Study of Epratuzumab versus Placebo in subjects with moderate to severe general Systemic Lupus Erythematosus (SLE)
- Conditions
- Health Condition 1: null- Systemic Lupus Erythematosus
- Registration Number
- CTRI/2011/11/002115
- Lead Sponsor
- CB Inc
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- Not specified
- Target Recruitment
- 1053
1. The subject must be at least 18 years old at the Screening Visit (Visit 1).
2. An Institutional Review Board (IRB)/Independent Ethics Committee (IEC) approved written Informed Consent form/authorization forms (as applicable) are signed and dated by the subject prior to the initiation of any study-specific assessment at Screening (Visit 1).
3. Adequate reading and writing abilities such that the subject can comprehend and answer the questions on the subject-completed assessments.
4. The subject is considered reliable, willing, and capable of adhering to the protocol, and visit schedule, according to the judgment of the investigator.
5. Women of childbearing potential must agree to use an acceptable method of birth control during the study and for a period of 3 months after their final dose of study drug. Acceptable forms of birth control include oral contraceptives (which must be stable for at least 1 full month prior to Screening [Visit 1], and should remain stable during the study), double-barrier methods, and the single-barrier methods of diaphragm with adjunct spermacide or condom with adjunct spermacide. Unacceptable methods include abstinence alone or condoms/diaphragm use without adjunct spermacide. Women not agreeing to use birth control must be surgically sterile (hysterectomy/oophrectomy or tubal ligation) or postmenopausal for at least 2 years prior to Screening (Visit 1). Women of childbearing potential are required to have a serum pregnancy test taken at Screening (Visit 1), which is confirmed to be negative by urine testing prior to the first dose of study drug at Week 0 (Visit 2).
6. The subject has positive results for antinuclear antibodies (ANAs) (titer >=1:80) or anti-dsDNA at Screening (Visit 1) at the central laboratory using their testing methodologies.
7. The subject has SLE diagnosed by a physician, as defined by the most recent ACR revised criteria, such that at least 4 (not including Neurologic Disorder) of the 11 criteria are met. If positive for Neurologic Disorder criteria, a total of 5 of the 11 ACR criteria must be met (see Appendix 18.1).
8. The subject has active moderate to severe SLE disease activity, as demonstrated by BILAG level A disease activity in at least 1 body/organ system (except renal or neurological), or BILAG level B level disease activity in at least 2 body/organ systems if no BILAG level A disease is present. At least 1 of the BILAG A scores OR at least 2 of the BILAG B scores must be in the following BILAG body/organ systems: mucocutaneous, musculoskeletal, or cardiorespiratory.
9. The subject has active moderate to severe SLE disease activity as demonstrated by a SLEDAI total score of at least 6 at Screening (Visit 1).
10. Subjects receiving antimalarials must have been receiving them for at least 12 weeks prior to Screening/Baseline (Visit 1), with a stable dose regimen for at least 28 days (+ or _ 1 day) prior to Week 0 (Visit 2) and the first study drug infusion. The maximum doses for allowed antimalarials are specified in Table 7:2.
11. Subjects receiving immunosuppressants must be at a stable dose for at least 28 days (+ or _1 day) prior to Visit 2 and the first study drug infusion. The maximum doses for allowed immunosuppressants are specified in Table 7:3.
12. Subjects must be receiving corticosteroids within the range of 5 to 60mg/day prednisone equivalents at a stable dose for at least 5 days (+ or
Subjects are not permitted to enroll in the study if any of the following criteria is met:
1. The subject has active, severe, neuropsychiatric SLE, defined as any neuropsychiatric element scoring BILAG level A disease, including but not limited to: new or worsening impaired level of consciousness, psychosis, delirium or confusional state, grand mal seizure (including status epilepticus), stroke or stroke syndrome, aseptic meningitis, ascending or transverse myelitis, cranial neuropathy, chorea, cerebellar ataxia,demyelinating syndromes or any other severe neurologic condition which, in the opinion of the investigator, would prevent the subject from completing protocol-required procedures and assessments. Mononeuritis single/multiplex and/or polyneuropathy are NOT exclusionary, even if they result in a CNS BILAG A score, provided they are not new or worsening at Screening (Visit 1).
2. The subject has active, severe, SLE disease activity which involves the renal system (defined by BILAG renal level A activity), serum creatinine >2.5mg/dL, or a clinically significant serum creatinine increase within the 4 weeks prior to Screening (Visit 1), or proteinuria >3.5g/day.
3. Female subjects who are breastfeeding, pregnant, or plan to become pregnant during the study or within 3 months following their final dose of study drug.
4. Evidence of an immunosuppressive state, including HIV infection,
agammaglobulinemias, T-cell deficiencies, or HTLV-1.
5. Subjects with a history of chronic infections, including but not limited to subjects with concurrent acute or chronic viral hepatitis B or C. Also excluding subjects with a history of a recent serious or life-threatening infection or any current signs or symptoms that may indicate a significant infection at Screening (Visit 1), as per the investigatorâ??s clinical judgment. Subjects must have completed any prior anti-infective therapy prior to the first dose of study drug with the exception of anti-infectives taken specifically for the treatment of acne, rosacea, onychomycosis, or vaginal yeast infections; for the prophylaxis of urinary tract infections; or prophylaxis for pre-surgical or pre-procedural reasons (including dental procedures). Note: minocycline may not be used for these purposes.
6. Subjects who, in the opinion of the investigator, are at a particularly high risk of significant infection due to their lifestyle and/or occupation.
7. Subjects with substance abuse/dependence or other concurrent medical conditions that could confound study interpretation or affect the subjectâ??s ability to fully participate in the study.
8. Subjects receiving any live (includes attenuated) vaccination within the 8 weeks prior to Screening (Visit 1) (eg, inactivated influenza and pneumococcal vaccines are allowed but nasal influenza vaccination is not permitted).
9. Spontaneous or induced abortion, still or live birth within 4 weeks prior to Screening (Visit 1).
10. Use of oral anticoagulants (not including NSAIDs) within the 12 weeks prior to Screening (Visit 1).
11. Subject has a history of thromboembolic events (eg, myocardial infarction, cerebrovascular accident, deep vein thrombosis, pulmonary embolism) within 1 year of Screening (Visit 1) or subjects with known anti-phospholipid syndrome (Miyakis etal, 2006).
12. Significant hematologic abnormalities of hemoglobin <8.0 g/dL, or WBC <2000/mm3, or absolute neu
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method The percent of subjects meeting treatment response criteria at Week 48 according to a combined response index which incorporates criteria for achievement of responder status from the BILAG, SLEDAI, physicians global assessment of disease activity, and concomitant medicationTimepoint: Week 48
- Secondary Outcome Measures
Name Time Method