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临床试验/EUCTR2015-005023-11-IT
EUCTR2015-005023-11-IT进行中(未招募)1 期

A Phase II, randomized, double-blind, placebo controlled, parallel-group, multicenter trial to evaluate the efficacy and safety of abituzumab in subjects with systemic sclerosis-associated interstitial lung disease (SSc-ILD) - STRATUS

MERCK KGAA0 个研究点目标入组 175 人开始时间: 2018年2月23日最近更新:
适应症

试验速览

阶段
1 期
状态
进行中(未招募)
发起方
MERCK KGAA
入组人数
175

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

性别
All

入选标准

  • Subjects are eligible for this trial if they fulfill all of the following inclusion criteria:
  • 1. Female or male subjects aged between 18 and 75 years of age who provide informed written consent.
  • 2. Subjects fulfilling the 2013 ACR/European League Against Rheumatism criteria for classification of SSc.
  • 3. Disease duration of <7 years from first non-Raynaud’s symptom.
  • 4. According to central readings: DLCO =30% predicted, FVC 40% to 85% predicted, and ratio of FVC % predicted to DLCO % predicted <1.8. If these criteria are met, then HRCT of lungs will be performed, and must show at least 5% fibrosis for subjects to be eligible.
  • 5. Use of mycophenolate for at least 6 months before the screening visit. The dose must be stable for at least 3 months prior to screening and be in the range as follows: MMF 1.5 to 3 g/day, MPS 1080 to 2160 mg/day.
  • 6. For women who are not postmenopausal (= 12 months of non-therapy-induced amenorrhea) or surgically sterile (absence of ovaries and/or uterus): agreement to remain abstinent or use two effective methods of contraception, including at least one highly effective method that can achieve a failure rate of < 1% per year, when used consistently and correctly, and one other reliable method during the treatment period and for at least 90 days after the last dose of study treatment.
  • Examples of contraceptive methods with a failure rate of < 1% per year (highly effective contraceptive methods) include:
  • combined (estrogen and progesterone containing) hormonal contraception associated with inhibition of ovulation (oral, intravaginal, transdermal)
  • progesterone-only hormonal contraception associated with inhibition of ovulation (oral, injectable, implantable)
  • intrauterine device (IUD)
  • intrauterine hormone-releasing system (IUS)
  • bilateral tubal occlusion
  • vasectomized partner
  • sexual abstinence
  • Are the trial subjects under 18? no
  • Number of subjects for this age range: 1
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 149
  • F.1.3 Elderly (>=65 years) yes
  • F.1.3.1 Number of subjects for this age range 26

排除标准

  • 1. Any condition that in the Investigator's opinion constitutes an inappropriate risk or a contraindication for participation in the trial or that could interfere with the trial objectives, conduct, or evaluation.
  • 2. Renal impairment (glomerular filtration rate [GFR] <45 mL/min/1.73 m2 as calculated by the Modification of Diet in Renal Disease equation) calculated by the central laboratory as follows:
  • GFR (mL/min per 1.73 m^2) = 175 x (standardized serum creatinine)^-1.154 x (age)^-0.203 x 1.212 (if black) x 0.742 (if female)
  • 3. Urine dipstick with =3+ protein and urine protein:creatinine ratio >2 mg/mg. Urine protein:creatinine ratio will be determined only if urine dipstick indicates =3+ protein.
  • 4. Known diagnosis of obstructive lung disease/emphysema as defined by forced expiratory volume in 1 second (FEV1)/FVC ratio <0.65 and/or significant emphysematous change on screening HRCT according to the central reader.
  • 5. Other clinically significant abnormalities on HRCT not attributable to scleroderma or emphysema as defined above, which in the Investigator's opinion make enrollment in the trial inappropriate.
  • 6. Known diagnosis of other significant respiratory disorders in the opinion of the Investigator.
  • 7. Pulmonary hypertension that fulfills at least one of the following:
  • - Currently being treated with systemic therapy targeted to PAH or pulmonary hypertension;
  • - Considered by the Investigator to require initiation of systemic therapy;
  • - History of transthoracic echocardiography showing at least one of the following (unless right heart catheterization subsequent to these measures did not reveal pulmonary hypertension): tricuspid regurgitation jet >2.8 m/sec, right atrial enlargement (major dimension >53 mm), right ventricular enlargement (mid cavity dimension >35 mm), moderate to severe left ventricular dysfunction;
  • - At screening, N-terminal prohormone brain natriuretic peptide (NT pro-BNP) >3 x the upper limit of normal (ULN), unless, for example, right heart catheterization performed within 2 months did not reveal pulmonary hypertension.
  • 8. Current clinical diagnosis of another inflammatory connective tissue disease (eg, systemic lupus erythematosus, rheumatoid arthritis, ankylosing spondylitis, or dermato/polymyositis); concomitant scleroderma-associated myopathy and fibromyalgia are allowed.
  • 9. Clinical suspicion of or recent evidence of significant aspiration within the previous 6 months, such as chemical induced pneumonitis or aspiration pneumonia.
  • 10. Active clinically significant viral, bacterial, or fungal infection, or any major episode of infection requiring hospitalization or treatment with parenteral anti-infectives within 4 weeks prior to screening or during the Screening Period, or completion of oral antiinfectives within 2 weeks before screening or use of oral anti-infectives during the Screening Period. Vaginal candidiasis, onychomycosis, and chronically suppressed oral herpes simplex virus would not be exclusionary.
  • 11. History of or positive human immunodeficiency virus (HIV), hepatitis C antibody and/or polymerase chain reaction or hepatitis B surface antigen (HBsAg) and/or hepatitis B core antibody (total and/or immunoglobulin M [IgM]) antibody at screening.
  • 12. History of or current diagnosis of active tuberculosis (TB), or untreated latent TB infection (LTBI), determined by a TB skin test with purified protein derivative as evidenced by induration =5 mm or a positive QuantiFERON-TB or positi

研究者

发起方
MERCK KGAA

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