Clinical trial • Phase III • Immunology

OBINUTUZUMAB for Systemic lupus erythematosus

Phase III trial of OBINUTUZUMAB for Systemic lupus erythematosus.

Overview

Trial Therapeutic Area
Immunology
Trial Disease
Systemic lupus erythematosus
Trial Stage
Phase III
Drug Modality
Monoclonal antibody

Key dates

Initial CTIS Submission Date
08-02-2024
First CTIS Authorization Date
21-03-2024

Trial design

Randomised, open-label, placebo (gazyva placebo corresponding to the obinutuzumab 1000 mg dose) administered as described in protocol table 6; placebo administered to match obinutuzumab schedule (infusions on day 1 and at weeks 2, 24, and 26).-controlled Phase III trial across 24 sites in Czechia, France, Spain and others.

Randomised
Yes
Open Label
Yes
Comparator
Placebo (Gazyva Placebo corresponding to the obinutuzumab 1000 mg dose) administered as described in Protocol Table 6; placebo administered to match obinutuzumab schedule (infusions on Day 1 and at Weeks 2, 24, and 26).
Target Sample Size
232
Trial Duration For Participant
546

Eligibility

Recruits 232 Vulnerable population selected (isVulnerablePopulationSelected = true). No details on consent or assent handling provided in the available records..

Pregnancy Exclusion
Pregnancy or breastfeeding
Vulnerable Population
Vulnerable population selected (isVulnerablePopulationSelected = true). No details on consent or assent handling provided in the available records.

Inclusion criteria

  • {"criterion_text":"- Diagnosis of SLE according to the 2019 European League Against Rheumatism/American College of Rheumatology (EULAR/ACR) Classification Criteria ≥12 weeks prior to screening\n- Anti-nuclear antibody (ANA) ≥1:80, or anti-dsDNA and/or anti-Sm antibodies above the upper limit of normal (ULN), as determined by the central laboratory at screening\n- Low C3 or low C4 or low CH50 complement as determined by the central laboratory at screening Low C3 is required in the presence of known genetic deficiency of C4\n- High disease activity at screening, based on; British Isles Lupus Assessment Group (BILAG-2004) (Category A disease in ≥1 organ system and/or Category B disease in ≥2 organ systems), Systemic Lupus Erythematosus Disease Activity Index 2000 (SLEDAI-2K) (score ≥8) and Physician’s Global Assessment (PGA) (score ≥1.0 on a 0 to 3 visual analogue scale [VAS])\n- High disease activity on Day 1, based on; SLEDAI-2K (score ≥8) and PGA (score ≥1.0 on a 0 to 3 VAS)\n- Current receipt of ≥1 of the following classes of standard therapies for the treatment of SLE at stable doses: oral corticosteroid (OCS), antimalarials, conventional immunosuppressants"}

Exclusion criteria

  • {"criterion_text":"- Pregnancy or breastfeeding\n- Presence of significant lupus-associated renal disease and/or renal impairment\n- Receipt of an excluded therapy, including any anti-CD20, anti-CD19 therapy less than 9 months prior to screening or during screening; or cyclophosphamide, tacrolimus, ciclosporin, or voclosporin during the 2 months prior to screening or during screening\n- Significant or uncontrolled medical disease which, in the investigator’s opinion, would preclude patient participation\n- Known active infection of any kind or recent major episode of infection\n- Intolerance or contraindication to study therapies"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- 1. Proportion of participants who achieve Systemic Lupus Erythematosus Responder Index (SRI)(4) at Week 52","definition_or_measurement_approach":"Measured as the proportion of participants who achieve the Systemic Lupus Erythematosus Responder Index (SRI)(4) at Week 52 as stated in the protocol/main objective."}

Secondary endpoints

  • {"endpoint_text":"- 1. Proportion of participants who achieve SRI(6) at Week 52\n- 2. Proportion of participants entering the study on prednisone ≥ 10 mg/day (or equivalent) who achieve Sustained Corticosteroid Control from Week 40 through Week 52\n- 3. Time to first BILAG flare over 52 weeks\n- 4. Proportion of participants who achieve Sustained SRI(4) response from Week 40 through Week 52\n- 5. Proportion of participants who achieve British Isles Lupus Assessment Group-based Composite Lupus Assessment (BICLA) at Week 52\n- 6. Proportion of participants who achieve SRI(4) at Week 24\n- 7. Proportion of participants who achieve clinical SRI(4) at Week 52\n- 8. Proportion of participants who achieve SRI(4) at Week 52 on low-dose corticosteroids\n- 9. Proportion of participants who achieve Lupus Low Disease Activity State (LLDAS) at Week 52\n- 10. Proportion of participants who achieve Definition of Remission in SLE (DORIS) at Week 52\n- 11. Change in Functional Assessment of Chronic Illness Therapy−Fatigue (FACIT-F) scale from baseline to Week 24 and from baseline to Week 52\n- 12. Change in 36-Item Short Form Survey, Version 2 (SF-36 v2) Bodily Pain domain scale from baseline to Week 24 and from baseline to Week 52\n- 13. Change in SF-36 v2 Physical Component Summary scale from baseline to Week 24 and from baseline to Week 52\n- 14. Change in active joint count (swollen plus tender) from baseline to Week 24 and from baseline to Week 52\n- 15. Proportion of participants who achieve a ≥50% reduction in active joint counts (swollen plus tender) at each study visit\n- 16. Proportion of participants who achieve a ≥50% reduction in Cutaneous Lupus Erythematosus Disease Area and Severity (CLASI) Total Activity Score at each study visit, among Participants with CLASI Total Activity Score ≥10 at Baseline\n- 17. Proportion of participants who achieve sustained corticosteroid control from Week 40 through Week 52\n- 18. Cumulative corticosteroid use (in equivalent milligrams of prednisone) through Week 52\n- 19. Incidence and severity of adverse events\n- 20. Characterization of adverse events of special interest\n- 21. Change from baseline in targeted vital signs\n- 22. Change from baseline in targeted clinical laboratory test results\n- 23. Serum concentrations of obinutuzumab at specified timepoints\n- 24. Prevalence of ADAs at baseline and incidence of ADAs during the study","definition_or_measurement_approach":"Endpoints measured as specified in the protocol at the indicated timepoints (e.g., proportions at Week 52 or Week 24; time-to-event for BILAG flare over 52 weeks; changes from baseline for FACIT-F, SF-36, joint counts; PK serum concentrations at specified timepoints; incidence/characterization of adverse events and ADAs)."}

Recruitment

Planned Sample Size
232
Recruitment Window Months
68
Consent Approach
Consenting participants will enter a screening period of up to 28 days as stated in the protocol. No further details on consent/assent process, age-specific consent documents, or languages of consent forms are provided in the available records.

Geography

Total Number Of Sites
24
Total Number Of Participants
68

Czechia

Earliest CTIS Part Ii Submission Date
23-02-2024
Latest Decision Or Authorization Date
22-03-2024
Processing Time Days
28
Number Of Sites
1
Number Of Participants
10

Sites

Site Name
Revmatologicky Ustav
Department Name
Revmatologicky ustav
Principal Investigator Name
Sarka Forejtova
Principal Investigator Email
forejtova@revma.cz
Contact Person Name
Sarka Forejtova
Contact Person Email
forejtova@revma.cz

France

Earliest CTIS Part Ii Submission Date
23-02-2024
Latest Decision Or Authorization Date
21-03-2024
Processing Time Days
27
Number Of Sites
4
Number Of Participants
8

Sites

Site Name
Centre Hospitalier Regional Et Universitaire De Brest
Department Name
Rheumatology
Principal Investigator Name
Sandrine Jousse Joulin
Principal Investigator Email
sandrine.jousse-joulin@chu-brest.fr
Contact Person Name
Sandrine Jousse Joulin
Site Name
Assistance Publique Hopitaux De Paris
Department Name
Internal Medicine
Principal Investigator Name
Zahir Amoura
Principal Investigator Email
zahir.amoura@aphp.fr
Contact Person Name
Zahir Amoura
Contact Person Email
zahir.amoura@aphp.fr
Site Name
Centre Hospitalier Universitaire De Nice
Department Name
Internal Medicine
Principal Investigator Name
Pierre-Yves Jeandel
Principal Investigator Email
jeandel.py@chu-nice.fr
Contact Person Name
Pierre-Yves Jeandel
Contact Person Email
jeandel.py@chu-nice.fr
Site Name
Assistance Publique Hopitaux De Paris
Department Name
Internal Medicine
Principal Investigator Name
Le Guern Véronique
Principal Investigator Email
veronique.le-guern@aphp.fr
Contact Person Name
Le Guern Véronique
Contact Person Email
veronique.le-guern@aphp.fr

Spain

Earliest CTIS Part Ii Submission Date
23-02-2024
Latest Decision Or Authorization Date
21-03-2024
Processing Time Days
27
Number Of Sites
6
Number Of Participants
12

Sites

Site Name
Hospital Universitari Vall D Hebron
Department Name
Servicio de Medicina Interna
Principal Investigator Name
Josefina Cortés Hernández
Principal Investigator Email
fina.cortes@vhir.org
Contact Person Name
Josefina Cortés Hernández
Contact Person Email
fina.cortes@vhir.org
Site Name
Complexo Hospitalario Universitario De Vigo
Department Name
Servicio de Reumatología
Principal Investigator Name
José María Pego Reinosa
Principal Investigator Email
jose.maria.pego.reigosa@sergas.es
Contact Person Name
José María Pego Reinosa
Site Name
Complexo Hospitalario Universitario De Santiago
Department Name
Servicio de Medicina Interna
Principal Investigator Name
María del Carmen Freire Dapena
Principal Investigator Email
Maria.carmen.freire.dapena@sergas.es
Contact Person Name
María del Carmen Freire Dapena
Site Name
Hospital General Universitario Gregorio Maranon
Department Name
Servicio de Reumatología
Principal Investigator Name
Jose María Alvaro-Gracia
Principal Investigator Email
josemaria.alvarogracia@salud.madrid.org
Contact Person Name
Jose María Alvaro-Gracia
Site Name
Hospital Universitario Basurto
Department Name
Servicio de Reumatología
Principal Investigator Name
Maria Esther Ruíz Lucea
Principal Investigator Email
Mariaesther.ruizlucea@osakidetza.eus
Contact Person Name
Maria Esther Ruíz Lucea
Site Name
Hospital Clinic De Barcelona
Department Name
Enfermedades Autoinmunes
Principal Investigator Name
Gerard Espinosa Garriga
Principal Investigator Email
gespino@clinic.cat
Contact Person Name
Gerard Espinosa Garriga
Contact Person Email
gespino@clinic.cat

Poland

Earliest CTIS Part Ii Submission Date
23-02-2024
Latest Decision Or Authorization Date
25-03-2024
Processing Time Days
31
Number Of Sites
7
Number Of Participants
28

Sites

Site Name
Ortopedyczno-Rehabilitacyjny Szpital Kliniczny Im Wiktora Degi Uniwersytetu Medycznego Im Karola Marcinkowskiego W Poznaniu
Department Name
Klinika Reumatologii, Rehabilitacji i Chorób Wewnętrznych
Principal Investigator Name
Włodzimierz Samborski
Principal Investigator Email
orsk@orsk.pl
Contact Person Name
Włodzimierz Samborski
Contact Person Email
orsk@orsk.pl
Site Name
Rheuma Medicus Sp. z o.o.
Principal Investigator Name
Maria Rell-Bakalarska
Principal Investigator Email
rejestracja@rheuma-medicus.pl
Contact Person Name
Maria Rell-Bakalarska
Contact Person Email
rejestracja@rheuma-medicus.pl
Site Name
Reumatop Grzegorz Rozumek Karin Pistorius Sp. j.
Principal Investigator Name
Grzegorz Rozumek
Principal Investigator Email
klinika@reumatop.pl
Contact Person Name
Grzegorz Rozumek
Contact Person Email
klinika@reumatop.pl
Site Name
Medyczne Centrum Hetmańska
Principal Investigator Name
Piotr Leszczyński
Principal Investigator Email
piotr.leszczynski@centrum-hetmanska.pl
Contact Person Name
Piotr Leszczyński
Site Name
Medicover Integrated Clinical Services Sp. z o.o.
Principal Investigator Name
Katarzyna Romanowska-Próchnicka
Contact Person Name
Katarzyna Romanowska-Próchnicka
Site Name
Prywatna Praktyka Lekarska Prof. dr hab. med. Paweł Hrycaj
Principal Investigator Name
Paweł Hrycaj
Principal Investigator Email
koordynator.praktyka@gmail.com
Contact Person Name
Paweł Hrycaj
Contact Person Email
koordynator.praktyka@gmail.com
Site Name
Szpital Uniwersytecki Nr 2 Im Dr Jana Biziela W Bydgoszczy
Department Name
Klinika Reumatologii i Układowych Chorób Tkanki Łącznej
Principal Investigator Name
Rafał Wojciechowski
Principal Investigator Email
badaniareumatologia@gmail.com
Contact Person Name
Rafał Wojciechowski
Contact Person Email
badaniareumatologia@gmail.com

Sponsor

Primary sponsor

Full Name
F. Hoffmann-La Roche AG
Organisation Type
Pharmaceutical company
Country Of Registered Address
Switzerland

Contract research organisations

Name
Pharmaceutical Product Development LLC
Responsibilities
Global CRO
Name
IQVIA Limited
Responsibilities
Monitoring
Name
Parexel International Corp.
Name
Endpoint Clinical Inc.

Third parties

  • {"country":"United States","full_name":"Pharmaceutical Product Development LLC","duties_or_roles":"Global CRO","organisation_type":"Pharmaceutical company"}
  • {"country":"United Kingdom","full_name":"Publicis Healthcare Communications Group Limited","duties_or_roles":"other","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United Kingdom","full_name":"IQVIA Limited","duties_or_roles":"Monitoring","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Endpoint Clinical Inc.","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Parexel International Corp.","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
  • {"country":"United Kingdom","full_name":"Q2q Communications Limited","duties_or_roles":"Meeting Organizer","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"Signant Health Global LLC","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Covance Central Laboratory Services Inc.","duties_or_roles":"","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Greenphire LLC","duties_or_roles":"other","organisation_type":"Non-Pharmaceutical company"}

Investigational products

Investigational Product Name
Gazyvaro 1,000 mg concentrate for solution for infusion.
Active Substance
OBINUTUZUMAB
Modality
Monoclonal antibody
Routes Of Administration
INTRAVENOUS INFUSION
Route
Intravenous infusion
Authorisation Status
Marketing authorisation EU/1/14/937/001 (product entry indicates authorised product information present)
Starting Dose
1000 mg
Dose Levels
1000 mg
Frequency
Day 1 and at Weeks 2, 24, and 26 (additional OLT infusions at Weeks 54, 56, 78, and 104 if OLT given)
Maximum Dose
1000 mg per infusion (maxDailyDoseAmount: 1000)
Investigational Product Name
Gazyva Placebo
Modality
Other
Frequency
Placebo administered to match obinutuzumab schedule (Day 1 and Weeks 2, 24, and 26)
Combination Treatment
Yes

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