Primary Objective: To assess the tolerability and safety of SAR113244 in male and female lupus patients after every 4 (Q4) weeks repeated ascending subcutaneous doses of SAR113244. Secondary Objectives: To assess in male and female lupus patients: * The pharmacokinetics of SAR113244. * The pharmacodynamics of SAR113244 for the following disease-related parameters: * Safety of Estrogens in Lupus Erythematosus National Assessment - Systemic Lupus Erythematosus Disease Activity Index (SELENA-SLEDAI) score, British Isles Lupus Assessment Group (BILAG) score (if applicable), BILAG-Based Composite Lupus Assessment (BICLA) (if applicable), systemic lupus erythematosus responder index (SRI) (if applicable), Lupus-quality of life (QoL) and Functional Assessment of Chronic Illness Therapy (FACIT)-Fatigue, anti-double stranded deoxyribonucleic acid antibody (anti-dsDNA Ab) and anti-nuclear antibody levels (ANA) and plasma complement levels (C3, C4), erythrocyte sedimentation (SED) rate and C-reactive protein. * Peripheral blood B and T cells subsets.
The total duration of screening to end of study per subject is 20 weeks with post-study observation on Day 226 for anti-drug antibody assessment (for patients with positive anti-drug antibody at end of study only).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
DOUBLE
Enrollment
21
Investigational Site Number 276001
Berlin, Germany
Number of participants with adverse events and treatment-emergent adverse events
Time frame: Up to 16 weeks after inclusion
Change in physical examination, body weight, vital signs and laboratory parameters
Time frame: Up to 16 weeks after inclusion
Safety and tolerability (erythema, swelling, degree of itching, and present pain intensity at injection site by measuring diameter and qualitative assessment)
Time frame: Up to 16 weeks after inclusion
Assessment of pharmacokinetic parameter - maximum concentration (Cmax)
Time frame: Up to D113 after inclusion
Assessment of pharmacokinetic parameter - time of maximum concentration (Tmax)
Time frame: Up to D113 after inclusion
Assessment of pharmacokinetic parameter - area under curve 0-4 weeks (AUC0-4w)
Time frame: Up to D113 after inclusion
Assessment of pharmacokinetic parameter - time of the last point with quantifiable concentration (tlast) and terminal elimination half-life (t1/2z)
Time frame: Up to D113 after inclusion
Assessment of pharmacokinetic parameter - lowest concentration of drug before the next dose (Ctrough)
Time frame: Up to D113 after inclusion
Assessment of pharmacokinetic parameter - apparent total body clearance (CLss/F)
Time frame: Up to D113 after inclusion
Assessment of pharmacokinetic parameter - absorption-dependent apparent volume of distribution at steady state (Vss/F)
Time frame: Up to D113 after inclusion
Number of participants with anti-SAR113244 antibody titers
Time frame: Up to D226 after inclusion
Pharmacodynamic parameter changes
Time frame: Up to D113 after inclusion
Pharmacodynamic parameters: peripheral blood B and T cells subsets
Time frame: Up to D85 after inclusion
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