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| ID | Type | Description | Link |
|---|---|---|---|
| 2008-004472-50 | EudraCT Number |
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Study was withdrawn for business reasons before study start.
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Approximately 225 patients meeting study entry requirements will be enrolled and randomized (2:1, active versus placebo superimposed on background treatment) to R788 or placebo. Patients will be followed for efficacy and safety parameters for 6 months. The investigator should taper corticosteroids if clinically warranted.
This study is a multi-center, multinational, randomized, double-blind, placebo-controlled Phase II clinical trial. Study enrollment will comprise approximately 225 patients meeting study inclusion requirements. The study will be conducted at up to 80 multinational investigational sites. Eligible patients will be randomized (2:1) into one of two 6 month treatment groups. One group (approximately 150 patients) will receive R788 150 mg PO bid; the other treatment group (approximately 75 patients) will receive placebo.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| A | Experimental | 150 mg tablet, oral, twice-a-day |
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| B | Placebo Comparator | Placebo tablet, oral, twice-a-day |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Fostamatinib Disodium (R935788) | Drug | 150 mg tablet, oral, twice-a-day |
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| Measure | Description | Time Frame |
|---|---|---|
| The primary efficacy endpoint is defined as the decrease from baseline in the SELENA-SLEDAI score at 6 months. | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Composite Responder analysis defined as ≥4 points improvement in SELENA-SLEDAI and no 'Severe SLE flare' after Week 6. No worsening (≤10 mm on VAS) of Physician Global Assessment, or, no worsening of SF 36 PCS (not >-0.8) or PFI (not >2.5) | 3 and 6 months | |
| Attainment of daily prednisone dose decrease in those patients on daily corticosteroids by 50% or to ≤ 7.5 mg prednisone (or equivalent for other corticosteroids) at 3 and 6 months. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Daniel B. Magilavy, MD | Rigel Pharmaceuticals,Inc. | Study Director |
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| ID | Term |
|---|---|
| D008180 | Lupus Erythematosus, Systemic |
| ID | Term |
|---|---|
| D003240 | Connective Tissue Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D001327 | Autoimmune Diseases |
| D007154 | Immune System Diseases |
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| ID | Term |
|---|---|
| C523665 | fostamatinib |
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| Placebo | Drug | Placebo tablet, oral, twice-a-day |
|
| 3 and 6 months |
| Decrease from baseline in SELENA-SLEDAI score at each post baseline visit. | At each post baseline visit |
| Attainment of improvement in SELENA-SLEDAI by ≥ 2 points at Weeks 2 and 4. | Weeks 2 and 4 |
| Attainment of improvement in SELENA-SLEDAI by ≥ 4 points at each post baseline visit. | At each post baseline visit |
| Change from baseline of Physician Global Assessment by VAS over 6 months. | 6 months |
| Time to rescue medication. | At each post baseline visit |
| Time to severe SLE flare by SELENA Flare Index. | At each post baseline visit |
| Change from baseline in the component scores of the SF 36 at Month 3 and Month 6. | Month 3 and 6 |
| Effects on liver function tests, clinically significant reductions in peripheral neutrophil counts, G-I adverse effects, new onset or aggravated hypertension, and other adverse effects as they may appear. | At each post baseline visit |