Trial Outcomes & Findings for 99mTc-rhAnnexin V-128 in Diagnosis of Spondyloarthritis (NCT NCT03232580)

NCT ID: NCT03232580

Last Updated: 2019-12-13

Results Overview

In order to asses 99mTc-rhAnnexin V-128 magnitude and dynamic range of uptake within areas affected by inflammation, Single-Photon Emission Computed Tomography (SPECT)/Computed Tomography (CT) scans were interpreted and graded by at least two independent experienced nuclear medicine physicians blinded from clinical data and other imagings modality results. Uptake compared with background (e.g. physiological liver uptake) were assessed for each affected area by nuclear medicine physicians using a 4-grade scoring system (e.g. 0, none; 1, mild or present but \< to background uptake; 2, moderate or = to background uptake; 3, intense or \> to background uptake). Only descriptive analysis performed.

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

5 participants

Primary outcome timeframe

60 minutes and 120 minutes post investigational product adminstration

Results posted on

2019-12-13

Participant Flow

5 patients enrolled single site in US

Participant milestones

Participant milestones
Measure
rhAnnexin V-128
All patients received a single i.v injection of 99mTc-rhAnnexin V-128 at Day 0.
Overall Study
STARTED
5
Overall Study
COMPLETED
5
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

99mTc-rhAnnexin V-128 in Diagnosis of Spondyloarthritis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
rhAnnexin V-128
n=5 Participants
All patients received a single i.v injection of 99mTc-rhAnnexin V-128 at Day 0.
Age, Categorical
<=18 years
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
5 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
Sex: Female, Male
Female
1 Participants
n=5 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
Race/Ethnicity, Customized
Hispanic
2 Participants
n=5 Participants
Race/Ethnicity, Customized
Caucasian
3 Participants
n=5 Participants
Participants with Magnetic Resonance Imaging (MRI) results at Screening
MRI Results in Lumbar Spine · Negative
4 Participants
n=5 Participants
Participants with Magnetic Resonance Imaging (MRI) results at Screening
MRI Results in Lumbar Spine · Positive
1 Participants
n=5 Participants
Participants with Magnetic Resonance Imaging (MRI) results at Screening
MRI Results in Sacroiliac Joints · Negative
4 Participants
n=5 Participants
Participants with Magnetic Resonance Imaging (MRI) results at Screening
MRI Results in Sacroiliac Joints · Positive
1 Participants
n=5 Participants
Participants with Clinical Pain at Screening
Clinical Pain in Lumbar Spine · Yes
5 Participants
n=5 Participants
Participants with Clinical Pain at Screening
Clinical Pain in Lumbar Spine · No
0 Participants
n=5 Participants
Participants with Clinical Pain at Screening
Clinical Pain in Sacroiliac Joints · Yes
5 Participants
n=5 Participants
Participants with Clinical Pain at Screening
Clinical Pain in Sacroiliac Joints · No
0 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 60 minutes and 120 minutes post investigational product adminstration

Population: Only participants with a grading uptake at any given body region are included in the analysis

In order to asses 99mTc-rhAnnexin V-128 magnitude and dynamic range of uptake within areas affected by inflammation, Single-Photon Emission Computed Tomography (SPECT)/Computed Tomography (CT) scans were interpreted and graded by at least two independent experienced nuclear medicine physicians blinded from clinical data and other imagings modality results. Uptake compared with background (e.g. physiological liver uptake) were assessed for each affected area by nuclear medicine physicians using a 4-grade scoring system (e.g. 0, none; 1, mild or present but \< to background uptake; 2, moderate or = to background uptake; 3, intense or \> to background uptake). Only descriptive analysis performed.

Outcome measures

Outcome measures
Measure
rhAnnexin V-128
n=5 Participants
All patients received a single i.v injection of 99mTc-rhAnnexin V-128 at Day 0.
99mTc-rhAnnexin V-128 Uptake
120 minutes: Abdomen - Principal Inv. · Grade of uptake = 2
1 Participants
99mTc-rhAnnexin V-128 Uptake
60 minutes: Sacroiliac Joint - Reviewer 2 · Grade of uptake = 2
0 Participants
99mTc-rhAnnexin V-128 Uptake
120 minutes: Whole Body Planar - Principal Inv. · Grade of uptake = 0
1 Participants
99mTc-rhAnnexin V-128 Uptake
120 minutes: Lumbosacral - Principal Inv. · Grade of uptake = 0
2 Participants
99mTc-rhAnnexin V-128 Uptake
60 minutes: Whole Body Planar - Reviewer 2 · Grade of uptake = 3
0 Participants
99mTc-rhAnnexin V-128 Uptake
120 minutes: Lumbosacral - Principal Inv. · Grade of uptake = 1
0 Participants
99mTc-rhAnnexin V-128 Uptake
120 minutes: Whole Body Planar - Reviewer 1 · Grade of uptake = 3
0 Participants
99mTc-rhAnnexin V-128 Uptake
120 minutes: Lumbosacral - Principal Inv. · Grade of uptake = 2
2 Participants
99mTc-rhAnnexin V-128 Uptake
120 minutes: Whole Body Planar - Reviewer 2 · Grade of uptake = 0
3 Participants
99mTc-rhAnnexin V-128 Uptake
60 minutes: Whole Body Planar - Principal Inv. · Grade of uptake = 0
2 Participants
99mTc-rhAnnexin V-128 Uptake
60 minutes: Whole Body Planar - Principal Inv. · Grade of uptake = 1
1 Participants
99mTc-rhAnnexin V-128 Uptake
60 minutes: Whole Body Planar - Principal Inv. · Grade of uptake = 2
2 Participants
99mTc-rhAnnexin V-128 Uptake
60 minutes: Whole Body Planar - Principal Inv. · Grade of uptake = 3
0 Participants
99mTc-rhAnnexin V-128 Uptake
60 minutes: Whole Body Planar - Reviewer 1 · Grade of uptake = 0
5 Participants
99mTc-rhAnnexin V-128 Uptake
60 minutes: Whole Body Planar - Reviewer 1 · Grade of uptake = 1
0 Participants
99mTc-rhAnnexin V-128 Uptake
60 minutes: Whole Body Planar - Reviewer 1 · Grade of uptake = 2
0 Participants
99mTc-rhAnnexin V-128 Uptake
120 minutes: Lumbosacral - Principal Inv. · Grade of uptake = 3
0 Participants
99mTc-rhAnnexin V-128 Uptake
60 minutes: Whole Body Planar - Reviewer 1 · Grade of uptake = 3
0 Participants
99mTc-rhAnnexin V-128 Uptake
60 minutes: Whole Body Planar - Reviewer 2 · Grade of uptake = 0
3 Participants
99mTc-rhAnnexin V-128 Uptake
60 minutes: Whole Body Planar - Reviewer 2 · Grade of uptake = 1
2 Participants
99mTc-rhAnnexin V-128 Uptake
60 minutes: Whole Body Planar - Reviewer 2 · Grade of uptake = 2
0 Participants
99mTc-rhAnnexin V-128 Uptake
120 minutes: Lumbosacral - Reviewer 1 · Grade of uptake = 0
3 Participants
99mTc-rhAnnexin V-128 Uptake
120 minutes: Lumbosacral - Reviewer 1 · Grade of uptake = 1
2 Participants
99mTc-rhAnnexin V-128 Uptake
120 minutes: Whole Body Planar - Reviewer 2 · Grade of uptake = 1
2 Participants
99mTc-rhAnnexin V-128 Uptake
120 minutes: Whole Body Planar - Reviewer 2 · Grade of uptake = 2
0 Participants
99mTc-rhAnnexin V-128 Uptake
120 minutes: Lumbosacral - Reviewer 1 · Grade of uptake = 2
0 Participants
99mTc-rhAnnexin V-128 Uptake
120 minutes: Whole Body Planar - Reviewer 2 · Grade of uptake = 3
0 Participants
99mTc-rhAnnexin V-128 Uptake
60 minutes: Abdomen - Principal Inv. · Grade of uptake = 0
4 Participants
99mTc-rhAnnexin V-128 Uptake
60 minutes: Abdomen - Principal Inv. · Grade of uptake = 1
1 Participants
99mTc-rhAnnexin V-128 Uptake
120 minutes: Lumbosacral - Reviewer 1 · Grade of uptake = 3
0 Participants
99mTc-rhAnnexin V-128 Uptake
120 minutes: Lumbosacral - Reviewer 2 · Grade of uptake = 0
5 Participants
99mTc-rhAnnexin V-128 Uptake
60 minutes: Abdomen - Principal Inv. · Grade of uptake = 2
0 Participants
99mTc-rhAnnexin V-128 Uptake
60 minutes: Abdomen - Principal Inv. · Grade of uptake = 3
0 Participants
99mTc-rhAnnexin V-128 Uptake
60 minutes: Abdomen - Reviewer 1 · Grade of uptake = 0
5 Participants
99mTc-rhAnnexin V-128 Uptake
60 minutes: Abdomen - Reviewer 1 · Grade of uptake = 1
0 Participants
99mTc-rhAnnexin V-128 Uptake
60 minutes: Abdomen - Reviewer 1 · Grade of uptake = 2
0 Participants
99mTc-rhAnnexin V-128 Uptake
60 minutes: Abdomen - Reviewer 1 · Grade of uptake = 3
0 Participants
99mTc-rhAnnexin V-128 Uptake
60 minutes: Abdomen - Reviewer 2 · Grade of uptake = 0
5 Participants
99mTc-rhAnnexin V-128 Uptake
60 minutes: Abdomen - Reviewer 2 · Grade of uptake = 1
0 Participants
99mTc-rhAnnexin V-128 Uptake
60 minutes: Abdomen - Reviewer 2 · Grade of uptake = 2
0 Participants
99mTc-rhAnnexin V-128 Uptake
60 minutes: Abdomen - Reviewer 2 · Grade of uptake = 3
0 Participants
99mTc-rhAnnexin V-128 Uptake
120 minutes: Abdomen - Principal Inv. · Grade of uptake = 0
4 Participants
99mTc-rhAnnexin V-128 Uptake
120 minutes: Abdomen - Principal Inv. · Grade of uptake = 1
0 Participants
99mTc-rhAnnexin V-128 Uptake
120 minutes: Abdomen - Principal Inv. · Grade of uptake = 3
0 Participants
99mTc-rhAnnexin V-128 Uptake
120 minutes: Abdomen - Reviewer 1 · Grade of uptake = 0
5 Participants
99mTc-rhAnnexin V-128 Uptake
120 minutes: Abdomen - Reviewer 1 · Grade of uptake = 1
0 Participants
99mTc-rhAnnexin V-128 Uptake
120 minutes: Abdomen - Reviewer 1 · Grade of uptake = 2
0 Participants
99mTc-rhAnnexin V-128 Uptake
120 minutes: Abdomen - Reviewer 1 · Grade of uptake = 3
0 Participants
99mTc-rhAnnexin V-128 Uptake
120 minutes: Abdomen - Reviewer 2 · Grade of uptake = 0
5 Participants
99mTc-rhAnnexin V-128 Uptake
120 minutes: Abdomen - Reviewer 2 · Grade of uptake = 1
0 Participants
99mTc-rhAnnexin V-128 Uptake
120 minutes: Abdomen - Reviewer 2 · Grade of uptake = 2
0 Participants
99mTc-rhAnnexin V-128 Uptake
120 minutes: Abdomen - Reviewer 2 · Grade of uptake = 3
0 Participants
99mTc-rhAnnexin V-128 Uptake
60 minutes: Lumbosacral - Principal Inv. · Grade of uptake = 0
2 Participants
99mTc-rhAnnexin V-128 Uptake
60 minutes: Lumbosacral - Principal Inv. · Grade of uptake = 1
0 Participants
99mTc-rhAnnexin V-128 Uptake
60 minutes: Lumbosacral - Principal Inv. · Grade of uptake = 2
3 Participants
99mTc-rhAnnexin V-128 Uptake
60 minutes: Lumbosacral - Principal Inv. · Grade of uptake = 3
0 Participants
99mTc-rhAnnexin V-128 Uptake
60 minutes: Lumbosacral - Reviewer 1 · Grade of uptake = 0
3 Participants
99mTc-rhAnnexin V-128 Uptake
60 minutes: Lumbosacral - Reviewer 1 · Grade of uptake = 1
2 Participants
99mTc-rhAnnexin V-128 Uptake
60 minutes: Lumbosacral - Reviewer 1 · Grade of uptake = 2
0 Participants
99mTc-rhAnnexin V-128 Uptake
60 minutes: Lumbosacral - Reviewer 1 · Grade of uptake = 3
0 Participants
99mTc-rhAnnexin V-128 Uptake
60 minutes: Lumbosacral - Reviewer 2 · Grade of uptake = 0
5 Participants
99mTc-rhAnnexin V-128 Uptake
60 minutes: Lumbosacral - Reviewer 2 · Grade of uptake = 1
0 Participants
99mTc-rhAnnexin V-128 Uptake
60 minutes: Lumbosacral - Reviewer 2 · Grade of uptake = 2
0 Participants
99mTc-rhAnnexin V-128 Uptake
60 minutes: Lumbosacral - Reviewer 2 · Grade of uptake = 3
0 Participants
99mTc-rhAnnexin V-128 Uptake
120 minutes: Whole Body Planar - Principal Inv. · Grade of uptake = 1
2 Participants
99mTc-rhAnnexin V-128 Uptake
120 minutes: Whole Body Planar - Principal Inv. · Grade of uptake = 2
1 Participants
99mTc-rhAnnexin V-128 Uptake
120 minutes: Whole Body Planar - Principal Inv. · Grade of uptake = 3
0 Participants
99mTc-rhAnnexin V-128 Uptake
120 minutes: Whole Body Planar - Reviewer 1 · Grade of uptake = 0
5 Participants
99mTc-rhAnnexin V-128 Uptake
120 minutes: Whole Body Planar - Reviewer 1 · Grade of uptake = 1
0 Participants
99mTc-rhAnnexin V-128 Uptake
120 minutes: Whole Body Planar - Reviewer 1 · Grade of uptake = 2
0 Participants
99mTc-rhAnnexin V-128 Uptake
120 minutes: Lumbosacral - Reviewer 2 · Grade of uptake = 1
0 Participants
99mTc-rhAnnexin V-128 Uptake
120 minutes: Lumbosacral - Reviewer 2 · Grade of uptake = 2
0 Participants
99mTc-rhAnnexin V-128 Uptake
120 minutes: Lumbosacral - Reviewer 2 · Grade of uptake = 3
0 Participants
99mTc-rhAnnexin V-128 Uptake
60 minutes: Sacroiliac Joint - Principal Inv. · Grade of uptake = 0
2 Participants
99mTc-rhAnnexin V-128 Uptake
60 minutes: Sacroiliac Joint - Principal Inv. · Grade of uptake = 1
0 Participants
99mTc-rhAnnexin V-128 Uptake
60 minutes: Sacroiliac Joint - Principal Inv. · Grade of uptake = 2
3 Participants
99mTc-rhAnnexin V-128 Uptake
60 minutes: Sacroiliac Joint - Principal Inv. · Grade of uptake = 3
0 Participants
99mTc-rhAnnexin V-128 Uptake
60 minutes: Sacroiliac Joint - Reviewer 1 · Grade of uptake = 0
5 Participants
99mTc-rhAnnexin V-128 Uptake
60 minutes: Sacroiliac Joint - Reviewer 1 · Grade of uptake = 1
0 Participants
99mTc-rhAnnexin V-128 Uptake
60 minutes: Sacroiliac Joint - Reviewer 1 · Grade of uptake = 2
0 Participants
99mTc-rhAnnexin V-128 Uptake
60 minutes: Sacroiliac Joint - Reviewer 1 · Grade of uptake = 3
0 Participants
99mTc-rhAnnexin V-128 Uptake
60 minutes: Sacroiliac Joint - Reviewer 2 · Grade of uptake = 0
4 Participants
99mTc-rhAnnexin V-128 Uptake
60 minutes: Sacroiliac Joint - Reviewer 2 · Grade of uptake = 1
1 Participants
99mTc-rhAnnexin V-128 Uptake
120 minutes: Sacroiliac Joint - Reviewer 1 · Grade of uptake = 0
5 Participants
99mTc-rhAnnexin V-128 Uptake
120 minutes: Sacroiliac Joint - Reviewer 1 · Grade of uptake = 1
0 Participants
99mTc-rhAnnexin V-128 Uptake
120 minutes: Sacroiliac Joint - Reviewer 1 · Grade of uptake = 2
0 Participants
99mTc-rhAnnexin V-128 Uptake
60 minutes: Sacroiliac Joint - Reviewer 2 · Grade of uptake = 3
0 Participants
99mTc-rhAnnexin V-128 Uptake
120 minutes: Sacroiliac Joint - Reviewer 1 · Grade of uptake = 3
0 Participants
99mTc-rhAnnexin V-128 Uptake
120 minutes: Sacroiliac Joint - Reviewer 2 · Grade of uptake = 0
4 Participants
99mTc-rhAnnexin V-128 Uptake
120 minutes: Sacroiliac Joint - Reviewer 2 · Grade of uptake = 1
1 Participants
99mTc-rhAnnexin V-128 Uptake
120 minutes: Sacroiliac Joint - Reviewer 2 · Grade of uptake = 2
0 Participants
99mTc-rhAnnexin V-128 Uptake
120 minutes: Sacroiliac Joint - Reviewer 2 · Grade of uptake = 3
0 Participants
99mTc-rhAnnexin V-128 Uptake
120 minutes: Sacroiliac Joint - Principal Inv. · Grade of uptake = 0
1 Participants
99mTc-rhAnnexin V-128 Uptake
120 minutes: Sacroiliac Joint - Principal Inv. · Grade of uptake = 1
1 Participants
99mTc-rhAnnexin V-128 Uptake
120 minutes: Sacroiliac Joint - Principal Inv. · Grade of uptake = 2
2 Participants
99mTc-rhAnnexin V-128 Uptake
120 minutes: Sacroiliac Joint - Principal Inv. · Grade of uptake = 3
0 Participants

PRIMARY outcome

Timeframe: 60 minutes and 120 minutes post investigational product adminstration

In order to asses 99mTc-rhAnnexin V-128 magnitude and dynamic range of uptake within areas affected by inflammation, Single-Photon Emission Computed Tomography (SPECT)/Computed Tomography (CT) scans were interpreted and graded by at least two independent experienced nuclear medicine physicians blinded from clinical data and other imagings modality results. In case of discrepancies between the different readers, an adjudication process based on consensus was put in place in order to obtain one final outcome for each area. Adjudication results were categorized as Positive or Negative. Only descriptive analysis performed.

Outcome measures

Outcome measures
Measure
rhAnnexin V-128
n=5 Participants
All patients received a single i.v injection of 99mTc-rhAnnexin V-128 at Day 0.
99mTc-rhAnnexin V-128 Uptake Adjudication
Sacroiliac - 60 minutes · Negative
4 Participants
99mTc-rhAnnexin V-128 Uptake Adjudication
Whole Body Planar - 120 minutes · Negative
3 Participants
99mTc-rhAnnexin V-128 Uptake Adjudication
Whole Body Planar - 60 minutes · Positive
1 Participants
99mTc-rhAnnexin V-128 Uptake Adjudication
Abdomen - 60 minutes · Positive
0 Participants
99mTc-rhAnnexin V-128 Uptake Adjudication
Abdomen - 60 minutes · Negative
5 Participants
99mTc-rhAnnexin V-128 Uptake Adjudication
Lumbosacral - 60 minutes · Negative
3 Participants
99mTc-rhAnnexin V-128 Uptake Adjudication
Abdomen - 120 minutes · Positive
0 Participants
99mTc-rhAnnexin V-128 Uptake Adjudication
Lumbosacral - 120 minutes · Positive
2 Participants
99mTc-rhAnnexin V-128 Uptake Adjudication
Lumbosacral - 120 minutes · Negative
3 Participants
99mTc-rhAnnexin V-128 Uptake Adjudication
Sacroiliac - 60 minutes · Positive
1 Participants
99mTc-rhAnnexin V-128 Uptake Adjudication
Sacroiliac - 120 minutes · Positive
1 Participants
99mTc-rhAnnexin V-128 Uptake Adjudication
Sacroiliac - 120 minutes · Negative
4 Participants
99mTc-rhAnnexin V-128 Uptake Adjudication
Abdomen - 120 minutes · Negative
5 Participants
99mTc-rhAnnexin V-128 Uptake Adjudication
Lumbosacral - 60 minutes · Positive
2 Participants
99mTc-rhAnnexin V-128 Uptake Adjudication
Whole Body Planar - 60 minutes · Negative
4 Participants
99mTc-rhAnnexin V-128 Uptake Adjudication
Whole Body Planar - 120 minutes · Positive
2 Participants

Adverse Events

rhAnnexin V-128

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
rhAnnexin V-128
n=5 participants at risk
All patients received a single i.v injection of 99mTc-rhAnnexin V-128 at Day 0.
Injury, poisoning and procedural complications
Nausea
20.0%
1/5 • Number of events 1 • Adverse event were collected from first dosing (single administration, Day 0) plus 30 days post-treatment.
Any signs or symptom that occurs during the study treatment plus 30 days post-treatment.
Injury, poisoning and procedural complications
Itching at injection site
20.0%
1/5 • Number of events 1 • Adverse event were collected from first dosing (single administration, Day 0) plus 30 days post-treatment.
Any signs or symptom that occurs during the study treatment plus 30 days post-treatment.
Injury, poisoning and procedural complications
Redness at injection site
20.0%
1/5 • Number of events 1 • Adverse event were collected from first dosing (single administration, Day 0) plus 30 days post-treatment.
Any signs or symptom that occurs during the study treatment plus 30 days post-treatment.
Respiratory, thoracic and mediastinal disorders
Head cold
20.0%
1/5 • Number of events 1 • Adverse event were collected from first dosing (single administration, Day 0) plus 30 days post-treatment.
Any signs or symptom that occurs during the study treatment plus 30 days post-treatment.

Additional Information

Study Director

Novartis Pharmaceuticals

Phone: 862-778-8300

Results disclosure agreements

  • Principal investigator is a sponsor employee The terms and conditions of Novartis' agreements with its investigators may vary. However, Novartis does not prohibit any investigator from publishing. Any publications from a single-site are postponed until the publication of the pooled data (ie, data from all sites) in the clinical trial.
  • Publication restrictions are in place

Restriction type: OTHER