This study is designed to evaluate the safety, tolerability, pharmacokinetics and therapeutic efficacy of treatment with either VAY736 (ianalumab) or CFZ533 (iscalimab) in patients with systemic lupus erythematosus (SLE) to enable further development of these compounds as treatment in this disease population
The study consisted of a 28-day screening period, a blinded treatment period of 28 weeks where randomized patients received treatment with investigational drug (ianalumab or iscalimab) or placebo. At the end of Week 29 visit, the patients entered the open-label treatment phase where patients in active treatment group continued to receive active treatment and patients in placebo group started active treatment with ianalumab/iscalimab until Week 49. After completion of the open-label treatment period, all patients entered a Follow-Up period in order to monitor safety and efficacy up to Week 69. The Week 69 visit was the End of Study (EoS) visit for patients in Cohort 2 (CFZ533). Study duration for patients in Cohort 2 was approximately 18 months. For Cohort 1 (VAY736), patients who did not achieve B-cell recovery by Week 69 Visit entered into a Secondary Follow-Up period until achieving B cell recovery criteria (B-cell count was at \>= 50 cells/µl or at least 80% of baseline levels). Safety follow-up visits were scheduled as deemed appropriate until the patient achieved the B-cell recovery criteria, followed by an EoS 4 weeks later.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
107
150 mg powder in vial for solution for injection; after reconstitution to 150 mg/mL per vial, a dose of 300 mg
solution for injection; 0 mg/mL administered as 2 mL s.c. injection
150 mg/mL as concentrate in vial for infusion, administered at a dose of 10 mg/kg as i.v. infusion
Percentage of Participants With SLE Responder Index (SRI)-4 Response Status at Week 29 With Reduced Steroid Dose Maintained Between Weeks 17 and 29
The primary endpoint was a composite of SRI-4 response at Week 29 with sustained reduction in oral corticosteroid from Week 17 through Week 29. Patients taking other rescue medication or prohibited medication or drop out before Week 29 were considered non-responders. SRI-4 response is defined as below: * having \>= 4 points reduction from baseline in Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K) score (score is 0 to 105; a higher score indicating more severe disease) AND * no new British Isles Lupus Activity Group (BILAG)-2004 A organ domain score and no more than one new BILAG-2004 B organ domain scores compared with baseline AND * \<10 mm point increase from baseline with scale 0 to 100 mm in the physician's global assessment from baseline Sustained reduction in oral corticosteroid is defined as below: * =\< 5 mg/day or less than or equal to baseline dose, whichever was lower at Week 17 AND * no increase of that dose from Week 17 through Week 29
Time frame: Baseline, Week 17 to Week 29
Changes Between Baseline and Week 29 in the Physicians' Global Assessment (PhGA) Visual Analog Scale (VAS) Assessing Patient's Overall Disease Activity
The Physician's global assessment (PhGA-VAS) of disease activity was performed using 100 mm VAS ranging from "no disease activity" (score 0) to "maximal disease activity" (score 100), after the question on how well the patient was doing with the disease considering all aspects affected by the disease. The investigator was then measuring the distance in mm from the left edge of the scale and entering the value.
Time frame: Baseline, Week 5, Week 9, Week 13, Week 17, Week 21, Week 25, Week 29
Changes Between Baseline and Week 29 in the Patient's Global Assessment (PGA) Visual Analog Scale (VAS) Assessing Patient's Global Disease Activity
The patient's global assessment of disease activity was performed using a Visual Analogue Scale (VAS) of 100 mm ranging from "no disease activity" (score 0) to "severe disease activity" (score 100), after the question on how well the patient was doing with the disease considering all aspects affected by the disease. The investigator was then measuring the distance in mm from the left edge of the scale and entering the value.
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Placebo as concentrate in vial for infusion, administered at a dose of 10 mg/kg as i.v. infusion
Novartis Investigative Site
Caba, Argentina
Novartis Investigative Site
Clayton, Victoria, Australia
Novartis Investigative Site
Guangzhou, Guangdong, China
Novartis Investigative Site
Nanjing, Jiangsu, China
Novartis Investigative Site
Shanghai, China
Novartis Investigative Site
Prague, Czechia
Novartis Investigative Site
Pessac, France
Novartis Investigative Site
Freiburg im Breisgau, Baden-Wurttemberg, Germany
Novartis Investigative Site
Berlin, Germany
Novartis Investigative Site
Debrecen, Hajdu Bihar Megye, Hungary
...and 21 more locations
Time frame: Baseline, Week 5, Week 9, Week 13, Week 17, Week 21, Week 25, Week 29
Percentage of Participants With Flare
Flare was defined as one new 'A' score or two or more 'B' scores using the British Isles Lupus Assessment Group Index (BILAG -2004).
Time frame: Up to 69 weeks
Time to First Flare
Time to first flare, with flare defined as one new 'A' score or two or more 'B' score using BILAG -2004
Time frame: Up to 69 weeks
Pharmacokinetics (PK) Cohort 1 - VAY736 Free Serum Concentration
Note: End of study (EoS) was a floating timepoint and did not represent a uniform timepoint across the study.
Time frame: Weeks 29, 53, 69, and EoS (up to 69 weeks), pre-dose
PK Cohort 2 - Free CFZ533 Concentration in Plasma
Time frame: Weeks 29, 53, and 69, pre-dose
PD Cohort 2 (CFZ533): Total Soluble CD40
Time frame: Weeks 29, 53, and 69
Percentage of Participants With Anti-drug Antibodies (ADAs)
ADAs were measured in plasma for CFZ533 and in serum for VAY736. Note: End of study (EoS) was a floating timepoint and did not represent a uniform timepoint across the study.
Time frame: Baseline, Weeks 29, 53, 69, and EoS (up to 69 weeks)