A Study to Characterize the Pharmacokinetics, Pharmacodynamics, and Safety of Anifrolumab in Adult Type I Interferon Test High Systemic Lupus Erythematosus Subject With Active Skin Manifestations

NCT ID: NCT02962960

Last Updated: 2023-01-12

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

36 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-02-14

Study Completion Date

2018-12-17

Brief Summary

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This study will be conducted to characterize pharmacokinetics, pharmacodynamics, safety, and tolerability of anifrolumab given via the subcutaneous (SC) route of administration in adult Systemic Lupus Erythematosus (SLE) subjects with a type I Interferon (IFN) test high result and active skin manifestations while receiving Standard of Care (SOC) treatment. In addition, the efficacy of anifrolumab on SLE skin manifestations will be characterized.

Detailed Description

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Conditions

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Systemic Lupus Erythematosus

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Anifrolumab - Lower dose

1ml, once every second week, one subcutaneous injection as added to stand of care, from week 0 to week 50

Group Type EXPERIMENTAL

Anifrolumab

Intervention Type DRUG

subcutaneous administration every 2 weeks from week 0 to week 50

Placebo matching for lower dose of Anifrolumab

1ml, once every second week, one subcutaneous injection added to stand of care, from week 0 to week 50

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

subcutaneous administration every two weeks from week 0 to week 50

Anifrolumab - Higher dose

2×1ml, once every second week, two subcutaneous injections as added to stand of care, from week 0 to week 50

Group Type EXPERIMENTAL

Anifrolumab

Intervention Type DRUG

subcutaneous administration every 2 weeks from week 0 to week 50

Placebo matching for higher dose of Anifrolumab

2×1ml , once every second week, two subcutaneous injections as added to stand of care, from week 0 to week 50

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

subcutaneous administration every two weeks from week 0 to week 50

Interventions

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Anifrolumab

subcutaneous administration every 2 weeks from week 0 to week 50

Intervention Type DRUG

Placebo

subcutaneous administration every two weeks from week 0 to week 50

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Age 18 through 70 years
2. Diagnosis of paediatric or adult SLE for \> 24 weeks and fulfilling ≥4 of the 11 American College of Rheumatology (ACR) classification criteria with at least one being:

* Positive antinuclear antibody (ANA) or
* Elevated anti-dsDNA antibodies or
* anti-Smith (anti-Sm) antibodies
3. Interferon high test result
4. Cutaneous Lupus Erythematosus Disease Area and Severity Index (CLASI) activity score ≥ 10
5. Currently receiving at least 1 of the following for treatment of SLE:

• Oral prednisone or equivalent of ≤40 mg/day for a minimum of 2 weeks prior to signing the Informed Consent Form (ICF) and with stable dose for at least 2 weeks prior to randomization

• Any of the following medications for at least 12 weeks prior to signing the ICF, and at a stable doses for at least 8 weeks prior to randomization: (i) Azathioprine ≤200 mg/day (ii) Antimalarials (eg, chloroquine, hydroxychloroquine, quinacrine) (iii) Mycophenolate mofetil ≤2 g/day or mycophenolic acid ≤1.44 g/day (iv) Oral, subcutaneous (SC), or intramuscular methotrexate ≤25 mg/week (v) Mizoribine ≤150 mg/day
6. Must not have signs of active or latent tuberculosis (TB).
7. Must not be pregnant or breastfeeding.

Exclusion Criteria

1. Active severe or unstable neuropsychiatric SLE
2. Active severe SLE-driven renal disease
3. Any severe herpes infection at any time
4. Hepatitis B Virus (HBV), Hepatitis C Virus (HCV), or HIV infection.
5. Known history of a primary immunodeficiency (splenectomy, or any underlying condition predisposing for infection
6. Receipt of any investigation product within 4 weeks or 5 half -lives prior to signing of the ICF
7. History of cancer, apart from:

* Squamous or basal cell carcinoma of the skin if successfully treated.
* Cervical cancer in situ if successfully treated
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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AstraZeneca

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Research Site

Thousand Oaks, California, United States

Site Status

Research Site

Orlando, Florida, United States

Site Status

Research Site

New York, New York, United States

Site Status

Research Site

Charlotte, North Carolina, United States

Site Status

Research Site

Memphis, Tennessee, United States

Site Status

Research Site

Houston, Texas, United States

Site Status

Research Site

Debrecen, , Hungary

Site Status

Research Site

Zalaegerszeg, , Hungary

Site Status

Research Site

Bydgoszcz, , Poland

Site Status

Research Site

Warsaw, , Poland

Site Status

Research Site

Anyang-si, , South Korea

Site Status

Research Site

Busan, , South Korea

Site Status

Research Site

Daegu, , South Korea

Site Status

Research Site

Gwangju, , South Korea

Site Status

Countries

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United States Hungary Poland South Korea

References

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Bruce IN, Nami A, Schwetje E, Pierson ME, Rouse T, Chia YL, Kuruvilla D, Abreu G, Tummala R, Lindholm C. Pharmacokinetics, pharmacodynamics, and safety of subcutaneous anifrolumab in patients with systemic lupus erythematosus, active skin disease, and high type I interferon gene signature: a multicentre, randomised, double-blind, placebo-controlled, phase 2 study. Lancet Rheumatol. 2021 Feb;3(2):e101-e110. doi: 10.1016/S2665-9913(20)30342-8. Epub 2020 Nov 20.

Reference Type DERIVED
PMID: 38279367 (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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D3461C00008

Identifier Type: -

Identifier Source: org_study_id

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