The purpose of this study is to investigate the safety and tolerability of two dose regimens of IFX-1 as add-on to standard of care (SOC) in subjects with GPA and MPA compared with placebo.
Granulomatosis with polyangiitis (GPA) and microscopic polyangiitis (MPA) are related systemic v anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV), a potentially life-threatening disease. GPA is a necrotizing vasculitis predominantly involving small- to medium-sized vessels (e.g., capillaries, venules, arterioles, arteries, and veins). MPA is a necrotizing vasculitis that primarily affects capillaries, venules, or arterioles, most commonly manifesting as necrotizing glomerulonephritis and/or pulmonary capillaritis. MPA. Primed neutrophils are activated by ANCA and generate C5a that engages C5a receptors on neutrophils. Therefore, patients with ANCA-related disease have elevated plasma and urine levels of C5a in active disease and not in remission. IFX-1 is a monoclonal antibody specifically binding to the soluble human complement split product C5a and the resulting nearly complete blockade of C5a-induced biological effects may be effective in the treatment of subjects with AAV.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
20
Single IV infusions of IFX-1
Single IV infusions of IFX-1
Placebo
Number and Percentage of Participants With at Least One TEAE Per Treatment Group.
Number and percentage of participants who experience at least one treatment-emergent adverse event (TEAE) per treatment group.
Time frame: Week 24
Percentage of Participants Achieving Clinical Response
Efficacy Endpoint based on clinical response evaluated through BVAS. Clinical response is defined as a reduction in BVAS of ≥50% and no worsening in any body system and no administration of rescue medication prior to the response assessment.
Time frame: Week 16
Percentage of Participants With Clinical Remission (BVAS = 0)
Efficacy Endpoint that evaluates participants with complete remission
Time frame: Week 16
IFX-1 Concentration Pre-dose
Assess the pharmacokinetic of the investigational medicinal product.
Time frame: Week 16
IFX 1 Concentration at Predose (0 Hours), After the End of the Infusion (+10minutes), and at 2, 6, 24, and 48 Hours After the Start of the Infusion for Participants in the PK Substudy
Analyze the IMP plasma concentration using a PK model: IFX 1 concentration at predose (0 hours), after the end of the infusion (+10minutes), and at 2, 6, 24, and 48 hours after the start of the infusion for participants in the PK substudy
Time frame: Weeks 1, 4 and 16
C5a Plasma Concentration
Pharmacodynamic parameter concentration
Time frame: Week 16
IFX-1 Blocking Activity 2.5 nM
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Mayo Clinic Scottsdale
Scottsdale, Arizona, United States
Loma Linda University Clinical Trial Center
Loma Linda, California, United States
Science Connections, LLC
Doral, Florida, United States
University of Miami
Miami, Florida, United States
Rush University Medical Center
Chicago, Illinois, United States
University of Kansas Medical Center Research Institute, Inc.
Kansas City, Kansas, United States
LSU Health Sciences Center Shreveport
Shreveport, Louisiana, United States
Johns Hopkins Bayview Medical Center
Baltimore, Maryland, United States
Massachusetts General Hospital
Boston, Massachusetts, United States
University Of MI Medcl Ctr-RHU
Ann Arbor, Michigan, United States
...and 28 more locations
Pharmacodynamic Parameter of IFX-1 blocking activity 2.5 nM
Time frame: Week 16
IFX-1 Blocking Activity 10 nM
Pharmacodynamic Parameter of IFX-1 blocking activity 10 nM
Time frame: Week 16