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Study Evaluating the Safety, Tolerability, and Pharmacokinetics of Single Doses and Multiple Doses of BIIB059 (Litifilimab) in Healthy Volunteers and Participants With Systemic Lupus Erythematosus

Primary Purpose

Systemic Lupus Erythematosus, Healthy Volunteers

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
BIIB059 (litifilimab)
Placebo
Sponsored by
Biogen
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Systemic Lupus Erythematosus

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Part 1: Key Inclusion Criteria For Healthy Volunteers:

  • Be in good health as determined by the Investigator, based on medical history, physical examination, and 12-lead ECG.
  • Body mass index (BMI) between 18 and 30 kg/m2 and body weight ≥45 kg.

Part 1: Key Exclusion Criteria For Healthy Volunteers:

  • History of or positive test results at screening for the following: for human immunodeficiency virus (HIV), hepatitis C virus antibody (HCV Ab), hepatitis B virus (defined as positive for hepatitis B surface antigen [HBsAg] or hepatitis B core antibody [HBcAb]).
  • - History of chronic, recurrent, or recent serious infection (e.g., pneumonia, septicemia) as determined by the Investigator within 3 months prior to screening and randomization.
  • History of severe allergic or anaphylactic reactions or history of allergic reactions likely to be exacerbated by any component of the study drug.
  • History of any clinically significant cardiovascular, endocrinologic, hematologic, hepatic, immunologic, metabolic, urologic, pulmonary, neurologic, dermatologic, psychiatric, renal, or other major disease, as determined by the Investigator.
  • Any live or attenuated immunization/vaccination within 1 month prior to randomization or planned to occur during the study period.
  • Blood donation (1 unit or more) within 1 month prior to randomization.
  • Vigorous exercise (e.g., jogging, swimming laps, heavy gardening, hiking uphill, etc.) within 48 hours prior to Day -1

Part II: Key Inclusion Criteria for SLE Participants:

  • Definite SLE for at least 6 months duration or anti-dsDNA antibody, prior to screening.
  • Presence of active lupus skin disease including acute, sub acute, and/or chronic cutaneous lupus (e.g., discoid) at the time of screening and randomization.
  • BMI between 18 and <40 kg/m2 and body weight ≥45 kg.

Part II: Key Exclusion Criteria for SLE Participants:

  • Active neuropsychiatric SLE including but not limited to the following: seizure, new or worsening impaired level of consciousness, psychosis, delirium or confusional state, aseptic meningitis, ascending or transverse myelitis, chorea, cerebellar ataxia, mononeuritis multiplex, or demyelinating syndromes.
  • History of chronic, recurrent, or recent serious infection (e.g., pneumonia, septicemia) as determined by the Investigator within 3 months prior to screening and randomization.
  • Symptoms of bacterial or viral infection (including upper respiratory tract infection) within 28 days prior to randomization.
  • History of severe allergic or anaphylactic reactions or history of allergic reactions likely to be exacerbated by any component of the study drug.
  • Evidence of skin conditions other than lupus skin disease (e.g., eczema) at screening or at the time of randomization that would interfere with evaluations of the effect of study treatment on lupus skin disease.
  • Treatment with oral prednisone >15 mg daily (or equivalent). Any prednisone regimen must be stable for at least 28 days before randomization and expected to remain stable for the duration of the study.
  • Treatment with any antibiotics within 14 days prior to randomization.

Part IIIa: Key Inclusion Criteria for Healthy Volunteers :

  • Must be in good health as determined by the Investigator, based on medical history, physical examination, and 12-lead ECG.
  • Must have a body mass index (BMI) between 18 and 30 kg/m2 and body weight ≥45 kg.

Part IIIa: Key Exclusion Criteria for Healthy Volunteers:

  • History of chronic, recurrent, or recent serious infection (e.g., pneumonia, septicemia) as determined by the Investigator within 3 months prior to screening and randomization
  • History of severe allergic or anaphylactic reactions or history of allergic reactions likely to be exacerbated by any component of the study treatment.
  • Treatment with any antibiotics within 14 days prior to randomization.

Part IIIb: Key Inclusion Criteria for SLE Participants:

  • Definite SLE for at least 6 months duration prior to screening
  • Presence of active lupus skin disease including acute, subacute, and/or chronic cutaneous lupus (e.g., discoid), and/or hypocomplementemia , and/or positive anti-dsDNA antibody at the time of screening.
  • Must have a BMI between 18 and <40 kg/m2 and body weight ≥45 kg.

Part IIIb: Key Exclusion Criteria for SLE Participants:

  • Active neuropsychiatric SLE including but not limited to the following: seizure, new or worsening impaired level of consciousness, psychosis, delirium or confusional state, aseptic meningitis, ascending or transverse myelitis, chorea, cerebellar ataxia, mononeuritis multiplex, or demyelinating syndromes.
  • History of chronic, recurrent, or recent serious infection (e.g., pneumonia, septicemia) as determined by the Investigator within 3 months prior to screening and randomization.
  • History of severe allergic or anaphylactic reactions or history of allergic reactions likely to be exacerbated by any component of the study drug.
  • Treatment with any antibiotics within 14 days prior to randomization.

NOTE: Other protocol-defined inclusion/exclusion Criteria May Apply

Sites / Locations

  • Research Site
  • Research Site
  • Research Site
  • Research Site
  • Research Site

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm 9

Arm 10

Arm 11

Arm 12

Arm 13

Arm 14

Arm 15

Arm 16

Arm 17

Arm 18

Arm 19

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Placebo Comparator

Experimental

Placebo Comparator

Experimental

Experimental

Experimental

Experimental

Placebo Comparator

Experimental

Experimental

Placebo Comparator

Arm Label

Part 1, Cohort 1: BIIB059 0.05 mg/kg IV

Part 1, Cohort 2: BIIB059 0.3 mg/kg IV

Part 1, Cohort 3: BIIB059 1 mg/kg IV

Part 1, Cohort 4: BIIB059 3 mg/kg IV

Part 1, Cohort 5: BIIB059 10 mg/kg IV

Part 1, Cohort 6: BIIB059 20 mg/kg IV

Part 1, Cohort 7: BIIB059 50 mg SC

Part 1, Cohort 1-6: Placebo IV

Part 1, Cohort 7: Placebo SC

Part 2, Cohort 8: BIIB059 20 mg/kg IV

Part 2, Cohort 8: Placebo IV

Part 3a, Cohort 9: BIIB059 20 mg SC

Part 3a, Cohort 10: BIIB059 50 mg SC

Part 3a, Cohort 11: BIIB059 150 mg SC

Part 3a, Cohort 12: BIIB059 300 mg or less SC

Part 3a, Cohort 9-12: Placebo SC

Part 3b, Cohort 13: BIIB059 50 mg SC

Part 3b, Cohort 14: BIIB059 300 mg or less SC

Part 3b, Cohort 13-14: Placebo SC

Arm Description

BIIB059 0.05 mg/kg IV dose, Once on Day 1

BIIB059 0.3 mg/kg IV dose, Once on Day 1

BIIB059 1 mg/kg IV dose, Once on Day 1

BIIB059 3 mg/kg IV dose, Once on Day 1

BIIB059 10 mg/kg IV dose, Once on Day 1

BIIB059 20 mg/kg IV dose, Once on Day 1

BIIB059 50 mg SC dose, Once on Day 1

Matching placebo IV dose, Once on Day 1

Matching placebo SC dose, Once on Day 1

BIIB059 20 mg/kg IV dose, Once on Day 1

Matching placebo IV dose, Once on Day 1

BIIB059 20 mg SC dose, Every 4 weeks for 2 doses

BIIB059 50 mg SC dose, Every 4 weeks for 2 doses

BIIB059 150 mg SC dose, Every 4 weeks for 2 doses

BIIB059 300 mg or less SC dose, Every 2 weeks for 3 doses

Matching placebo SC dose, Every 4 weeks for 2 doses or every 2 weeks for 3 doses

BIIB059 50 mg SC dose, Every 4 weeks for 2 doses

BIIB059 300 mg or less SC dose, Every 2 weeks for 3 doses

Matching placebo SC dose, Every 4 weeks for 2 doses or every 2 weeks for 3 doses

Outcomes

Primary Outcome Measures

Number of Participants that Experience Adverse Events (AEs) and Serious Adverse Events (SAEs)

Secondary Outcome Measures

Area Under the Concentration-Time Curve from Time 0 Extrapolated to Infinity (AUCinf) of BIIB059
Maximum Observed Concentration (Cmax) of BIIB059
Time to Reach Maximum Observed Concentration (Tmax) of BIIB059
Terminal Elimination Half-Life (t1/2) of BIIB059
Clearance (CL) of BIIB059
Apparent Clearance (CL/F) of BIIB059
For SC cohorts only
Volume of Distribution (Vss) of BIIB059
Apparent Volume of Distribution (Vz/F) of BIIB059
For SC cohorts only
Bioavailability (F) for a single SC dose of BIIB059
Absorption Rate Profile for a Single SC Dose of BIIB059
Number of Participants Who Develop Serum Anti-BIIB059 Antibodies

Full Information

First Posted
April 4, 2014
Last Updated
January 30, 2023
Sponsor
Biogen
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1. Study Identification

Unique Protocol Identification Number
NCT02106897
Brief Title
Study Evaluating the Safety, Tolerability, and Pharmacokinetics of Single Doses and Multiple Doses of BIIB059 (Litifilimab) in Healthy Volunteers and Participants With Systemic Lupus Erythematosus
Official Title
A Single-Ascending-Dose and Multiple-Ascending-Dose Study of BIIB059 in Healthy Volunteers and Subjects With Systemic Lupus Erythematosus
Study Type
Interventional

2. Study Status

Record Verification Date
January 2023
Overall Recruitment Status
Completed
Study Start Date
April 30, 2014 (Actual)
Primary Completion Date
May 24, 2016 (Actual)
Study Completion Date
May 24, 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Biogen

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The primary objective of Parts 1 and 2 is to evaluate the safety and tolerability of either single-ascending intravenous (IV) doses or a single subcutaneous (SC) dose of BIIB059 (litifilimab) in healthy volunteers (HV), and a single IV dose in participants with Systemic Lupus Erythematosus (SLE). The primary objective of Part 3 is to evaluate the safety and tolerability of multiple SC doses of BIIB059 in healthy volunteers and in participants with SLE. Secondary objectives of Parts 1 and 2 are as follows: To estimate the PK parameters of single-ascending IV doses of BIIB059 in healthy volunteers and a single IV dose of BIIB059 in participants with SLE; To estimate the PK parameters and bioavailability (F) of a single SC dose of BIIB059 in healthy volunteers; To evaluate the immunogenicity of BIIB059 administered to healthy volunteers and participants with SLE. Secondary objectives of Part 3 are as follows: To estimate the PK parameters of multiple SC doses of BIIB059 in healthy volunteers and in participants with SLE; To evaluate the immunogenicity of BIIB059 administered SC to healthy volunteers and participants with SLE.
Detailed Description
Part 1 (single ascending dose in healthy volunteers) has closed to enrollment.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Systemic Lupus Erythematosus, Healthy Volunteers

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
109 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Part 1, Cohort 1: BIIB059 0.05 mg/kg IV
Arm Type
Experimental
Arm Description
BIIB059 0.05 mg/kg IV dose, Once on Day 1
Arm Title
Part 1, Cohort 2: BIIB059 0.3 mg/kg IV
Arm Type
Experimental
Arm Description
BIIB059 0.3 mg/kg IV dose, Once on Day 1
Arm Title
Part 1, Cohort 3: BIIB059 1 mg/kg IV
Arm Type
Experimental
Arm Description
BIIB059 1 mg/kg IV dose, Once on Day 1
Arm Title
Part 1, Cohort 4: BIIB059 3 mg/kg IV
Arm Type
Experimental
Arm Description
BIIB059 3 mg/kg IV dose, Once on Day 1
Arm Title
Part 1, Cohort 5: BIIB059 10 mg/kg IV
Arm Type
Experimental
Arm Description
BIIB059 10 mg/kg IV dose, Once on Day 1
Arm Title
Part 1, Cohort 6: BIIB059 20 mg/kg IV
Arm Type
Experimental
Arm Description
BIIB059 20 mg/kg IV dose, Once on Day 1
Arm Title
Part 1, Cohort 7: BIIB059 50 mg SC
Arm Type
Experimental
Arm Description
BIIB059 50 mg SC dose, Once on Day 1
Arm Title
Part 1, Cohort 1-6: Placebo IV
Arm Type
Placebo Comparator
Arm Description
Matching placebo IV dose, Once on Day 1
Arm Title
Part 1, Cohort 7: Placebo SC
Arm Type
Placebo Comparator
Arm Description
Matching placebo SC dose, Once on Day 1
Arm Title
Part 2, Cohort 8: BIIB059 20 mg/kg IV
Arm Type
Experimental
Arm Description
BIIB059 20 mg/kg IV dose, Once on Day 1
Arm Title
Part 2, Cohort 8: Placebo IV
Arm Type
Placebo Comparator
Arm Description
Matching placebo IV dose, Once on Day 1
Arm Title
Part 3a, Cohort 9: BIIB059 20 mg SC
Arm Type
Experimental
Arm Description
BIIB059 20 mg SC dose, Every 4 weeks for 2 doses
Arm Title
Part 3a, Cohort 10: BIIB059 50 mg SC
Arm Type
Experimental
Arm Description
BIIB059 50 mg SC dose, Every 4 weeks for 2 doses
Arm Title
Part 3a, Cohort 11: BIIB059 150 mg SC
Arm Type
Experimental
Arm Description
BIIB059 150 mg SC dose, Every 4 weeks for 2 doses
Arm Title
Part 3a, Cohort 12: BIIB059 300 mg or less SC
Arm Type
Experimental
Arm Description
BIIB059 300 mg or less SC dose, Every 2 weeks for 3 doses
Arm Title
Part 3a, Cohort 9-12: Placebo SC
Arm Type
Placebo Comparator
Arm Description
Matching placebo SC dose, Every 4 weeks for 2 doses or every 2 weeks for 3 doses
Arm Title
Part 3b, Cohort 13: BIIB059 50 mg SC
Arm Type
Experimental
Arm Description
BIIB059 50 mg SC dose, Every 4 weeks for 2 doses
Arm Title
Part 3b, Cohort 14: BIIB059 300 mg or less SC
Arm Type
Experimental
Arm Description
BIIB059 300 mg or less SC dose, Every 2 weeks for 3 doses
Arm Title
Part 3b, Cohort 13-14: Placebo SC
Arm Type
Placebo Comparator
Arm Description
Matching placebo SC dose, Every 4 weeks for 2 doses or every 2 weeks for 3 doses
Intervention Type
Drug
Intervention Name(s)
BIIB059 (litifilimab)
Other Intervention Name(s)
litifilimab
Intervention Description
See Arm Descriptions
Intervention Type
Drug
Intervention Name(s)
Placebo
Intervention Description
See Arm Descriptions
Primary Outcome Measure Information:
Title
Number of Participants that Experience Adverse Events (AEs) and Serious Adverse Events (SAEs)
Time Frame
Up to Week 32
Secondary Outcome Measure Information:
Title
Area Under the Concentration-Time Curve from Time 0 Extrapolated to Infinity (AUCinf) of BIIB059
Time Frame
Up to Week 32
Title
Maximum Observed Concentration (Cmax) of BIIB059
Time Frame
Up to Week 32
Title
Time to Reach Maximum Observed Concentration (Tmax) of BIIB059
Time Frame
Up to Week 32
Title
Terminal Elimination Half-Life (t1/2) of BIIB059
Time Frame
Up to Week 32
Title
Clearance (CL) of BIIB059
Time Frame
Up to Week 32
Title
Apparent Clearance (CL/F) of BIIB059
Description
For SC cohorts only
Time Frame
Up to Week 32
Title
Volume of Distribution (Vss) of BIIB059
Time Frame
Up to Week 32
Title
Apparent Volume of Distribution (Vz/F) of BIIB059
Description
For SC cohorts only
Time Frame
Up to Week 32
Title
Bioavailability (F) for a single SC dose of BIIB059
Time Frame
Up to Week 32
Title
Absorption Rate Profile for a Single SC Dose of BIIB059
Time Frame
Up to Week 32
Title
Number of Participants Who Develop Serum Anti-BIIB059 Antibodies
Time Frame
Up to Week 32

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Part 1: Key Inclusion Criteria For Healthy Volunteers: Be in good health as determined by the Investigator, based on medical history, physical examination, and 12-lead ECG. Body mass index (BMI) between 18 and 30 kg/m2 and body weight ≥45 kg. Part 1: Key Exclusion Criteria For Healthy Volunteers: History of or positive test results at screening for the following: for human immunodeficiency virus (HIV), hepatitis C virus antibody (HCV Ab), hepatitis B virus (defined as positive for hepatitis B surface antigen [HBsAg] or hepatitis B core antibody [HBcAb]). - History of chronic, recurrent, or recent serious infection (e.g., pneumonia, septicemia) as determined by the Investigator within 3 months prior to screening and randomization. History of severe allergic or anaphylactic reactions or history of allergic reactions likely to be exacerbated by any component of the study drug. History of any clinically significant cardiovascular, endocrinologic, hematologic, hepatic, immunologic, metabolic, urologic, pulmonary, neurologic, dermatologic, psychiatric, renal, or other major disease, as determined by the Investigator. Any live or attenuated immunization/vaccination within 1 month prior to randomization or planned to occur during the study period. Blood donation (1 unit or more) within 1 month prior to randomization. Vigorous exercise (e.g., jogging, swimming laps, heavy gardening, hiking uphill, etc.) within 48 hours prior to Day -1 Part II: Key Inclusion Criteria for SLE Participants: Definite SLE for at least 6 months duration or anti-dsDNA antibody, prior to screening. Presence of active lupus skin disease including acute, sub acute, and/or chronic cutaneous lupus (e.g., discoid) at the time of screening and randomization. BMI between 18 and <40 kg/m2 and body weight ≥45 kg. Part II: Key Exclusion Criteria for SLE Participants: Active neuropsychiatric SLE including but not limited to the following: seizure, new or worsening impaired level of consciousness, psychosis, delirium or confusional state, aseptic meningitis, ascending or transverse myelitis, chorea, cerebellar ataxia, mononeuritis multiplex, or demyelinating syndromes. History of chronic, recurrent, or recent serious infection (e.g., pneumonia, septicemia) as determined by the Investigator within 3 months prior to screening and randomization. Symptoms of bacterial or viral infection (including upper respiratory tract infection) within 28 days prior to randomization. History of severe allergic or anaphylactic reactions or history of allergic reactions likely to be exacerbated by any component of the study drug. Evidence of skin conditions other than lupus skin disease (e.g., eczema) at screening or at the time of randomization that would interfere with evaluations of the effect of study treatment on lupus skin disease. Treatment with oral prednisone >15 mg daily (or equivalent). Any prednisone regimen must be stable for at least 28 days before randomization and expected to remain stable for the duration of the study. Treatment with any antibiotics within 14 days prior to randomization. Part IIIa: Key Inclusion Criteria for Healthy Volunteers : Must be in good health as determined by the Investigator, based on medical history, physical examination, and 12-lead ECG. Must have a body mass index (BMI) between 18 and 30 kg/m2 and body weight ≥45 kg. Part IIIa: Key Exclusion Criteria for Healthy Volunteers: History of chronic, recurrent, or recent serious infection (e.g., pneumonia, septicemia) as determined by the Investigator within 3 months prior to screening and randomization History of severe allergic or anaphylactic reactions or history of allergic reactions likely to be exacerbated by any component of the study treatment. Treatment with any antibiotics within 14 days prior to randomization. Part IIIb: Key Inclusion Criteria for SLE Participants: Definite SLE for at least 6 months duration prior to screening Presence of active lupus skin disease including acute, subacute, and/or chronic cutaneous lupus (e.g., discoid), and/or hypocomplementemia , and/or positive anti-dsDNA antibody at the time of screening. Must have a BMI between 18 and <40 kg/m2 and body weight ≥45 kg. Part IIIb: Key Exclusion Criteria for SLE Participants: Active neuropsychiatric SLE including but not limited to the following: seizure, new or worsening impaired level of consciousness, psychosis, delirium or confusional state, aseptic meningitis, ascending or transverse myelitis, chorea, cerebellar ataxia, mononeuritis multiplex, or demyelinating syndromes. History of chronic, recurrent, or recent serious infection (e.g., pneumonia, septicemia) as determined by the Investigator within 3 months prior to screening and randomization. History of severe allergic or anaphylactic reactions or history of allergic reactions likely to be exacerbated by any component of the study drug. Treatment with any antibiotics within 14 days prior to randomization. NOTE: Other protocol-defined inclusion/exclusion Criteria May Apply
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Medical Director
Organizational Affiliation
Biogen
Official's Role
Study Director
Facility Information:
Facility Name
Research Site
City
Anniston
State/Province
Alabama
ZIP/Postal Code
36207
Country
United States
Facility Name
Research Site
City
Birmingham
State/Province
Alabama
ZIP/Postal Code
35294
Country
United States
Facility Name
Research Site
City
Orlando
State/Province
Florida
ZIP/Postal Code
32806
Country
United States
Facility Name
Research Site
City
Great Neck
State/Province
New York
ZIP/Postal Code
11021
Country
United States
Facility Name
Research Site
City
Duncansville
State/Province
Pennsylvania
ZIP/Postal Code
16635
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
30645203
Citation
Furie R, Werth VP, Merola JF, Stevenson L, Reynolds TL, Naik H, Wang W, Christmann R, Gardet A, Pellerin A, Hamann S, Auluck P, Barbey C, Gulati P, Rabah D, Franchimont N. Monoclonal antibody targeting BDCA2 ameliorates skin lesions in systemic lupus erythematosus. J Clin Invest. 2019 Mar 1;129(3):1359-1371. doi: 10.1172/JCI124466. Epub 2019 Feb 18.
Results Reference
derived

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Study Evaluating the Safety, Tolerability, and Pharmacokinetics of Single Doses and Multiple Doses of BIIB059 (Litifilimab) in Healthy Volunteers and Participants With Systemic Lupus Erythematosus

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