This study is a Phase 2 trial designed to evaluate the clinical efficacy, safety, and tolerability of MAS825 in patients with NLRC4-GOF, XIAP deficiency, or CDC42 mutations.
This is a three-period study, with an open-label, single-arm active treatment in Period 1 followed by a randomized-withdrawal, double-blinded, placebo-controlled design in Period 2, and an open label, long-term safety follow-up in Period 3 and Period 3s. The total study duration is approximately 4 - 5 years. Patients who enter Period 2 will be randomized to MAS825 or matching placebo in a 1:1 ratio. Cohort 1 patients will complete all periods of the study, which will take approximately 5 years. Cohort 2: Patients who are receiving MAS825 in a Novartis Managed Access Program with a diagnosis of NLRC4-GOF, XIAP deficiency, or CDC42 mutation who meet criteria will be eligible to directly enter into Period 3 and Period 3s for open-label long-term safety follow-up. Cohort 2 patients will be in the study for approximately 4 years.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
17
Cincinnati Children's Hospital
Cincinnati, Ohio, United States
Cincinnati Childrens Hospital
Cohort 1: Occurrence of disease flare in patients with MAS825 treated patients compared with placebo during Period 2 assessed by Physician's Global Assessment and inflammatory markers
To determine the efficacy of MAS825 in prevention of flares in patients with monogenic IL-18 driven autoinflammatory diseases, including NLRC4-GOF, XIAP deficiency or CDC42 mutations
Time frame: Period 2
All cohorts: Number and severity of safety assessments and adverse events
To evaluate the safety and tolerability of MAS825
Time frame: Screening through EOS (End of Study)
All cohorts: Confirmation of serological markers of MAS825
Evaluate the serological markers of MAS825
Time frame: Day 1 through EOS
Cohort 1: PGA and inflammatory markers
Evaluate the efficacy of MAS825 to improve the clinical status of patients with NLRC4-GOF, XIAP deficiency or CDC42 mutations
Time frame: Day 29, end of Period 1, end of Period 2
Cohort 1: Serological remission via inflammatory markers
Evaluate efficacy of MAS825 to achieve serological remission
Time frame: Day 29, end of Period 1, and end of Period 2
Cohort 1: Glucocorticoid therapy <0.2mg/kg by end of period 1
Evaluate the effect of MAS825 on concomitant glucocorticoid administration
Time frame: End of Period 1
Cohort 1: Time to first flare
Evaluate effect of MAS825 on the time to first flare
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Cincinnati, Ohio, United States
Childrens Hospital of Philadelphia
Philadelphia, Pennsylvania, United States
Children´s Hospital of Philadelphia
Philadelphia, Pennsylvania, United States
Texas Childrens Hospital
Houston, Texas, United States
Texas Children´s Hospital
Houston, Texas, United States
Seattle Childrens Hospital
Seattle, Washington, United States
Seattle Children´s Hospital
Seattle, Washington, United States
Centrum detske revmatologie a autoinflamatornich onemocneni
Prague, CZ, Czechia
Novartis Investigative Site
Prague, Czechia
...and 11 more locations
Time frame: Period 2
All cohorts: Physician Severity Assessment of Disease Signs and Symptoms scale
Evaluate the efficacy of MAS825 to improve signs and symptoms of the disease
Time frame: Screening through EOS
All cohorts: Patient / Parent global assessment of disease activity (PPGA) scale
Evaluate effect of MAS825 on patient reported outcomes over time
Time frame: Screening through EOS