원발성 면역 혈소판 감소증(ITP)에서 1차 코르티코스테로이드와 Ianalumab 대 위약의 연구 (VAYHIT1)
원발성 면역 혈소판 감소증(VAYHIT1)에서 1차 코르티코스테로이드와 Ianalumab(VAY736) 대 위약의 III상, 무작위 이중 맹검 연구
The purpose of this study is to evaluate the effect of two different doses of ianalumab versus placebo in addition to first-line corticosteroids in increasing the rate of stable response off treatment at 12 months (SROT-12) in adult participants with primary ITP.
연구 개요
상태
상태
정황
정황
개입 / 치료
개입 / 치료
상세 설명
This is a multi-center, randomized, double-blind Phase 3 study to assess the efficacy and safety of two different doses of ianalumab compared to placebo in adults with primary ITP (platelets count <30 G/L) who require first-line standard-of-care corticosteroids.
After completion of the screening period, the participants will enter the randomized treatment period (ianalumab/placebo with standard of care corticosteroids).
After the treatment period, all participants will enter the follow-up period to be monitored for efficacy and safety or safety only depending on how they respond to the study treatment.
The efficacy and safety follow-up period will last until treatment failure or up to 39 months after randomization of the last patient, whichever occurs first. Safety follow-up period will be performed for at least 20 weeks and up to 2 years after the last ianalumab/placebo dose.
The primary endpoint was updated in May 2026 to stable response off treatment at 12 months (SROT-12). The previous primary endpoint, time to treatment failure (TTF), remains in the study as a key secondary objective.
연구 유형
연구 유형
등록 (실제)
등록
단계
단계
- 3단계
연락처 및 위치
연구 장소
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Grålum, 노르웨이, 1714
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Dresden, 독일, 01307
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Hesse
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Frankfurt am Main, Hesse, 독일, 60590
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Saxony
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Dresden, Saxony, 독일, 01307
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Thuringia
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Jena, Thuringia, 독일, 07740
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Bucharest, 루마니아, 030171
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George Town, 말레이시아, 10050
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Johor Bahru, 말레이시아, 80100
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Kuala Selangor, 말레이시아, 68000
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Sarawak
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Kuching, Sarawak, 말레이시아, 93586
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Mexico City
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Mexico City, Mexico City, 멕시코, 06720
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Nuevo León
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Monterrey, Nuevo León, 멕시코, 64460
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Arizona
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Yuma, Arizona, 미국, 85364
- Yuma Regional Medical Center
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California
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Clovis, California, 미국, 93611
- Community Cancer Institute
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Fountain Valley, California, 미국, 92708
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Colorado
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Aurora, Colorado, 미국, 80045
- University of Colorado Anschutz
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Florida
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Margate, Florida, 미국, 33063
- DH Cancer Research Center LLC
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Illinois
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Chicago, Illinois, 미국, 60637
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Indiana
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Fort Wayne, Indiana, 미국, 46845
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Massachusetts
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Boston, Massachusetts, 미국, 02114
- Massachusetts General Hospital
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Boston, Massachusetts, 미국, 02215
- Beth Israel Deaconess Med Center
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Minnesota
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Rochester, Minnesota, 미국, 55905
- Mayo Clinic Rochester
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New York
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Nyack, New York, 미국, 10960
- Hematology Oncology Association of Rockland
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Rhode Island
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Providence, Rhode Island, 미국, 02903
- Rhode Island Hospital
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Texas
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San Antonio, Texas, 미국, 78229
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Utah
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Ogden, Utah, 미국, 84405
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Hanoi, 베트남, 100000
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Ho Chi Minh City, 베트남, 70000
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Roeselare, West Vlaanderen, 벨기에, 8800
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Córdoba, 아르헨티나, 5000
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Buenos Aires
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CABA, Buenos Aires, 아르헨티나, C1414DRK
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CABA, Buenos Aires, 아르헨티나, C1280AEB
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San Miguel Tucuman, Tucumán Province, 아르헨티나, T4000DPK
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Nottingham, 영국, NG5 1PB
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Birmingham, West Midlands, 영국, B15 2TH
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Salzburg, 오스트리아, 5020
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Innsbruck, Tyrol, 오스트리아, 6020
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Bologna, BO, 이탈리아, 40138
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Trieste, TS, 이탈리아, 34129
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Vicenza, VI, 이탈리아, 36100
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Ahmedabad, Gujarat, 인도, 380013
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Rishikesh, Uttarakhand, 인도, 249203
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Okayama, Okayama-ken, 일본, 7011192
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Iruma-gun, Saitama, 일본, 3500495
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Bengbu, 중국, 233004
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Beijing Municipality
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Beijing, Beijing Municipality, 중국, 100044
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Guangdong
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Guangzhou, Guangdong, 중국, 510515
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Hebei
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Shijiazhuang, Hebei, 중국, 050000
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Henan
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Luoyang, Henan, 중국, 471003
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Zhengzhou, Henan, 중국, 450003
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Jiangsu
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Changzhou, Jiangsu, 중국, 213004
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Jiangxi
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Nanchang, Jiangxi, 중국, 330006
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Yunnan
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Kunming, Yunnan, 중국, 650101
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Zhejiang
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Hangzhou, Zhejiang, 중국, 310006
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Prague, 체코, 128 08
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Prague, 체코, 100 34
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Poruba
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Ostrava, Poruba, 체코, 708 52
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Bangkok, 태국, 10330
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Bangkok, 태국, 10700
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Chiang Mai, 태국, 50200
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Atakum
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Samsun, Atakum, 터키 (Türkiye), 55200
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Efeler
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Aydin, Efeler, 터키 (Türkiye), 09100
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Fatih
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Istanbul, Fatih, 터키 (Türkiye), 34098
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Caen, 프랑스, 14033
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Chambéry, 프랑스, 73000
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Le Mans, 프랑스, 72000
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Rennes, 프랑스, 35033
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Budapest, 헝가리, 1083
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Hajdu Bihar Megye
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Debrecen, Hajdu Bihar Megye, 헝가리, 4032
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Australian Capital Territory
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Garran, Australian Capital Territory, 호주, 2605
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Queensland
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Wooloongabba, Queensland, 호주, 4102
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Victoria
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Clayton, Victoria, 호주, 3168
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Hong Kong, 홍콩, 999077
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Hong Kong
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New Territories, Hong Kong, 홍콩, 999077
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참여기준
자격 기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
Inclusion Criteria:
- Signed informed consent prior to participation in the study.
- Male or female participants aged 18 years and older on the day of signing informed consent
- Primary ITP diagnosed within 3 months before initiating first-line ITP therapy (corticosteroids, IVIG)
- Platelet count below 30 G/L before starting any first-line ITP therapy (corticosteroids, IVIG)
- Response (platelet count >=50 G/L) to corticosteroids (+/- IVIG) at any time prior to randomization. Note: Platelet count measured within 7 days of platelet transfusion will not be considered as response.
Key Exclusion Criteria:
- Evans syndrome or any other cytopenia (patients with low grade anemia related to bleeding or iron deficiency are eligible)
- Current life-threatening bleeding
- Previous ITP treatment, including splenectomy, except for corticosteroids and/or IVIG initiated as first-line therapy for up to 28 days before randomization and rescue corticosteroids and/or IVIG given prior to confirmed diagnosis of primary ITP .
- Prior use of B-cell depleting therapy (e.g., rituximab).
- Absolute neutrophil count below 1.0 G/L at randomization
- Participants with concurrent coagulation disorders and/or receiving anti-platelet or anticoagulant medication with an exemption of low dose of acetylsalicylic acid
Other protocol-defined Inclusion/Exclusion may apply.
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 네 배로
팔의 수
무기와 개입
참가자 그룹 / 팔참가자 그룹 / 팔 |
개입 / 치료개입 / 치료 |
|---|---|
|
실험적: Ianalumab Lower dose
Lower dose of ianalumab administered intravenously with corticosteroids oral or parental (if clinically justified) |
Intravenous infusion, prepared from concentrate solution
다른 이름들:
Oral or parental (if clinically justified) |
|
실험적: Ianalumab Higher dose
Higher dose of ianalumab administered intravenously with corticosteroids oral or parental (if clinically justified) |
Intravenous infusion, prepared from concentrate solution
다른 이름들:
Oral or parental (if clinically justified) |
|
위약 비교기: Placebo
Placebo administered intravenously with corticosteroids oral or parental (if clinically justified) |
Oral or parental (if clinically justified) Intravenous infusion, prepared from matching placebo |
연구는 무엇을 측정합니까?
주요 결과 측정
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Rate of Stable Response off treatment at 12 months (SROT-12)
기간: 12 months after last patient completed treatment
|
A participant will be considered in SROT-12 if at least 75% of the platelet counts collected between visits Week 53 Day 1 and Week 65 Day 1 (Study Days 352 and 463) qualify as Response. Response is any platelet counts of at least 50 G/L in the absence of rescue treatment or new immune thrombocytopenia (ITP) treatment). |
12 months after last patient completed treatment
|
2차 결과 측정
2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Time from randomization to Treatment Failure (TTF) (Key Secondary Endpoint)
기간: Randomization to end of study (up to 39 months after randomization of last patient
|
Time to Treatment Failure (TTF) is defined as the time from randomization until the first of the following events/situation indicative of treatment failure: platelet count below 30 G/L later than 8 weeks from randomization, need for a rescue treatment later than 8 weeks from randomization, intake of rescue treatment (e.g., corticosteroids, Intravenous immunoglobulins (IVIG), or platelet transfusion) given later than 8 weeks from randomization, start of new Immune Thrombocytopenia (ITP) treatment whenever it occurs, death (whatever the cause). |
Randomization to end of study (up to 39 months after randomization of last patient
|
|
Complete Response (CR) rate in each treatment group
기간: Randomization to end of study (up to 39 months after randomization of last patient)
|
Complete Response (CR) rate at each timepoint defined as the proportion of participants with any platelet count of at least 100 G/L in the absence of rescue treatment or new ITP treatment. |
Randomization to end of study (up to 39 months after randomization of last patient)
|
|
Response (R) rate in each treatment group
기간: Randomization to end of study (up to 39 months after randomization of last patient)
|
Response (R) rate at each timepoint defined as the proportion of participants with any platelet count of at least 50 G/L in the absence of rescue treatment or new ITP treatment. |
Randomization to end of study (up to 39 months after randomization of last patient)
|
|
Time to complete response in each treatment group
기간: Randomization to end of study (up to 39 months after randomization of last patient)
|
Time from randomization to date of first complete response. |
Randomization to end of study (up to 39 months after randomization of last patient)
|
|
Duration of response in each treatment group
기간: Randomization to end of study (up to 39 months after randomization of last patient)
|
Time from achievement of complete response to loss of complete response |
Randomization to end of study (up to 39 months after randomization of last patient)
|
|
Stable response at 6 months
기간: At 6 months
|
Percentage of participants with at least 2 platelet count collected at month 6 (between study dates 107 and 183) and at least 66% of platelet counts qualified as a response |
At 6 months
|
|
Stable response at 1 year
기간: At 1 year
|
Percentage of participants with at least 2 platelet counts collected at year 1 (between study days 296 and 379) and at least 66% of platelet counts qualified as a response |
At 1 year
|
|
Percentage of participants with bleeding events overall and by World Health Organization (WHO) bleeding scale severity
기간: Randomization to end of study (up to 39 months after randomization of last patient)
|
This is to assess the incidence and severity of bleeding in each treatment arm |
Randomization to end of study (up to 39 months after randomization of last patient)
|
|
Number of participants with bleeding events overall and by World Health Organization (WHO) bleeding scale severity
기간: Randomization to end of study (up to 39 months after randomization of last patient)
|
This is to assess the number and severity of bleeding in each treatment arm |
Randomization to end of study (up to 39 months after randomization of last patient)
|
|
Number of participants receiving rescue treatment (cummulative dose/duration of steroids exposure)
기간: Randomization to end of study (up to 39 months after randomization of last patient)
|
This is to assess the number of participants receiving rescue treatment. |
Randomization to end of study (up to 39 months after randomization of last patient)
|
|
Percentage of participants receiving rescue treatment (cummulative dose/duration of steroids exposure)
기간: Randomization to end of study (up to 39 months after randomization of last patient)
|
This is to assess the need of rescue treatment in each treatment group by percentage. |
Randomization to end of study (up to 39 months after randomization of last patient)
|
|
Cumulative dose/duration of steroids exposure
기간: From screening to end of study (up to 39 months after randomization of last patient)
|
Duration of exposure to corticosteroids calculated from randomization (first dose) to end of study or last last contact date (if the participant is lost to follow-up). |
From screening to end of study (up to 39 months after randomization of last patient)
|
|
Change from baseline on T scores of the PROMIS SF v1.0 Fatigue 13a
기간: From screening (baseline) till end of study (up to 39 months after randomization of last patient)
|
The Patient-Reported Outcomes Measurement Information System (PROMIS) Short Form v1.0 Fatigue 13a includes 13 items that assess fatigue |
From screening (baseline) till end of study (up to 39 months after randomization of last patient)
|
|
Change from baseline in ITP-PAQ domain scores
기간: From screening (baseline) till end of study (up to 39 months after randomization of last patient)
|
The ITP-PAQ is a 44 item scale for measuring HRQoL in adults with ITP across ten scales: Symptoms, Bother-Physical Health, Fatigue/Sleep, Activity, Fear, Psychological Health, Work, Social Activity, Women's Reproductive Health, and Overall QoL. Each item is rated on a Likert type scale |
From screening (baseline) till end of study (up to 39 months after randomization of last patient)
|
|
Change from baseline in frequency of CD19+ B cell counts
기간: Randomization to end of study (up to 39 months after randomization of last patient)
|
Post baseline frequency (%within the CD45) of CD19+ B cell counts compare to baseline. |
Randomization to end of study (up to 39 months after randomization of last patient)
|
|
Change from baseline in absolute number of CD19+ B cell counts
기간: Randomization to end of study (up to 39 months after randomization of last patient)
|
Post baseline absolute number of CD19+ B cell counts compare with baseline |
Randomization to end of study (up to 39 months after randomization of last patient)
|
|
Time to first occurrence of B-cell recovery
기간: Randomization to end of study (up to 39 months after randomized of last patient)
|
B-cell recovery is defined as ≥80% of baseline and ≥LLOQ, or ≥50 cells/μL |
Randomization to end of study (up to 39 months after randomized of last patient)
|
|
Change from baseline in inmmunoglobulins
기간: Randomization to end of study (up to 39 months after last randomized patients)
|
Change from baseline in immunoglobulin levels |
Randomization to end of study (up to 39 months after last randomized patients)
|
|
PK parameters: AUClast
기간: After first dose (pre-dose, 2, 168, 336 and 504 hours post dose) and after last dose (pre-dose, 2, 336, 672, 1344, 2016, 3360 hours post dose)
|
AUClast: area under the curve from time zero till the last measurable concentration sampling time (tlast) |
After first dose (pre-dose, 2, 168, 336 and 504 hours post dose) and after last dose (pre-dose, 2, 336, 672, 1344, 2016, 3360 hours post dose)
|
|
PK parameter: AUCtau
기간: After first dose (pre-dose, 2, 168, 336 and 504 hours post dose) and after last dose (pre-dose, 2, 336, 672, 1344, 2016, 3360 hours post dose)
|
Area under the curve calculated to the end of a dosing interval (tau) |
After first dose (pre-dose, 2, 168, 336 and 504 hours post dose) and after last dose (pre-dose, 2, 336, 672, 1344, 2016, 3360 hours post dose)
|
|
PK parameters: Cmax
기간: After first dose (pre-dose, 2, 168, 336 and 504 hours post dose) and after last dose (pre-dose, 2, 336, 672, 1344, 2016, 3360 hours post dose)
|
Maximum (peak) observed plasma, blood, serum, or other body fluid drug concentration after single dose administration |
After first dose (pre-dose, 2, 168, 336 and 504 hours post dose) and after last dose (pre-dose, 2, 336, 672, 1344, 2016, 3360 hours post dose)
|
|
PK parameters: Tmax
기간: After first dose (pre-dose, 2, 168, 336 and 504 hours post dose) and after last dose (pre-dose, 2, 336, 672, 1344, 2016, 3360 hours post dose)
|
Time to reach maximum (peak) plasma, blood, serum, or other body fluid drug concentration |
After first dose (pre-dose, 2, 168, 336 and 504 hours post dose) and after last dose (pre-dose, 2, 336, 672, 1344, 2016, 3360 hours post dose)
|
|
PK parameters: Accumulation ratio Racc
기간: After last dose (pre-dose, 2, 336, 672, 1344, 2016, 3360 hours post dose)
|
Accumulation ratio calculated using AUC values obtained between the last and first dose |
After last dose (pre-dose, 2, 336, 672, 1344, 2016, 3360 hours post dose)
|
|
Incidence of anti-ianalumab antibodies in serum (ADA assay) over time
기간: Up to Week 33
|
Anti-drug antibodies (ADA) will be evaluated in samples collected from all participants assess the immunogenicity of ianalumab |
Up to Week 33
|
|
Titer of anti-ianalumab antibodies in serum (ADA assay) over time
기간: Up to Week 33
|
Anti-drug antibodies (ADA) will be evaluated in samples collected from all participants assess the immunogenicity of ianalumab |
Up to Week 33
|
공동 작업자 및 조사자
수사관
수사관
- 연구 책임자: Novartis Pharmaceuticals, Novartis Pharmaceuticals
연구 기록 날짜
연구 주요 날짜
연구 시작 (실제)
연구 시작
기본 완료 (실제)
기본 완료
연구 완료 (추정된)
연구 완료
연구 등록 날짜
최초 제출
최초 제출
QC 기준을 충족하는 최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
처음 게시됨
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
마지막 업데이트 게시됨
QC 기준을 충족하는 마지막 업데이트 제출
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
추가 관련 MeSH 약관
기타 연구 ID 번호
기타 연구 ID 번호
- CVAY736I12301
- 2024-511704-17-00 (레지스트리 식별자: EU CTIS)
개별 참가자 데이터(IPD) 계획
개별 참가자 데이터(IPD)를 공유할 계획입니까?
IPD 계획 설명
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
약물 및 장치 정보, 연구 문서
미국 FDA 규제 의약품 연구
미국 FDA 규제 기기 제품 연구
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .