Clinical Trial Results:
An Open-Label Extension Study to Investigate the Long-Term Safety, Tolerability, and Efficacy of Rozanolixizumab in Subjects With Chronic Inflammatory Demyelinating Polyradiculoneuropathy (CIDP)
Summary
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EudraCT number |
2018-004392-12 |
Trial protocol |
GB DE FR BE ES NL DK |
Global end of trial date |
10 Nov 2021
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Results information
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Results version number |
v1(current) |
This version publication date |
22 Oct 2022
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First version publication date |
22 Oct 2022
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Other versions |
Trial Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
Subject Disposition
Baseline Characteristics
End Points
Adverse Events
More Information
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Trial identification
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Sponsor protocol code |
CIDP04
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Additional study identifiers
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ISRCTN number |
- | ||
US NCT number |
NCT04051944 | ||
WHO universal trial number (UTN) |
- | ||
Sponsors
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Sponsor organisation name |
UCB Biopharma SRL
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Sponsor organisation address |
Allée de la Recherche 60, Brussels, Belgium, 1070
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Public contact |
Clin Trial Reg & Results Disclosure, UCB BIOSCIENCES GmbH, clinicaltrials@ucb.com
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Scientific contact |
Clin Trial Reg & Results Disclosure, UCB BIOSCIENCES GmbH, clinicaltrials@ucb.com
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Paediatric regulatory details
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Is trial part of an agreed paediatric investigation plan (PIP) |
No
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Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial? |
No
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Results analysis stage
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Analysis stage |
Final
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Date of interim/final analysis |
31 Jan 2022
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Is this the analysis of the primary completion data? |
Yes
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Primary completion date |
10 Nov 2021
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Global end of trial reached? |
Yes
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Global end of trial date |
10 Nov 2021
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Was the trial ended prematurely? |
No
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General information about the trial
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Main objective of the trial |
Assess long-term safety and tolerability of rozanolixizumab in participants with chronic inflammatory demyelinating polyradiculoneuropathy (CIDP)
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Protection of trial subjects |
During the conduct of the study all participants were closely monitored.
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Background therapy |
Background therapy as permitted in the protocol. | ||
Evidence for comparator |
Not applicable | ||
Actual start date of recruitment |
21 Aug 2019
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Long term follow-up planned |
Yes
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Long term follow-up rationale |
Efficacy, Safety | ||
Long term follow-up duration |
19 Months | ||
Independent data monitoring committee (IDMC) involvement? |
No
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Population of trial subjects
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Number of subjects enrolled per country |
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Country: Number of subjects enrolled |
Belgium: 4
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Country: Number of subjects enrolled |
Denmark: 2
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Country: Number of subjects enrolled |
France: 2
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Country: Number of subjects enrolled |
Germany: 2
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Country: Number of subjects enrolled |
Netherlands: 1
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Country: Number of subjects enrolled |
United Kingdom: 1
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Country: Number of subjects enrolled |
United States: 9
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Worldwide total number of subjects |
21
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EEA total number of subjects |
11
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Number of subjects enrolled per age group |
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In utero |
0
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Preterm newborn - gestational age < 37 wk |
0
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Newborns (0-27 days) |
0
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Infants and toddlers (28 days-23 months) |
0
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Children (2-11 years) |
0
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Adolescents (12-17 years) |
0
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Adults (18-64 years) |
14
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From 65 to 84 years |
7
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85 years and over |
0
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Recruitment
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Recruitment details |
The study started to enroll study participants in Aug 2019 and concluded in Nov 2021. | |||||||||||||||||||||||||||
Pre-assignment
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Screening details |
Participant Flow refers to Enrolled Set. Participants from CIDP01 (NCT03861481) who had completed Treatment Period without a relapse of CIDP were directly enrolled into this study. Newly treated participants are participants treated with placebo in parent study. Previously treated participants are participants treated with RLZ in parent study. | |||||||||||||||||||||||||||
Period 1
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Period 1 title |
Overall Study (overall period)
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Is this the baseline period? |
Yes | |||||||||||||||||||||||||||
Allocation method |
Not applicable
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Blinding used |
Not blinded | |||||||||||||||||||||||||||
Arms
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Are arms mutually exclusive |
Yes
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Arm title
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Rozanolixizumab (Newly Treated) | |||||||||||||||||||||||||||
Arm description |
Participants received rozanolixizumab Dose A as a subcutaneous infusion once weekly up to Week 76. | |||||||||||||||||||||||||||
Arm type |
Experimental | |||||||||||||||||||||||||||
Investigational medicinal product name |
Rozanolixizumab
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Investigational medicinal product code |
UCB7665
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Other name |
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Pharmaceutical forms |
Solution for infusion
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Routes of administration |
Subcutaneous use
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Dosage and administration details |
Participants received rozanolixizumab Dose A at prespecified time points.
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Arm title
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Rozanolixizumab (Previously Treated) | |||||||||||||||||||||||||||
Arm description |
Participants received rozanolixizumab Dose A as a subcutaneous infusion once weekly up to Week 76. | |||||||||||||||||||||||||||
Arm type |
Experimental | |||||||||||||||||||||||||||
Investigational medicinal product name |
Rozanolixizumab
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Investigational medicinal product code |
UCB7665
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Other name |
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Pharmaceutical forms |
Solution for infusion
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Routes of administration |
Subcutaneous use
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Dosage and administration details |
Participants received rozanolixizumab Dose A at prespecified time points.
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Baseline characteristics reporting groups
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Reporting group title |
Rozanolixizumab (Newly Treated)
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Reporting group description |
Participants received rozanolixizumab Dose A as a subcutaneous infusion once weekly up to Week 76. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Rozanolixizumab (Previously Treated)
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Reporting group description |
Participants received rozanolixizumab Dose A as a subcutaneous infusion once weekly up to Week 76. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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End points reporting groups
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Reporting group title |
Rozanolixizumab (Newly Treated)
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Reporting group description |
Participants received rozanolixizumab Dose A as a subcutaneous infusion once weekly up to Week 76. | ||
Reporting group title |
Rozanolixizumab (Previously Treated)
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Reporting group description |
Participants received rozanolixizumab Dose A as a subcutaneous infusion once weekly up to Week 76. |
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End point title |
Number of participants with treatment-emergent adverse event (TEAEs) [1] | |||||||||
End point description |
An Adverse Event (AE) is any untoward medical occurrence in a participant or clinical investigation subject administered a pharmaceutical product, which does not necessarily had a causal relationship with this treatment. An AE could therefore be any unfavorable and unintended sign, symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not related to the medicinal (investigational) product. A TEAE was defined as any event that was not present prior the first administration of investigational medicinal product (IMP) in CIDP04 study or any unresolved event already present before the first administration of IMP in CIDP04 study that worsened in intensity following exposure to treatment until 8 weeks following the last administration of IMP in CIDP04 study. The Safety Set (SS) consisted of all enrolled study participants who were administered at least one dose of rozanolixizumab in CIDP04.
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End point type |
Primary
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End point timeframe |
From Baseline until Follow-Up Visit (up to Week 84)
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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 formal statistical hypothesis testing was planned for this study. Results were summarized in tables as descriptive statistics only. |
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No statistical analyses for this end point |
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Adverse events information
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Timeframe for reporting adverse events |
From Baseline until Follow-Up Visit (up to Week 84)
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Adverse event reporting additional description |
A TEAE was defined as any event that was not present prior the first administration of IMP in CIDP04 study or any unresolved event already present before the first administration of IMP in CIDP04 study that worsened in intensity following exposure to treatment until 8 weeks following the last administration of IMP in CIDP04 study.
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Assessment type |
Non-systematic | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary used for adverse event reporting
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Dictionary name |
MedDRA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Dictionary version |
24.0
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Reporting groups
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Reporting group title |
Rozanolixizumab (Newly Treated)
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Reporting group description |
Participants received rozanolixizumab Dose A as a subcutaneous infusion once weekly up to Week 76. | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Reporting group title |
Rozanolixizumab (Previously Treated)
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Reporting group description |
Participants received rozanolixizumab Dose A as a subcutaneous infusion once weekly up to Week 76. | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Frequency threshold for reporting non-serious adverse events: 5% | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Substantial protocol amendments (globally) |
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Were there any global substantial amendments to the protocol? Yes | |||
Date |
Amendment |
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12 Jul 2019 |
The purpose of this substantial protocol amendment was to provide clarification on the dose of IMP administered (including an allowance of ±10% compared to the target Dose A arm), as well as a flexible infusion rate. Sensitivity analyses were introduced to account for deviation outside the 10% target dosage and the descriptive analyses will inform about actual doses administered to the study participants. Updates to the status of the other rozanolixizumab studies had been included. The predominance of objective criteria over the investigator’s judgment had been confirmed for the assessment of CIDP relapse. The timeframe of expected use of contraception poststudy completion had been extended to 90 days in view of the probable halflife of rozanolixizumab. Exclusion Criterion had been extended to prediabetic condition. The expectation with regards to the use of cannabidiols and medicinal marijuana had been clarified in the concomitant medication section. The protocol amendment confirmed the expectation of a
single rater for the Inflammatory Neuropathy Cause and Treatment (INCAT) assessment to ensure consistency of the rating during the study. The exit interview assessment had been
removed from the follow-up study; this allowed UCB to confirm the adequacy of this tool using data collected in CIDP01 before extending its use in another study. Safety reporting procedures
had been updated to align with most current UCB practices. |
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16 Mar 2020 |
The purpose of this substantial protocol amendment was to assess the safety and key efficacy of rozanolixizumab during an optional additional treatment period (Treatment Period Part 2) of up to 52 weeks (or until an Access Program or equivalent was available for rozanolixizumab, whichever came first) on the basis of each study participant’s individual benefit-risk assessment
at the end of the first 24-week Treatment Period. This amendment was the opportunity to update the new legal entity of UCB effective since Dec 2019. Additional wording pertaining study participants being able to self-administer IMP after appropriate training had been included. One exclusion criterion had been clarified. The management of hypogammaglobulinemia had been adjusted for better control. An additional interim analysis had been added at the time of lock of the parent study and another at the end of the first Treatment Period (24 weeks) matching the original timepoint of results availability. |
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Interruptions (globally) |
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Were there any global interruptions to the trial? No | |||
Limitations and caveats |
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Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data. | |||
None reported |