EUCTR2017-001717-92-AT进行中(未招募)1 期
A randomised, double-blind, placebo-controlled Phase II study to target the type I IFN receptor by administrating Anifrolumab in RA patients with a high IFN signature (TarIFNiRA) - TarIFNiRA
适应症
试验速览
- 阶段
- 1 期
- 状态
- 进行中(未招募)
- 入组人数
- 24
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
- •18 - 70 years at screening
- •Written informed consent
- •Weigh =50.0 kg and =100.0 kg at screening
- •Diagnosis of RA according to the 2010 ACR/EULAR classification criteria for RA
- •at least one conventional synthetic (cs)DMARD (methotrexate (MTX), leflunomide, sulfasalazine (SSZ)) regularly for at least 12 weeks, with stable doses for at least 8 weeks.
- •moderately to severely active RA
- •Received at least one TNF-inhibitor (TNFi) but not more than 3 biological (b)DMARDs and discontinued treatment because of an insufficient response after at least 3 months.
- •Oral Glucocorticoids (OCS) are allowed at stable doses of =10 mg /day prednisone or equivalent, if already used before the screening visit, dose must be stable for at least 2 weeks
- •High type I IFN gene signature test
- •Seronegative for HIV, hep. B surface antigen and hep. C ¬antibodies
- •Negative serum ß-hCG test at screening (females of childbearing potential only).
- •Females of childbearing potential must use 2 effective methods of avoiding pregnancy
- •All males (sterilised or non-sterilised) who are sexually active must use condom (with spermicide where commercially available)
- •Male subjects must not donate sperm during the course of the study and for 12 weeks after the last dose of the investigational product.
- •Females with an intact cervix must have documentation of a normal Pap smear with no documented malignancy
- •Meets all of the following tuberculosis (TB) criteria:
- •-No history of latent or active TB, exception: latent TB with documented completion of appropriate treatment
- •-No signs or symptoms suggestive of active TB
- •-No recent contact with a person with active TB
- •-Negative QuantiFERON-tuberculosis Gold [QFT-G] test for tuberculosis within 3 months prior to randomisation
- •A chest radiograph with no evidence of current active infection within 12 weeks prior to signing of the informed consent
- •Are the trial subjects under 18? no
- •Number of subjects for this age range:
- •F.1.2 Adults (18-64 years) yes
- •F.1.2.1 Number of subjects for this age range 20
- •F.1.3 Elderly (>=65 years) yes
- •F.1.3.1 Number of subjects for this age range 4
排除标准
- •General exclusion criteria:
- •Any condition that would interfere with evaluation of the investigational product or interpretation of patient safety or study results
- •Participation in another clinical study with an investigational product
- •Individuals involved with the conduct of the study, their employees, or immediate family members of such individuals
- •Lactating or pregnant females or females who intend to become pregnant
- •Current alcohol, drug or chemical abuse, or a history of such abuse
- •Major surgery within 8 weeks before signing ICF or elective major surgery planned during the study period
- •Low type I IFN transcript scores in peripheral whole blood (type I Interfern Gene signature test)
- •At screening (within 4 weeks before Week 0 [Day 0]), any of the following:
- •-AST >2.0 × ULN
- •-ALT >2.0 × ULN
- •-Total bilirubin >ULN (unless due to Gilbert's syndrome)
- •-Serum creatinine >2.0 mg/dL (or >181 µmol/L)
- •-Urine protein/creatinine ratio >2.0 mg/mg (or >226.30 mg/mmol)
- •-Neutrophil count <1000/µL (or <1.0 × 109/L)
- •-Platelet count <150.000/µL (or <150 × 109/L)
- •-Haemoglobin <8 g/dL (or <80 g/L)
- •-Glycosylated haemoglobin (HbA1c) >8% (or >0.08) at screening (diabetic patients only)
- •Exclusion criteria related to con. Med.:
- •Receipt of any investigational product (small molecule or biologic agent) within 4 weeks or 5 half lives prior to signing of the ICF.
- •Prior receipt of Anifrolumab
- •Prior receipt of a JAK-inhibitor
- •known history of allergy or reaction to any component of the investigational product
- •Regular use of >1 NSAID within 2 weeks prior to Day 0 OR receipt of fluctuating doses of a NSAID within 2 weeks prior to Day 0
- •Receipt of any of the following:
- •-Intra-articular, intramuscular or intravenous glucocorticosteroids within 6 weeks prior to Day 0
- •-Any live or attenuated vaccine within 8 weeks prior to signing the ICF
- •-BCG vaccine within 1 year prior signing the ICF
- •-Blood transfusion within 4 weeks prior signing the ICF
- •Exclusion criteria related to other diseases:
- •History of any non RA disease that required treatment with oral or parenteral corticosteroids for > 2 weeks within the last 24 weeks prior signing the ICF
- •Exclusion criteria related to infection and malignancy risk factors:
- •Splenectomy
- •Any severe herpes infection at any time prior to Day 0
- •Any herpes zoster infection that has not completely resolved within 12 weeks prior signing the ICF
- •Opportunistic infection requiring hospitalisation or parenteral antimicrobial treatment within 3 years of randomisation
- •Any of the following:
- •-Clinically significant chronic infection within 8 weeks prior signing the ICF
- •-Any infection requiring hospitalisation or treatment with intravenous anti infectives not completed at least 4 weeks prior signing the ICF
- •Any infection requiring oral anti-infectives (including antivirals) within 2 weeks prior to Day 0
- •History of cancer, apart from:
- •-Squamous or basal cell carcinoma of the skin treated with documented success of curative therapy =3 months prior to Week 0 (Day 0)
- •-Cervical cancer in situ treated with apparent success with curative therapy =1 year prior to Week 0 (Day 0)
研究者
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