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To Evaluate the Preliminary Safety, Tolerability, Pharmacokinetics, Pharmacodynamics and Efficacy of CC-11050 in Subjects With Discoid Lupus Erythematosus and Subacute Cutaneous Lupus Erythematosus

Primary Purpose

Cutaneous Lupus Erythematosus

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
CC-11050
Placebo
Sponsored by
Amgen
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Cutaneous Lupus Erythematosus focused on measuring cutaneous lupus erythematosus, subacute lupus erythematosus, discoid lupus erythematosus, lupus

Eligibility Criteria

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

Key Inclusion Criteria:

  • Subjects with a clinical diagnosis of discoid lupus erythematosus or sub acute lupus erythematosus for > 16 weeks prior to screening and consistent histological findings on skin biopsy based on Gilliam classification who are candidates for systemic therapies (as determined by the Investigator)
  • Must, in the opinion of the Investigator, have active skin lesions of sufficient severity at Screening and Baseline (a Cutaneous Lupus Area and Severity Index Activity Score of ≥ 10)
  • All subjects taking hydroxychloroquine, chloroquine or quinacrine during the study must have documentation of an ophthalmologic exam performed within 24 weeks of the Baseline Visit.
  • Must meet the following laboratory criteria:

    • White blood cell count ≥3000/mm3 (≥ 3.0 x 109/L) and < 14,000/mm3 (< 14 x 109/L)
    • Absolute neutrophil count (ANC) > 1500 cells/μL (1.5 x 109/L)
    • Platelet count ≥ 100,000/μL (≥ 100 x 109/L)
    • Serum creatinine ≤ 1.5 mg/dL (≤ 132.6 μmol/L)
    • Aspartate aminotransferase (AST/SGOT) and alanine aminotransferase (ALT/SGPT)
    • ≤ 1.5 X upper limit of normal (ULN)
    • Total bilirubin < 2mg/dL
    • Hemoglobin > 11 g/dL Key Exclusion Criteria
  • Participation in multiple CC-11050 cohorts or previous exposure to CC-11050
  • Presence or history of SLE based on investigators' clinical evaluation where subject exhibits medically significant (as determined by the Investigator) LE-related pleuritis, pericarditis, neurologic, renal and/or other major SLE-related organ system involvement(SLE-related to SLE joint involvement is acceptable).
  • Use of topical or any local therapy known to possibly benefit discoid lupus erythematosus or SCLE sub acute lupus erythematosus within 2 weeks of the Screening Visit
  • Use of concomitant disease modifying anti-rheumatic drugs (DMARDs) with the exception of anti-malarials within 4 weeks of screening- Use of topical or any local therapy known to possibly benefit discoid lupus erythematosus or SCLE sub acute lupus erythematosus within 2 weeks of the Screening Visit
  • Use of immunosuppressives (eg, azathioprine, mycophenolate mofetil, methotrexate, etc.) within 4 weeks of screening

Sites / Locations

  • Northwest Arkansas Clinical Trials Center, PLLC
  • Dermatology Research Associates
  • Medderm Associates
  • Emory Univ. School of Medicine
  • Peachtree Dermatology Associates Research Center
  • Central Medaphase Inc
  • Northwestern University
  • Dawes Fretzin Clinical Research Group, LLC
  • DermResearch, PLLC
  • Dermatology & Advanced Aesthetics
  • Central Dermatology, P.C.
  • NYU Langone Medical Center
  • University Hospitals Case Medical Center
  • Altoona Center for Clinical Research
  • Penn State Hershey Dermatology
  • Hospital of the University of Pennsylvania
  • University of Pittsburgh Medical Center
  • Clinical Partners, LLC
  • UT Southwestern Medical Center Dallas

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Experimental

Arm Label

Cohort 1

Cohort 2

Cohort 3

Arm Description

CC-11050 (50 milligrams twice per day and Placebo)

CC-11050 (100 milligrams twice per day and Placebo)

CC-11050 (200 milligrams twice per day and Placebo)

Outcomes

Primary Outcome Measures

Laboratory values from chemistry, hematology, urinalysis, inflammation/immunology panel that reveal clinically significant abnormalities and that may constitute a safety concern

Secondary Outcome Measures

Pharmacokinetics (PK)
To describe the area under the curve (AUC) of CC-11050 and M15 in plasma
To assess the clinical response rate of CC-11050 in subjects with discoid lupus erythematosus or sub acute lupus erythematosus using the Cutaneous Lupus Area and Severity Index Activity Score following 12-weeks of treatment
Pharmacokinetics (PK)
To describe the peak serum concentration (Cmax) of CC-11050 and M15 in plasma
Pharmacokinetics
To describe the lowest serum concentration (Cmin)of CC-11050 and M15 in plasma
Pharmacokinetics (PK)
To describe the time after administration of a drug when the maxiumum plasma concentration is reached (tmax) of CC-11050 and M15 in plasma
Pharmacokinetics (PK)
To describe the half life (t1/2) of CC-11050 and M15 in plasma
Pharmacokinetics (PK)
To describe the oral clearance (CL/F) of CC-11050 and M15 in plasma
Pharmacokinetics (PK)
To describe the volume of distribution (Vz/F) of CC-11050 and M15 in plasma

Full Information

First Posted
October 18, 2010
Last Updated
June 18, 2020
Sponsor
Amgen
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1. Study Identification

Unique Protocol Identification Number
NCT01300208
Brief Title
To Evaluate the Preliminary Safety, Tolerability, Pharmacokinetics, Pharmacodynamics and Efficacy of CC-11050 in Subjects With Discoid Lupus Erythematosus and Subacute Cutaneous Lupus Erythematosus
Official Title
A Phase 2, Pilot, Multicenter, Sequential, Ascending Dose Study to Evaluate the Preliminary Safety, Tolerability, Pharmacokinetics, Pharmacodynamics and Efficacy of CC-11050 in Subjects With Discoid Lupus Erythematosus and Subacute Cutaneous Lupus Erythematosus
Study Type
Interventional

2. Study Status

Record Verification Date
June 2020
Overall Recruitment Status
Completed
Study Start Date
October 1, 2010 (Actual)
Primary Completion Date
January 1, 2013 (Actual)
Study Completion Date
March 1, 2013 (Actual)

3. Sponsor/Collaborators

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

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This is the first study in cutaneous lupus erythematosus subjects to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics, and efficacy of CC-11050.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cutaneous Lupus Erythematosus
Keywords
cutaneous lupus erythematosus, subacute lupus erythematosus, discoid lupus erythematosus, lupus

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
48 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Cohort 1
Arm Type
Experimental
Arm Description
CC-11050 (50 milligrams twice per day and Placebo)
Arm Title
Cohort 2
Arm Type
Experimental
Arm Description
CC-11050 (100 milligrams twice per day and Placebo)
Arm Title
Cohort 3
Arm Type
Experimental
Arm Description
CC-11050 (200 milligrams twice per day and Placebo)
Intervention Type
Drug
Intervention Name(s)
CC-11050
Intervention Description
Cohort 1: 50 milligrams twice per day for 4 weeks Cohort 2: 100 milligrams twice per day for 8 weeks Cohort 3: 200 milligrams twice per day for 12 week
Intervention Type
Other
Intervention Name(s)
Placebo
Primary Outcome Measure Information:
Title
Laboratory values from chemistry, hematology, urinalysis, inflammation/immunology panel that reveal clinically significant abnormalities and that may constitute a safety concern
Time Frame
Up to 21 weeks
Secondary Outcome Measure Information:
Title
Pharmacokinetics (PK)
Description
To describe the area under the curve (AUC) of CC-11050 and M15 in plasma
Time Frame
Up to 21 weeks
Title
To assess the clinical response rate of CC-11050 in subjects with discoid lupus erythematosus or sub acute lupus erythematosus using the Cutaneous Lupus Area and Severity Index Activity Score following 12-weeks of treatment
Time Frame
12 weeks
Title
Pharmacokinetics (PK)
Description
To describe the peak serum concentration (Cmax) of CC-11050 and M15 in plasma
Time Frame
Up to 21 weeks
Title
Pharmacokinetics
Description
To describe the lowest serum concentration (Cmin)of CC-11050 and M15 in plasma
Time Frame
Up to 21 weeks
Title
Pharmacokinetics (PK)
Description
To describe the time after administration of a drug when the maxiumum plasma concentration is reached (tmax) of CC-11050 and M15 in plasma
Time Frame
Up to 21 weeks
Title
Pharmacokinetics (PK)
Description
To describe the half life (t1/2) of CC-11050 and M15 in plasma
Time Frame
Up to 21 weeks
Title
Pharmacokinetics (PK)
Description
To describe the oral clearance (CL/F) of CC-11050 and M15 in plasma
Time Frame
Up to 21 weeks
Title
Pharmacokinetics (PK)
Description
To describe the volume of distribution (Vz/F) of CC-11050 and M15 in plasma
Time Frame
Up to 21 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion Criteria: Subjects with a clinical diagnosis of discoid lupus erythematosus or sub acute lupus erythematosus for > 16 weeks prior to screening and consistent histological findings on skin biopsy based on Gilliam classification who are candidates for systemic therapies (as determined by the Investigator) Must, in the opinion of the Investigator, have active skin lesions of sufficient severity at Screening and Baseline (a Cutaneous Lupus Area and Severity Index Activity Score of ≥ 10) All subjects taking hydroxychloroquine, chloroquine or quinacrine during the study must have documentation of an ophthalmologic exam performed within 24 weeks of the Baseline Visit. Must meet the following laboratory criteria: White blood cell count ≥3000/mm3 (≥ 3.0 x 109/L) and < 14,000/mm3 (< 14 x 109/L) Absolute neutrophil count (ANC) > 1500 cells/μL (1.5 x 109/L) Platelet count ≥ 100,000/μL (≥ 100 x 109/L) Serum creatinine ≤ 1.5 mg/dL (≤ 132.6 μmol/L) Aspartate aminotransferase (AST/SGOT) and alanine aminotransferase (ALT/SGPT) ≤ 1.5 X upper limit of normal (ULN) Total bilirubin < 2mg/dL Hemoglobin > 11 g/dL Key Exclusion Criteria Participation in multiple CC-11050 cohorts or previous exposure to CC-11050 Presence or history of SLE based on investigators' clinical evaluation where subject exhibits medically significant (as determined by the Investigator) LE-related pleuritis, pericarditis, neurologic, renal and/or other major SLE-related organ system involvement(SLE-related to SLE joint involvement is acceptable). Use of topical or any local therapy known to possibly benefit discoid lupus erythematosus or SCLE sub acute lupus erythematosus within 2 weeks of the Screening Visit Use of concomitant disease modifying anti-rheumatic drugs (DMARDs) with the exception of anti-malarials within 4 weeks of screening- Use of topical or any local therapy known to possibly benefit discoid lupus erythematosus or SCLE sub acute lupus erythematosus within 2 weeks of the Screening Visit Use of immunosuppressives (eg, azathioprine, mycophenolate mofetil, methotrexate, etc.) within 4 weeks of screening
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
MD
Organizational Affiliation
Amgen
Official's Role
Study Director
Facility Information:
Facility Name
Northwest Arkansas Clinical Trials Center, PLLC
City
Rogers
State/Province
Arkansas
ZIP/Postal Code
72758
Country
United States
Facility Name
Dermatology Research Associates
City
Los Angeles
State/Province
California
ZIP/Postal Code
90045
Country
United States
Facility Name
Medderm Associates
City
San Diego
State/Province
California
ZIP/Postal Code
92103
Country
United States
Facility Name
Emory Univ. School of Medicine
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30322
Country
United States
Facility Name
Peachtree Dermatology Associates Research Center
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30327
Country
United States
Facility Name
Central Medaphase Inc
City
Newnan
State/Province
Georgia
ZIP/Postal Code
30263
Country
United States
Facility Name
Northwestern University
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60611
Country
United States
Facility Name
Dawes Fretzin Clinical Research Group, LLC
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46256
Country
United States
Facility Name
DermResearch, PLLC
City
Louisville
State/Province
Kentucky
ZIP/Postal Code
40217
Country
United States
Facility Name
Dermatology & Advanced Aesthetics
City
Lake Charles
State/Province
Louisiana
ZIP/Postal Code
70605
Country
United States
Facility Name
Central Dermatology, P.C.
City
Saint Louis
State/Province
Missouri
ZIP/Postal Code
63117
Country
United States
Facility Name
NYU Langone Medical Center
City
New York
State/Province
New York
ZIP/Postal Code
10016
Country
United States
Facility Name
University Hospitals Case Medical Center
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44106
Country
United States
Facility Name
Altoona Center for Clinical Research
City
Duncansville
State/Province
Pennsylvania
ZIP/Postal Code
16635
Country
United States
Facility Name
Penn State Hershey Dermatology
City
Hershey
State/Province
Pennsylvania
ZIP/Postal Code
17033
Country
United States
Facility Name
Hospital of the University of Pennsylvania
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19104
Country
United States
Facility Name
University of Pittsburgh Medical Center
City
Pittsburgh
State/Province
Pennsylvania
ZIP/Postal Code
15213
Country
United States
Facility Name
Clinical Partners, LLC
City
Johnston
State/Province
Rhode Island
ZIP/Postal Code
02919
Country
United States
Facility Name
UT Southwestern Medical Center Dallas
City
Dallas
State/Province
Texas
ZIP/Postal Code
75390-9090
Country
United States

12. IPD Sharing Statement

Learn more about this trial

To Evaluate the Preliminary Safety, Tolerability, Pharmacokinetics, Pharmacodynamics and Efficacy of CC-11050 in Subjects With Discoid Lupus Erythematosus and Subacute Cutaneous Lupus Erythematosus

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