This is a Phase 2, exploratory, proof-of-concept, single-center, open-label pilot study to assess the effects and safety of Lanadelumab in patients with FXII-associated cold autoinflammatory syndrome (FACAS).
Factor XII is a serine protease with diverse functions that participates in coagulation, fibrinolysis, complement and contact system activation. So far, mutations in the factor XII gene were linked to the rare coagulation disorder Hagemann factor deficiency and hereditary angioedema (FXII-HAE). The investigators recently identified a novel FXII mutation in a 4-generation family with profound contact system activation and an autoinflammatory clinical phenotype. Lanadelumab is a specific kallikrein Inhibitor that is known to prevent clinical symptoms and contact system activation in hereditary angioedema. This study aims at assessing the clinical effects and safety of Lanadelumab in patients with FXII-associated cold autoinflammatory syndrome (FACAS).
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
4
300mg Lanadelumab s.c. administration every 2 weeks
Charite University, Berlin, Germany
Berlin, Germany
Change in total disease activity score as assessed by daily health assessment form (DHAF) questionnaire following lanadelumab treatment
Patient-reported total disease activity is assessed by a disease-specific daily health assessment form (FXII-associated Cold autoinflammatory Syndrome daily Health assessment form; FACAS-DHAF) grading the severity of 5 key symptoms of FACAS: urticarial rash, fatigue, chills/fever, arthralgia and headache (scale 0=no symptoms to 50=max. of symptoms).
Time frame: weeks 9 to 12 compared to weeks -4 to -1 (baseline)
Change in urticarial rash disease activity score as assessed by daily health assessment form (DHAF) questionnaire following lanadelumab treatment
Patient-reported urticarial rash disease activity is assessed by a disease-specific daily health assessment form (FXII-associated Cold autoinflammatory Syndrome daily Health assessment form; FACAS-DHAF; scale 0=no symptoms to 10=max. of symptoms)
Time frame: weeks 9 to 12 and weeks 24 to 28, each compared to weeks -4 to -1 (baseline)
Change in fatigue disease activity score as assessed by daily health assessment form (DHAF) questionnaire following lanadelumab treatment
Patient-reported fatigue disease activity is assessed by a disease-specific daily health assessment form (FXII-associated Cold autoinflammatory Syndrome daily Health assessment form; FACAS-DHAF; scale 0=no symptoms to 10=max. of symptoms)
Time frame: weeks 9 to 12 and weeks 24 to 28, each compared to weeks -4 to -1 (baseline)
Change in chills/fever disease activity score as assessed by daily health assessment form (DHAF) questionnaire following lanadelumab treatment
Patient-reported chills/fever disease activity is assessed by a disease-specific daily health assessment form (FXII-associated Cold autoinflammatory Syndrome daily Health assessment form; FACAS-DHAF;scale 0=no symptoms to 10=max. of symptoms)
Time frame: weeks 9 to 12 and weeks 24 to 28, each compared to weeks -4 to -1 (baseline)
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Change in arthralgia disease activity score as assessed by daily health assessment form (DHAF) questionnaire following lanadelumab treatment
Patient-reported arthralgia disease activity is assessed by a disease-specific daily health assessment form (FXII-associated Cold autoinflammatory Syndrome daily Health assessment form; FACAS-DHAF; scale 0=no symptoms to 10=max. of symptoms)
Time frame: weeks 9 to 12 and weeks 24 to 28, each compared to weeks -4 to -1 (baseline)
Change in headache disease activity score as assessed by daily health assessment form (DHAF) questionnaire following lanadelumab treatment
Patient-reported headache disease activity is assessed by a disease-specific daily health assessment form (FXII-associated Cold autoinflammatory Syndrome daily Health assessment form; FACAS-DHAF; scale 0=no symptoms to 10=max. of symptoms)
Time frame: weeks 9 to 12 and weeks 24 to 28, each compared to weeks -4 to -1 (baseline)
Change in total disease activity score as assessed by daily health assessment form (DHAF) questionnaire following lanadelumab Treatment over Long-term use
Patient-reported total disease activity is assessed by a disease-specific daily health assessment form (FXII-associated Cold autoinflammatory Syndrome daily Health assessment form; FACAS-DHAF; scale 0=no symptoms to 50=max. of symptoms
Time frame: weeks 24 to 28 compared to weeks -4 to -1 (baseline)
Change in inflammation markers following lanadelumab Treatment
Assessment of CRP levels
Time frame: from Baseline to week 12 and week 28
Change in inflammation markers following lanadelumab Treatment
Assessment of ESR levels
Time frame: from Baseline to week 12 and week 28
Change in inflammation markers following lanadelumab Treatment
Assessment of SAA levels
Time frame: from Baseline to week 12 and week 28
Change in inflammation markers following lanadelumab Treatment
Assessment of S100 A8/9 levels
Time frame: from Baseline to week 12 and week 28
Change in dermatology-specific quality-of-life following lanadelumab Treatment
assessed by Dermatology Life Quality Index (DLQI); scale 0=no impairment to 30=max. impairment
Time frame: from Baseline to week 12 and week 28
Changes in generic Health-related quality-of-life
assessed by 36-Item Short Form Health Survey (SF-36); scale 0=max. impairment to 100=no impairment (best Quality of life)
Time frame: from Baseline to week 12 and week 28
Incidence of of Treatment-emergent adverse Events, abnormal physical examination, abnormal Routine safety laboratory assessments, abnormal vital signs (safety and tolerability)
Safety of lanadelumab Treatment is assessed by physical examination, routine safety laboratory assessments, vital signs, and adverse Event reporting.
Time frame: from Baseline to end of study (week 36 follow-up)
Change in physician global assessment following lanadelumab Treatment as assessed by verbal rating scale
Verbal Rating scale assesses overall Symptoms from 0-10 (0=no symptoms; 10=very severe symptoms)
Time frame: from Baseline to week 12 and week 28
Changes of plasma levels of potential biomarkers following Lanadelumab treatment
Potential biomarkers include Plasma FXII Levels
Time frame: from Baseline to week 28
Changes of plasma levels of potential biomarkers following Lanadelumab treatment
Potential biomarkers include Plasma prekallikrein Levels
Time frame: from Baseline to week 28
Changes of plasma levels of potential biomarkers following Lanadelumab treatment
Potential biomarkers include Plasma cHMWK Levels
Time frame: from Baseline to week 28
Changes of plasma levels of potential biomarkers following Lanadelumab treatment
Potential biomarkers include IL-1ß release from donor PBMCs
Time frame: from Baseline to week 28