E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Lupus Erythematosus |
Lupus Eritematoso |
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E.1.1.1 | Medical condition in easily understood language |
Lupus Erythematosus |
Lupus Eritematoso |
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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 | PT |
E.1.2 | Classification code | 10042945 |
E.1.2 | Term | Systemic lupus erythematosus |
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 objectives of this study are to evaluate the following in adult SLE subjects receiving belimumab plus standard therapy versus subjects receiving placebo plus standard therapy: - Mortality and adverse events of special interest over 1 year (through 52 weeks). - Corticosteroid reduction during Weeks 40-52. |
Los objetivos de este estudio son evaluar los aspectos siguientes, en sujetos adultos con LES tratados con belimumab más tratamiento convencional frente a los tratados con placebo más tratamiento convencional: ? Mortalidad y acontecimientos adversos de interés especial durante 1 año (52 semanas). ? Reducción de corticosteroides durante las semanas 40-52. |
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E.2.2 | Secondary objectives of the trial |
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E.2.3 | Trial contains a sub-study | Yes |
E.2.3.1 | Full title, date and version of each sub-study and their related objectives |
English Title: Pharmacogenetic Research Date: 08 March 2012 Objectives: -Relationship between genetic variants and the pharmacokinetics of belimumab. -Relationship between genetic variants and safety and/or tolerability of belimumab. -Relationship between genetic variants and efficacy of belimumab. |
Título en español: Investigación Farmacogenética Fecha: Marzo 8 de 2012 - Relación entre las variantes genéticas y la farmacocinética del belimumab. - Relación entre las variantes genéticas y la seguridad y/o la tolerabilidad del belimumab. - Relación entre las variantes genéticas y la eficacia del belimumab. |
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E.3 | Principal inclusion criteria |
- Clinical diagnosis of SLE by American College of Rheumatology (ACR) criteria. - Active SLE disease. - Autoantibody-positive. - On stable SLE treatment regimen which may include corticosteroids (for example, prednisone), antimalarial (for example, hydroxychloroquine) and/or immunosuppressants (for example, azathioprine, methotrexate, mycophenolate). |
-Tener un diagnóstico de LES, según los criterios del Colegio de Reumatología (ACR) . - Enfermedad de LES activa - Positividad para autoanticuerpos - Estar recibiendo un tratamiento estable para el LES consistente en corticosteroides (por ejemplo prednisona), Antipalúdicos (por ejemplo hidroxicloroquina) y/o inmunosupresores (como por ejemplo azatioprina, metotrexato, micofenolato) |
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E.4 | Principal exclusion criteria |
- Pregnant or nursing. - Have received treatment with any of the following: belimumab, either as a marketed product or as an investigational agent; any B cell targeted therapy (for example, rituximab) in the past year; or any biological agent (for example, adalimumab, etanercept, infliximab, or anakinra) in the past 90 days. - Have received a live vaccine within the past 30 days. - Have severe active lupus kidney disease. - Have severe active central nervous system (CNS) lupus. - Current or past positive for human immunodeficiency virus (HIV), hepatitis B, or hepatitis C. |
- Estar en embarazo o en periodo de lactancia - Haber recibido tratamiento con cualquiera de los siguientes medicamentos: belimumab como producto comercializado o como producto en investigación; fármacos dirigidos contra los linfocitos B (p. ej., rituximab) en el año inmediatamente anterior; Cualquier fármaco biológico (p. ej., adalimumab, etanercept, infliximab, anakinra) en los 90 días anteriore - Haber recibido una vacuna de organismos vivos en los 30 días anteriores - Tener nefropatía lúpica grave - Tener lupus del sistema nervioso central (SNC) activo grave - Tener antecedentes o presencia actual de infección por Virus de Inmunodeficiencia Humana, de la hepatitis B o C. |
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E.5 End points |
E.5.1 | Primary end point(s) |
Primary Endpoints: 1) Incidence of all-cause mortality 2) Incidence of adverse events of special interest. Summary of the number and percentage of participants with adverse events within 8 prespecified categories: serious infections, non-serious opportunistic infections and other infections of interest, malignancies (excluding non-melanoma skin cancers), non-melanoma skin cancers, psychiatric events, suicidality, serious infusion and hypersensitivity reactions, and all serious adverse events. |
Criterios de Valoración primarios: 1) La incidencia de todas las causas de mortalidad 2) La incidencia de acontecimientos adversos de especial interés. Resumen del número y porcentaje de participantes con acontecimientos adversos en 8 categorías preestablecidas: infecciones graves, infecciones oportunistas no graves y otras infecciones de interés, los tumores malignos (excluyendo a los cáncer de piel no-melanoma ), cáncer de piel no-melanoma , eventos psiquiátricos, tendencias suicidas , reacciones a la infusión y de hipersensibilidad graves, y todos los acontecimientos adversos graves. |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
Timepoints 1) Incidence of all-cause mortality -Up to 52 weeks 2) Incidence of adverse events of special interest -Up to 52 weeks |
Criterios de Valoracion en tiempo 1) La incidencia de todas las causas de mortalidad- hasta 52 semanas 2) La incidencia de acontecimientos adversos de especial interés- hasta 52 semanas |
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E.5.2 | Secondary end point(s) |
Reduction in prednisone dose. Percent of participants whose average prednisone dose has been reduced by ? 25% from baseline to ? 7.5 mg/day during Weeks 40 through 52 in participants receiving greater than 7.5 mg/day at baseline. |
Reducción de la dosis de Prednisona Porcentaje de participante que en promedio han disminuido un 25% desde el inicio hasta 7.5mg/día durante las semanas 40 hasta la 52 en participantes reciviendo un máximo de 7.5 mg/día al inicio. |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
Timepoint: Baseline, weeks 40 to 52. |
Criterio de valoracion en tiempo: desde el inicio, de la semana 40 hasta la 52 |
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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 | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | Yes |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
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) | No |
E.7.4 | Therapeutic use (Phase IV) | Yes |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | Yes |
E.8.2.3 | Other | No |
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 | 90 |
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 |
Brazil |
Bulgaria |
Canada |
Chile |
China |
Colombia |
Croatia |
Czech Republic |
Estonia |
Hong Kong |
Hungary |
India |
Indonesia |
Israel |
Italy |
Korea, Republic of |
Lithuania |
Malaysia |
Mexico |
New Zealand |
Norway |
Peru |
Philippines |
Poland |
Portugal |
Romania |
Russian Federation |
Serbia |
Slovakia |
Spain |
Switzerland |
Taiwan |
Thailand |
Turkey |
Ukraine |
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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Last subject's 5 year follow up assessment |
Ultimo sujeto que complete la valoración del seguimiento de los 5 años |
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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 | 10 |
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 | 10 |
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 |