Belimumab in Remission of VASculitis

NCT ID: NCT01663623

Last Updated: 2018-04-17

Study Results

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

106 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-03-20

Study Completion Date

2017-02-06

Brief Summary

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The purpose of this study is to evaluate the efficacy and safety of belimumab, in combination with azathioprine, for the maintenance of remission following a standard induction regimen in patients with Wegener's granulomatosis or microscopic polyangiitis. The random assignment in this study is "1 to 1" which means that participants have an equal chance of receiving belimumab or placebo.

Detailed Description

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Conditions

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Vasculitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Placebo plus azathioprine

Placebo IV plus oral azathioprine 2 mg/kg/day; placebo administered on Days 0, 14, 28, and then every 28 days until the end of the study. If the results in the double-blind period show that belimumab is safe and effective, then participants have the option to receive treatment with belimumab in a 6-month open-label extension phase. Placebo patients who opt to participate in the extension will receive belimumab 10 mg/kg IV every 28 days plus oral azathioprine 2 mg/kg/day for an additional 6 months.

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type BIOLOGICAL

Placebo

Azathioprine

Intervention Type DRUG

Azathioprine

Belimumab 10 mg/kg plus azathioprine

Belimumab 10 mg/kg IV plus oral azathioprine 2 mg/kg/day; belimumab administered on Days 0, 14, 28, and then every 28 days until the end of the study. If the results in the double-blind period show that belimumab is safe and effective, then participants have the option to continue treatment with belimumab in a 6-month open-label extension phase. Patients who opt to participate in the extension will continue to receive belimumab 10 mg/kg IV every 28 plus oral azathioprine 2 mg/kg/day days for an additional 6 months.

Group Type EXPERIMENTAL

Belimumab 10 mg/kg

Intervention Type BIOLOGICAL

Belimumab 10 mg/kg

Azathioprine

Intervention Type DRUG

Azathioprine

Interventions

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Placebo

Placebo

Intervention Type BIOLOGICAL

Belimumab 10 mg/kg

Belimumab 10 mg/kg

Intervention Type BIOLOGICAL

Azathioprine

Azathioprine

Intervention Type DRUG

Other Intervention Names

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BENLYSTA™

Eligibility Criteria

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Inclusion Criteria

* Clinical diagnosis Wegener's granulomatosis or microscopic polyangiitis by Chapel Hill criteria.
* Disease flare in the past 26 weeks requiring treatment with high dose corticosteroids and 1 of the following medications: rituximab, oral cyclophosphamide OR IV cyclophosphamide.
* Tested positive for anti-proteinase 3 (anti-PR3) or anti-myeloperoxidase (anti-MPO) antibodies at any time prior to enrollment.
* Achieve remission no more than 26 weeks after first dose of induction treatment. Remission is defined as a Birmingham Vasculitis Activity (BVAS) score of 0 and receiving less than 10 mg/day of oral prednisone (or equivalent) on 2 consecutive visits 21 to 35 days apart.
* Maintenance therapy on this study must start no more than 2 weeks after confirmation of remission.

Exclusion Criteria

* Pregnant or nursing.
* Receipt of a B cell targeted therapy (other than rituximab) at anytime
* Receipt of an investigational biological agent within the past 60 days.
* Required management of acute or chronic infections within the past 60 days.
* Current drug or alcohol abuse or dependence.
* Current or past positive test for human immunodeficiency virus (HIV), hepatitis B, or hepatitis C.
* History of severe allergic reaction to contrast agents or biological medicines.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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GlaxoSmithKline

INDUSTRY

Sponsor Role collaborator

Human Genome Sciences Inc., a GSK Company

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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GSK Clinical Trials

Role: STUDY_DIRECTOR

GlaxoSmithKline

Locations

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GSK Investigational Site

Birmingham, Alabama, United States

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Mobile, Alabama, United States

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Tucson, Arizona, United States

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Covina, California, United States

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Palo Alto, California, United States

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San Leandro, California, United States

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Chicago, Illinois, United States

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Kansas City, Kansas, United States

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Boston, Massachusetts, United States

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West Springfield, Massachusetts, United States

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Detroit, Michigan, United States

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Rochester, Minnesota, United States

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Camden, New Jersey, United States

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Great Neck, New York, United States

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New York, New York, United States

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New York, New York, United States

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Columbus, Ohio, United States

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Portland, Oregon, United States

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Philadelphia, Pennsylvania, United States

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Pittsburgh, Pennsylvania, United States

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Wyomissing, Pennsylvania, United States

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Milwaukee, Wisconsin, United States

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Garran, Australian Capital Territory, Australia

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New Lambton, New South Wales, Australia

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Malvern, Victoria, Australia

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Liverpool, , Australia

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Brussels, , Belgium

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Brussels, , Belgium

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Leuven, , Belgium

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Hamilton, Ontario, Canada

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Toronto, Ontario, Canada

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Montreal, Quebec, Canada

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Montreal, Quebec, Canada

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Prague, , Czechia

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Prague, , Czechia

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Prague, , Czechia

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Lille, , France

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Paris, , France

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Pessac, , France

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Rennes, , France

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Stuttgart, Baden-Wurttemberg, Germany

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Tübingen, Baden-Wurttemberg, Germany

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Münster, North Rhine-Westphalia, Germany

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Leipzig, Saxony, Germany

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Jena, Thuringia, Germany

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Berlin, , Germany

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Kirchheim unter Teck, , Germany

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München, , Germany

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Budapest, , Hungary

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Debrecen, , Hungary

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Dublin, , Ireland

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Dublin, , Ireland

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Genoa, Liguria, Italy

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Torrette Di Ancona, The Marches, Italy

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Bari, , Italy

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Bologna, , Italy

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Milan, , Italy

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Reggio Emilia, , Italy

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México, , Mexico

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Kristiansand, , Norway

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Oslo, , Norway

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Callao, , Peru

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Lima, , Peru

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Lima, , Peru

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Lima, , Peru

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Lima, , Peru

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Lima, , Peru

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Lima, , Peru

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Gdansk, , Poland

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Katowice, , Poland

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Krakow, , Poland

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Lublin, , Poland

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Bucharest, , Romania

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Cluj-Napoca, , Romania

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Moscow, , Russia

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Saint Petersburg, , Russia

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Stavropol, , Russia

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Barcelona, , Spain

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Barcelona, , Spain

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Madrid, , Spain

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Stockholm, , Sweden

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Bern, , Switzerland

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Sankt Gallen, , Switzerland

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Zurich, , Switzerland

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Reading, Berkshire, United Kingdom

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Aberdeen, , United Kingdom

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Cambridge, , United Kingdom

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London, , United Kingdom

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Oxford, , United Kingdom

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Countries

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United States Australia Belgium Canada Czechia France Germany Hungary Ireland Italy Mexico Norway Peru Poland Romania Russia Spain Sweden Switzerland United Kingdom

References

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Jayne D, Blockmans D, Luqmani R, Moiseev S, Ji B, Green Y, Hall L, Roth D, Henderson RB, Merkel PA; BREVAS Study Collaborators. Efficacy and Safety of Belimumab and Azathioprine for Maintenance of Remission in Antineutrophil Cytoplasmic Antibody-Associated Vasculitis: A Randomized Controlled Study. Arthritis Rheumatol. 2019 Jun;71(6):952-963. doi: 10.1002/art.40802. Epub 2019 Apr 16.

Reference Type DERIVED
PMID: 30666823 (View on PubMed)

Provided Documents

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Document Type: Study Protocol

View Document

Document Type: Statistical Analysis Plan

View Document

Other Identifiers

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115466

Identifier Type: -

Identifier Source: org_study_id

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