Study of IFX-1 to Replace Steroids in Patients With Granulomatosis With Polyangiitis and Microscopic Polyangiitis.

NCT ID: NCT03895801

Last Updated: 2022-08-25

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

57 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-04-03

Study Completion Date

2021-06-08

Brief Summary

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The purpose of the study is to evaluate the efficacy of IFX-1 treatment as replacement for glucocorticoid (GC) therapy in subjects with polyangiitis (GPA) or microscopic polyangiitis (MPA).

Detailed Description

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Anti-neutrophil cytoplasmic antibody-associated vasculitis (AAV) is a group of potentially life-threatening autoimmune diseases. Preclinical data demonstrate that primed neutrophils are activated by anti-neutrophil cytoplasmic antibody (ANCA) and generate C5a that engages C5a receptors on neutrophils. Patients with ANCA-related disease have elevated plasma and urine levels of C5a in active disease but not in remission. IFX-1 is as a monoclonal antibody specifically binding to the soluble human complement split product C5a, which results in nearly complete blockade of C5a induced biological effects. Therefore, IFX-1 may be effective in the treatment of subjects with AAV.

In this Phase II study of 20 to 55 subjects with granulomatosis with GPA and MPA, IFX-1 will be administered in combination with reduced dose glucocorticoids or a placebo glucocorticoid compared with standard dose glucocorticoids.

Conditions

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Granulomatosis With Polyangiitis (GPA) Microscopic Polyangiitis (MPA)

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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Group A Experimental + active comparator

IFX-1 + reduced dose GC

Group Type EXPERIMENTAL

IFX-1

Intervention Type DRUG

intravenously administered

Glucocorticoid (GC)

Intervention Type DRUG

orally administered

Group B Placebo + active comparator

Placebo-IFX-1 + standard dose GC

Group Type ACTIVE_COMPARATOR

Placebo-IFX-1

Intervention Type DRUG

intravenously administered

Glucocorticoid (GC)

Intervention Type DRUG

orally administered

Group C Experimental + placebo comparator

IFX-1 + Placebo-GC

Group Type PLACEBO_COMPARATOR

IFX-1

Intervention Type DRUG

intravenously administered

Placebo-Glucocorticoid (Placebo-GC)

Intervention Type DRUG

orally administered

Interventions

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IFX-1

intravenously administered

Intervention Type DRUG

Placebo-IFX-1

intravenously administered

Intervention Type DRUG

Glucocorticoid (GC)

orally administered

Intervention Type DRUG

Placebo-Glucocorticoid (Placebo-GC)

orally administered

Intervention Type DRUG

Other Intervention Names

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CaCP29 Placebo Prednisone Placebo

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of granulomatosis with polyangiitis (GPA) or microscopic polyangiitis (MPA)
* Have ≥ 1 "major" item, or ≥ 3 other items, or ≥ 2 renal items on the Birmingham Vasculitis Activity Score Version 3 (BVASv3).
* Newly diagnosed or relapsed GPA or MPA that requires treatment with Cyclophosphamide (CYC) or Rituximab (RTX) plus GCs.
* Glomerular filtration rate ≥ 20 mL/min/1.73 m².

Exclusion Criteria

* Any other multi-system autoimmune disease.
* Require mechanical ventilation at screening.
* Known hypersensitivity to any investigational medicinal product and/or any excipient.
* Rare hereditary problems of galactose intolerance, total lactase deficiency or glucose-galactose malabsorption.
* Have required management of infections, as follows (a) Chronic infection requiring anti-infective therapy within 3 months before screening. (b) Use of intravenous antibacterials, antivirals, anti-fungals, or anti-parasitic agents within 30 days of screening
* Current and/or history (within the previous 5 years) of drug and/or alcohol abuse and/or dependence.
* Evidence of Hep B, C and/ or HIV infection. Only subjects with documented negative historical results (within 4 weeks before screening) for Hep B,C Virus and HIV or a negative test by Screening can be included into the study.
* Abnormal laboratory findings at screening
* Current or history of malignancy, lymphoproliferative, or myeloproliferative disorder
* Received CYC or RTX within 12 weeks before screening or within 12 weeks before CYC or RTX is started for remission induction within 2 weeks before screening.
* Received \> 3 g cumulative intravenous GCs within 4 weeks before screening.
* Received an oral daily dose of a GC of \> 10 mg prednisone-equivalent for more than 6 weeks continuously prior to screening.
* Received an oral daily dose of a GC of \> 80 mg prednisone equivalent within 2 weeks before screening.
* Received a CD20 inhibitor, anti-tumor necrosis factor treatment, abatacept, alemtuzumab, any other experimental or biological therapy, intravenous immunoglobulin (Ig) or plasma exchange, antithymocyte globulin, or required renal dialysis within 12 weeks before screening.
* Received a live vaccination within 4 weeks before screening
* Either active or latent tuberculosis treatment is ongoing.
* Pregnant or lactating.
* Abnormal electrocardiogram.
* Female subjects of childbearing potential unwilling or unable to use a highly effective method of contraception
* Participation in an investigational clinical study during the 12 weeks before screening.
* Male subjects with female partners of childbearing potential unwilling to use contraception
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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InflaRx GmbH

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Anja Pfaff, PhD

Role: STUDY_DIRECTOR

InflaRx GmbH

Peter A. Merkel, MD, MPH

Role: PRINCIPAL_INVESTIGATOR

University of Pennsylvania

Locations

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Clinical Site

Leuven, , Belgium

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Liège, , Belgium

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Hradec Králové, , Czechia

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Prague, , Czechia

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Prague, , Czechia

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Prague, , Czechia

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Angers, , France

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Brest, , France

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Créteil, , France

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Grenoble, , France

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Lille, , France

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Montpellier, , France

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Paris, , France

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Paris, , France

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Paris, , France

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Pessac, , France

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Poitiers, , France

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Jena, Thuringia, Germany

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Aachen, , Germany

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Berlin, , Germany

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Cologne, , Germany

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Dresden, , Germany

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Essen, , Germany

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Freiburg im Breisgau, , Germany

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Hanover, , Germany

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Kirchheim unter Teck, , Germany

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Leipzig, , Germany

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Ludwigshafen, , Germany

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Mannheim, , Germany

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Münster, , Germany

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Stuttgart, , Germany

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Catania, , Italy

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Lecco, , Italy

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Messina, , Italy

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Milan, , Italy

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Milan, , Italy

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Monza, , Italy

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Pavia, , Italy

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Pisa, , Italy

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Verona, , Italy

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Maastricht, , Netherlands

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Rotterdam, , Netherlands

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Kemerovo, , Russia

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Moscow, , Russia

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Moscow, , Russia

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Moscow, , Russia

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Orenburg, , Russia

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Petrozavodsk, , Russia

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Saratov, , Russia

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Saratov, , Russia

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Yaroslavl, , Russia

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Alcorcón, , Spain

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Badalona, , Spain

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Barcelona, , Spain

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Barcelona, , Spain

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Barcelona, , Spain

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Fuenlabrada, , Spain

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L'Hospitalet de Llobregat, , Spain

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Seville, , Spain

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Seville, , Spain

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Seville, , Spain

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Gothenburg, , Sweden

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Stockholm, , Sweden

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Uppsala, , Sweden

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Sankt Gallen, , Switzerland

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Zurich, , Switzerland

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Aberdeen, , United Kingdom

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Cambridge, , United Kingdom

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Cardiff, , United Kingdom

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Leicester, , United Kingdom

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London, , United Kingdom

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London, , United Kingdom

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Portsmouth, , United Kingdom

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Preston, , United Kingdom

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Reading, , United Kingdom

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Sheffield, , United Kingdom

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Countries

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Belgium Czechia France Germany Italy Netherlands Russia Spain Sweden Switzerland United Kingdom

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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IFX-1-P2.5

Identifier Type: -

Identifier Source: org_study_id

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