Not provided
Not provided
Not provided
Not provided
Not provided
The study recruitment was terminated in Dec-2015 for strategic reasons related to the development of the compound.
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
The study evaluated the efficacy, safety and pharmacokinetics of VAY736 in the treatment of patients with pemphigus vulagaris (PV).
This was a non-confirmatory, randomized, partial-blind, placebo-controlled trial evaluating the efficacy, safety and pharmacokinetics (PK) of VAY736 in the treatment of PV patients.
A total of 13 patients were enrolled and randomized into the study. Of these 13 patients,seven were randomized to the 3 mg/kg VAY736 group, two were randomized to the 10 mg/kg VAY736 group and four were randomized to the placebo group.In the placebo group, three out of the four patients consented to open-label VAY736 treatment and received 10 mg/kg VAY736 after Week 24 onwards. Thus, a total of 12 patients received VAY736, 7 patients received 3 mg/kg and 5 patients 10 mg/kg.
The Screening period consisted of a Screening Visit performed within 28 days prior to randomization to assess patient eligibility. Following Screening, patients underwent pre-dose procedures which included assessment of their PV by Pemphigus Disease Area Index (PDAI), Autoimmune Bullous Skin disease Intensity Score (ABSIS) and Investigator Global Assessment (IGA), and blood sampling for PK endpoints. Patients then received the study drug, which was administered over approximately a 2 hour period. The patients remained in the study center overnight post-infusion for observation and for measurement of safety parameters and PK samples approximately 24 h post-infusion (start of infusion: ±2 h). Patients were then discharged from the study site and returned as per the schedule. Patients were evaluated at Week 1, Week 2 and Week 3, then every 3 weeks through to Week 12, and every 4 weeks through to Week 24. At Week 24, the blind was broken to confirm treatment allocation. If a patient was on placebo, such patient completing the Week 24 visit and after unblinding had the option of receiving open label VAY736 10mg/kg.
Recruitment was paused in Mar-2015 and at the time 13 patients were enrolled. The study recruitment was then terminated in Dec-2015 for strategic reasons related to the development of the compound.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Placebo | Placebo Comparator | single dose iv of Placebo |
|
| VAY736 3 mg/kg | Experimental | single dose iv of VAY736 at a dose of 3mg/kg |
|
| VAY736 10 mg/kg | Experimental | single dose iv of VAY736 at a dose of 10mg/kg initiated following a safety review of patients receiving VAY736 3 mg/kg or placebo. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| VAY736 | Drug |
|
| |
| Placebo |
| Measure | Description | Time Frame |
|---|---|---|
| Pemphigus Disease Area Index (PDAI) at Week 12 | PDAI is specific cutaneous and mucosal disease activity assessment performed by investigator based on evaluation of lesions in well-defined anatomical locations. The score weighted for the number and size of lesions with score of 0 (absent) to 10 given for skin (12 body locations), scalp and mucous membrane showing disease activity (erosions/blisters or new erythema). Damage, such as post inflammatory hyperpigmentation or erythema from resolving lesion, scored separately from the main score as absent (0) or present (1) for each body area or scalp resulting in a score of 0 to 12 or 0 to 1, respectively. Thus, PDAI ranged from 0 to 263, with 250 points representing disease activity (120 points for skin activity; 10 points for scalp activity; 120 points for mucosal activity) and 13 points representing disease damage. | Week 12 |
| Measure | Description | Time Frame |
|---|---|---|
| Autoimmune Skin Disease Intensity Score (ABSIS) at Baseline and Week 12. | The ABSIS Score is a quality- and quantity-based score for cutaneous and oral mucosal lesions combining the extent of the affected body surface area (BSA), the quality of the skin lesions and oral involvement. The ABSIS score ranged from 0 to 206 with 150 points for skin involvement, 11 points for oral involvement and 45 points for subjective discomfort during eating and drinking. A reduction from baseline (or, a negative change from baseline) in ABSIS indicates improvement in patients. |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Novartis Pharmaceuticals | Novartis Pharmaceuticals | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Novartis Investigative Site | Chapel Hill | North Carolina | 27516 | United States | ||
| Novartis Investigative Site |
Not provided
| Label | URL |
|---|---|
| A Plain Language Trial Summary is available on novartisclinicaltrials.com | View source |
Not provided
Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent review panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations.
This trial data availability is according to the criteria and process described on www.clinicalstudydatarequest.com
Not provided
Not provided
Not provided
Not provided
The study was planned to be conducted in approximately 32 patients. However, after enrolling 13 patients, the recruitment was terminated due to strategic reasons related to the development of the compound.
A total of 13 participants were enrolled and randomized into the study from Austria (1 center); Bulgaria (1 center); Taiwan (1 center); USA (2 centers).
Not provided
| ID | Title | Description |
|---|---|---|
| FG000 | VAY736 3 mg/kg | single dose iv of VAY736 at a dose of 3mg/kg |
| FG001 | VAY736 10 mg/kg | single dose iv of VAY736 at a dose of 10mg/kg initiated following a safety review of patients receiving VAY736 3 mg/kg or placebo |
| FG002 | Placebo | single dose iv of Placebo |
| Title | Milestones | Reasons Not Completed | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Core Study |
|
| |||||||||||||||||||||||||||
| Open Label VAY736 10 mg/kg at Week 24 |
|
Not provided
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | VAY736 3 mg/kg | single dose iv of VAY736 at a dose of 3mg/kg |
| BG001 | VAY736 10 mg/kg | single dose iv of VAY736 at a dose of 10mg/kg initiated following a safety review of patients receiving VAY736 3 mg/kg or placebo |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Pemphigus Disease Area Index (PDAI) at Week 12 | PDAI is specific cutaneous and mucosal disease activity assessment performed by investigator based on evaluation of lesions in well-defined anatomical locations. The score weighted for the number and size of lesions with score of 0 (absent) to 10 given for skin (12 body locations), scalp and mucous membrane showing disease activity (erosions/blisters or new erythema). Damage, such as post inflammatory hyperpigmentation or erythema from resolving lesion, scored separately from the main score as absent (0) or present (1) for each body area or scalp resulting in a score of 0 to 12 or 0 to 1, respectively. Thus, PDAI ranged from 0 to 263, with 250 points representing disease activity (120 points for skin activity; 10 points for scalp activity; 120 points for mucosal activity) and 13 points representing disease damage. | All evaluable patients. | Posted | Mean | Standard Deviation | Score on the scale | Week 12 |
|
Adverse events were collected from first dose of study treatment until end of study for up to 5 years.
Any sign or symptom until end of study for up to 5 years.
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | VAY736 3 mg/kg | single dose iv of VAY736 at a dose of 3mg/kg | 0 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Cataract | Eye disorders | MedDRA (19.1) | Systematic Assessment |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Arrhythmia | Cardiac disorders | MedDRA (19.1) | Systematic Assessment |
Not provided
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Study Director | Novartis Pharmaceuticals | 862-778-8300 | Novartis.email@novartis.com |
Not provided
| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Apr 9, 2019 | Sep 24, 2020 | Prot_001.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Jul 13, 2017 | Sep 24, 2020 | SAP_000.pdf |
| ID | Term |
|---|---|
| D010392 | Pemphigus |
| ID | Term |
|---|---|
| D012872 | Skin Diseases, Vesiculobullous |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |
| D001327 | Autoimmune Diseases |
Not provided
Not provided
| ID | Term |
|---|---|
| C000656267 | ianalumab |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Drug |
|
| Baseline, Week 12 |
| Change From Baseline in Investigator Global Assessment (IGA) at Week 12 | The IGA score ranges from 0 to 4 and the decrease or reduction from baseline in IGA score indicates improvement in patients. IGA score scale: 0=Clear, 1=Near Clear, 2=Mild, 3=Moderate, 4=Severe active disease | Baseline, Week 12 |
| VAY736 Serum Concentration - AUCinf | The area under the serum concentration-time curve from time zero to infinity [mass × time / volume]. The concentration of VAY736 was measured in the serum. | predose, 2, 24 hours and weeks 1, 2, 3, 6, 9, 12, 16, 20, 24 and approximately 52 weeks |
| VAY736 Serum Concentration - AUClast | The area under the serum concentration-time curve from time zero to the time of the last quantifiable concentration [mass × time / volume]. The concentration of VAY736 was measured in the serum. | predose, 2, 24 hours and weeks 1, 2, 3, 6, 9, 12, 16, 20, 24 and approximately 52 weeks |
| VAY736 Serum Concentration - Cmax | The observed maximum serum concentration following drug administration [mass / volume]. The concentration of VAY736 was measured in the serum. | predose, 2, 24 hours and weeks 1, 2, 3, 6, 9, 12, 16, 20, 24 and approximately 52 weeks |
| VAY736 Serum Concentration - Tmax | Tmax is the time to reach the maximum concentration after drug administration [time]. The concentration of VAY736 was measured in the serum. | predose, 2, 24 hours and weeks 1, 2, 3, 6, 9, 12, 16, 20, 24 and approximately 52 weeks |
| VAY736 Serum Concentration - T1/2 | T1/2 is the terminal elimination half-life [time]. The concentration of VAY736 was measured in the serum. | predose, 2, 24 hours and weeks 1, 2, 3, 6, 9, 12, 16, 20, 24 and approximately 52 weeks |
| Philadelphia |
| Pennsylvania |
| 19104 |
| United States |
| Novartis Investigative Site | Vienna | 1040 | Austria |
| Novartis Investigative Site | Sofia | BGR | 1431 | Bulgaria |
| Novartis Investigative Site | Taipei | 10002 | Taiwan |
|
| NOT COMPLETED |
|
| BG002 | Placebo | single dose iv of Placebo |
| BG003 | Total | Total of all reporting groups |
| Years |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race/Ethnicity, Customized | Count of Participants | Participants |
|
single dose iv of VAY736 at a dose of 3mg/kg |
| OG001 | VAY736 10 mg/kg | single dose iv of VAY736 at a dose of 10mg/kg initiated following a safety review of patients receiving VAY736 3 mg/kg or placebo |
| OG002 | Placebo | single dose iv of Placebo |
|
|
| Secondary | Autoimmune Skin Disease Intensity Score (ABSIS) at Baseline and Week 12. | The ABSIS Score is a quality- and quantity-based score for cutaneous and oral mucosal lesions combining the extent of the affected body surface area (BSA), the quality of the skin lesions and oral involvement. The ABSIS score ranged from 0 to 206 with 150 points for skin involvement, 11 points for oral involvement and 45 points for subjective discomfort during eating and drinking. A reduction from baseline (or, a negative change from baseline) in ABSIS indicates improvement in patients. | All evaluable patients. | Posted | Mean | Standard Deviation | Score on the scale | Baseline, Week 12 |
|
|
|
| Secondary | Change From Baseline in Investigator Global Assessment (IGA) at Week 12 | The IGA score ranges from 0 to 4 and the decrease or reduction from baseline in IGA score indicates improvement in patients. IGA score scale: 0=Clear, 1=Near Clear, 2=Mild, 3=Moderate, 4=Severe active disease | All evaluable patients. | Posted | Mean | Standard Deviation | Score on the scale | Baseline, Week 12 |
|
|
|
| Secondary | VAY736 Serum Concentration - AUCinf | The area under the serum concentration-time curve from time zero to infinity [mass × time / volume]. The concentration of VAY736 was measured in the serum. | PK analysis set: Patients with at least one PK measurement and no major protocol deviations affecting PK | Posted | Mean | Standard Deviation | day*ug/mL | predose, 2, 24 hours and weeks 1, 2, 3, 6, 9, 12, 16, 20, 24 and approximately 52 weeks |
|
|
|
| Secondary | VAY736 Serum Concentration - AUClast | The area under the serum concentration-time curve from time zero to the time of the last quantifiable concentration [mass × time / volume]. The concentration of VAY736 was measured in the serum. | PK analysis set: Patients with at least one PK measurement and no major protocol deviations affecting PK | Posted | Mean | Standard Deviation | day*ug/mL | predose, 2, 24 hours and weeks 1, 2, 3, 6, 9, 12, 16, 20, 24 and approximately 52 weeks |
|
|
|
| Secondary | VAY736 Serum Concentration - Cmax | The observed maximum serum concentration following drug administration [mass / volume]. The concentration of VAY736 was measured in the serum. | PK analysis set: Patients with at least one PK measurement and no major protocol deviations affecting PK | Posted | Mean | Standard Deviation | ug/mL | predose, 2, 24 hours and weeks 1, 2, 3, 6, 9, 12, 16, 20, 24 and approximately 52 weeks |
|
|
|
| Secondary | VAY736 Serum Concentration - Tmax | Tmax is the time to reach the maximum concentration after drug administration [time]. The concentration of VAY736 was measured in the serum. | PK analysis set: Patients with at least one PK measurement and no major protocol deviations affecting PK | Posted | Median | Full Range | Hours | predose, 2, 24 hours and weeks 1, 2, 3, 6, 9, 12, 16, 20, 24 and approximately 52 weeks |
|
|
|
| Secondary | VAY736 Serum Concentration - T1/2 | T1/2 is the terminal elimination half-life [time]. The concentration of VAY736 was measured in the serum. | PK analysis set: Patients with at least one PK measurement and no major protocol deviations affecting PK | Posted | Mean | Standard Deviation | Days | predose, 2, 24 hours and weeks 1, 2, 3, 6, 9, 12, 16, 20, 24 and approximately 52 weeks |
|
|
|
| 7 |
| 1 |
| 7 |
| 6 |
| 7 |
| EG001 | VAY736 10 mg/kg | single dose iv of VAY736 at a dose of 10mg/kg initiated following a safety review of patients receiving VAY736 3 mg/kg or placebo | 0 | 2 | 0 | 2 | 2 | 2 |
| EG002 | Placebo | single dose iv of Placebo | 0 | 4 | 1 | 4 | 3 | 4 |
| EG003 | Open Label VAY736 10 mg/kg | Patients randomized to placebo in period 1 received open label VAY736 10mg/kg at week 24. | 0 | 3 | 1 | 3 | 3 | 3 |
| Duodenal ulcer | Gastrointestinal disorders | MedDRA (19.1) | Systematic Assessment |
|
| Pemphigus | Skin and subcutaneous tissue disorders | MedDRA (19.1) | Systematic Assessment |
|
| Conjunctivitis allergic | Eye disorders | MedDRA (19.1) | Systematic Assessment |
|
| Diarrhoea | Gastrointestinal disorders | MedDRA (19.1) | Systematic Assessment |
|
| Flatulence | Gastrointestinal disorders | MedDRA (19.1) | Systematic Assessment |
|
| Gingival recession | Gastrointestinal disorders | MedDRA (19.1) | Systematic Assessment |
|
| Nausea | Gastrointestinal disorders | MedDRA (19.1) | Systematic Assessment |
|
| Oral pain | Gastrointestinal disorders | MedDRA (19.1) | Systematic Assessment |
|
| Toothache | Gastrointestinal disorders | MedDRA (19.1) | Systematic Assessment |
|
| Chills | General disorders | MedDRA (19.1) | Systematic Assessment |
|
| Fatigue | General disorders | MedDRA (19.1) | Systematic Assessment |
|
| Influenza like illness | General disorders | MedDRA (19.1) | Systematic Assessment |
|
| Pain | General disorders | MedDRA (19.1) | Systematic Assessment |
|
| Pyrexia | General disorders | MedDRA (19.1) | Systematic Assessment |
|
| Bronchitis | Infections and infestations | MedDRA (19.1) | Systematic Assessment |
|
| Dermatophytosis of nail | Infections and infestations | MedDRA (19.1) | Systematic Assessment |
|
| Herpes simplex | Infections and infestations | MedDRA (19.1) | Systematic Assessment |
|
| Impetigo | Infections and infestations | MedDRA (19.1) | Systematic Assessment |
|
| Laryngitis | Infections and infestations | MedDRA (19.1) | Systematic Assessment |
|
| Nasopharyngitis | Infections and infestations | MedDRA (19.1) | Systematic Assessment |
|
| Oral fungal infection | Infections and infestations | MedDRA (19.1) | Systematic Assessment |
|
| Otitis media | Infections and infestations | MedDRA (19.1) | Systematic Assessment |
|
| Paronychia | Infections and infestations | MedDRA (19.1) | Systematic Assessment |
|
| Rhinitis | Infections and infestations | MedDRA (19.1) | Systematic Assessment |
|
| Tooth abscess | Infections and infestations | MedDRA (19.1) | Systematic Assessment |
|
| Upper respiratory tract infection | Infections and infestations | MedDRA (19.1) | Systematic Assessment |
|
| Infusion related reaction | Injury, poisoning and procedural complications | MedDRA (19.1) | Systematic Assessment |
|
| Amylase increased | Investigations | MedDRA (19.1) | Systematic Assessment |
|
| Blood bilirubin increased | Investigations | MedDRA (19.1) | Systematic Assessment |
|
| Blood calcium decreased | Investigations | MedDRA (19.1) | Systematic Assessment |
|
| Blood magnesium decreased | Investigations | MedDRA (19.1) | Systematic Assessment |
|
| Blood potassium increased | Investigations | MedDRA (19.1) | Systematic Assessment |
|
| Lipase increased | Investigations | MedDRA (19.1) | Systematic Assessment |
|
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA (19.1) | Systematic Assessment |
|
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA (19.1) | Systematic Assessment |
|
| Osteoarthritis | Musculoskeletal and connective tissue disorders | MedDRA (19.1) | Systematic Assessment |
|
| Pain in extremity | Musculoskeletal and connective tissue disorders | MedDRA (19.1) | Systematic Assessment |
|
| Skin papilloma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (19.1) | Systematic Assessment |
|
| Dizziness | Nervous system disorders | MedDRA (19.1) | Systematic Assessment |
|
| Headache | Nervous system disorders | MedDRA (19.1) | Systematic Assessment |
|
| Sciatica | Nervous system disorders | MedDRA (19.1) | Systematic Assessment |
|
| Insomnia | Psychiatric disorders | MedDRA (19.1) | Systematic Assessment |
|
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA (19.1) | Systematic Assessment |
|
| Dysphonia | Respiratory, thoracic and mediastinal disorders | MedDRA (19.1) | Systematic Assessment |
|
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA (19.1) | Systematic Assessment |
|
| Oropharyngeal pain | Respiratory, thoracic and mediastinal disorders | MedDRA (19.1) | Systematic Assessment |
|
| Rhinorrhoea | Respiratory, thoracic and mediastinal disorders | MedDRA (19.1) | Systematic Assessment |
|
| Alopecia | Skin and subcutaneous tissue disorders | MedDRA (19.1) | Systematic Assessment |
|
| Dermatitis | Skin and subcutaneous tissue disorders | MedDRA (19.1) | Systematic Assessment |
|
| Mechanical urticaria | Skin and subcutaneous tissue disorders | MedDRA (19.1) | Systematic Assessment |
|
| Rash | Skin and subcutaneous tissue disorders | MedDRA (19.1) | Systematic Assessment |
|
| Orthostatic hypotension | Vascular disorders | MedDRA (19.1) | Systematic Assessment |
|
The terms and conditions of Novartis' agreements with its investigators may vary. However, Novartis does not prohibit any investigator from publishing. Any publications from a single-site are postponed until the publication of the pooled data (ie, data from all sites) in the clinical trial.
| D007154 | Immune System Diseases |
| Week 12 |
|
|