Two-period Crossover Study to Demonstrate the Comparability of Pharmacokinetics of Subcutaneous Ianalumab Between 2mL Auto-injector/2mL PFS with1mL Pre-filled Syringe in Adult Participants With Autoimmune Disease
A Randomized, Two-period Crossover Study to Demonstrate the Comparability of Pharmacokinetics of Subcutaneous Ianalumab Between 2mL Auto-injector/2mL Pre-filled Syringe With 1 mL Pre-filled Syringe in Adult Participants With Autoimmune Disease
The purpose of this study is to demonstrate the comparability of ianalumab exposure following the sub-cutaneous (s.c.) administration of one injection of 300 mg/2 mL auto-injector (AI) versus two injections of 150 mg/1 mL pre-filled syringe (PFS), and to evaluate the safety and tolerability of ianalumab following the s.c. administration of both devices in participants with rheumatoid arthritis (RA), Sjögren's disease (SjD), or systemic lupus erythematosus (SLE).
A second cohort will be included with the objective of demonstrating the comparability of pharmacokinetics of ianalumab between 1 x 2 mL Pre-filled Syringe (PFS) and 2 x 1 mL PFS.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
The study consists of the following periods:
Screening period (up to 4 weeks):
Following the signing of the informed consent, participants will be assessed for eligibility during this period of up to 4 weeks.
Treatment Period 1 + Treatment Period 2, (Week 0 to Week 24):
After completion of the screening period, eligible participants will be randomized at the Baseline visit (Week 0) to one of the 2 treatment sequences (treatment switch at Week 12) in a ratio of 1:1 described below:
Cohort 1:
- Sequence 1: ianalumab 300 mg s.c. (2 x 1 mL PFS) monthly + SoC in Treatment Period 1 and ianalumab 300 mg s.c. (1 x 2 mL AI) monthly + SoC in Treatment Period 2
- Sequence 2: ianalumab 300 mg s.c. (1 x 2 mL AI) monthly + SoC in Treatment Period 1 and ianalumab 300 mg s.c. (2 x 1 mL PFS) monthly + SoC in Treatment Period 2
Cohort 2:
- Sequence 1: ianalumab 300 mg s.c. (2 x 1 mL PFS) monthly + SoC in Treatment Period 1 and ianalumab 300 mg s.c. (1 x 2 mL PFS) monthly + SoC in Treatment Period 2
- Sequence 2: ianalumab 300 mg s.c. (1 x 2 mL PFS) monthly + SoC in Treatment Period 1 and ianalumab 300 mg s.c. (2 x 1 mL PFS) monthly + SoC in Treatment Period 2 In addition, within each sequence, participants will be further randomized to one of the predetermined injection sites with equal allocation, resulting in a total randomization combination of four (2 sequences x 2 injection sites) for Cohort 1 and six (2 sequences x 3 injection sites) for Cohort 2, respectively.
Extended Treatment period (Week 24 to Week 72): After completion of Week 24 assessment, all participants (who did not discontinue during treatment period) will have the option to enter the extended treatment period to receive ianalumab 300 mg s.c. (Cohort 1: 2 mL AI; Cohort 2: 2 x 1 mL PFS) monthly up to Week 68. The end of treatment (EOT) visit will be performed 4 weeks after the last study treatment administration, i.e., at Week 72.
Mandatory Post-Treatment safety follow-up period (from Week 72 to Week 88): Participants who completed the last study treatment or prematurely discontinued from study treatment will enter the post-treatment safety follow-up period.
Conditional Post-Treatment safety follow-up period (from Week 88 to Week 176) Post-treatment follow-up will be performed until B-cell recovery or up to 2 years. B-cell recovery is defined when CD19+ B-cell counts return to >= 50 cells/μL or >= 80% of baseline value, whichever occurs earlier.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
Expanded Access
Expanded Access
Available
- Available: Expanded access is currently available for this investigational treatment, and patients who are not participants in the clinical study may be able to gain access to the drug, biologic, or medical device being studied.
- No longer available: Expanded access was available for this intervention previously but is not currently available and will not be available in the future.
- Temporarily not available: Expanded access is not currently available for this intervention but is expected to be available in the future.
- Approved for marketing: The intervention has been approved by the U.S. Food and Drug Administration for use by the public.
Contacts and Locations
Study Contact
Study Contact
- Name: Novartis Pharmaceuticals
- Phone Number: 1-888-669-6682
- Email: novartis.email@novartis.com
Study Contact Backup
- Name: Novartis Pharmaceuticals
- Phone Number: +41613241111
Study Locations
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Buenos Aires, Argentina, 1646
- Novartis Investigative Site
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Buenos Aires, Argentina, C1055AAF
- Novartis Investigative Site
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Buenos Aires
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Quilmes, Buenos Aires, Argentina, 1878
- Novartis Investigative Site
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Tucumán Province
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San Miguel Tucuman, Tucumán Province, Argentina, T4000DPK
- Novartis Investigative Site
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Ontario
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Hamilton, Ontario, Canada, L8N 3Z5
- Novartis Investigative Site
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Toronto, Ontario, Canada, M5T 2S8
- Novartis Investigative Site
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Quebec
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Rimouski, Quebec, Canada, G5L 5T1
- Novartis Investigative Site
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Trois-Rivières, Quebec, Canada, G9A 3Y2
- Novartis Investigative Site
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Brno, Czechia, 638 00
- Novartis Investigative Site
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Prague, Czechia, 128 00
- Novartis Investigative Site
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Uherské Hradiště, Czechia, 686 01
- Novartis Investigative Site
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Budapest, Hungary, 1134
- Novartis Investigative Site
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Budapest, Hungary, 1027
- Novartis Investigative Site
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Hajdu Bihar Megye
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Debrecen, Hajdu Bihar Megye, Hungary, 4032
- Novartis Investigative Site
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SA
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Salerno, SA, Italy, 84131
- Novartis Investigative Site
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Krakow, Poland, 30-002
- Novartis Investigative Site
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Lublin, Poland, 20-607
- Novartis Investigative Site
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A Coruña, Spain, 15006
- Novartis Investigative Site
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Madrid, Spain, 28034
- Novartis Investigative Site
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A Coruna
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Santiago Compostela, A Coruna, Spain, 15706
- Novartis Investigative Site
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Alabama
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Anniston, Alabama, United States, 36207
- Pinnacle Research Group LLC
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California
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Fullerton, California, United States, 92835
- Providence Medical Foundation
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La Palma, California, United States, 90623
- Advanced Medical Research
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Florida
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Winter Park, Florida, United States, 32789
- Conquest Research
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Georgia
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Lawrenceville, Georgia, United States, 30044
- Parris and Associates Rheumatology
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Indiana
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Indianapolis, Indiana, United States, 46202
- Indiana Univ School of Dentistry
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Louisiana
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Baton Rouge, Louisiana, United States, 70809
- Ochsner Health System
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Michigan
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Grand Blanc, Michigan, United States, 48439
- Ahmed Arif Medical Research Center
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Ohio
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Middleburg Heights, Ohio, United States, 44130
- Paramount Med Rsrch and Consult LLC
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Oklahoma
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Oklahoma City, Oklahoma, United States, 73116
- RAO Research LLC
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Pennsylvania
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Duncansville, Pennsylvania, United States, 16635
- Altoona Center for Clin Res
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Tennessee
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Jackson, Tennessee, United States, 38305
- West Tennessee Research Institute
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Memphis, Tennessee, United States, 38119
- Shelby Research LLC
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Texas
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Bellaire, Texas, United States, 77401
- Novel Research LLC
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Mesquite, Texas, United States, 75150
- Southwest Rheum Rsrch LLC
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San Antonio, Texas, United States, 78229
- Uni of Texas Health Science Center
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Spring, Texas, United States, 77382
- Advanced Rheumatology of Houston
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Key Inclusion criteria:
- Signed informed consent must be obtained before any assessment is performed.
- Male and female patients aged 18 years to 70 years (inclusive).
- Body weight at least 35 kg and not more than 150 kg and must have a body mass index (BMI) within the range of 18 - 35 kg/m2. BMI = Body weight (kg) / [Height (m)]2 at screening.
- Diagnosed with RA, SjD and/or SLE as determined by the investigator.
- Have active disease (RA, SjD or SLE) that may benefit from B-cell depletion therapy, as determined by the investigator.
- Participants currently receiving protocol-allowed SoC should be on stable doses of SoC medications for 4 weeks prior to first dosing of study treatment.
- Ability to communicate well with the investigator, understand and agree to comply with the requirements of the study.
Key Exclusion criteria:
- Use of prohibited therapies.
- Active viral, bacterial or other infections requiring systemic treatment at the time of screening or baseline or history of recurrent clinically significant infection.
- Plans for administration of live vaccines during the study period.
- Uncontrolled co-existing serious disease.
- Pregnant or nursing (lactating) women.
- Women of child-bearing potential (WOCBP), defined as all women physiologically capable of becoming pregnant, refusing or unable to use highly effective methods of contraception while on study treatment and for 6 months after stopping of study drug.
- US (and other countries, if locally required): sexually active males unless using barrier protection during intercourse with women of child-bearing potential while taking study treatment.
Other protocol-defined inclusion/exclusion criteria may apply.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Basic Science
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Cohort 1: Sequence 1 + Thigh
Patients randomized to receive injection (2 x 1 mL) PFS in TP1 in Thigh (1 X 2 mL) AI in TP2 in Thigh (1 x 2 mL) AI in ETP in Thigh/ Abdomen |
Solution for injection.
Other Names:
Solution for injection.
Other Names:
|
|
Experimental: Cohort 1: Sequence 1 + Abdomen
Patients randomized to receive injection
(1 x 2 mL) AI in ETP in Thigh/ Abdomen |
Solution for injection.
Other Names:
Solution for injection.
Other Names:
|
|
Experimental: Cohort 1: Sequence 2 + Thigh
Patients randomized to receive injection (2 x 1 mL) PFS in TP1 in Thigh (1 X 2 mL) AI in TP2 in Thigh (1 x 2 mL) AI in ETP in Thigh/ Abdomen |
Solution for injection.
Other Names:
Solution for injection.
Other Names:
|
|
Experimental: Cohort 1: Sequence 2 + Abdomen
Patients randomized to receive injection
(1 x 2 mL) AI in ETP in Thigh/ Abdomen |
Solution for injection.
Other Names:
Solution for injection.
Other Names:
|
|
Experimental: Cohort 2: Sequence 1 + Thigh
Patients randomized to receive injection (2 x 1 mL) PFS in TP1 in Thigh
|
Solution for injection.
Other Names:
Solution for injection
Other Names:
|
|
Experimental: Cohort 2: Sequence 1 + Abdomen
Patients randomized to receive injection
(2 x 1 mL) PFS in ETP in Thigh/ Abdomen/ Upper Arm |
Solution for injection.
Other Names:
Solution for injection
Other Names:
|
|
Experimental: Cohort 2: Sequence 1 + Upper Arm
Patients randomized to receive injection (2 x 1 mL) PFS in TP1 in Upper Arm
|
Solution for injection.
Other Names:
Solution for injection
Other Names:
|
|
Experimental: Cohort 2: Sequence 2 + Thigh
Patients randomized to receive injection
(2 x 1 mL) PFS in ETP in Thigh/ Abdomen/ Upper Arm |
Solution for injection.
Other Names:
Solution for injection
Other Names:
|
|
Experimental: Cohort 2: Sequence 2 + Abdomen
Patients randomized to receive injection (2 x 1 mL) PFS in TP1 in Abdomen
|
Solution for injection.
Other Names:
Solution for injection
Other Names:
|
|
Experimental: Cohort 2: Sequence 2 + Upper Arm
Patients randomized to receive injection
(2 x 1 mL) PFS in ETP in Thigh/ Abdomen/ Upper Arm |
Solution for injection.
Other Names:
Solution for injection
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Cohort 1: Area under the curve (AUC) calculated to the end of a dosing interval (tau) at steady-state (AUCtau) for ianalumab
Time Frame: Over a dosing interval after 3rd (between Week 8 and 12) and 6th dose (between Week 20 and 24).
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To demonstrate the pharmacokinetics (PK) comparability of ianalumab 300 mg s.c. at steady state between the 1 x 2 mL AI and 2 x 1 mL PFS
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Over a dosing interval after 3rd (between Week 8 and 12) and 6th dose (between Week 20 and 24).
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Cohort 1: Maximum (peak) observed serum drug concentration after dose administration (Cmax) for ianalumab
Time Frame: Over a dosing interval after 3rd (between Week 8 and 12) and 6th dose (between Week 20 and 24).
|
To demonstrate the pharmacokinetics (PK) comparability of ianalumab 300 mg s.c. at steady state between the 1 x 2 mL AI and 2 x 1 mL PFS
|
Over a dosing interval after 3rd (between Week 8 and 12) and 6th dose (between Week 20 and 24).
|
|
Cohort 2: Area under the curve (AUC) calculated to the end of a dosing interval (tau) at steady-state (AUCtau) for ianalumab
Time Frame: Over a dosing interval after 3rd (between Week 8 and 12) and 6th dose (between Week 20 and 24).
|
To demonstrate the pharmacokinetics (PK) comparability of ianalumab 300 mg s.c. at steady state between the 1 x 2 mL PFS and 2 x 1 mL PFS.
|
Over a dosing interval after 3rd (between Week 8 and 12) and 6th dose (between Week 20 and 24).
|
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Cohort 2: Maximum (peak) observed serum drug concentration after dose administration (Cmax) for ianalumab
Time Frame: Over a dosing interval after 3rd (between Week 8 and 12) and 6th dose (between Week 20 and 24).
|
To demonstrate the pharmacokinetics (PK) comparability of ianalumab 300 mg s.c. at steady state between the 1 x 2 mL PFS and 2 x 1 mL PFS.
|
Over a dosing interval after 3rd (between Week 8 and 12) and 6th dose (between Week 20 and 24).
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Cohort 1: Time to reach maximum (peak) serum drug concentration following dose administration (Tmax) for ianalumab
Time Frame: After the 3rd and 6th dose
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To evaluate the pharmacokinetics of ianalumab 300 mg s.c. at steady state under the 1 x 2 mL AI and 2 x 1 mL PFS
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After the 3rd and 6th dose
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Cohort 1: Concentration at the end of a dosing interval (Ctrough) for ianalumab
Time Frame: At the end of dosing interval
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To evaluate the pharmacokinetics of ianalumab 300 mg s.c. at steady state under the 1 x 2 mL AI and 2 x 1 mL PFS
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At the end of dosing interval
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Incidence and severity of Adverse Events (AEs) and Serious Adverse Events (SAEs)
Time Frame: From date of randomization until 30 days safety follow-up, assessed up to approximately 56 months
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To evaluate the safety and tolerability of ianalumab administered 300 mg s.c.
monthly.
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From date of randomization until 30 days safety follow-up, assessed up to approximately 56 months
|
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Anti-ianalumab antibodies (ADA)
Time Frame: From date of randomization until 30 days safety follow-up, assessed up to approximately 56 months
|
To assess the immunogenicity of ianalumab administered 300 mg s.c.
monthly
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From date of randomization until 30 days safety follow-up, assessed up to approximately 56 months
|
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Incidence of ADA positive participants
Time Frame: From date of randomization until 30 days safety follow-up, assessed up to approximately 56 months
|
To assess the immunogenicity of ianalumab administered 300 mg s.c.
monthly
|
From date of randomization until 30 days safety follow-up, assessed up to approximately 56 months
|
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Cohort 2: Time to reach maximum (peak) serum drug concentration following dose administration (Tmax) for ianalumab
Time Frame: After the 3rd and 6th dose
|
To evaluate the pharmacokinetics of ianalumab 300 mg s.c. at steady state under the 1 x 2 mL PFS and 2 x 1 mL PFS
|
After the 3rd and 6th dose
|
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Cohort 2: Concentration at the end of a dosing interval (Ctrough) for ianalumab
Time Frame: At the end of dosing interval
|
To evaluate the pharmacokinetics of ianalumab 300 mg s.c. at steady state under the 1 x 2 mL PFS and 2 x 1 mL PFS
|
At the end of dosing interval
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Novartis Pharmaceuticals, Novartis Pharmaceuticals
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- CVAY736A2202
- 2023-508996-35-00 (Registry Identifier: EU CT NUMBER)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations.
This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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