Een fase II -studie om de klinische werkzaamheid, veiligheid en verdraagbaarheid van MAS825 te evalueren bij pediatrische en volwassen deelnemers met de ziekte van Still
Een open-label fase II-studie om de klinische werkzaamheid, veiligheid en verdraagbaarheid van MAS825 te evalueren bij pediatrische en volwassen deelnemers met Still's Disease
The study is a phase II trial designed to evaluate the clinical efficacy, safety, and tolerability of MAS825 (arumakimig) in pediatric and adult participants with Still's disease
Studie Overzicht
Gedetailleerde beschrijving
This is a multicenter, open-label, single-arm study to assess clinical efficacy, safety and tolerability of MAS825 in participants (both pediatric and adult) with Still's disease who have had inadequate response to IL-1 and/or IL-6 or other available therapies. Participants with associated lung disease and/or macrophage activation syndrome may also be included.
This study has three periods (Screening, Treatment Period 1, and Treatment Period 2) and a total duration of approximately 16 months.
Studietype
Inschrijving (Geschat)
Fase
- Fase 2
Contacten en locaties
Studiecontact
- Naam: Novartis Pharmaceuticals
- Telefoonnummer: 1-888-669-6682
- E-mail: novartis.email@novartis.com
Studie Contact Back-up
- Naam: Novartis Pharmaceuticals
- Telefoonnummer: +41613241111
Studie Locaties
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Ontario
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Toronto, Ontario, Canada, M5G 1X8
- Werving
- Novartis Investigative Site
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Quebec
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Montreal, Quebec, Canada, H4A 3J1
- Ingetrokken
- Novartis Investigative Site
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Montreal, Quebec, Canada, H3T 1C5
- Ingetrokken
- Novartis Investigative Site
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Heidelberg, Duitsland, 69120
- Werving
- Novartis Investigative Site
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Münster, Duitsland, 48149
- Werving
- Novartis Investigative Site
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North Rhine-Westphalia
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Sankt Augustin, North Rhine-Westphalia, Duitsland, 53757
- Werving
- Novartis Investigative Site
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Bordeaux, Frankrijk, 33076
- Werving
- Novartis Investigative Site
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Bron, Frankrijk, 69677
- Werving
- Novartis Investigative Site
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Le Kremlin-Bicêtre, Frankrijk, 94275
- Werving
- Novartis Investigative Site
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Lille, Frankrijk, 59037
- Werving
- Novartis Investigative Site
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Paris, Frankrijk, 75015
- Werving
- Novartis Investigative Site
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Paris, Frankrijk, 75970
- Werving
- Novartis Investigative Site
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FI
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Florence, FI, Italië, 50139
- Werving
- Novartis Investigative Site
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GE
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Genova, GE, Italië, 16147
- Werving
- Novartis Investigative Site
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RM
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Roma, RM, Italië, 00165
- Werving
- Novartis Investigative Site
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Utrecht, Nederland, 3584 CX
- Actief, niet wervend
- Novartis Investigative Site
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Madrid, Spanje, 28046
- Werving
- Novartis Investigative Site
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Valencia, Spanje, 46026
- Werving
- Novartis Investigative Site
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Barcelona
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Esplugues, Barcelona, Spanje, 08950
- Werving
- Novartis Investigative Site
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Fatih
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Istanbul, Fatih, Turkije (Türkiye), 34098
- Werving
- Novartis Investigative Site
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Sihhiye Altindag
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Ankara, Sihhiye Altindag, Turkije (Türkiye), 06230
- Werving
- Novartis Investigative Site
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Ohio
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Cincinnati, Ohio, Verenigde Staten, 45229
- Actief, niet wervend
- Cincinnati Childrens Hospital
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Oregon
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Portland, Oregon, Verenigde Staten, 97232
- Werving
- Legacy Emanuel Research Hosp Portland
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Hoofdonderzoeker:
- Daniel Joseph Kingsbury
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Contact:
- Brenna Bogle
- Telefoonnummer: +1 503 413 5447
- E-mail: bbogle@lhs.org
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Utah
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Salt Lake City, Utah, Verenigde Staten, 84113
- Werving
- University of Utah
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Contact:
- Tressie Rollins
- Telefoonnummer: +1 415 515 8212
- E-mail: tressie.rollins@hsc.utah.edu
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Hoofdonderzoeker:
- Aimee Ogden Hersh
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Beschrijving
Inclusion Criteria:
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Age ≥ 1 with a diagnosis of Still's Disease
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Active diseases defined as:
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CRP or ferritin levels greater than ULN, and any of:
- Fever ≥ 38°C attributed to Still's Disease activity and documented for a number of days prior to Day 1 or
- Rash attributed to Still's Disease activity or
- Musculoskeletal involvement: arthritis in a number of joints per ACP criteria for active joint or
- Serositis or
- Macrophage activation syndrome activity as defined by ferritin levels and at least one of: platelet count, a biomarker or fibrinogen levels attributed to Still's Disease activity by the investigator
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Intolerance or inadequate response to available biologic therapy
Exclusion Criteria:
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Patients out of weight range
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Ongoing or previous treatment with immunomodulatory drugs
- A limited number of Still's Disease patients that have previously received MAS825 through a managed access program are permitted on the study
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Glucocorticoid dose exceeding a set limit
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Any conditions or significant medical problems which places the patient at unacceptable risk for MAS825 therapy
- Still's disease patients with evidence of macrophage activation syndrome are permitted in the study
- Still's Disease patients with evidence of interstitial lung disease including those requiring supplemental oxygen therapy are permitted in the study
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History of ongoing, chronic or possibly recurrent infection (e.g. HIV, TB, HCV, HBV) and/or symptoms and signs of clinically significant active bacterial, fungal or viral infections
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Live vaccinations within a set time prior to MAS825 treatment. Live vaccines are prohibited up to several months following the last dose
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History of malignancy of any organ system, including post-transplant lymphoproliferative disorder, treated or untreated, within a number of years, regardless of whether there is evidence of local recurrence and metastases
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History of hypersensitivity to any of the study drugs or to drugs of similar chemical classes or to any of the excipients
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Pregnant or breastfeeding women
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Women of child-bearing potential who do not agree to comply with required contraceptive use
Other protocol-defined inclusion/exclusion criteria may apply.
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: NVT
- Interventioneel model: Opdracht voor een enkele groep
- Masker: Geen (open label)
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
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Experimenteel: MAS825
Experimental drug |
Experimental drug
Andere namen:
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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
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Number of participants with clinical response based on one set of response criteria
Tijdsspanne: Day 85
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Established measure for efficacy of treatments in the rheumatologic conditions taking into account self-assessment, function and survival. |
Day 85
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Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
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Number of participants with clinical response based on another set of response criteria
Tijdsspanne: Day 85
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Established measure for efficacy of treatments in the rheumatologic conditions taking into account self-assessment, function and survival. |
Day 85
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Response based on a biomarker level
Tijdsspanne: Baseline, Day 85
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To evaluate the efficacy of MAS825 in reducing clinical disease activity |
Baseline, Day 85
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Change in physician assessment based on laboratory features of MAS825
Tijdsspanne: Baseline, 15 months
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To assess the effect of MAS825 on macrophage activation syndrome |
Baseline, 15 months
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Change from baseline in Glucocorticoid (GC) dose
Tijdsspanne: Baseline, Day 85, Month 6, Month 12
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To evaluate the efficacy of MAS825 as a glucocorticoid-sparing agent |
Baseline, Day 85, Month 6, Month 12
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Change from baseline in patient/parent assessment of physical function as assessed by Quality of Life instrument
Tijdsspanne: Baseline, Day 85
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To evaluate the efficacy of MAS825 in improving participant's quality of life |
Baseline, Day 85
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Clinically inactive disease whilst on non-treatment dose corticosteroid at any time during the study
Tijdsspanne: 15 months
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The number of participants with inactive disease will be assessed. Disease activity will be evaluated by the investigator based on physical examination and laboratory parameters. Inactive disease is defined according to protocol-specific criteria, which include clinical signs, laboratory values, and physician assessment. |
15 months
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Medewerkers en onderzoekers
Sponsor
Studie record data
Bestudeer belangrijke data
Studie start (Werkelijk)
Primaire voltooiing (Geschat)
Studie voltooiing (Geschat)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- CMAS825J12201
- 2024-520208-25-00 (Andere identificatie: EU CT Number)
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
Beschrijving IPD-plan
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.
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
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