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Study of Daxdilimab (HZN-7734) for the Treatment of Systemic Lupus Erythematosus in an Open-label Extension Study

Phase 2
Terminated
Conditions
Systemic Lupus Erythematosus
Interventions
Registration Number
NCT05430854
Lead Sponsor
Amgen
Brief Summary

A Phase 2, Open-Label Extension study to evaluate the long-term safety and tolerability of daxdilimab in participants with Systemic Lupus Erythematosus completing the treatment period of the RECAST SLE clinical study.

Detailed Description

Approximately 156 participants will be enrolled to receive daxdilimab administered subcutaneously over 48 weeks. The maximum trial duration per participant is approximately 56 weeks, including the 48 weeks for the open-label treatment period where participants will receive daxdilimab and approximately 8 weeks for the follow-up period. Safety evaluations will be performed regularly throughout the course of the study.

Acquired from Horizon in 2024.

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
155
Inclusion Criteria
  • Willing and able to understand and provide written informed consent.
  • Must have completed the treatment period in the RECAST SLE study.
  • Women of childbearing potential must have a negative urine pregnancy test on Day 1.
  • Nonsterilized male subjects who are sexually active with a woman partner of childbearing potential must agree to use a condom with spermicide from Day 1 and until 3 months (approximately 5 half-lives) after receipt of the last dose.
Exclusion Criteria
  • Any condition or change during the RECAST SLE study that in the opinion of the Investigator or the Sponsor would interfere with evaluation and interpretation of subject safety or alter the risk-benefit associated with IP administration.
  • Participation in another clinical study with an IP during the RECAST SLE study period.
  • Planned elective surgeries that in the opinion of the Investigator or the Sponsor would interfere with evaluation and interpretation of subject safety.
  • Any herpes zoster, cytomegalovirus, or Epstein-Barr virus infection that was not completely resolved prior to Visit 1.
  • Clinically significant active infection at Visit 1, in the opinion of the Investigator.
  • Pregnant or lactating females.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
DaxdilimabDaxdilimabDaxdilimab injections over a total of 48 weeks.
Primary Outcome Measures
NameTimeMethod
Number of Participants Who Experienced Treatment-emergent Adverse Events (TEAEs)Up to approximately 56 weeks

An adverse event (AE) is any untoward medical occurrence in a participant administered a pharmaceutical product and that does not necessarily have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease (new or exacerbated) temporally associated with the use of an IP, whether or not considered related to the IP. A TEAE is defined as any AE with an onset date on or after the first dose date in the OLE study.

Number of Participants Who Experienced Serious Adverse Events (SAEs)Up to approximately 56 weeks

An AE is considered "serious" if, in the view of either the Investigator or Sponsor, it results in any of the following outcomes:

* Death

* A life-threatening AE

* Inpatient hospitalization or prolongation of existing hospitalization

* Persistent or significant disability/incapacity or substantial disruption of the ability to conduct normal life functions

* A congenital abnormality/birth defect

* Important medical events judged to jeopardize the participant(s).

Number of Participants Who Experienced AEs of Special Interest (AESI)Up to approximately 56 weeks

An AESI is an AE of scientific and medical interest specific to understanding of the IP and may require close monitoring and collection of additional information by the Investigator. In this study, AESIs were:

* Hypersensitivity reaction, including anaphylaxis

* Severe (Grade 3 or higher) viral infections/reactivations

* Opportunistic infections

* Malignancy (except non-melanoma skin cancer).

Secondary Outcome Measures
NameTimeMethod
Serum Concentration of DaxdilimabWeek 0 (Week 0 = Day 1), Week 12, Week 24, Week 36, Week 48, Week 56

Serum concentration of daxdilimab refers to the amount of daxdilimab present in the blood serum at a given time. Blood samples were collected via venipuncture at the specified time frames. Week 0 corresponds to the last day of the treatment period in the parent study and Day 1 of the treatment period in the OLE study.

Change From Baseline in Plasmacytoid Dendritic Cell (pDCs) CountWeek 0 (Week 0 = Day 1), Week 12, Week 24, Week 36, Week 48, Week 56

PDCs count refers to the number of pDCs present in a blood sample. Blood samples were collected via venipuncture at the specified time frames. Week 0 corresponds to the last day of the treatment period in the parent study and Day 1 of the treatment period in the OLE study.

Number of Participants Expressing Anti-drug Antibodies (ADA)Up to approximately 56 weeks

ADA incidence is the number of the participants with ADA positive post-Baseline only or boosted their preexisting ADA during the trial. Persistent positive was defined as ADA positive at ≥ 2 post-Baseline assessments (with ≥ 16 weeks between first and last positive) or positive at last post-Baseline assessment. Transient positive was defined as ADA post-Baseline positive but did not fulfill the criteria of persistent positive.

Trial Locations

Locations (52)

Kianous Stavros

🇬🇷

Thessaloníki, Greece

Athens General Hospital 'G Gennimatas

🇬🇷

Athens, Greece

University General Hospital of Larissa

🇬🇷

Larisa, Greece

Centro Peninsular de Investigacion S.C.P

🇲🇽

Merida, Yucatán, Mexico

Hospital Universitario A Coruña

🇪🇸

A Coruña, Spain

Consultorio de Reumatologia

🇲🇽

Ciudad de Mexico, Mexico

Klinika Reumatologii i Rehabilitacji Ortopedyczno-Rehabilitacyjny Szpital Kliniczny im W. Degi

🇵🇱

Poznań, Wielkopolskie, Poland

Inland Rheumatology Clinical Trials Incorporated

🇺🇸

Upland, California, United States

Clinical Research of West Florida Inc - Clearwater

🇺🇸

Clearwater, Florida, United States

Millennium Research

🇺🇸

Ormond Beach, Florida, United States

IRIS Research and Development LLC

🇺🇸

Plantation, Florida, United States

Bluegrass Community Research Inc

🇺🇸

Lexington, Kentucky, United States

NYU Langone Ambulatory Care Brooklyn Heights

🇺🇸

Brooklyn, New York, United States

Paramount Medical Research and Consulting LLC

🇺🇸

Middleburg Heights, Ohio, United States

DJL Clinical Research

🇺🇸

Charlotte, North Carolina, United States

Southwest Rheumatology Research, LLC

🇺🇸

Mesquite, Texas, United States

Precision Comprehensive Clinical Research Solutions

🇺🇸

Colleyville, Texas, United States

Metroplex Clinical Research Center

🇺🇸

Dallas, Texas, United States

Clínica Adventista Belgrano

🇦🇷

Estomba, Buenos Aires, Argentina

Morales Vargas Centro de Investigacion SC

🇲🇽

León, Guanajuato, Mexico

Clinical Research of West Florida Inc - Tampa

🇺🇸

Tampa, Florida, United States

Emory University School of Medicine

🇺🇸

Atlanta, Georgia, United States

Framingham Centro Médico

🇦🇷

La Plata, Buenos Aires, Argentina

Instituto CER S.A

🇦🇷

Quilmes, Buenos Aires, Argentina

Laiko General Hospital of Athens

🇬🇷

Athens, Greece

Centrum Medyczne Plejady

🇵🇱

Kraków, Malopolskie, Poland

Medycyna Kliniczna Marzena Waszczak-Jeka

🇵🇱

Warszawa, Mazowieckie, Poland

Institute of Rheumatology Belgrade

🇷🇸

Belgrade, Serbia

Spectrum Medical, Inc

🇺🇸

Danville, Virginia, United States

Centro de Investigación en Artritis y Osteoporosis

🇲🇽

Mexicali, Baja California, Mexico

Consultorios Médicos Dr. Doreski

🇦🇷

Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina

Instituto de Investigaciones Clinicas Quilmes SRL

🇦🇷

Quilmes, Buenos Aires, Argentina

Krishna Institute of Medical Sciences

🇮🇳

Secunderabad, Andhra Pradesh, India

Centro de Investigación y Tratamiento Reumatológico S.C

🇲🇽

San Miguel, Distrito Federal, Mexico

Clinica de Investigacion en Reumatologia y Obesidad

🇲🇽

Guadalajara, Mexico

Centrum Medyczne AMED

🇵🇱

Warszawa, Mazowieckie, Poland

National Taiwan University Hospital

🇨🇳

Taipei, Province Of China, Taiwan

Pratia MCM

🇵🇱

Krakow, Malopolskie, Poland

Nasz Lekarz Osrodek Badan Klinicznych

🇵🇱

Bydgoszcz, Poland

Centrym Medyczne AMED oddzial w Lodzi

🇵🇱

Łódź, Lodzkie, Poland

University Clinical Center Kragujevac

🇷🇸

Kragujevac, Serbia

Centro Medico Privado de Reumatologia

🇦🇷

San Miguel De Tucumán, Tucumán, Argentina

AES - AS - Sushruta Multispeciality Hospital & Research Center Pvt Ltd - Hubli

🇮🇳

Hubli, Karnataka, India

Centro de Estudios de Investigacion Basica Y Clinica SC

🇲🇽

Jalisco, Mexico

Twoja Przychodnia - Centrum Medyczne Nowa Sol

🇵🇱

Nowa Sól, Lubuskie, Poland

Military Medical Academy

🇷🇸

Belgrade, Serbia

Consultorio de Investigaciones Reumatologicas

🇦🇷

San Miguel De Tucumán, Tucumán, Argentina

Bioclinica - Centro Integral En Reumatologia Sociedad Anónima de Capital Variable

🇲🇽

Guadalajara, Jalisco, Mexico

Investigacion Biomedica para el Desarrollo de Farmacos S.A. de C.V.

🇲🇽

Zapopan, Jalisco, Mexico

Jasleen Hospital

🇮🇳

Nagpur, Maharashtra, India

AES - AS - Panchshil Hospital - Ahmedabad

🇮🇳

Ahmedabad, Gujarat, India

AES - AS - Unity Trauma Center and ICU - Unity Hospital - Surat

🇮🇳

Sūrat, Gujarat, India

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