E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Systemic Lupus Erythematosus (SLE) |
Lupus Eritematoso Sistémico (LES) |
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E.1.1.1 | Medical condition in easily understood language |
Systemic Lupus Erythematosus (SLE) |
Lupus Eritematoso Sistémico (LES) |
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E.1.1.2 | Therapeutic area | Diseases [C] - Immune System Diseases [C20] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 14.1 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10025139 |
E.1.2 | Term | Lupus erythematosus systemic |
E.1.2 | System Organ Class | 10028395 - Musculoskeletal and connective tissue disorders |
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E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
The primary objective of this study is to evaluate the safety and tolerability of LY2127399 (120 mg every 4 weeks [Q4W] + SoC or 120 mg every 2 weeks [Q2W] + SoC) in patients with SLE who have completed 52 weeks of treatment in either Study BCDS or Study BCDT. Safety and tolerability assessments for Study BCDX include the following: - Treatment-emergent adverse events (TEAEs), adverse events of special interest (AESIs), and serious adverse events (SAEs) - Laboratory evaluations (including chemistry, immunoglobulins, hematology, B cell counts, and urinalysis) - Immunogenicity (anti-LY2127399 antibodies) |
Evaluar la seguridad y la tolerabilidad del LY2127399 (120 mg cada 4 semanas [Q4W] + tratamiento estándar o 120 mg cada 2 semanas [Q2W] + tratamiento estándar) en pacientes con LSE que hayan completado 52 semanas de tratamiento en el estudio BCDS o en el estudio BCDT. Las evaluaciones de la seguridad y la tolerabilidad del estudio BCDX incluyen: -Acontecimientos adversos emergentes en el tratamiento, acontecimientos adversos de especial interés y acontecimientos adversos graves (SAE) -Evaluaciones de laboratorio (bioquímica, inmunoglobulinas, hemograma, recuento de linfocitos B y análisis de orina) -Inmunogenia (anticuerpos anti-LY2127399) |
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E.2.2 | Secondary objectives of the trial |
Secondary objectives of this study will examine the effect over time during long-term administration of LY2127399 on the following outcomes: - Proportion of patients who achieve a response over time as defined by the SLE responder index-5. - Proportion of patients who achieve a response as defined by each subcomponent of SRI-5. - Proportion of patients who achieve a response as defined by the SRI-4, SRI-6, and SRI-7. - Proportion of patients able to decrease dose to 7.5 mg/day or less of prednisone or equivalent, with quiescent disease (BILAG C score or better in all 9 systems) and no flares (BILAG A or B) for at least 3 consecutive months. - Change in anti-double-stranded deoxyribonucleic acid (anti-dsDNA) level. - Change in SLE Disease Activity Index-2000 (SLEDAI-2K) score. - Proportion of patients with new severe SLE flares (modified SELENA-SLEDAI Flare Index [SFI]). - Patient-reported outcomes (PROs) as measured by Lupus Quality of Life (Lupus QoL) |
Los objetivos secundarios de este estudio examinarán el efecto en el transcurso del tiempo durante la administración a largo plazo de LY2127399 sobre los siguientes criterios de valoración: -Proporción de pacientes que alcancen con el tiempo una respuesta definida por el SRI-5. -Proporción de pacientes que alcancen una respuesta definida por cada uno de los subcomponentes del SRI-5 que se han señalado. -Proporción de pacientes que alcancen una respuesta definida por el SRI-4, el SRI-6 y el SRI-7. -Proporción de pacientes que puedan disminuir la dosis hasta 7,5 mg/día o menos de prednisona o equivalente, con enfermedad inactiva y ausencia de brotes durante al menos 3 meses consecutivos. -Cambio del nivel de anticuerpos contra el ácido desoxirribonucleico bicatenario. -Cambio de la puntuación SLEDAI-2K. -Proporción de pacientes con nuevos brotes severos de LSE. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Patients are eligible to be included in the study only if they meet all of the following criteria: - Have completed 52 weeks of treatment in Study BCDS or Study BCDT. - For female patients of childbearing potential, must test negative for pregnancy at the time of enrollment and agree to use a reliable method of birth control or remain abstinent during the study or for at least 8 weeks following the last dose of study drug, whichever is longer, or - For female patients of non-childbearing potential, defined as: Women who have had surgical sterilization (hysterectomy or bilateral oophorectomy or tubal ligation) Women 60 years of age or older Women 40 years and older and less than 60 years of age who have had a cessation of menses for at least 12 months and a follicle-stimulating hormone (FSH) test confirming non-childbearing potential (FSH > ó = 40 mIU/mL). - Have given written informed consent approved by Lilly or its designee and the Investigational Review Board/Ethical Review Board (IRB/ERB) governing the site. |
- Haber completado 52 semanas de tratamiento en el estudio BCDS o en el estudio BCDT. - Las mujeres potencialmente fértiles deben presentar una prueba de embarazo negativa en el momento del reclutamiento y comprometerse a utilizar un método anticonceptivo fiable o a abstenerse de mantener relaciones sexuales durante el estudio o durante al menos las 8 semanas siguientes a la última dosis del medicamento del estudio, eligiéndose el plazo que sea mayor. Se define como mujeres no potencialmente fértiles a: -Las mujeres intervenidas de esterilización quirúrgica (histerectomía u ovariectomía bilateral o ligadura de trompas) -Las mujeres de 60 años de edad o mayores. -Las mujeres de 40 años o mayores y menores de 60 años de edad que no han tenido la menstruación desde hace por lo menos 12 meses y presentan una prueba de foliculina (FSH) que confirma que no son potencialmente fértiles (FSH >ó=40 mUI/ml). -Haber otorgado su consentimiento informado por escrito de acuerdo con el documento aprobado por Lilly o su delegado y el comité ético correspondiente al centro. |
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E.4 | Principal exclusion criteria |
Patients will be excluded from the study if they meet any of the following criteria: - Presence of significant uncontrolled cerebrocardiovascular (for example: myocardial infarction [MI], unstable angina, unstable arterial hypertension, severe heart failure, or cerebrovascular accident), respiratory, hepatic, renal, gastrointestinal, endocrine, hematologic or neuropsychiatric disorders, or abnormal laboratory values at baseline that in the opinion of the Investigator pose an unacceptable risk to the patient if study drug would be administered. - Have any other condition that renders the patient unable to understand the nature, scope, and possible consequences of the study or precludes the patient from following and completing the protocol, in the opinion of the Investigator. - Are unwilling or unable to comply with study procedures. - Are investigator site personnel directly affiliated with this study and/or their immediate families. Immediate family is defined as a spouse, parent, child, or sibling, whether biological or legally adopted. - Are Lilly employees or representatives of a third party organization (TPO) involved in the study who require exclusion of their employees. |
Se excluirá del estudio a los pacientes que cumplan cualquiera de los criterios siguientes: -Presencia en el momento basal de trastornos importantes no controlados de tipo cerebro-cardiovascular (por ejemplo: infarto de miocardio, angina inestable, hipertensión arterial inestable, insuficiencia cardiaca severa o accidente cerebrovascular), respiratorio, hepático, renal, gastrointestinal, endocrino, hematológico o neuropsiquiátrico, o valores de laboratorio anormales, que, en opinión del investigador, supondrían un riesgo inaceptable para el paciente si se le administrara el medicamento del estudio. -Cualquier otro trastorno que haga que el paciente sea incapaz de comprender la naturaleza, alcance y posibles consecuencias del estudio o que impida al paciente seguir y completar el protocolo, en opinión del investigador -No poder o no estar dispuesto a cumplir los procedimientos del estudio. -Ser personal del centro del investigador relacionado directamente con este estudio y/o sus familiares inmediatos. Se define como familiar inmediato al cónyuge, progenitor, hijo o hermano, ya sea biológico o adoptado legalmente. -Ser empleado de Lilly o representante de otras entidades independientes (TPO) involucradas en el estudio que exijan la exclusión de sus empleados. |
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E.5 End points |
E.5.1 | Primary end point(s) |
The primary endpoint of Study BCDX is to evaluate the safety and tolerability of LY2127399 in patients with SLE who have completed 52 weeks of treatment in either Study BCDS or Study BCDT. Safety and tolerability assessments will include frequency of TEAEs and SAEs and laboratory evaluations. |
El objetivo principal de este estudio consiste en evaluar la seguridad y la tolerabilidad del LY2127399 en pacientes con LSE que hayan completado 52 semanas de tratamiento en el estudio BCDS o en el estudio BCDT. Evaluaciones de seguridad y tolerabilidad incluirán frecuencia de Acontecimientos adversos emergentes en el tratamiento (TEAE)y acontecimientos adversos graves (SAE). |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
End of study |
Fin del estudio |
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E.5.2 | Secondary end point(s) |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
Not applicable |
No aplicable |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | Yes |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | Yes |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | Yes |
E.6.13.1 | Other scope of the trial description |
Dosing intervals of 120 mg every 2 weeks versus every 4 weeks |
Dosis de 120 mg a intervalos cada 2 semanas frente a cada 4 semanas. |
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E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | Yes |
E.8.1.7.1 | Other trial design description |
estudio de 2 ramas para investigar los intervalos de dosis (2 semanas frente a 4 semanas) |
2 arm study to investigate dosing intervals (2 weeks versus 4 weeks) |
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E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | Yes |
E.8.2.3.1 | Comparator description |
No aplicable |
Not applicable |
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E.8.2.4 | Number of treatment arms in the trial | 2 |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 12 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 100 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | No |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
Argentina |
Australia |
Austria |
Belarus |
Brazil |
Bulgaria |
Canada |
Chile |
Colombia |
Ecuador |
Egypt |
France |
Germany |
Guatemala |
Hungary |
India |
Israel |
Italy |
Japan |
Korea, Democratic People's Republic of |
Latvia |
Macedonia, the former Yugoslav Republic of |
Malaysia |
Mexico |
New Zealand |
Peru |
Philippines |
Poland |
Romania |
Russian Federation |
Serbia |
Singapore |
South Africa |
Spain |
Taiwan |
Thailand |
Tunisia |
Turkey |
Ukraine |
United Kingdom |
United States |
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E.8.7 | Trial has a data monitoring committee | Yes |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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End of study (trial) is the date of the last visit or last scheduled procedure shown in the Study Schedule for the last active patient in the study. |
El final del estudio es la fecha de la última visita o último procedimiento programado mostrado en el Plan de Investigación para el último para el último paciente activo en el estudio. |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 5 |
E.8.9.1 | In the Member State concerned months | 0 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 5 |
E.8.9.2 | In all countries concerned by the trial months | 0 |
E.8.9.2 | In all countries concerned by the trial days | 0 |