Therapeutic Use of Tadekinig Alfa in NLRC4 Mutation and XIAP Deficiency as Open Label Extension
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ClinicalTrials.gov Identifier: NCT03512314 |
Recruitment Status :
Active, not recruiting
First Posted : April 30, 2018
Last Update Posted : November 8, 2023
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Condition or disease | Intervention/treatment | Phase |
---|---|---|
XIAP Deficiency NLRC4-MAS | Drug: Tadekinig alfa | Phase 3 |
Pediatric auto-inflammatory conditions related to spontaneous activating mutations of the NLRC4 and with recurrent MAS-like flares with constitutive IL-18 hypersecretion, may require long-term blockade of the IL-18 pathway.
Patients with X-linked inhibitor of apoptosis (XIAP) deficiency and suffering from Hemophagocytic-Lymphohistiocytosis (HLH), a MAS-like syndrome, also show high levels of serum IL-18 and may benefit from IL-18 blockade treatment until a curative hematopoietic stem cell transplantation can be performed The safety of IL-18 blockade during long-term periods is of major interest for the treatment of these patients
Study Type : | Interventional (Clinical Trial) |
Estimated Enrollment : | 10 participants |
Allocation: | N/A |
Intervention Model: | Single Group Assignment |
Masking: | None (Open Label) |
Primary Purpose: | Treatment |
Official Title: | Open-label Extension Study With Tadekinig Alfa (r-hIL-18BP) to Monitor Safety and Tolerability in Patients With IL-18 Driven Monogenic Autoinflammatory Conditions: NLRC4 Mutation and XIAP Deficiency |
Actual Study Start Date : | January 24, 2018 |
Estimated Primary Completion Date : | April 30, 2024 |
Estimated Study Completion Date : | May 30, 2024 |
Arm | Intervention/treatment |
---|---|
Experimental: Tadekinig alfa
Active drug treatment during 26 weeks
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Drug: Tadekinig alfa
Open label, 26 weeks on Tadekinig alfa treatment.
Other Name: r-hIL-18BP |
- Reports of adverse events [ Time Frame: 26 weeks ]The incidence, nature and severity of AEs will be reported
- Reports of abnormal physical examination [ Time Frame: 26 weeks ]Measurements will be done using the modified Auto-inflammatory Disease Activity Index (mAIDAI) including multiple measurements aggregated as 1 / 0.
- Reports of abnormal laboratory results [ Time Frame: 26 weeks ]Report of clinically significant abnormal laboratory results (i.eSerum CRP (ug/mL), Serum Ferritin (ng/mL). and any other abnormal lab results
- Immunogenicity evaluation [ Time Frame: 26 weeks ]Generation of anti-recombinant human Interleukin-18 Binding Protein (anti-rhIL-18BP) antibodies
- Evaluation of the local tolerability at the injection site [ Time Frame: 26 weeks ]Evaluation will be done based on the Local Tolerability Index where the patients will be asked to assess the degree of pain, redness, swelling, bruising, tenderness and itching, they are experiencing from each injection.
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Ages Eligible for Study: | Child, Adult, Older Adult |
Sexes Eligible for Study: | All |
Accepts Healthy Volunteers: | No |
Inclusion Criteria: (both criteria must be met)
- Patients have participated in AB2 Bio ltd. Phase III clinical trial NLRC4/XIAP.2016.001 (IND N° 127953) by one of the following mechanisms : a) Patients that have completed the first 18-week RCT phase of the preceding clinical trial but were not eligible for the RW phase due to flare symptoms. Or b) Patients that completed the first 18-week RCT phase and completed the RW phase of the preceding clinical trial. Or c) Patients who have exited either the RCT or RW phase of the preceding clinical trial due to treatment failure requiring rescue immunosuppression. Such patients must wait a minimum of 4 weeks after treatment discontinuation from the preceding clinical trial before enrolling in this OLE. If patients do not consent to enroll in the OLE after their early termination in the main study, they will be asked to continue with the planned visits of the main study
- Women of childbearing potential with negative urine pregnancy test (UPT) at all visits
Exclusion Criteria:
- Patients may not enter the OLE if they voluntarily withdrew from RCT or RW study or if the time period between participation exceeds 3 months
- Evidence or history of malignancy
- Evidence of invasive or life-threatening infection
- History of tuberculosis
- Life-threatening bleeding within 2 weeks of screening
- Vaccination with a live vaccine within the previous 3 months
- Evidence of severe organ compromise including but not limited to: (see details in the protocol)
- Pregnant or breastfeeding females
- Inability to follow highly effective birth control recommendations during the study and until 1 month after the end of the treatment.
- Inability to provide informed consent, and also assent if applicable
- Life expectancy less than 4 weeks
- Concomitant use of other immunosuppression except NSAIDs, glucocorticoids, cyclosporine, tacrolimus, IL-1 inhibitors (Anakinra, Canakinumab, or Rilonacept)
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03512314
United States, California | |
UCSD _ Department of Pediatrics / Rady Children's Hospital | |
La Jolla, California, United States, 92056 | |
United States, Florida | |
Shands Children's Hospital | |
Gainesville, Florida, United States, 32610 | |
United States, Georgia | |
Children's Healthcare of Atlanta at Egleston | |
Atlanta, Georgia, United States, 30322 | |
United States, Massachusetts | |
Boston Children's Hospital | |
Boston, Massachusetts, United States, 02115 | |
United States, Ohio | |
Cincinnati Children's Hospital Medical Center | |
Cincinnati, Ohio, United States, 45229 | |
United States, Pennsylvania | |
Children Hospital of Philadelphia | |
Philadelphia, Pennsylvania, United States, 19104 | |
Children's Hospital of Pittsburgh of UPMC | |
Pittsburgh, Pennsylvania, United States, 15224 | |
United States, Texas | |
Texas Children's Hospital _ Baylor College of Medicine | |
Houston, Texas, United States, 77030 | |
Canada, Ontario | |
The Hospital for Sick Children | |
Toronto, Ontario, Canada, ON M5G 1X8 | |
Canada | |
CHU Sainte-Justine | |
Montréal, Canada | |
Germany | |
Universitätsklinikum Freiburg, Centrum für Chronische Immundefizienz (CCI) - Paediatric Unit | |
Freiburg, Baden-Württemberg, Germany, 79106 |
Principal Investigator: | Eduard Behrens, MD | Children Hospital of Philadelphia |
Responsible Party: | AB2 Bio Ltd. |
ClinicalTrials.gov Identifier: | NCT03512314 |
Other Study ID Numbers: |
OLE-NLRC4/XIAP.2016.001 |
First Posted: | April 30, 2018 Key Record Dates |
Last Update Posted: | November 8, 2023 |
Last Verified: | November 2023 |
Individual Participant Data (IPD) Sharing Statement: | |
Plan to Share IPD: | Undecided |
Plan Description: | This information will be provided soon |
Studies a U.S. FDA-regulated Drug Product: | Yes |
Studies a U.S. FDA-regulated Device Product: | No |
Lymphoproliferative Disorders Genetic Diseases, X-Linked Lymphatic Diseases |
Immunoproliferative Disorders Immune System Diseases Genetic Diseases, Inborn |