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    Clinical Trial Results:
    ARNS HC 21 VASCU IL-2, evaluation of the cellular immune response, clinical efficacy and tolerance after IL-2 therapy in HCV-related Vasculitis patients, resistant to conventional therapy

    Summary
    EudraCT number
    2006-004039-31
    Trial protocol
    FR  
    Global end of trial date
    16 Sep 2010

    Results information
    Results version number
    v1(current)
    This version publication date
    08 Mar 2024
    First version publication date
    08 Mar 2024
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    ANRS HC 21 VASCU IL-2
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT00574652
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Inserm-ANRS
    Sponsor organisation address
    101 rue de Tolbiac, Paris, France, 75013
    Public contact
    Pr. Pactrice CACOUB, Hôpital de la Pitié, +33 1 42 17 80 09, patrice.cacoub@aphp.fr
    Scientific contact
    Pr. Pactrice CACOUB, Hôpital de la Pitié, +33 1 42 17 80 09, patrice.cacoub@aphp.fr
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    16 Sep 2010
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    16 Sep 2010
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The main objective of this trial is to evaluate the cellular immune response after IL-2 therapy in HCV-MC Vasculitis patients, resistant to conventional therapy.
    Protection of trial subjects
    This study was conducted in accordance with the updated Declaration of Helsinki, in compliance with the approved protocol and its amendments, the International Council for Harmonisation guideline for Good Clinical Practice (ICH GCP), and French regulatory requirements.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    19 Mar 2008
    Long term follow-up planned
    Yes
    Long term follow-up rationale
    Safety, Efficacy
    Long term follow-up duration
    7 Months
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    France: 10
    Worldwide total number of subjects
    10
    EEA total number of subjects
    10
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    0
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    7
    From 65 to 84 years
    3
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    Main criteria: Inclusion: at least 18 years old, Caucasian origin, chronic active HCV infection, patients with cryoglobulinemia vasculitis resistant to conventional therapy. Non-inclusion: HBs Ag+ and/or HBV+ PCR, HIV+ serology, Cirrhosis Child B or C.

    Period 1
    Period 1 title
    Overall trial (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Arm title
    Vascu IL-2 arm
    Arm description
    -
    Arm type
    Experimental

    Investigational medicinal product name
    Interleukine-2
    Investigational medicinal product code
    Other name
    IL-2, Proleukine
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    IL-2 will be injected subcutaneaously from D1 to D5 every 3 weeks over 4 consecutive cycles (W1, W3, W6 and W9). W1: dose of 1.5M IU/day by injection of 0.25mL. W3, W6 and W9: 3M IU/day by injection of 0.5mL.

    Number of subjects in period 1
    Vascu IL-2 arm
    Started
    10
    Completed
    10

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Vascu IL-2 arm
    Reporting group description
    -

    Reporting group values
    Vascu IL-2 arm Total
    Number of subjects
    10 10
    Age categorical
    Units: Subjects
        In utero
    0 0
        Preterm newborn infants (gestational age < 37 wks)
    0 0
        Newborns (0-27 days)
    0 0
        Infants and toddlers (28 days-23 months)
    0 0
        Children (2-11 years)
    0 0
        Adolescents (12-17 years)
    0 0
        Adults (18-64 years)
    7 7
        From 65-84 years
    3 3
        85 years and over
    0 0
    Gender categorical
    Units: Subjects
        Female
    5 5
        Male
    5 5

    End points

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    End points reporting groups
    Reporting group title
    Vascu IL-2 arm
    Reporting group description
    -

    Primary: Regulatory T cell

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    End point title
    Regulatory T cell [1]
    End point description
    Follow-up of Treg and of HCV cellular immune response before, during and after IL-2 therapy.
    End point type
    Primary
    End point timeframe
    Difference between W9 and D0 and post IL-2 treatment.
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: This endpoint concerns a single arm, adding statistical analyses create errors.
    End point values
    Vascu IL-2 arm
    Number of subjects analysed
    9
    Units: Difference of percentage
        arithmetic mean (standard deviation)
    8.1 ( 5.8 )
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Participants reported adverse events during the entire trial.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    17.0
    Reporting groups
    Reporting group title
    Vascu IL-2 arm
    Reporting group description
    -

    Serious adverse events
    Vascu IL-2 arm
    Total subjects affected by serious adverse events
         subjects affected / exposed
    5 / 10 (50.00%)
         number of deaths (all causes)
    0
         number of deaths resulting from adverse events
    0
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Lymphoproliferative disorder
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Cryoglobulinaemia
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Vascular disorders
    Vasculitis
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Surgical and medical procedures
    Hospitalisation
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Blood and lymphatic system disorders
    Pancytopenia
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Leukopenia
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    General disorders and administration site conditions
    Injection site inflammation
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Skin and subcutaneous tissue disorders
    Cellulitis
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Psychiatric disorders
    Psychiatric decompensation
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences causally related to treatment / all
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    Infections and infestations
    Sinusitis
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Tooth abscess
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences causally related to treatment / all
    1 / 1
         deaths causally related to treatment / all
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 0%
    Non-serious adverse events
    Vascu IL-2 arm
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    10 / 10 (100.00%)
    Vascular disorders
    Hypertension
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences all number
    2
    Hypotension
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences all number
    1
    Nervous system disorders
    Headache
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences all number
    1
    Blood and lymphatic system disorders
    Leukopenia
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences all number
    1
    Thrombocytopenia
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences all number
    1
    General disorders and administration site conditions
    Asthenia
         subjects affected / exposed
    5 / 10 (50.00%)
         occurrences all number
    9
    Chest pain
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences all number
    1
    Injection site pain
         subjects affected / exposed
    4 / 10 (40.00%)
         occurrences all number
    8
    Injection site reaction
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences all number
    1
    Pyrexia
         subjects affected / exposed
    5 / 10 (50.00%)
         occurrences all number
    7
    Eye disorders
    Visual impairment
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences all number
    1
    Gastrointestinal disorders
    Diarrhoea
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences all number
    1
    Psychiatric disorders
    Insomnia
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences all number
    1
    Musculoskeletal and connective tissue disorders
    Myalgia
         subjects affected / exposed
    1 / 10 (10.00%)
         occurrences all number
    1

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    16 Dec 2009
    The substantial modifications included in the amendment 1 of the protocol are: - the extension of the inclusion period for an additional 6 months - the inclusion of 10 patients instead of the 15 initially planned.

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported

    Online references

    http://www.ncbi.nlm.nih.gov/pubmed/22129253
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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