?A study to check how safe, beneficial and tolerable the drugcanakinumab, along with childhood vaccines, is for patients withCryopyrin Associated Periodic Syndromes (CAPS).
- Conditions
- Cryopyrin Associated Periodic Syndromes (CAPS)MedDRA version: 14.1Level: PTClassification code 10068850Term: Cryopyrin associated periodic syndromeSystem Organ Class: 10010331 - Congenital, familial and genetic disordersTherapeutic area: Diseases [C] - Immune System Diseases [C20]
- Registration Number
- EUCTR2009-016859-22-Outside-EU/EEA
- Lead Sponsor
- ovartis Pharma Services AG
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- A
- Sex
- All
- Target Recruitment
- 15
1. Male and female patients that are 28 days to 60 months of age at the time of the screening visit.
2. Body weight = 2.5 kg.
3. Parent or legal guardian's written informed consent is required before any assessment is performed for patients.
4. At study entry, patients should have a clinical diagnosis of FCAS, MWS, or NOMID and symptoms requiring pharmacological intervention. Prior agreement between the Investigator and Novartis for study eligibility is required for patients who do not have a molecular diagnosis of NALP3 mutations available (either testing not performed, or testing performed but negative) upon study entry. For those patients who have not been molecularly tested for NALP3 mutations, molecular testing should be performed during the course of the study.
5. For patients treated with an IL-1 blocking agent (i.e. anakinra,
rilonacept), these treatments should be discontinued prior to the
baseline visit and patients must demonstrate active disease prior to treatment.
6. Patients who are scheduled to receive an immunization, according to their local vaccination guidelines, with an inactivated vaccine must be willing to participate in the assessment schedule for vaccinated patients.
Other protocol-defined inclusion criteria may apply.
Are the trial subjects under 18? yes
Number of subjects for this age range: 15
F.1.2 Adults (18-64 years) no
F.1.2.1 Number of subjects for this age range
F.1.3 Elderly (>=65 years) no
F.1.3.1 Number of subjects for this age range
1. Preterm neonates for whom, in the Investigator's judgment,
participation in the study is not deemed appropriate.
2. History of recurrent and/or evidence of active bacterial, fungal, or viral infections (including HIV).
3. Patients with immunodeficiency or treatment with
immunosuppressive drugs.
4. Live vaccinations within inferior or equal to 3 months prior to
screening. No live vaccinations will be allowed throughout the course of this study and up to 3 months following the last dose.
5. Patients with an increased risk of tuberculosis (TB) infection
according to following risk factors:
• Patients with recent close contact with persons known to have active pulmonary TB disease
• Foreign-born patients from countries with a high prevalence of
tuberculosis
• Patients with recent tuberculosis infection (including children > 6
months with a positive PPD test [defined as an induration of at least 10mm])
• Patients with end-stage renal disease
• Patients with diabetes mellitus
• Patients receiving immunosuppressive therapy
• Patients with hematologic cancers.
6. Participation in another trial within the last 30 days or 5 half-lives of the investigational compound (whichever is longer).
7. Familial and social conditions rendering regular medical assessment not possible.
8. Pediatric patients with neutropenia (absolute neutrophil count [ANC] < 1.5 x 10^9/l)
Other protocol-defined exclusion criteria may apply.
Study & Design
- Study Type
- Interventional clinical trial of medicinal product
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Main Objective: This trial will assess the safety, efficacy and tolerability of ACZ885 in patients aged 4 years and younger with cryopyrin associated periodic syndromes (CAPS).;Secondary Objective: ;Primary end point(s): To assess the efficacy of canakinumab with respect to the treatment response in CAPS patients 4 years and younger;Timepoint(s) of evaluation of this end point: A maximum of 56 weeks
- Secondary Outcome Measures
Name Time Method Secondary end point(s): •To assess the efficacy of canakinumab with respect to the treatment response in CAPS patients 2 years and younger <br>•Safety and tolerability as assessed by overall frequency of adverse events and number of patients completing the study in patients 2 years and younger and the overall population <br>•To assess the presence of protective antibody levels following immunization with inactivated (killed) vaccines<br>•To evaluate the safety of canakinumab treatment in pediatric patients receiving a concomitant vaccination <br>•To evaluate the proportion of patients with vaccinated-associated reactions<br>•To assess the reduction of inflammation marker (C-reactive protein (CRP) or serum amyloid A (SAA)) after treatment initiation ;Timepoint(s) of evaluation of this end point: A maximum of 56 weeks