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Safety Study of AMG 557 in Subjects With Lupus Arthritis

Phase 1
Completed
Conditions
Lupus Arthritis, Systemic Lupus Erythematosus
Interventions
Drug: Matching Placebo
Registration Number
NCT01683695
Lead Sponsor
Amgen
Brief Summary

This is a multicenter, randomized, double-blind, parallel, placebo-controlled, multiple dose study that will enroll approximately 40 systemic lupus erythematosus subjects with active lupus arthritis.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
20
Inclusion Criteria
  • Diagnosis of SLE for at least 6 months as defined by the most recent American College of Rheumatology criteria
  • Presence of lupus related inflammatory arthritis with at least four tender and four swollen joints; and Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) ≥ 6 at screening;
  • Other inclusion criteria may apply.
Exclusion Criteria
  • Presence or history of vasculitis, and presence or history of active lupus nephritis requiring therapy within the last 3 years
  • Any disorder (including psychiatric), condition, clinically significant disease, disease activity related to SLE
  • Positive for HIV antibodies, hepatitis B surface antigen or anti-HBc, or hepatitis C antibodies
  • Known residential exposure to an individual with tuberculosis or positive Quantiferon test or PPD test at screening
  • Men and women of reproductive potential, unwilling to practice a highly effective method of birth control for the duration of the study
  • Other exclusion criteria may apply

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
AMG 557AMG 557All will receive AMG 557 on Day 1, Day 8, Day 15, Day 29, Day 43, Day 57, Day 71, Day 85, Day 99, Day 113, Day 127, Day 141 and Day 155.
AMG 557 Matching PlaceboMatching PlaceboAll will receive AMG 557 on Day 1, Day 8, Day 15, Day 29, Day 43, Day 57, Day 71, Day 85, Day 99, Day 113, Day 127, Day 141 and Day 155.
Primary Outcome Measures
NameTimeMethod
Treatment-emergent adverse events, vital signs, physical examinations, clinical laboratory tests, ECGs, and the incidence of binding and neutralizing antibodies to AMG 557.330 days, including a 21-day screening period
Lupus Arthritis Response RateDay 169

Defined by: 1) achieving at least a 50% decrease in the combined tender and swollen joint count compared to baseline at Day 169; 2) achieving one letter improvement in the Musculoskeletal System BILAG at Day 169 compared to baseline; 3) reduction in and maintenance of prednisone (or its equivalent) dose to ≤ 50% of baseline corticosteroid dose (Day 1 predose) or ≤ 7.5 mg/day, whichever is lower, from Day 85 to Day 169 in subjects not treated with immunosuppressants at baseline, or reduction in and maintenance of prednisone (or its equivalent) dose to ≤ 7.5 mg/day from Day 85 to Day 169 and discontinuation of immunosuppressants by Day 29 in subjects treated with immunosuppressants at baseline

Secondary Outcome Measures
NameTimeMethod
Proportion of subjects achieving a) one letter improvement; and b) 'C' or better score in the Musculoskeletal system from BILAG index at Day 169 compared to baseline, by treatment group.Day 169
Percentage change in the tender and swollen joint counts at Day 169 relative to baseline.Day 169
Proportion of subjects achieving reduction in and maintenance of prednisone (or itsDays 85-169
Subject Global Assessment of Disease Activity (SGADA).330 days, including a 21-day screening period
Serum PK profile of AMG 557 after multiple dose administrations.330 days, including a 21-day screening period
Proportion of subjects who discontinued immunosuppressants by Day 29 in subjectsDay 29
Cumulative dose of prednisone (or its equivalent) from Day 85 to Day 169.Day 85 to Day 169
Proportion of subjects achieving reduction in and maintenance ≤ 7.5 mg/day of prednisone (or equivalent) from Day 85- Day 169 and discontinuation of immunosuppressants by Day 29 in subjects treated with immunosuppressants at baseline.Days 85-169
Physician Global Assessment of Disease Activity (PGADA).330 days, including a 21-day screening period

Trial Locations

Locations (1)

Research Site

🇬🇧

London, United Kingdom

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