E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Active Systemic Lupus Erythematosus (SLE) |
Lupus eritematoso sistemico attivo (LES) |
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E.1.1.1 | Medical condition in easily understood language |
Active Systemic Lupus Erythematosus (SLE) |
Lupus eritematoso sistemico attivo (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 | 21.1 |
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 |
Evaluate the efficacy of AMG 570 at week 52 as measured by the Systemic Lupus Erythematosus Responder Index (SRI-4) |
Valutare l'efficacia di AMG 570 alla settimana 52 misurata secondo il Systemic Lupus Erythematosus Responder Index (SRI-4) |
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E.2.2 | Secondary objectives of the trial |
- Evaluate the efficacy of AMG 570 at week 24 - Evaluate the efficacy of AMG 570 at week 52 - Evaluate the efficacy of AMG 570 as measured by SRI-4 response with oral corticosteroid (OCS) tapering - Evaluate the efficacy of AMG 570 on disease flares - Evaluate the efficacy of AMG 570 on joints and skin. - Describe the efficacy of AMG 570 using patient reported outcomes. - Characterize the safety of AMG 570. - To characterize the pharmacokinetics (PK) of AMG 570. |
- Valutare l'efficacia di AMG 570 alla settimana 24 - Valutare l'efficacia di AMG 570 alla settimana 52 - Valutare l'efficacia di AMG 570 come rilevato dal SRI-4 response con riduzione della dose di corticosteroidi orali (OCS) - Valutare l'efficacia di AMG 570 sulle riacutizzazioni della malattia - Valutare l'efficacia di AMG 570 su articolazioni e pelle - Descrivere l'efficacia di AMG 570 mediante gli esiti riferiti dai pazienti - Caratterizzare la sicurezza di AMG 570 - Caratterizzare la farmacocinetica (PK) di AMG 570 |
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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 |
Pharmacogenetics Version: EU supplement version 1 Date: 31/05/2019 Title: A Phase 2 Dose Ranging Study to Evaluate the Efficacy and Safety of AMG 570 in Subjects with Active Systemic Lupus Erythematosus (SLE) With Inadequate Response to Standard of Care (SOC) Therapy Objectives: To investigate inherited genetic variations to evaluate their possible correlation to the disease and/or responsiveness to the therapies used in this study.
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Farmacogenetica Versione: EU supplement version 1 Data: 31/05/2019 Titolo: Studio di fase 2 di dose-ranging per valutare l’efficacia e la sicurezza di AMG 570 in soggetti con lupus eritematoso sistemico (LES) attivo con risposta inadeguata alla terapia standard (SOC) Obiettivi: Esaminare eventuali variazioni genetiche ereditarie per stabilire se esista una correlazione tra tali variazioni e la malattia e/o la risposta alle terapie utilizzate in questo studio.
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E.3 | Principal inclusion criteria |
- Subject has provided informed consent prior to initiation of any study specific activities/procedures. - Age > = 18 years to < = 75 years at screening visit. - Fulfills classification criteria for SLE according to the 2019 European League Against Rheumatism (EULAR)/American College of Rheumatology (ACR) classification criteria for SLE (Aringer et al, 2019), with antinuclear antibody > = 1:80 by immunofluorescence on Hep-2 cells being present at screening. Anti-dsDNA results based on the Farr assay will be used to SLE classification criteria, while test results from the Phadia method will be used for the purposes of hSLEDAI scoring during screening and throughout the study - Hybrid SLEDAI-2K score > = 6 points with "Clinical" hSLEDAI-2K score > = 4 points. The "Clinical" hSLEDAI-2K is the hSLEDAI assessment score without the inclusion of points attributable to laboratory results including urine or immunologic parameters. Additional protocol specific rules: o Arthritis: Arthritis (at least 3 tender and swollen joints) must involve joints in the hands or wrists for the hSLEDAI scoring - Alopecia: Subjects should have hair loss without scarring; should neither have alopecia areata nor androgenic alopecia; and should have a CLASI activity score for alopecia > = 2 - Oral ulcers: Ulcers location and appearance must be documented by the investigator
*Please, refer to protocol for the full list |
- Soggetti che hanno fornito il consenso informato prima dell'inizio di eventuali attività / procedure specifiche dello studio - Età compresa tra > = 18 e < = 75 anni alla visita di screening. Soddisfa i criteri di classificazione per il LES secondo la European League Against Rheumatism (EULAR)/American College of Rheumatology (ACR) classification (Aringer et al, 2019) con anticorpo antinucleare > = 1:80 per immunofluorescenza su cellule Hep-2 presenti allo screening. I risultati antidsDNA basati sul saggio Farr saranno utilizzati per i criteri di classificazione del LES, mentre i risultati del test con il metodo Phadia saranno utilizzati ai fini del punteggio di hSLEDAI durante lo screening e per tutto lo studio - Punteggio ibrido SLEDAI-2K > = 6 punti con punteggio "Clinico" hSLEDAI-2K > = 4 punti. Il punteggio "Clinico" hSLEDAI-2K è il punteggio di valutazione hSLEDAI senza l'inclusione di punti attribuibili ai risultati di laboratorio, compresi i parametri urinari o immunologici. Regole specifiche del protocollo aggiuntivo: o Artrite: L'artrite (almeno 3 articolazioni dolenti e gonfie) deve coinvolgere le articolazioni delle mani o dei polsi per il punteggio hSLEDAI - Alopecia: I soggetti dovrebbero avere la perdita di capelli senza cicatrici; non dovrebbero avere né alopecia areata né alopecia androgenetica; e dovrebbero avere un punteggio di attività CLASI per l'alopecia > = 2 - Ulcere orali: La posizione e l'aspetto delle ulcere devono essere documentati dall'investigatore
*Fare riferimento al protocollo per la lista completa |
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E.4 | Principal exclusion criteria |
- Urine protein creatinine ratio >= 3000mg/g (or equivalent) at screening or induction therapy for lupus nephritis within 1 year prior to screening visit - Active CNS lupus within 1 year prior to screening including, but not limited to, aseptic meningitis, ataxia, CNS vasculitis, cranial neuropathy, demyelinating syndrome, optic neuritis, psychosis, seizures, or transverse myelitis. - Diagnosis of any inflammatory joint or skin disease other than SLE (confirmed accurate by the PI) which would interfere with SLE disease assessment based on investigator judgement. - Any disease other than SLE that has required treatment with oral or parenteral corticosteroids for > 2 weeks within 6 weeks prior to screening.
*Please, refer to protocol for the full list |
-Rapporto di creatinina proteine urinarie >= 3000 mg/g (o equivalente) allo screening o terapia di induzione per la nefrite lupica entro 1 anno prima della visita di screening - Lupus attivo del SNC entro 1 anno prima dello screening inclusa, ma non limitata a, meningite asettica, atassia, vasculite del sistema nervoso centrale, neuropatia cranica, sindrome demielinizzante, neurite ottica, psicosi, convulsioni o mielite trasversa - Diagnosi di qualsiasi infiammazione articolare o malattia della pelle diversa dal LES (confermata dal PI) che interferirebbe con la valutazione della malattia SLE sulla base del giudizio dello sperimentatore - Qualsiasi malattia diversa dal LES che ha richiesto il trattamento con corticosteroidi orali o parenterali per > 2 settimane entro 6 settimane prima dello screening.
*Fare riferimento al protocollo per la lista completa |
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E.5 End points |
E.5.1 | Primary end point(s) |
SRI-4 response at week 52 |
risposta SRI-4 alla settimana 52 |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
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E.5.2 | Secondary end point(s) |
- SRI-4 response at week 24 - BILAG based Combined Lupus Assessment (BICLA) response at week 24 - Lupus Low Disease Activity State (LLDAS) response at week 52 - BICLA response at week 52 - SRI-4 response at week 52 with reduction of OCS to < = 7.5 mg/day by week 44 and sustained through week 52 in subjects with a baseline OCS dose > = 10 mg/day - Annualized moderate and severe flare rate (as measured by SELENA SLEDAI Flare Index) over 52 weeks - Annualized severe flare rate (as measured by SELENA-SLEDAI Flare Index) over 52 weeks - Annualized flare rate (as measured by BILAG score designation of "worse" or "new" resulting in a B score in >= 2 organs or an A score in >= 1 organ) over 52 weeks - Total tender and swollen joint count (not limited to hands and wrists) > = 50% improvement from baseline at week 12, 24, 36, and 52 in subjects with > = 6 tender and > = 6 swollen joints involving the hands and wrists at baseline - Cutaneous Lupus Erythematosus Area and Severity Index (CLASI) activity score > = 50% improvement from baseline at week 12, 24, 36, and 52 in subjects with a CLASI activity score > = 8 at baseline. - Patient-Reported Outcome Measurement Information System Fatigue Short Form 7a Instrument (PROMIS Fatigue SF7A) score and change from baseline at week 12, 24, 36, 44, and 52 - Medical Outcomes Short Form 36 version 2 Questionnaire (SF36v2) score and change from baseline at week 12, 24, 36, 44, and 52. - Lupus QoL score and change from baseline at week 12, 24, 36, 44, and 52. - Patient Global Assessment (PtGA) score and change from baseline at week 12, 24, 36, 44, and 52. - Treatment-emergent adverse events - Serious adverse events - Clinically significant changes in laboratory values and vital signs - Trough serum concentrations and terminal elimination half-life of AMG 570 |
- SRI-4 risposta alla settimana 24 - Risposta BILAG basata sul Combined Lupus Assessment (BICLA) alla settimana 24 - Risposta Lupus Low Disease Activity State (LLDAS) alla settimana 52 - Risposta di BICLA alla settimana 52 - Risposta SRI-4 alla settimana 52 con riduzione dell'OCS a < = 7,5 mg/giorno di settimana 44 e sostenuta fino alla settimana 52 in soggetti con un OCS di base dose > = 10 mg/giorno - Tasso annualizzato di riacutizzazione moderata e grave (misurato da SELENA-SLEDAI Flare Index) per 52 settimane - Tasso annualizzato di riacutizzazione grave (misurato da SELENA-SLEDAI Flare Index) in 52 settimane - Tasso annualizzato di riacutizzazione (misurato dalla designazione del punteggio BILAG di "peggio" o "nuovo" che danno come risultato un punteggio B in >= 2 organi o un punteggio A in >= 1 organo) per 52 settimane - Miglioramento totale > = 50% nella conta delle articolazioni (non limitato a mani e polsi) dolenti e tumefatte rispetto al basale alle settimane 12, 24, 36 e 52 in soggetti con > = 6 articolazioni dolenti e > = 6 tumefatte che coinvolge le mani e i polsi al basale - Miglioramento > = 50%nell'indice di attività Cutaneous Lupus Erythematosus Area and Severity Index (CLASI) dal basale alle settimane 12, 24, 36 e 52 in soggetti con punteggio di attività CLASI > = 8 al basale. - Punteggio Patient-Reported Outcome Measurement Information System Fatigue Short Form 7a Instrument (PROMIS Fatigue SF7A) e variazione rispetto al basale alla settimana 12, 24, 36, 44 e 52. - Punteggio del questionario Medical Outcomes Short Form 36 versione 2 (SF36v2) e variazione rispetto al basale alla settimana 12, 24, 36, 44 e 52. - Punteggio Lupus QoL e variazione rispetto al basale alla settimana 12, 24, 36, 44 e 52. - Punteggio PtGA (Patient Global Assessment) e variazione rispetto al basale alla settimana 12, 24, 36, 44 e 52 sulla valutazione globale del paziente. - Trattamento degli eventi avversi emergenti - Eventi avversi gravi - Cambiamenti clinicamente significativi nei valori di laboratorio e nei segni vitali - Concentrazioni sieriche grezze e emivita di eliminazione terminale di AMG 570 |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
- Week 24 - Week 24 - Week 52 - Week 52 - Weeks 52, 44 - Week 52 - Week 52 - Week 52 - Weeks 12, 24, 36 and 52 - Weeks 12, 24, 36 and 52 - Weeks 12, 24, 36, 44 and 52 - Weeks 12, 24, 36, 44 and 52 - Weeks 12, 24, 36, 44 and 52 - Weeks 12, 24, 36, 44 and 52 - Duration of the study |
- settimana 24 - settimana 24 - settimana 52 - settimana 52 - settimana 52, 44 - settimana 52 - settimana 52 - settimana 52 - settimana 12, 24, 36 e 52 - settimana 12, 24, 36 e 52 - settimana 12, 24, 36, 44 e 52 - settimana 12, 24, 36, 44 e 52 - settimana 12, 24, 36, 44 e 52 - settimana 12, 24, 36, 44 e 52 - durata dello studio |
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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 | Yes |
E.6.10 | Pharmacogenetic | No |
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) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
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 | 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 | Yes |
E.8.1.7.1 | Other trial design description |
Adaptive design |
Adaptive design |
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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 | Yes |
E.8.2.3 | Other | No |
E.8.2.4 | Number of treatment arms in the trial | 4 |
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 | 4 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 36 |
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 | Information not present in EudraCT |
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 |
Australia |
Canada |
Japan |
Korea, Republic of |
Mexico |
Russian Federation |
United States |
Austria |
Bulgaria |
France |
Germany |
Hungary |
Italy |
Poland |
Portugal |
Switzerland |
United Kingdom |
Czechia |
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E.8.7 | Trial has a data monitoring committee | No |
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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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 3 |
E.8.9.1 | In the Member State concerned months | 6 |
E.8.9.1 | In the Member State concerned days | 0 |
E.8.9.2 | In all countries concerned by the trial years | 3 |
E.8.9.2 | In all countries concerned by the trial months | 6 |
E.8.9.2 | In all countries concerned by the trial days | 0 |