An Open-Label Safety and Efficacy Study of Reslizumab (CTx55700) for the Treatment of Pediatric Subjects With Eosinophilic Esophagitis Who Completed Study Res-5-0002
试验速览
- 阶段
- 3 期
- 状态
- 已完成
- 发起方
- 入组人数
- 190
- 试验地点
- 36
- 主要终点
- Number of Participants With at Least 1 Potentially Clinically Significant Abnormal Serum Chemistry Laboratory Test Results or Urinalysis Abnormality
研究概览
简要总结
This study is an open-label study where all subjects will receive active drug, reslizumab. Subjects are able to enter this trial only through completion of study Res-05-0002 (NCT00538434).
The goal of the study is to show longer term safety and efficacy in pediatric subjects who have eosinophilic esophagitis.
详细描述
Subjects will enter this open-label extension study after completing the placebo-controlled, double-blind study Res-5-0002 (NCT00538434). The end of study visit for Res-05-0002 will serve as the screening visit for this trial.
All subjects will receive reslizumab and be followed by their principal investigators in an unblinded fashion. Visits and administration of reslizumab will be monthly.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 5 Years 至 —(Child, Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Informed consent
- •Received at least two doses of study drug in Study Res-05-0002 (NCT00538434)
- •Did not withdraw from Study Res-05-0002 due to drug related adverse event
- •Completed End of Treatment Visit for Study Res-05-0002
排除标准
- •Pregnant or nursing females
- •Concurrent Immunodeficiency
- •Current use of immunosuppressive drugs
- •Did not tolerate study drug in Study Res-05-0002
研究组 & 干预措施
Open-Label Reslizumab
Open-label reslizumab intravenous (IV) infusion at an initial dose of 1 mg/kg monthly
干预措施: reslizumab (Drug)
结局指标
主要结局
Number of Participants With at Least 1 Potentially Clinically Significant Abnormal Serum Chemistry Laboratory Test Results or Urinalysis Abnormality
时间窗: From start of study drug until end of treatment (mean [SD] duration of treatment was 30.0 [5.89] months)
Serum chemistry laboratory tests performed include: calcium, phosphorus, magnesium, sodium, potassium, chloride, creatinine, glucose \[nonfasting\], blood urea nitrogen, total cholesterol, uric acid, alanine aminotransferase, aspartate aminotransferase, lactate dehydrogenase, gamma glutamyl transpeptidase, alkaline phosphatase, bicarbonate, creatine kinase, total protein, albumin, total bilirubin, direct bilirubin, indirect bilirubin. Urinalysis tests performed include: protein, glucose, ketones, bilirubin, urobilinogen, nitrite content, pH, specific gravity, white blood cells, microscopic (red blood cells, white blood cells, casts, crystals).
Number of Participants With Treatment-emergent Adverse Events (AEs), Serious AEs, or Discontinuation Due to AEs
时间窗: From start of study drug until end of treatment (mean [standard deviation {SD}] duration of treatment was 30.0 [5.89] months)
An AE was defined as any adverse experience, including side effect, injury, toxicity, sensitivity reaction, intercurrent illness, or sudden death, whether or not it was considered related to the use of study drug. Treatment emergent adverse events were those that started any time after the administration of the first dose of study drug (at baseline of this study) and before the cessation of study drug. Serious adverse events that occurred any time after the administration of the first dose of study drug until 30 days after administration of the last dose of study drug were reported as treatment emergent serious adverse events.
Number of Participants With at Least 1 Potentially Clinically Significant Abnormal Hematology Value
时间窗: From start of study drug until end of treatment (mean [SD] duration of treatment was 30.0 [5.89] months)
Hematology laboratory tests performed include: hemoglobin, hematocrit, red blood cell count, mean cell volume, mean cell hemoglobin, mean cell hemoglobin concentration, platelet count, white blood cell count, and differential count and percentage (polymorphonuclear leukocytes \[neutrophils\], lymphocytes, eosinophils, monocytes, basophils, platelets).
Number of Participants With at Least 1 Potentially Clinically Significant Abnormal Vital Signs Value
时间窗: From start of study drug until end of treatment (mean [SD] duration of treatment was 30.0 [5.89] months)
Low systolic blood pressure: \< 90 and decrease (↓) of 30 mm Hg from baseline (BL) (ages 5-18); high systolic blood pressure: \> 160 and increase (↑) of 30 mm Hg from BL (age 5-12), \> 130 and ↑ of 30 mm Hg from BL (age 13-18). Low diastolic blood pressure: \< 45 and ↓ of 12 mm Hg from BL (age 5-12), \< 55 and ↓ of 12 mm Hg from BL (age 13-18), \< 50 and ↓ of 15 mm Hg from BL; high diastolic blood pressure: \> 85 and ↑ of 12 mm Hg from BL (ages 5-18). Low heart rate: \< 80 and and ↓ of 30 beats per minute (bpm) from BL (age 5-12), \< 60 and and ↓ of 30 bpm from BL (age 13-18), \< 50 and and ↓ of 15 bpm from BL (age \> 18); high heart rate: \> 120 and ↑ of 30 bpm from BL (age 5-12), \> 100 and ↑ of 30 bpm from BL (age 13-18), \> 100 and ↑ of 15 bpm from BL (age \> 18). Low oral body temperature: \< 35.8° Celsius (age 5 to \>18); high oral body temperature: \> 38.1° C and ↑ 2° Celsius from BL (age 5-18).
Number of Participants With Newly Diagnosed Physical Examination Abnormalities at Endpoint
时间窗: From start of study drug until end of treatment (mean [SD] duration of treatment was 30.0 [5.89] months)
HEENT=head, eyes, ears, nose and throat.
Infusion Site Evaluations
时间窗: Day 0, Weeks 4, 8, 12, 16, endpoint (last visit), any time during study (mean [SD] duration of treatment was 30.0 [5.89] months)
The infusion site was assessed before treatment and within 30 minutes after the end of the infusion at each monthly treatment visit (or at early withdrawal if before Week 16). The infusion site was graded according to a 5-point scale as follows: 0=no tenderness at IV site, no erythema, no swelling, no induration, no purulence, no palpable venous cord; 1=tender IV site, no erythema, no swelling, no induration, no purulence, no palpable venous cord; 2=tender IV site with erythema, some degree of swelling, no induration, no purulence, no palpable venous cord; 3=tender IV site with erythema and swelling, with induration or palpable venous cord, no purulence; 4=frank vein thrombosis, along with all signs of grade 3 with purulence; IV may stop running because of thrombosis. After the 16-week visit, formal infusion site evaluations were not continued. However, any infusion site reactions were recorded as adverse events and graded as other adverse events.
Therapeutic Classification of Concomitant Medications in at Least 10% of Participants
时间窗: From start of study drug until end of treatment (mean [SD] duration of treatment was 30.0 [5.89] months)
Number of participants receiving therapeutic classes of concomitant medications.
次要结局
- Mean Change From Baseline to Endpoint in Peak Esophageal Eosinophil Counts(Baseline, Week 16 or early withdrawal (if before Week 16))
- Participant's EoE Predominant Symptoms Over Time(Every 3 weeks from Day 0 up to Week 42 (mean [SD] duration of treatment was 30.0 [5.89] months))
- Physician's EoE Global Assessment Over Time(Every 3 weeks from Day 0 up to Week 42 (mean [SD] duration of treatment was 30.0 [5.89] months))
- Mean Change From Baseline to Endpoint in Selected Child Health Questionnaire (CHQ) Scores(Baseline through Endpoint (last visit; mean [SD] duration of treatment was 30.0 [5.89] months))
- Number of Participants With >/= 1 Confirmed Positive Value for Anti-drug Antibodies (ADA)(From start of study drug until end of treatment (mean [SD] duration of treatment was 30.0 [5.89] months))
- Dietary Question Responses at Endpoint(Study endpoint (mean [SD] duration of treatment was 30.0 [5.89] months))
- Reslizumab Serum Concentrations(Before treatment (within 3 hours) and after treatment (within 3 hours after end of infusion) for doses at Weeks 8 and 12; within 6 days after either dose at Weeks 8 or 12; 2 to 4 weeks after dose at Weeks 8 or 12; and at premature withdrawal.)
