- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02713256
A Study to Evaluate the Safety and Effect of CFZ533 on Patients With Graves' Disease
An Open Label Study to Evaluate the Safety and Efficacy of 12 Week Treatment With CFZ533 in Patients With Graves' Disease
Study Overview
Study Type
Enrollment (Actual)
Phase
- Phase 2
Contacts and Locations
Study Locations
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Mainz, Germany, 55131
- Novartis Investigative Site
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Hawaii
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Honolulu, Hawaii, United States, 96814
- Novartis Investigative Site
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Minnesota
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Rochester, Minnesota, United States, 55905
- Novartis Investigative Site
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Key Inclusion Criteria:
- Male and female patients 18 to 65 years of age included.
- Women of child-bearing potential must be willing to use highly effective methods of contraception during the study treatment epoch and for 12 weeks after the last study treatment.
- Graves' hyperthyroidism, with the following labs measured at screening:
- TSH<LLN and either FT3>ULN or FT4> ULN and
- TRAb ≥ 2.5 IU/L
- Patients must weigh at least 40 kg to participate in the study
Key Exclusion Criteria:
- History of treatment of Graves' disease with radio-iodine ablation or thyroidectomy and/or current treatment with anti-thyroid drugs (methimazole or propylthiouracil) within one week of starting the study treatment
- History of hyperthyroidism not caused by Graves' disease (e.g. toxic multinodular goiter, autonomous thyroid nodule, or acute inflammatory thyroiditis) and/or history or presence of thyroid storm (fever, profuse sweating, vomiting, diarrhea, delirium, severe weakness, seizures, markedly irregular heartbeat, yellow skin and eyes (jaundice), severe low blood pressure, and coma).
- Previous treatment with a B cell-depleting biologic agent or any other immune-modulatory biologic agent within 5 half-lives (experimental or approved).
- History of recurrent clinically significant infection or of recurrent bacterial infections with encapsulated organisms.
- History of primary or secondary immunodeficiency, including a positive HIV (ELISA and Western blot) test result.
- History or evidence of tuberculosis by either of the following tests:
- Positive PPD skin test (size of induration measured after 48-72 hours, and a positive result is defined as an induration of ≥ 5mm or according to local practice/guidelines) OR
- Positive QuantiFERON TB-Gold test
- Plans for immunization with a live vaccine within a 2-month period before enrollment or during the study period.
- Treatment with immunomodulatory drugs, such as cyclosporine A, methotrexate, and/or cyclophosphamide within 3 months from baseline. Glucocorticosteroid therapy with prednisolone up to 10 mg daily is permitted if patients are on stable dose for more than 3 months before enrollment in the study.
- Pregnant, breastfeeding females, and women of child bearing potential unless they are using highly effective contraception
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
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Experimental: CFZ533 10mg/kg
CFZ533 intravenously over approximately one hour
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CFZ533 intravenously over approximately one hour
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
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Percentage of Participants Whose Thyroid Stimulating Hormone (TSH) Levels Normalize After 12 Week Treatment
Time Frame: 12 week (DAY 85)
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Normalization of TSH is defined as TSH level greater than 0.35 mU/L after 12 week treatment (Day 85)
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12 week (DAY 85)
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Percentage of Participants Whose Total Triiodothyronine (Total T3) Levels Decrease After 12 Week Treatment
Time Frame: 12 week (DAY 85)
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Percentage of participants whose total triiodothyronine (total T3) levels decrease after 12 week treatment.
A decrease is when total T3 level is below Upper limit of normal (ULN) ≤ 2.79 nmol/L
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12 week (DAY 85)
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Percentage of Participants Whose Free Thyroxine (Free T4) Levels Decrease After 12 Week Treatment
Time Frame: 12 week (DAY 85)
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Percentage of participants whose free thyroxine (free T4) levels decrease after 12 weeks of treatment (DAY85).
A decrease is when free T4 level is below Upper limit of normal (ULN) ≤ 22.7 pmol/L)
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12 week (DAY 85)
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Collaborators and Investigators
Sponsor
Publications and helpful links
General Publications
- Faustino LC, Kahaly GJ, Frommer L, Concepcion E, Stefan-Lifshitz M, Tomer Y. Precision Medicine in Graves' Disease: CD40 Gene Variants Predict Clinical Response to an Anti-CD40 Monoclonal Antibody. Front Endocrinol (Lausanne). 2021 Jun 4;12:691781. doi: 10.3389/fendo.2021.691781. eCollection 2021.
- Kahaly GJ, Stan MN, Frommer L, Gergely P, Colin L, Amer A, Schuhmann I, Espie P, Rush JS, Basson C, He Y. A Novel Anti-CD40 Monoclonal Antibody, Iscalimab, for Control of Graves Hyperthyroidism-A Proof-of-Concept Trial. J Clin Endocrinol Metab. 2020 Mar 1;105(3):dgz013. doi: 10.1210/clinem/dgz013.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- CCFZ533X2205
- 2015-005564-41 (EudraCT 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
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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