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    Clinical Trial Results:
    A randomised, double-blind, placebo-controlled proof-of concept study of the efficacy of gevokizumab 60mg subcutaneously every 4 weeks over 24 weeks in the treatment of patients with polymyositis, dermatomyositis or necrotizing autoimmune myopathy disease

    Summary
    EudraCT number
    2012-005772-34
    Trial protocol
    IT   SE   DE   CZ   GB   ES   HU   BE   GR  
    Global end of trial date
    25 Nov 2015

    Results information
    Results version number
    v1(current)
    This version publication date
    09 Nov 2016
    First version publication date
    09 Nov 2016
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    CL2-78989-010
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    -
    WHO universal trial number (UTN)
    U1111-1139-6207
    Sponsors
    Sponsor organisation name
    Institut de Recherches Internationales Servier
    Sponsor organisation address
    50 rue Carnot, Suresnes, France, 92284
    Public contact
    Clinical Studies Department, Institut de Recherches Internationales Servier, +33 1 55 72 43 66, clinicaltrials@servier.com
    Scientific contact
    Clinical Studies Department, Institut de Recherches Internationales Servier, +33 1 55 72 43 66, clinicaltrials@servier.com
    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
    25 Nov 2015
    Is this the analysis of the primary completion data?
    Yes
    Primary completion date
    25 Nov 2015
    Global end of trial reached?
    Yes
    Global end of trial date
    25 Nov 2015
    Was the trial ended prematurely?
    Yes
    General information about the trial
    Main objective of the trial
    Evaluate the efficacy and safety of gevokizumab in adult patients with polymyositis (PM) or dermatomyositis (DM) or necrotizing autoimmune myopathy (NAM) intolerant or resistant or dependent to systemic oral corticosteroids.
    Protection of trial subjects
    This study was conducted in accordance with Good Clinical Practice standards, ethical principles stated in the Declaration of Helsinki and applicable regulatory requirements. After the subject has ended his/her participation in the trial, the investigator provided appropriate medication and/or arranged access to appropriate care for the patient.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    23 Sep 2013
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Spain: 3
    Country: Number of subjects enrolled
    Belgium: 1
    Country: Number of subjects enrolled
    Czech Republic: 6
    Country: Number of subjects enrolled
    Germany: 3
    Country: Number of subjects enrolled
    Hungary: 1
    Country: Number of subjects enrolled
    Italy: 6
    Country: Number of subjects enrolled
    Brazil: 7
    Worldwide total number of subjects
    27
    EEA total number of subjects
    20
    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)
    27
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    Male/female, age ≥ 18 years with probable or definite polymyositis, dermatomyositis, or necrotizing autoimmune myopathy diagnosed according to 119th ENMC classification, intolerant/resistant/dependent to systemic oral corticosteroids, duration ≤ 10 years, active disease with MMT-8 score on proximal muscles and neck flexors no greater than 85/110

    Period 1
    Period 1 title
    double-blind treatment period (W0-W24)
    Is this the baseline period?
    Yes
    Allocation method
    Randomised - controlled
    Blinding used
    Double blind
    Roles blinded
    Subject, Investigator

    Arms
    Are arms mutually exclusive
    Yes

    Arm title
    Gevokizumab 60mg
    Arm description
    Gevokizumab 60mg [W0-W24]
    Arm type
    Experimental

    Investigational medicinal product name
    Gevokizumab
    Investigational medicinal product code
    S78989
    Other name
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    One subcutaneous injection of Gevokizumab 60 mg every 4 weeks (Q4W) from W0 to W20 in the first period of the study (for a total of 6 injections).

    Arm title
    Placebo
    Arm description
    Placebo [W0-W24]
    Arm type
    Placebo

    Investigational medicinal product name
    Placebo
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    One subcutaneous injection of Placebo every 4 weeks (Q4W) from W0 to W20 in the first period of the study (for a total of 6 injections).

    Number of subjects in period 1
    Gevokizumab 60mg Placebo
    Started
    14
    13
    Completed
    7
    10
    Not completed
    7
    3
         Adverse event, non-fatal
    1
    -
         Non-medical reason
    6
    3
    Period 2
    Period 2 title
    open label period (W24-W48)
    Is this the baseline period?
    No
    Allocation method
    Not applicable
    Blinding used
    Not blinded

    Arms
    Arm title
    Gevokizumab 60mg
    Arm description
    Gevokizumab 60mg (W24-W48)
    Arm type
    Experimental

    Investigational medicinal product name
    Gevokizumab
    Investigational medicinal product code
    S78989
    Other name
    Pharmaceutical forms
    Solution for injection
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    One subcutaneous injection of Gevokizumab 60 mg every 4 weeks (Q4W) from W24 to W44 in the second period of the study (for a total of 6 injections).

    Number of subjects in period 2 [1]
    Gevokizumab 60mg
    Started
    15
    Completed
    6
    Not completed
    9
         Non-medical reasons
    9
    Notes
    [1] - The number of subjects starting the period is not consistent with the number completing the preceding period. It is expected the number of subjects starting the subsequent period will be the same as the number completing the preceding period.
    Justification: Two patients did not enter the open-label period as they had stopped the IMP before W24 and continued in the study without treatment until W24.

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Gevokizumab 60mg
    Reporting group description
    Gevokizumab 60mg [W0-W24]

    Reporting group title
    Placebo
    Reporting group description
    Placebo [W0-W24]

    Reporting group values
    Gevokizumab 60mg Placebo Total
    Number of subjects
    14 13 27
    Age categorical
    Units: Subjects
        Adults (18-64 years)
    14 13 27
    Age continuous
    Units: years
        arithmetic mean (standard deviation)
    46.1 ( 9.7 ) 46.4 ( 11.5 ) -
    Gender categorical
    Units: Subjects
        Female
    9 10 19
        Male
    5 3 8

    End points

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    End points reporting groups
    Reporting group title
    Gevokizumab 60mg
    Reporting group description
    Gevokizumab 60mg [W0-W24]

    Reporting group title
    Placebo
    Reporting group description
    Placebo [W0-W24]
    Reporting group title
    Gevokizumab 60mg
    Reporting group description
    Gevokizumab 60mg (W24-W48)

    Primary: clinical improvement during the double-blind treatment period

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    End point title
    clinical improvement during the double-blind treatment period [1]
    End point description
    Clinical improvement was defined according to the Manual Muscle Testing (MMT-8) on the proximal muscles and neck flexors score as an increase of 15% or more in the score (with no clinical worsening during the double-blind treatment period).
    End point type
    Primary
    End point timeframe
    Clinical improvement at W24 (or LOCF) during the double-blind treatment period.
    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: In the specific context of the study (study discontinued due to general strategic and business reasons unrelated to safety), it was decided to not perform the efficacy analyses planned in the study protocol.
    End point values
    Gevokizumab 60mg Placebo
    Number of subjects analysed
    14
    13
    Units: number of patients
        Improvement = No
    9
    6
        Improvement = Yes
    5
    7
        All
    14
    13
    No statistical analyses for this end point

    Primary: clinical improvement during the double-blind treatment period in Dermatomyositis patients

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    End point title
    clinical improvement during the double-blind treatment period in Dermatomyositis patients [2]
    End point description
    Clinical improvement was defined according to the Manual Muscle Testing (MMT-8) on the proximal muscles and neck flexors score as an increase of 15% or more in the score (with no clinical worsening during the double-blind treatment period).
    End point type
    Primary
    End point timeframe
    Clinical improvement at W24 (or LOCF) during the double-blind treatment period.
    Notes
    [2] - 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: In the specific context of the study (study discontinued due to general strategic and business reasons unrelated to safety), it was decided to not perform the efficacy analyses planned in the study protocol.
    End point values
    Gevokizumab 60mg Placebo
    Number of subjects analysed
    8
    9
    Units: number of patients
        Improvement = No
    5
    5
        Improvement = Yes
    3
    4
        All
    8
    9
    No statistical analyses for this end point

    Primary: clinical improvement during the double-blind treatment period in Necrotizing Autoimmune Myopathy patients

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    End point title
    clinical improvement during the double-blind treatment period in Necrotizing Autoimmune Myopathy patients [3]
    End point description
    Clinical improvement was defined according to the Manual Muscle Testing (MMT-8) on the proximal muscles and neck flexors score as an increase of 15% or more in the score (with no clinical worsening during the double-blind treatment period).
    End point type
    Primary
    End point timeframe
    Clinical improvement at W24 (or LOCF) during the double-blind treatment period.
    Notes
    [3] - 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: In the specific context of the study (study discontinued due to general strategic and business reasons unrelated to safety), it was decided to not perform the efficacy analyses planned in the study protocol.
    End point values
    Gevokizumab 60mg Placebo
    Number of subjects analysed
    3
    2
    Units: number of patients
        Improvement = No
    2
    1
        Improvement = Yes
    1
    1
        All
    3
    2
    No statistical analyses for this end point

    Primary: clinical improvement during the double-blind treatment period in Polymyositis patients

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    End point title
    clinical improvement during the double-blind treatment period in Polymyositis patients [4]
    End point description
    Clinical improvement was defined according to the Manual Muscle Testing (MMT-8) on the proximal muscles and neck flexors score as an increase of 15% or more in the score (with no clinical worsening during the double-blind treatment period).
    End point type
    Primary
    End point timeframe
    Clinical improvement at W24 (or LOCF) during the double-blind treatment period.
    Notes
    [4] - 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: In the specific context of the study (study discontinued due to general strategic and business reasons unrelated to safety), it was decided to not perform the efficacy analyses planned in the study protocol.
    End point values
    Gevokizumab 60mg Placebo
    Number of subjects analysed
    3
    2
    Units: number of patients
        Improvement = No
    2
    0
        Improvement = Yes
    1
    2
        All
    3
    2
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Over the double blind treatment period (W0-W24): all adverse events which occurred, worsened or became serious between the first IMP intake date (included) during the double-blind treatment and the first IMP intake date during open-label period (excluded)
    Adverse event reporting additional description
    Over the open label period: All adverse events occurring after W24 (included)
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    17
    Reporting groups
    Reporting group title
    Gevokizumab 60mg [W0-W24]
    Reporting group description
    -

    Reporting group title
    Gevokizumab 60mg [W24-W48]
    Reporting group description
    -

    Reporting group title
    Placebo [W0-W24]
    Reporting group description
    -

    Serious adverse events
    Gevokizumab 60mg [W0-W24] Gevokizumab 60mg [W24-W48] Placebo [W0-W24]
    Total subjects affected by serious adverse events
         subjects affected / exposed
    3 / 14 (21.43%)
    1 / 15 (6.67%)
    1 / 13 (7.69%)
         number of deaths (all causes)
    0
    0
    0
         number of deaths resulting from adverse events
    0
    0
    0
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Ovarian adenoma
         subjects affected / exposed
    1 / 14 (7.14%)
    0 / 15 (0.00%)
    0 / 13 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Nervous system disorders
    Vertebrobasilar insufficiency
         subjects affected / exposed
    0 / 14 (0.00%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Blood and lymphatic system disorders
    Coagulopathy
         subjects affected / exposed
    0 / 14 (0.00%)
    1 / 15 (6.67%)
    0 / 13 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Lymphopenia
         subjects affected / exposed
    0 / 14 (0.00%)
    1 / 15 (6.67%)
    0 / 13 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Renal and urinary disorders
    Haematuria
         subjects affected / exposed
    0 / 14 (0.00%)
    1 / 15 (6.67%)
    0 / 13 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Musculoskeletal and connective tissue disorders
    Polymyositis
         subjects affected / exposed
    1 / 14 (7.14%)
    0 / 15 (0.00%)
    0 / 13 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Spinal pain
         subjects affected / exposed
    0 / 14 (0.00%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 0
    0 / 1
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Infections and infestations
    Pharyngeal abscess
         subjects affected / exposed
    0 / 14 (0.00%)
    1 / 15 (6.67%)
    0 / 13 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Sepsis
         subjects affected / exposed
    0 / 14 (0.00%)
    1 / 15 (6.67%)
    0 / 13 (0.00%)
         occurrences causally related to treatment / all
    0 / 0
    0 / 1
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Metabolism and nutrition disorders
    Diabetes mellitus
         subjects affected / exposed
    1 / 14 (7.14%)
    0 / 15 (0.00%)
    0 / 13 (0.00%)
         occurrences causally related to treatment / all
    0 / 1
    0 / 0
    0 / 0
         deaths causally related to treatment / all
    0 / 0
    0 / 0
    0 / 0
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    Gevokizumab 60mg [W0-W24] Gevokizumab 60mg [W24-W48] Placebo [W0-W24]
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    11 / 14 (78.57%)
    7 / 15 (46.67%)
    10 / 13 (76.92%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Keratoacanthoma
         subjects affected / exposed
    0 / 14 (0.00%)
    1 / 15 (6.67%)
    0 / 13 (0.00%)
         occurrences all number
    0
    1
    0
    Melanocytic naevus
         subjects affected / exposed
    0 / 14 (0.00%)
    1 / 15 (6.67%)
    0 / 13 (0.00%)
         occurrences all number
    0
    1
    0
    Squamous cell carcinoma of skin
         subjects affected / exposed
    0 / 14 (0.00%)
    1 / 15 (6.67%)
    0 / 13 (0.00%)
         occurrences all number
    0
    1
    0
    Vascular disorders
    Hypertension
         subjects affected / exposed
    0 / 14 (0.00%)
    1 / 15 (6.67%)
    0 / 13 (0.00%)
         occurrences all number
    0
    1
    0
    General disorders and administration site conditions
    Fatigue
         subjects affected / exposed
    0 / 14 (0.00%)
    1 / 15 (6.67%)
    1 / 13 (7.69%)
         occurrences all number
    0
    1
    1
    Pain
         subjects affected / exposed
    0 / 14 (0.00%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
         occurrences all number
    0
    0
    1
    Peripheral swelling
         subjects affected / exposed
    1 / 14 (7.14%)
    0 / 15 (0.00%)
    0 / 13 (0.00%)
         occurrences all number
    3
    0
    0
    Pyrexia
         subjects affected / exposed
    1 / 14 (7.14%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
         occurrences all number
    1
    0
    1
    Immune system disorders
    Drug hypersensitivity
         subjects affected / exposed
    0 / 14 (0.00%)
    1 / 15 (6.67%)
    0 / 13 (0.00%)
         occurrences all number
    0
    1
    0
    Reproductive system and breast disorders
    Bartholinitis
         subjects affected / exposed
    0 / 14 (0.00%)
    1 / 15 (6.67%)
    0 / 13 (0.00%)
         occurrences all number
    0
    1
    0
    Respiratory, thoracic and mediastinal disorders
    Cough
         subjects affected / exposed
    0 / 14 (0.00%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
         occurrences all number
    0
    0
    1
    Dyspnoea
         subjects affected / exposed
    1 / 14 (7.14%)
    0 / 15 (0.00%)
    0 / 13 (0.00%)
         occurrences all number
    1
    0
    0
    Dyspnoea exertional
         subjects affected / exposed
    1 / 14 (7.14%)
    0 / 15 (0.00%)
    0 / 13 (0.00%)
         occurrences all number
    1
    0
    0
    Epistaxis
         subjects affected / exposed
    0 / 14 (0.00%)
    1 / 15 (6.67%)
    0 / 13 (0.00%)
         occurrences all number
    0
    1
    0
    Psychiatric disorders
    Insomnia
         subjects affected / exposed
    0 / 14 (0.00%)
    1 / 15 (6.67%)
    0 / 13 (0.00%)
         occurrences all number
    0
    1
    0
    Investigations
    Blood creatine phosphokinase increased
         subjects affected / exposed
    0 / 14 (0.00%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
         occurrences all number
    0
    0
    1
    Weight decreased
         subjects affected / exposed
    1 / 14 (7.14%)
    0 / 15 (0.00%)
    0 / 13 (0.00%)
         occurrences all number
    1
    0
    0
    Weight increased
         subjects affected / exposed
    0 / 14 (0.00%)
    1 / 15 (6.67%)
    0 / 13 (0.00%)
         occurrences all number
    0
    1
    0
    Injury, poisoning and procedural complications
    Accidental exposure to product
         subjects affected / exposed
    0 / 14 (0.00%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
         occurrences all number
    0
    0
    1
    Contusion
         subjects affected / exposed
    0 / 14 (0.00%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
         occurrences all number
    0
    0
    1
    Fall
         subjects affected / exposed
    1 / 14 (7.14%)
    1 / 15 (6.67%)
    1 / 13 (7.69%)
         occurrences all number
    1
    1
    1
    Head injury
         subjects affected / exposed
    1 / 14 (7.14%)
    0 / 15 (0.00%)
    0 / 13 (0.00%)
         occurrences all number
    1
    0
    0
    Rib fracture
         subjects affected / exposed
    0 / 14 (0.00%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
         occurrences all number
    0
    0
    1
    Cardiac disorders
    Palpitations
         subjects affected / exposed
    1 / 14 (7.14%)
    0 / 15 (0.00%)
    0 / 13 (0.00%)
         occurrences all number
    1
    0
    0
    Tachycardia
         subjects affected / exposed
    1 / 14 (7.14%)
    0 / 15 (0.00%)
    0 / 13 (0.00%)
         occurrences all number
    1
    0
    0
    Nervous system disorders
    Dizziness
         subjects affected / exposed
    1 / 14 (7.14%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
         occurrences all number
    1
    0
    1
    Headache
         subjects affected / exposed
    1 / 14 (7.14%)
    1 / 15 (6.67%)
    1 / 13 (7.69%)
         occurrences all number
    1
    1
    2
    Migraine
         subjects affected / exposed
    1 / 14 (7.14%)
    0 / 15 (0.00%)
    0 / 13 (0.00%)
         occurrences all number
    1
    0
    0
    Paraesthesia
         subjects affected / exposed
    1 / 14 (7.14%)
    0 / 15 (0.00%)
    0 / 13 (0.00%)
         occurrences all number
    1
    0
    0
    Blood and lymphatic system disorders
    Lymphopenia
         subjects affected / exposed
    0 / 14 (0.00%)
    1 / 15 (6.67%)
    0 / 13 (0.00%)
         occurrences all number
    0
    1
    0
    Neutropenia
         subjects affected / exposed
    0 / 14 (0.00%)
    1 / 15 (6.67%)
    0 / 13 (0.00%)
         occurrences all number
    0
    1
    0
    Ear and labyrinth disorders
    Vertigo
         subjects affected / exposed
    1 / 14 (7.14%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
         occurrences all number
    1
    0
    1
    Eye disorders
    Scleral haemorrhage
         subjects affected / exposed
    1 / 14 (7.14%)
    0 / 15 (0.00%)
    0 / 13 (0.00%)
         occurrences all number
    1
    0
    0
    Gastrointestinal disorders
    Diarrhoea
         subjects affected / exposed
    1 / 14 (7.14%)
    0 / 15 (0.00%)
    0 / 13 (0.00%)
         occurrences all number
    1
    0
    0
    Dyspepsia
         subjects affected / exposed
    0 / 14 (0.00%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
         occurrences all number
    0
    0
    1
    Dysphagia
         subjects affected / exposed
    1 / 14 (7.14%)
    0 / 15 (0.00%)
    0 / 13 (0.00%)
         occurrences all number
    1
    0
    0
    Nausea
         subjects affected / exposed
    2 / 14 (14.29%)
    0 / 15 (0.00%)
    0 / 13 (0.00%)
         occurrences all number
    2
    0
    0
    Vomiting
         subjects affected / exposed
    0 / 14 (0.00%)
    1 / 15 (6.67%)
    0 / 13 (0.00%)
         occurrences all number
    0
    1
    0
    Skin and subcutaneous tissue disorders
    Dermatomyositis
         subjects affected / exposed
    0 / 14 (0.00%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
         occurrences all number
    0
    0
    1
    Erythema
         subjects affected / exposed
    0 / 14 (0.00%)
    1 / 15 (6.67%)
    0 / 13 (0.00%)
         occurrences all number
    0
    1
    0
    Photosensitivity reaction
         subjects affected / exposed
    1 / 14 (7.14%)
    0 / 15 (0.00%)
    0 / 13 (0.00%)
         occurrences all number
    1
    0
    0
    Pruritus allergic
         subjects affected / exposed
    0 / 14 (0.00%)
    1 / 15 (6.67%)
    0 / 13 (0.00%)
         occurrences all number
    0
    1
    0
    Swelling face
         subjects affected / exposed
    1 / 14 (7.14%)
    0 / 15 (0.00%)
    0 / 13 (0.00%)
         occurrences all number
    1
    0
    0
    Renal and urinary disorders
    Haematuria
         subjects affected / exposed
    0 / 14 (0.00%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
         occurrences all number
    0
    0
    1
    Musculoskeletal and connective tissue disorders
    Arthralgia
         subjects affected / exposed
    2 / 14 (14.29%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
         occurrences all number
    2
    0
    1
    Chondrocalcinosis
         subjects affected / exposed
    0 / 14 (0.00%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
         occurrences all number
    0
    0
    1
    Muscle fatigue
         subjects affected / exposed
    0 / 14 (0.00%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
         occurrences all number
    0
    0
    1
    Muscular weakness
         subjects affected / exposed
    2 / 14 (14.29%)
    0 / 15 (0.00%)
    0 / 13 (0.00%)
         occurrences all number
    2
    0
    0
    Myalgia
         subjects affected / exposed
    1 / 14 (7.14%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
         occurrences all number
    1
    0
    1
    Osteoarthritis
         subjects affected / exposed
    0 / 14 (0.00%)
    1 / 15 (6.67%)
    0 / 13 (0.00%)
         occurrences all number
    0
    1
    0
    Tenosynovitis
         subjects affected / exposed
    0 / 14 (0.00%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
         occurrences all number
    0
    0
    1
    Infections and infestations
    Bronchitis
         subjects affected / exposed
    0 / 14 (0.00%)
    1 / 15 (6.67%)
    1 / 13 (7.69%)
         occurrences all number
    0
    1
    1
    Dengue fever
         subjects affected / exposed
    0 / 14 (0.00%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
         occurrences all number
    0
    0
    1
    Escherichia urinary tract infection
         subjects affected / exposed
    1 / 14 (7.14%)
    0 / 15 (0.00%)
    0 / 13 (0.00%)
         occurrences all number
    1
    0
    0
    Gastroenteritis
         subjects affected / exposed
    0 / 14 (0.00%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
         occurrences all number
    0
    0
    1
    Gastroenteritis viral
         subjects affected / exposed
    1 / 14 (7.14%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
         occurrences all number
    1
    0
    2
    Herpes virus infection
         subjects affected / exposed
    0 / 14 (0.00%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
         occurrences all number
    0
    0
    1
    Molluscum contagiosum
         subjects affected / exposed
    0 / 14 (0.00%)
    1 / 15 (6.67%)
    0 / 13 (0.00%)
         occurrences all number
    0
    1
    0
    Nasopharyngitis
         subjects affected / exposed
    2 / 14 (14.29%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
         occurrences all number
    4
    0
    1
    Pneumonia
         subjects affected / exposed
    1 / 14 (7.14%)
    0 / 15 (0.00%)
    0 / 13 (0.00%)
         occurrences all number
    1
    0
    0
    Sinusitis bacterial
         subjects affected / exposed
    0 / 14 (0.00%)
    1 / 15 (6.67%)
    0 / 13 (0.00%)
         occurrences all number
    0
    1
    0
    Tonsillitis
         subjects affected / exposed
    1 / 14 (7.14%)
    0 / 15 (0.00%)
    0 / 13 (0.00%)
         occurrences all number
    1
    0
    0
    Upper respiratory tract infection
         subjects affected / exposed
    0 / 14 (0.00%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
         occurrences all number
    0
    0
    1
    Urinary tract infection bacterial
         subjects affected / exposed
    0 / 14 (0.00%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
         occurrences all number
    0
    0
    1
    Metabolism and nutrition disorders
    Diabetes mellitus
         subjects affected / exposed
    1 / 14 (7.14%)
    0 / 15 (0.00%)
    0 / 13 (0.00%)
         occurrences all number
    1
    0
    0
    Hypercholesterolaemia
         subjects affected / exposed
    1 / 14 (7.14%)
    0 / 15 (0.00%)
    0 / 13 (0.00%)
         occurrences all number
    1
    0
    0
    Hypertriglyceridaemia
         subjects affected / exposed
    1 / 14 (7.14%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
         occurrences all number
    1
    0
    1
    Hypo HDL cholesterolaemia
         subjects affected / exposed
    0 / 14 (0.00%)
    0 / 15 (0.00%)
    1 / 13 (7.69%)
         occurrences all number
    0
    0
    1

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? Yes
    Date
    Amendment
    30 Apr 2013
    Concerned all centres in all countries. The main changes were: - To document that in the event of anaphylaxis, the study drug was to be stopped immediately and permanently. - To update the selection criteria No. 11, regarding patients with a positive interferon-γ-released assay (IGRA). - A new selection criteria had been added for patients considered as exposed to tuberculosis. - A new section in the protocol for having a benefit/risk assessment for the current clinical study had been added. - To add a new paragraph in the protocol (in order to warrant the patient’s safety), related to the therapeutic monitoring of therapies with a narrow therapeutic index being CYP450 and/or transporter substrates when initiating gevokizumab treatment.
    20 Sep 2013
    Concerned all centres in all countries. The main objective of this Amendment was to add an open label treatment period of 24 weeks after the end of the planned double-blind 24-week period.
    12 Jun 2014
    Concerned all centres in all countries. The main changes were: - Eligibility requirements for patients with indeterminate QuantiFERON®-TB test result at Selection visit: no evidence of active Tuberculosis (TB), agreement of a TB expert was to be obtained, - Eligibility requirements for patients with positive QuantiFERON®-TB test result at Selection visit: precision on the duration of the prophylactic TB treatment, - Modified selection criteria: disease duration ≤ 10 years, - Modified selection criteria: if CK and/or Aldolase ≤ 2 ULN and neither muscle biopsy nor Magnetic Resonance Imaging (MRI) ≤ 3 months was available, a MRI was authorized for the assessment of disease activity (edema and inflammatory changes). In this case the delay between selection and inclusion visit could be more than to 2 weeks, - Modified non selection criteria: the re-selection of a patient was authorized (no more than once) in case of a change in his clinical situation or of an infection or personal reason that temporarily avoided his inclusion, - Non participation of France to the open-label period of the study, due to Ethics Committee refusal for amended protocol n°2 (20 Septembre 2013), - For German sites only: additional safety measurements at visits W36 and W44 in order to satisfy Ethics Committee requirements for amended protocol n°2 (20 Septembre 2013), - For the United Kingdom (UK), the chest X-ray at W24 should not be performed in line with UK usual practice, for patients who performed the open-label period, - New laboratory (Biostorage) was added to the “Non sponsor parties” for the storage of pharmacogenomics, other omics and retrospective analysis samples at the end of the study,
    04 Feb 2015
    Concerned all centres in all countries. The main changes were the following: - Modification in the definition of corticoresistance and corticodependence to be in compliance with current clinical practice. - Deletion of the criterion “Disease diagnosis duration < 10 years”. Disease duration became indefinite. - To allow the selection/inclusion of patients with dermatomyositis (DM) sine dermatitis (DM without cutaneous signs). These patients were initially not eligible, but as the disease is well-described in the literature and is a sub-group of DM, and in order to extend the possibility of an alternative treatment to this population in need, the efficacy of gevokizumab could also be assessed in this disease within the framework of the study. For these patients, the diagnosis should have been confirmed by the Adjudication Committee of the study before the inclusion of the patient. - Extension of the study population to patients with necrotizing autoimmune myopathy (NAM).

    Interruptions (globally)

    Were there any global interruptions to the trial? Yes
    Date
    Interruption
    Restart date
    22 Sep 2015
    The study was prematurely discontinued due to strategic and business reasons unrelated to safety
    -

    Limitations and caveats

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