arthritis

Status
Active
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
ianalumab
Sponsored by
Novartis Pharmaceuticals
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Rheumatoid Arthritis focused on measuring Rheumatoid Arthritis, VAY736, Ianalumab

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Fulfill 2010 ACR/EULAR criteria for RA Aletaha et al 2010 at Screening
  • Active disease defined as ≥ 2 swollen joints (of 58 evaluable joints) and ≥ 2 tender joints (of 60 evaluable joints) despite stable MTX ≤ 25 mg/week and/or hydroxychloroquine ≤ 400 mg/day treatment for at least 2 months prior to randomization

Exclusion Criteria:

  • Prior or previous use of (specific dosages and intervals prior to study start may apply): other investigational drugs, B-cell depleting therapy (e.g. rituximab), monoclonal antibodies (mAb), i.v. / s.c. Ig, thymoglobulin, i.v. or oral cyclophosphamide, oral cyclosporine, soluble cytokine receptors, azathioprine.
  • Currently receiving prednisone >10 mg/day (or equivalent oral glucocorticoid) or dose adjustment within 2 weeks prior to randomization
  • Active viral, bacterial or other infections requiring systemic treatment at the time of screening or enrollment, or history of recurrent clinically significant infection or of bacterial infections with encapsulated organisms
  • Receipt of live/attenuated vaccine within a 2-month period before randomization
  • Pregnant or nursing (lactating) women
  • Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant, unless they are using highly effective methods of contraception from screening and for 4 months after stopping of investigational drug

Sites / Locations

  • Novartis Investigative Site
  • Novartis Investigative Site

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Experimental

Arm Label

Reference VAY736 Drug Product

Test VAY736 Drug Product

Arm Description

Powder for solution for injection / infusion

Solution for injection

Outcomes

Primary Outcome Measures

Safety and tolerability as measured by the number of patients with adverse events
The number of patients with adverse events after repeated subcutaneous (s.c) injections of a fixed dose of ianalumab
Pharmacokinetic comparability at steady state - AUCtau
The area under the serum ianalumab concentration-time curve from time zero to the end of the dosing interval (AUCtau)
Pharmacokinetic comparability at steady state - Cmax
Observed maximum serum concentration of ianalumab following drug administration (Cmax)

Secondary Outcome Measures

Pharmacokinetic comparability after the first dose - AUCtau
The area under the serum ianalumab concentration-time curve from time zero to the end of the dosing interval (AUCtau)
Pharmacokinetic comparability after the first dose - Cmax
Observed maximum serum concentration of ianalumab following drug administration (Cmax)
Pharmacokinetic comparability after the first dose - Tmax
Time to reach the maximum concentration after drug administration (Tmax)
Pharmacokinetic comparability of two ianalumab drug products after the last dose - AUCinf
The area under the serum ianalumab concentration-time curve from time zero to infinity (AUCinf)
Pharmacokinetic comparability after the last dose - Tmax
Time to reach the maximum concentration after drug administration (Tmax)
Pharmacokinetic comparability after the last dose - T1/2
The terminal elimination half-life (T1/2)
Pharmacokinetic comparability at the end of each dosing interval - Ctrough
Observed minimum serum ianalumab concentration following drug administration (Ctrough)
Pharmacodynamic effect as measured by B-cell level
Circulating B cells (CD19+)
Immunogenicity as measured by Anti-Drug Antibodies
Anti-ianalumab antibodies (ADA); incidence of ADA positive patients and correlation with AEs, PK and clinical outcomes

Full Information

First Posted
June 21, 2018
Last Updated
August 31, 2023
Sponsor
Novartis Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT03574545
Brief Title
Study Comparing Two VAY736 Drug Products in Patients With Rheumatoid Arthritis
Official Title
A Randomized, Open Label, Multiple Dose, Parallel Group Study to Assess the Safety and Pharmacokinetic Comparability of Two VAY736 Drug Products in Patients With Rheumatoid Arthritis
Study Type
Interventional

2. Study Status

Record Verification Date
August 2023
Overall Recruitment Status
Active, not recruiting
Study Start Date
December 19, 2018 (Actual)
Primary Completion Date
August 21, 2024 (Anticipated)
Study Completion Date
August 21, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Novartis Pharmaceuticals

4. Oversight

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

5. Study Description

Brief Summary
This study will assess the safety and pharmacokinetic comparability of two VAY736 drug products in patients with rheumatoid arthritis.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Rheumatoid Arthritis
Keywords
Rheumatoid Arthritis, VAY736, Ianalumab

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
48 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Reference VAY736 Drug Product
Arm Type
Active Comparator
Arm Description
Powder for solution for injection / infusion
Arm Title
Test VAY736 Drug Product
Arm Type
Experimental
Arm Description
Solution for injection
Intervention Type
Biological
Intervention Name(s)
ianalumab
Other Intervention Name(s)
VAY736
Intervention Description
Human monoclonal antibody (mAb) of type IgG1/κ binding to B-cell activating-receptor (BAFF-R)
Primary Outcome Measure Information:
Title
Safety and tolerability as measured by the number of patients with adverse events
Description
The number of patients with adverse events after repeated subcutaneous (s.c) injections of a fixed dose of ianalumab
Time Frame
Week 0 - 112
Title
Pharmacokinetic comparability at steady state - AUCtau
Description
The area under the serum ianalumab concentration-time curve from time zero to the end of the dosing interval (AUCtau)
Time Frame
Week 8 - 12
Title
Pharmacokinetic comparability at steady state - Cmax
Description
Observed maximum serum concentration of ianalumab following drug administration (Cmax)
Time Frame
Week 8 - 12
Secondary Outcome Measure Information:
Title
Pharmacokinetic comparability after the first dose - AUCtau
Description
The area under the serum ianalumab concentration-time curve from time zero to the end of the dosing interval (AUCtau)
Time Frame
Week 0 - 4
Title
Pharmacokinetic comparability after the first dose - Cmax
Description
Observed maximum serum concentration of ianalumab following drug administration (Cmax)
Time Frame
Week 0 - 4
Title
Pharmacokinetic comparability after the first dose - Tmax
Description
Time to reach the maximum concentration after drug administration (Tmax)
Time Frame
Week 0 - 4
Title
Pharmacokinetic comparability of two ianalumab drug products after the last dose - AUCinf
Description
The area under the serum ianalumab concentration-time curve from time zero to infinity (AUCinf)
Time Frame
Week 8 - 12
Title
Pharmacokinetic comparability after the last dose - Tmax
Description
Time to reach the maximum concentration after drug administration (Tmax)
Time Frame
Week 8 - 12
Title
Pharmacokinetic comparability after the last dose - T1/2
Description
The terminal elimination half-life (T1/2)
Time Frame
Week 8 - 12
Title
Pharmacokinetic comparability at the end of each dosing interval - Ctrough
Description
Observed minimum serum ianalumab concentration following drug administration (Ctrough)
Time Frame
Week 0 - 12
Title
Pharmacodynamic effect as measured by B-cell level
Description
Circulating B cells (CD19+)
Time Frame
Week 0 - 112
Title
Immunogenicity as measured by Anti-Drug Antibodies
Description
Anti-ianalumab antibodies (ADA); incidence of ADA positive patients and correlation with AEs, PK and clinical outcomes
Time Frame
Week 0 - 112

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Fulfill 2010 ACR/EULAR criteria for RA Aletaha et al 2010 at Screening Active disease defined as ≥ 2 swollen joints (of 58 evaluable joints) and ≥ 2 tender joints (of 60 evaluable joints) despite stable MTX ≤ 25 mg/week and/or hydroxychloroquine ≤ 400 mg/day treatment for at least 2 months prior to randomization Exclusion Criteria: Prior or previous use of (specific dosages and intervals prior to study start may apply): other investigational drugs, B-cell depleting therapy (e.g. rituximab), monoclonal antibodies (mAb), i.v. / s.c. Ig, thymoglobulin, i.v. or oral cyclophosphamide, oral cyclosporine, soluble cytokine receptors, azathioprine. Currently receiving prednisone >10 mg/day (or equivalent oral glucocorticoid) or dose adjustment within 2 weeks prior to randomization Active viral, bacterial or other infections requiring systemic treatment at the time of screening or enrollment, or history of recurrent clinically significant infection or of bacterial infections with encapsulated organisms Receipt of live/attenuated vaccine within a 2-month period before randomization Pregnant or nursing (lactating) women Women of child-bearing potential, defined as all women physiologically capable of becoming pregnant, unless they are using highly effective methods of contraception from screening and for 4 months after stopping of investigational drug
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Novartis Pharmaceuticals
Organizational Affiliation
Novartis Pharmaceuticals
Official's Role
Study Director
Facility Information:
Facility Name
Novartis Investigative Site
City
Berlin
ZIP/Postal Code
10117
Country
Germany
Facility Name
Novartis Investigative Site
City
Amman
ZIP/Postal Code
11941
Country
Jordan

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Study Comparing Two VAY736 Drug Products in Patients With Rheumatoid Arthritis

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