Clinical trial • Phase II • Immunology

Human IgG1 monoclonal antibody against human IL-1 beta and human IL-18 for Still's disease

Phase II trial of Human IgG1 monoclonal antibody against human IL-1 beta and human IL-18 for Still's disease. open-label, none/not specified-controlled.

Overview

Trial Therapeutic Area
Immunology
Trial Disease
Still's disease
Trial Stage
Phase II
Drug Modality
Monoclonal antibody | Small molecule
Paediatric Trial
Yes

Key dates

Initial CTIS Submission Date
04-07-2025
First CTIS Authorization Date
28-10-2025

Trial design

open-label, none/not specified-controlled Phase II trial across 17 sites in France, Germany, Netherlands and others.

Open Label
Yes
Comparator
None/Not specified
Target Sample Size
15
Trial Duration For Participant
1269

Eligibility

Recruits 15 paediatric patients.

Pregnancy Exclusion
Pregnant or breastfeeding women
Vulnerable Population
Vulnerable population selected: the study includes paediatric participants (age ≥1). Consent/assent handling documented: parent/legal guardian informed consent forms and parent/legal guardian ICFs are provided; child assent and adolescent assent forms are provided. Country-specific ICF/assent documents are included in multiple languages (English, French, German, Dutch, Spanish, Italian) according to the uploaded documents.

Inclusion criteria

  • {"criterion_text":"- Age ≥ 1 with a diagnosis of Still’s disease\n- Active disease\n- Need for glucocorticoids (prednisone or equivalent)"}

Exclusion criteria

  • {"criterion_text":"- Ongoing or previous treatment with immunomodulatory drugs as outlined in the protocol’s Prohibited therapies section, except a limited number of patients that have previously received MAS825 through a managed access program.\n- Glucocorticoid dose exceeding a certain threshold or requiring IV pulsed glucocorticoid therapy\n- Any conditions or significant medical problems which, in the opinion of the investigator, places the patient at unacceptable risk for MAS825 therapy.\n- History of ongoing, chronic or possibly recurrent infection(s) (e.g. HIV, TB, HCV, HBV) and/or symptoms and signs, in the judgement of the investigator, of clinically significant active bacterial, fungal, or viral infections.\n- Live vaccinations within a certain period prior to MAS825 treatment.\n- History of malignancy of any organ system, including post-transplant lymphoproliferative disorder (other than adequately treated localized basal cell carcinoma of the skin or in situ cervical cancer), treated or untreated, within a certain period, regardless of whether there is evidence of local recurrence or metastases.\n- History of hypersensitivity to any of the study drugs or to drugs of similar chemical classes or to any of the excipients.\n- Pregnant or breastfeeding women\n- Women of child-bearing potential who do not agree to comply with required contraceptive use."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Clinical response defined by achieving a composite endpoint","definition_or_measurement_approach":"Not specified in the provided record."}

Secondary endpoints

  • {"endpoint_text":"- Adverse events and serious adverse events. Safety measures including vital signs, ECG and laboratory assessments throughout the study","definition_or_measurement_approach":"Not specified in the provided record."}
  • {"endpoint_text":"- Clinical response defined by achieving a composite endpoint","definition_or_measurement_approach":"Not specified in the provided record."}
  • {"endpoint_text":"- Change in physician´s assessment. Change in laboratory features of Macrophage Activation Syndrome","definition_or_measurement_approach":"Not specified in the provided record."}
  • {"endpoint_text":"- Glucocorticoid dose compared to baseline","definition_or_measurement_approach":"Not specified in the provided record."}
  • {"endpoint_text":"- Change from baseline in patient/parent assessment of physical function","definition_or_measurement_approach":"Not specified in the provided record."}
  • {"endpoint_text":"- Clinically inactive disease whilst on non‑treatment dose corticosteroid at any time during the study","definition_or_measurement_approach":"Not specified in the provided record."}

Recruitment

Planned Sample Size
15
Recruitment Window Months
41
Consent Approach
Informed consent is documented with adult main ICFs for adult participants; for paediatric participants parent/legal guardian informed consent forms are provided and child/adolescent assent forms are provided. Country- and language-specific ICFs and assent forms are included (documents in English, French, German, Dutch, Spanish, Italian). There are also follow-up ICFs for pregnant participants/partners where applicable.

Geography

Total Number Of Sites
17
Total Number Of Participants
15

France

Earliest CTIS Part Ii Submission Date
29-09-2025
Latest Decision Or Authorization Date
01-12-2025
Processing Time Days
63
Number Of Sites
7
Number Of Participants
7

Sites

Site Name
Assistance Publique Hopitaux De Paris
Department Name
3005: Internal Medecine
Principal Investigator Name
Sophie GEORGIN-LAVIALLE
Principal Investigator Email
Sophie.georgin@aphp.fr
Contact Person Name
Sophie GEORGIN-LAVIALLE
Contact Person Email
Sophie.georgin@aphp.fr
Site Name
Centre Hospitalier Universitaire De Lille
Department Name
3003: Pediatric
Principal Investigator Name
Eric HACHULLA
Principal Investigator Email
Eric.hachulla@chru-lille.fr
Contact Person Name
Eric HACHULLA
Contact Person Email
Eric.hachulla@chru-lille.fr
Site Name
Centre Hospitalier Universitaire De Bordeaux
Department Name
3002:Rhumatologie
Principal Investigator Name
Marie-Lise TRUCHETET
Principal Investigator Email
Marie-elise.truchetet@chu-bordeaux.fr
Contact Person Name
Marie-Lise TRUCHETET
Site Name
Bicetre Hospital
Department Name
3006:Immunology-Hematology and Rhumatology
Principal Investigator Name
Isabelle KONE PAUT
Principal Investigator Email
Isabelle.kone-paut@bct.aphp.fr
Contact Person Name
Isabelle KONE PAUT
Contact Person Email
Isabelle.kone-paut@bct.aphp.fr
Site Name
Hospices Civils De Lyon
Department Name
3001:Pediatric Rhumatology
Principal Investigator Name
Alexandre BELOT
Principal Investigator Email
Alexandre.belot@chu-lyon.fr
Contact Person Name
Alexandre BELOT
Contact Person Email
Alexandre.belot@chu-lyon.fr
Site Name
Centre Hospitalier Universitaire De Lille
Department Name
3003:Internal Medicine
Principal Investigator Name
Eric HACHULLA
Principal Investigator Email
Eric.hachulla@chru-lille.fr
Contact Person Name
Eric HACHULLA
Contact Person Email
Eric.hachulla@chru-lille.fr
Site Name
Assistance Publique Hopitaux De Paris
Department Name
3004:Immuno-Hematology-Pediatric Rhumatology
Principal Investigator Name
Pierre QUARTIER-DIT-Maire
Principal Investigator Email
pierre.quartier@aphp.fr
Contact Person Name
Pierre QUARTIER-DIT-Maire
Contact Person Email
pierre.quartier@aphp.fr

Germany

Earliest CTIS Part Ii Submission Date
18-09-2025
Latest Decision Or Authorization Date
23-01-2026
Processing Time Days
127
Number Of Sites
3
Number Of Participants
3

Sites

Site Name
Universitaet Muenster
Department Name
4002:Klinik für Pädiatrische Rheumatologie und Immunologie
Principal Investigator Name
Dirk Foll
Principal Investigator Email
dfoell@uni-muenster.de
Contact Person Name
Dirk Foll
Contact Person Email
dfoell@uni-muenster.de
Site Name
Asklepios Klinik Sankt Augustin GmbH
Department Name
4003:Kinderklinik
Principal Investigator Name
Gerd Horneff
Principal Investigator Email
g.horneff@asklepios.com
Contact Person Name
Gerd Horneff
Contact Person Email
g.horneff@asklepios.com
Site Name
Universitaetsklinikum Heidelberg AöR
Department Name
4001:Med. Klinik V, Klinik für Haematologie, Onkologie, Rheumatologie
Principal Investigator Name
Norbert Blank
Principal Investigator Email
Norbert.blank@med.uni-heidelberg.de
Contact Person Name
Norbert Blank

Netherlands

Earliest CTIS Part Ii Submission Date
16-10-2025
Latest Decision Or Authorization Date
02-12-2025
Processing Time Days
47
Number Of Sites
1
Number Of Participants
1

Sites

Site Name
Universitair Medisch Centrum Utrecht
Department Name
6001:Rheumatology & clinical immunology
Principal Investigator Name
Bas Vastert
Principal Investigator Email
B.Vastert@umcutrecht.nl
Contact Person Name
Bas Vastert
Contact Person Email
B.Vastert@umcutrecht.nl

Spain

Earliest CTIS Part Ii Submission Date
26-09-2025
Latest Decision Or Authorization Date
23-01-2026
Processing Time Days
119
Number Of Sites
3
Number Of Participants
2

Sites

Site Name
Hospital Sant Joan De Deu Barcelona
Department Name
#7003: Reumatología pediátrica
Principal Investigator Name
Jordi Anton Lopez
Principal Investigator Email
jordi.anton@sjd.es
Contact Person Name
Jordi Anton Lopez
Contact Person Email
jordi.anton@sjd.es
Site Name
Hospital Universitario La Paz
Department Name
#7001: Medicina Interna
Principal Investigator Name
Angel Robles Marhuenda
Principal Investigator Email
aroblesmarhuenda@gmail.com
Contact Person Name
Angel Robles Marhuenda
Contact Person Email
aroblesmarhuenda@gmail.com
Site Name
Hospital Universitario Y Politecnico La Fe
Department Name
#7002: Reumatología pediátrica
Principal Investigator Name
Lucia LaCruz Perez
Principal Investigator Email
lacruz_lucper@gva.es
Contact Person Name
Lucia LaCruz Perez
Contact Person Email
lacruz_lucper@gva.es

Italy

Earliest CTIS Part Ii Submission Date
24-07-2025
Latest Decision Or Authorization Date
06-03-2026
Processing Time Days
225
Number Of Sites
3
Number Of Participants
2

Sites

Site Name
IRCCS Istituto Giannina Gaslini
Department Name
#5003: U.O.C. Clinica Pediatrica e Reumatologia
Principal Investigator Name
Roberta Caorsi
Principal Investigator Email
robertacaorsi@gaslini.org
Contact Person Name
Roberta Caorsi
Contact Person Email
robertacaorsi@gaslini.org
Site Name
Ospedale Pediatrico Bambino Gesu
Department Name
#5001: U.O.C. Reumatologia
Principal Investigator Name
Claudia Bracaglia
Principal Investigator Email
claudia.bracaglia@opgb.net
Contact Person Name
Claudia Bracaglia
Contact Person Email
claudia.bracaglia@opgb.net
Site Name
Azienda Ospedaliera Universitaria Meyer IRCCS
Department Name
#5002: U.O. Reumatologia
Principal Investigator Name
Gabriele Simonini
Principal Investigator Email
gabriele.simonini@meyer.it
Contact Person Name
Gabriele Simonini
Contact Person Email
gabriele.simonini@meyer.it

Sponsor

Primary sponsor

Full Name
Novartis Pharma AG
Organisation Type
Pharmaceutical company
Country Of Registered Address
Switzerland

Contract research organisations

Name
Parexel International (IRL) Limited
Responsibilities
sponsorDuties codes: [12]
Name
IQVIA Limited
Responsibilities
sponsorDuties codes: [1]
Name
Icon Clinical Research Limited
Responsibilities
sponsorDuties codes: [1]
Name
Syneos Health Inc.
Responsibilities
sponsorDuties codes: [1]
Name
4g Clinical LLC
Responsibilities
sponsorDuties codes: [3]

Third parties

  • {"country":"Switzerland","full_name":"Novartis Pharma AG","duties_or_roles":"sponsorDuties codes: [4]","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Somalogic Operating Co. Inc.","duties_or_roles":"sponsorDuties codes: [4]","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"United States","full_name":"4g Clinical LLC","duties_or_roles":"sponsorDuties codes: [3]","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"Netherlands","full_name":"Eurofins Central Laboratory B.V.","duties_or_roles":"sponsorDuties codes: [4]","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Bioagilytix Labs LLC","duties_or_roles":"sponsorDuties codes: [4]","organisation_type":"Pharmaceutical company"}
  • {"country":"Denmark","full_name":"Eurofins Genomics Europe AgriGenomics Products & Services A/S","duties_or_roles":"sponsorDuties codes: [4]","organisation_type":"Pharmaceutical company"}
  • {"country":"Ireland","full_name":"Parexel International (IRL) Limited","duties_or_roles":"sponsorDuties codes: [12]","organisation_type":"Pharmaceutical company"}
  • {"country":"United Kingdom","full_name":"Medical Equipment Supplies And Management Limited","duties_or_roles":"Provision of ancillary supplies to site (sponsorDuties code: 15)","organisation_type":"Pharmaceutical company"}
  • {"country":"United Kingdom","full_name":"IQVIA Limited","duties_or_roles":"sponsorDuties codes: [1]","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Medidata Solutions Inc.","duties_or_roles":"sponsorDuties codes: [6]","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"Ireland","full_name":"Icon Clinical Research Limited","duties_or_roles":"sponsorDuties codes: [1]","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"EPL Pathology Archives LLC","duties_or_roles":"sponsorDuties codes: [4]","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"France","full_name":"SGS France","duties_or_roles":"sponsorDuties codes: [4]","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Icon Laboratory Services Inc.","duties_or_roles":"sponsorDuties codes: [4]","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"United Kingdom","full_name":"Illingworth Research Group Limited","duties_or_roles":"sponsorDuties codes: [13]","organisation_type":"Hospital/Clinic/Other health care facility"}
  • {"country":"United States","full_name":"Syneos Health Inc.","duties_or_roles":"sponsorDuties codes: [1]","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
MAS825
Active Substance
Human IgG1 monoclonal antibody against human IL-1 beta and human IL-18
Modality
Monoclonal antibody
Routes Of Administration
INTRAVENOUS | SUBCUTANEOUS | INTRAMUSCULAR
Route
INTRAVENOUS | SUBCUTANEOUS | INTRAMUSCULAR
Investigational Product Name
Glucocorticoids (auxiliary product)
Active Substance
Glucocorticoids (ATC H02AB)
Modality
Small molecule
Routes Of Administration
UNKNOWN USE
Route
UNKNOWN
Combination Treatment
Yes

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