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A Multi-Centre, Placebo-Controlled Phase II Study of Canakinumab for the Treatment of Adult-onset Still's disease (AOSD) including an open-label long term extension.

Phase 1
Conditions
adult onset Still's disease (AOSD)
MedDRA version: 20.0Level: PTClassification code 10042061Term: Still's diseaseSystem Organ Class: 10028395 - Musculoskeletal and connective tissue disorders
Therapeutic area: Diseases [C] - Immune System Diseases [C20]
Registration Number
EUCTR2011-001027-20-DE
Lead Sponsor
Charité - Universitätsmedizin Berlin
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Recruiting
Sex
All
Target Recruitment
36
Inclusion Criteria

written informed consent

men and women = 18 years and = 75 years

diagnosis of adult onset Still's disease according Yamaguchi et al. criteria (J Rheumatology 1992)

disease activity (DAS28 >3,2) at Screening

joint involvement defined as minimum 4 painfull and 4 swollen joints at Screening and Baseline (28 joint count)

if treated with NSAID's: stable treatment for a minimum of 2 weeks prior to randomisation

if treated with corticosteroids: stable treatment for a minimum of 1 week prior to randomisation (= 10 mg/ day)

if on conventional DMARD therapy: stable treatment for a minimum of 6 weeks prior to randomisation

washout of biologic DMARD's

effective method for contraception
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 48
F.1.3 Elderly (>=65 years) yes
F.1.3.1 Number of subjects for this age range 20

Exclusion Criteria

prior treatment with two or more doses of IMP

intraarticular or intravenous injection with corticosteroids 4 weeks before randomisation

treatment with narcotic analgetics (excluding permitted concomitant medications such as Tramadol and Codein)

diagnosis of other, severe, chronic-inflammatory diseases

positive hepatitis B Antigen (HBsAg), hepatitis C antibody and/ or HIV-antibody

relevant active infection

positive screening for latent tuberculosis (if patient is taking adequate/isoniazid prophylaxis for 4 weeks before first IP administration, this patient may be randomized.)

elevated lab results: AST, ALT Bilirubin, Creatinine

non adequate hematologic lab result

history of neoplasm (with exception of curative treated non-melanoma neoplasm of the skin and carcinoma in situ of cervix)

relevant cardial or pulmonary diseases

macrophage activating syndrome (MAS)

vaccination with life vaccine

a history of alcohol or drug abuse within last 12 months

blood donation or blood loss = 400 ml within last 8 weeks

pregnancy or breastfeeding

Study & Design

Study Type
Interventional clinical trial of medicinal product
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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