EUCTR2016-003828-23-DE进行中(未招募)1 期
A pilot open-label study to assess the efficacy and safety of tocilizumab (TCZ) in patients with active Schnitzler’s syndrome (SchS)
Charité - Universitätsmedizin Berlin; Dpt. of Dermatology and Allergy0 个研究点目标入组 12 人开始时间: 2017年1月31日最近更新:
适应症
相关药物
试验速览
- 阶段
- 1 期
- 状态
- 进行中(未招募)
- 发起方
- 入组人数
- 12
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Interventional clinical trial of medicinal product
入排标准
入选标准
- •Adults (18 years or older)
- •SchS diagnosis based on Strasbourg clinical criteria
- •Active SchS, refractory to treatment with antihistamines, NSAIDS or colchicine, hydroxychloroquine or dapsone
- •Patients who have a symptom score (PGA) of at least 8 (0-20) at baseline
- •If necessary, concurrent/ongoing treatment with a stable dose of systemic corticosteroids not greater than 10mg/d for 14 days prior to screening
- •If necessary, concurrent/ongoing treatment with a stable dose of antihistamines and NSAIDs for 7 days prior to screening
- •Able to read, understand and willing to sign the informed consent form and abide with study procedures
- •Willing, committed and able to return for all clinic visits and complete all study-related procedures, including willingness to have SC injections administered by a qualified person
- •In females of childbearing potential: Negative pregnancy test within 28 days of randomization; males and females willing to use highly effective contraception (Pearl-Index < 1) during study treatment and for a minimum of 3 months after last dose of TCZ. Pregnancies occurring up to 90 days after the completion of the study medication must be reported to the investigator. A woman will be considered not of childbearing potential if she is post-menopausal for greater than two years or surgically sterile (bilateral tubal ligation, bilateral oophorectomy or hysterectomy)
- •Subjects are considered eligible, if they meet the following tuberculosis (TB) screening criteria: no history of latent or active TB prior to screening, no signs or symptoms suggestive of active TB, no recent close contacts with a person with active TB, and negative QuantiFERON-TB test at screening (if QuantiFERON-TB test is positive, the patient can only be included if active TB is ruled out with appropriate measurements according to standard of care, e.g. the patient is pre-treated with isoniazide for 4 weeks).
- •No participation in other clinical trials 4 weeks before and after participation in this study
- •Are the trial subjects under 18? no
- •Number of subjects for this age range:
- •F.1.2 Adults (18-64 years) yes
- •F.1.2.1 Number of subjects for this age range 8
- •F.1.3 Elderly (>=65 years) yes
- •F.1.3.1 Number of subjects for this age range 4
排除标准
- •Major surgery (including joint surgery) within 8 weeks prior to screening or planned major surgery within 6 months following randomization.
- •Concurrent/ongoing treatment with biologics or recent treatment (less than 5 half lives)
- •o With Anakinra within 7 days prior to screening, with canakinumab within 100 days prior to screening
- •o with oral/parental corticosteriods greater than 10 mg/d within 2 weeks prior to screening
- •o with Cyclosporin A Methotrexate, Dapsone, Chloroquine, Hydroxychloroquine, Azathioprine, Cyclophosphamide within 4 weeks prior to screening
- •o other immunosuppressives within 4 weeks or 5 half lives prior to screening, whichever is longer
- •o Previous treatment within six months of randomization with any cell-depleting therapies, including investigational agents or approved therapies, some examples include: CAMPATH, anti-CD4, anti-CD5, anti-CD3, anti-CD19 and anti-CD20.
- •o Treatment with intravenous gamma globulin, plasmapheresis or Prosorba column within 6 months of baseline.
- •Treatment with a live (attenuated) virus vaccine within 4 weeks prior to Baseline visit
- •Significant medical condition rendering the patient immunocompromised or not suitable for a clinical trial
- •Any previous treatment with alkylating agents such as chlorambucil, or with total lymphoid irradiation.
- •History of severe allergic or anaphylactic reactions to human, humanized or murine monoclonal antibodies.
- •An abnormal chest radiograph consistent with clinical signs of prior or present tuberculosis infection whether or not previously treated with anti-tuberculosis agents
- •Significant concomitant illness such as, but not limited to, cardiac, renal, neurological, endocrinological, metabolic, or lymphatic disease that would adversely affect the subject’s participation or evaluation in this study
- •Evidence of current HIV, Hepatitis B, or Hepatitis C infection by clinical or serological history
- •Presence of any of the following laboratory abnormalities at enrollment visit: serum creatinine > 1.6 mg/dL (141 µmol/L) in female patients and > 1.9 mg/dL (168 µmol/L) in male patients, WBC <3,000/µl; platelet count <100000/µl ; ALT or AST >2 x ULN or total bilirubin >ULN, Hemoglobin <8.0 g/dL, neutrophil count <2,000 cells/µl or lymphocyte count <500/ µl
- •Evidence of active, recurrent or latent systemic infection
- •Active systemic inflammatory condition other than SchS including, but not limited to, rheumatoid arthritis
- •History of malignancies within five years prior to screening other than a successfully treated non-metastatic cutaneous, basal, or squamous cell carcinoma and/or in situ cervical cancer
- •Lactating females or pregnant females
- •Enrollment in another investigational treatment or device study or use of an investigational agent, or less than 4 weeks or 5 half-lives, whichever is longer, since end of another investigational device or drug trial
- •Subjects for whom there is concern about compliance with the protocol procedures
- •Any medical condition which, in the opinion of the Investigator, would interfere with participation in the study or place the subject at risk
- •History of substance abuse
研究者
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