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    Clinical Trial Results:
    A French open-label extension study of canakinumab in patients who participated in international phase III studies CACZ885G2301E1 or CACZ885G2306 in Systemic Juvenile Idiopathic Arthritis and CACZ885N2301 in Hereditary Periodic Fevers (TRAPS, HIDS, or crFMF)

    Summary
    EudraCT number
    2014-002872-95
    Trial protocol
    FR  
    Global end of trial date
    26 Dec 2018

    Results information
    Results version number
    v1(current)
    This version publication date
    08 Mar 2019
    First version publication date
    08 Mar 2019
    Other versions

    Trial information

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    Trial identification
    Sponsor protocol code
    CACZ885GFR01
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    NCT02334748
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Novartis Pharma AG
    Sponsor organisation address
    CH-4002, Basel, Switzerland,
    Public contact
    Clinical Disclosure Office, Novartis Pharma AG, 41 613241111, Novartis.email@email.com
    Scientific contact
    Study Director, Novartis Pharma AG, 41 613241111, Novartis.email@novartis.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?
    Yes
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    26 Dec 2018
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    26 Dec 2018
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    The objective of this trial was to collect additional safety data (serious and non serious AEs) and to provide continuous Ilaris® (canakinumab) treatment to patients in France who completed CACZ885G2301E1, CACZ885N2301 or CACZ885G2306 studies.
    Protection of trial subjects
    The study was in compliance with the ethical principles derived from the Declaration of Helsinki and the International Conference on Harmonization (ICH) Good Clinical Practice (GCP) guidelines. All the local regulatory requirements pertinent to safety of trial subjects were also followed during the conduct of the trial.
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    03 Nov 2014
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    Yes
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    France: 31
    Worldwide total number of subjects
    31
    EEA total number of subjects
    31
    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)
    19
    Adolescents (12-17 years)
    11
    Adults (18-64 years)
    1
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    -

    Pre-assignment
    Screening details
    In total, 31 patients (100%) (24 with SJIA and 7 with periodic fever syndromes [HIDS/MKD and FMF]) were enrolled, of which 23 (74.2%) (16 patients with SJIA and 7 patients with periodic fever syndromes [HIDS/MKD and FMF]) completed the study and the remaining 8 patients (25.8%) prematurely discontinued from the study.

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

    Arms
    Arm title
    canakinumab
    Arm description
    Patients continued same dose as their last dose administered in the study CACZ885G2301E1, CACZ885N2301 or CACZ885G2306. For all indications, the maximum canakinumab dose was 4 mg/kg or 300 mg for patients ≥ 40 kg. Ilaris® dosage may have been adjusted (or interrupted) according to the clinical response and to investigator's judgment.
    Arm type
    Experimental

    Investigational medicinal product name
    canakinumab
    Investigational medicinal product code
    ACZ885G
    Other name
    Pharmaceutical forms
    Injection
    Routes of administration
    Subcutaneous use
    Dosage and administration details
    4 mg/kg (maximum 300 mg) q4w

    Number of subjects in period 1
    canakinumab
    Started
    31
    Completed
    23
    Not completed
    8
         Inclusion in the CACZ8852306 study
    1
         Adverse event, non-fatal
    1
         Patient no longer required study drug
    2
         Lack of efficacy
    4

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    canakinumab
    Reporting group description
    Patients continued same dose as their last dose administered in the study CACZ885G2301E1, CACZ885N2301 or CACZ885G2306. For all indications, the maximum canakinumab dose was 4 mg/kg or 300 mg for patients ≥ 40 kg. Ilaris® dosage may have been adjusted (or interrupted) according to the clinical response and to investigator's judgment.

    Reporting group values
    canakinumab Total
    Number of subjects
    31 31
    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)
    19 19
        Adolescents (12-17 years)
    11 11
        Adults (18-64 years)
    1 1
        From 65-84 years
    0 0
        85 years and over
    0 0
    Age Continuous
    Units: years
        arithmetic mean (standard deviation)
    9.7 ( 4.07 ) -
    Sex: Female, Male
    Units: Subjects
        Female
    17 17
        Male
    14 14
    Race/Ethnicity, Customized
    Units: Subjects
        Caucasian
    29 29
        Other
    2 2

    End points

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    End points reporting groups
    Reporting group title
    canakinumab
    Reporting group description
    Patients continued same dose as their last dose administered in the study CACZ885G2301E1, CACZ885N2301 or CACZ885G2306. For all indications, the maximum canakinumab dose was 4 mg/kg or 300 mg for patients ≥ 40 kg. Ilaris® dosage may have been adjusted (or interrupted) according to the clinical response and to investigator's judgment.

    Primary: Number of adverse events

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    End point title
    Number of adverse events [1]
    End point description
    The objective of this protocol was to collect additional safety data (serious and non serious AEs) and to provide continuous Ilaris® (canakinumab) treatment to patients in France who completed CACZ885G2301E1, CACZ885N2301 or CACZ885G2306 studies.
    End point type
    Primary
    End point timeframe
    every 4 weeks up to 1 year
    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: No statistical analysis was planned for this study
    End point values
    canakinumab
    Number of subjects analysed
    31
    Units: participants
        Serious adverse events
    13
        Treatment emergent adverse events
    29
    No statistical analyses for this end point

    Primary: Number of participants with adverse events

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    End point title
    Number of participants with adverse events [2]
    End point description
    End point type
    Primary
    End point timeframe
    Adverse Events (AEs) were collected from First Patient First Visit (FPFV) until Last Patient Last Visit (LPLV). All AEs reported in this record are from date of First Patient First Treatment until Last Patient Last Visit) up to approximately one year
    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: No statistical analysis was planned for this study
    End point values
    canakinumab
    Number of subjects analysed
    31
    Units: participants
    number (not applicable)
        # Affected by Serious Adverse Events
    7
        # Affected by Non Serious Adverse Events
    28
        Number of deaths
    0
    No statistical analyses for this end point

    Adverse events

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    Adverse events information
    Timeframe for reporting adverse events
    Adverse Events are collected from First Patient First Visit (FPFV) until Last Patient Last Visit (LPLV).  All Adverse events are reported in this record from First Patient First Treatment until Last Patient Last Visit.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    21.0
    Reporting groups
    Reporting group title
    ACZ885
    Reporting group description
    ACZ885

    Serious adverse events
    ACZ885
    Total subjects affected by serious adverse events
         subjects affected / exposed
    7 / 31 (22.58%)
         number of deaths (all causes)
    0
         number of deaths resulting from adverse events
    0
    Injury, poisoning and procedural complications
    Intentional overdose
         subjects affected / exposed
    1 / 31 (3.23%)
         occurrences causally related to treatment / all
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    Scar
         subjects affected / exposed
    1 / 31 (3.23%)
         occurrences causally related to treatment / all
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    Blood and lymphatic system disorders
    Histiocytosis haematophagic
         subjects affected / exposed
    1 / 31 (3.23%)
         occurrences causally related to treatment / all
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    Gastrointestinal disorders
    Abdominal pain
         subjects affected / exposed
    2 / 31 (6.45%)
         occurrences causally related to treatment / all
    0 / 0
         deaths causally related to treatment / all
    0 / 2
    Respiratory, thoracic and mediastinal disorders
    Pneumothorax
         subjects affected / exposed
    1 / 31 (3.23%)
         occurrences causally related to treatment / all
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    Psychiatric disorders
    Hallucination, auditory
         subjects affected / exposed
    1 / 31 (3.23%)
         occurrences causally related to treatment / all
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    Suicide attempt
         subjects affected / exposed
    1 / 31 (3.23%)
         occurrences causally related to treatment / all
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    Musculoskeletal and connective tissue disorders
    Arthritis
         subjects affected / exposed
    2 / 31 (6.45%)
         occurrences causally related to treatment / all
    0 / 0
         deaths causally related to treatment / all
    0 / 2
    Bone disorder
         subjects affected / exposed
    1 / 31 (3.23%)
         occurrences causally related to treatment / all
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    Infections and infestations
    Epstein-Barr virus infection
         subjects affected / exposed
    1 / 31 (3.23%)
         occurrences causally related to treatment / all
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    Salmonellosis
         subjects affected / exposed
    1 / 31 (3.23%)
         occurrences causally related to treatment / all
    0 / 0
         deaths causally related to treatment / all
    0 / 1
    Frequency threshold for reporting non-serious adverse events: 5%
    Non-serious adverse events
    ACZ885
    Total subjects affected by non serious adverse events
         subjects affected / exposed
    28 / 31 (90.32%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Skin papilloma
         subjects affected / exposed
    2 / 31 (6.45%)
         occurrences all number
    0
    Injury, poisoning and procedural complications
    Ligament sprain
         subjects affected / exposed
    2 / 31 (6.45%)
         occurrences all number
    0
    Limb injury
         subjects affected / exposed
    2 / 31 (6.45%)
         occurrences all number
    0
    Nervous system disorders
    Headache
         subjects affected / exposed
    4 / 31 (12.90%)
         occurrences all number
    0
    Blood and lymphatic system disorders
    Lymphadenopathy
         subjects affected / exposed
    3 / 31 (9.68%)
         occurrences all number
    0
    General disorders and administration site conditions
    Asthenia
         subjects affected / exposed
    3 / 31 (9.68%)
         occurrences all number
    0
    Pyrexia
         subjects affected / exposed
    7 / 31 (22.58%)
         occurrences all number
    0
    Gastrointestinal disorders
    Abdominal pain
         subjects affected / exposed
    6 / 31 (19.35%)
         occurrences all number
    0
    Abdominal pain upper
         subjects affected / exposed
    2 / 31 (6.45%)
         occurrences all number
    0
    Diarrhoea
         subjects affected / exposed
    4 / 31 (12.90%)
         occurrences all number
    0
    Mouth ulceration
         subjects affected / exposed
    2 / 31 (6.45%)
         occurrences all number
    0
    Nausea
         subjects affected / exposed
    2 / 31 (6.45%)
         occurrences all number
    0
    Toothache
         subjects affected / exposed
    2 / 31 (6.45%)
         occurrences all number
    0
    Respiratory, thoracic and mediastinal disorders
    Cough
         subjects affected / exposed
    3 / 31 (9.68%)
         occurrences all number
    0
    Skin and subcutaneous tissue disorders
    Dermatitis allergic
         subjects affected / exposed
    2 / 31 (6.45%)
         occurrences all number
    0
    Dry skin
         subjects affected / exposed
    2 / 31 (6.45%)
         occurrences all number
    0
    Eczema
         subjects affected / exposed
    4 / 31 (12.90%)
         occurrences all number
    0
    Rash
         subjects affected / exposed
    2 / 31 (6.45%)
         occurrences all number
    0
    Musculoskeletal and connective tissue disorders
    Arthralgia
         subjects affected / exposed
    9 / 31 (29.03%)
         occurrences all number
    0
    Arthritis
         subjects affected / exposed
    2 / 31 (6.45%)
         occurrences all number
    0
    Back pain
         subjects affected / exposed
    3 / 31 (9.68%)
         occurrences all number
    0
    Juvenile idiopathic arthritis
         subjects affected / exposed
    3 / 31 (9.68%)
         occurrences all number
    0
    Musculoskeletal pain
         subjects affected / exposed
    2 / 31 (6.45%)
         occurrences all number
    0
    Myalgia
         subjects affected / exposed
    2 / 31 (6.45%)
         occurrences all number
    0
    Neck pain
         subjects affected / exposed
    2 / 31 (6.45%)
         occurrences all number
    0
    Pain in extremity
         subjects affected / exposed
    4 / 31 (12.90%)
         occurrences all number
    0
    Pain in jaw
         subjects affected / exposed
    2 / 31 (6.45%)
         occurrences all number
    0
    Scoliosis
         subjects affected / exposed
    2 / 31 (6.45%)
         occurrences all number
    0
    Tendon pain
         subjects affected / exposed
    2 / 31 (6.45%)
         occurrences all number
    0
    Infections and infestations
    Bronchitis
         subjects affected / exposed
    3 / 31 (9.68%)
         occurrences all number
    0
    Conjunctivitis
         subjects affected / exposed
    4 / 31 (12.90%)
         occurrences all number
    0
    Gastroenteritis
         subjects affected / exposed
    7 / 31 (22.58%)
         occurrences all number
    0
    Influenza
         subjects affected / exposed
    4 / 31 (12.90%)
         occurrences all number
    0
    Labyrinthitis
         subjects affected / exposed
    2 / 31 (6.45%)
         occurrences all number
    0
    Molluscum contagiosum
         subjects affected / exposed
    2 / 31 (6.45%)
         occurrences all number
    0
    Nasopharyngitis
         subjects affected / exposed
    11 / 31 (35.48%)
         occurrences all number
    0
    Onychomycosis
         subjects affected / exposed
    2 / 31 (6.45%)
         occurrences all number
    0
    Oral herpes
         subjects affected / exposed
    2 / 31 (6.45%)
         occurrences all number
    0
    Paronychia
         subjects affected / exposed
    4 / 31 (12.90%)
         occurrences all number
    0
    Pharyngitis
         subjects affected / exposed
    4 / 31 (12.90%)
         occurrences all number
    0
    Rhinitis
         subjects affected / exposed
    4 / 31 (12.90%)
         occurrences all number
    0
    Sinusitis
         subjects affected / exposed
    2 / 31 (6.45%)
         occurrences all number
    0
    Tonsillitis
         subjects affected / exposed
    4 / 31 (12.90%)
         occurrences all number
    0
    Tracheitis
         subjects affected / exposed
    4 / 31 (12.90%)
         occurrences all number
    0
    Viral infection
         subjects affected / exposed
    4 / 31 (12.90%)
         occurrences all number
    0
    Metabolism and nutrition disorders
    Iron deficiency
         subjects affected / exposed
    2 / 31 (6.45%)
         occurrences all number
    0

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    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
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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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