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
- Contact Person Email
- sandrine.jousse-joulin@chu-brest.fr
- 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
- Contact Person Email
- jose.maria.pego.reigosa@sergas.es
- 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
- Contact Person Email
- Maria.carmen.freire.dapena@sergas.es
- 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
- Contact Person Email
- josemaria.alvarogracia@salud.madrid.org
- 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
- Contact Person Email
- Mariaesther.ruizlucea@osakidetza.eus
- 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
- Contact Person Email
- piotr.leszczynski@centrum-hetmanska.pl
- Site Name
- Medicover Integrated Clinical Services Sp. z o.o.
- Principal Investigator Name
- Katarzyna Romanowska-Próchnicka
- Principal Investigator Email
- katarzynaromawnowskaprochnicka@medycynakliniczna.pl
- Contact Person Name
- Katarzyna Romanowska-Próchnicka
- Contact Person Email
- katarzynaromawnowskaprochnicka@medycynakliniczna.pl
- 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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