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Completed

NCT Number: NCT01702740

A Study of the Safety and Pharmacokinetics of CNTO 136 in Patients With Cutaneous Lupus Erythematosus and Systemic Lupus Erythematosus

The main purpose of this study was to evaluate the safety and pharmacokinetics (PK, the action of a drug in the body over a period of time) of multiple intravenous (IV) administrations of CNTO 136 in patients with cutaneous lupus erythematosus (CLE) and systemic lupus erythematosus (SLE). The secondary goal of this study was to assess the pharmacodynamics (biochemical and physiological effects of a drug and the mechanisms of action), immune response, and clinical response.

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Key information

About this study

In Part A of this study, patients with CLE were randomly assigned (like flipping a coin) to receive multiple IV doses of CNTO 136, a human anti-IL 6 monoclonal antibody (an immune protein that binds to interleukin 6) or placebo (a substance that appears identical to the treatment and has no active ingredients). Patients and study personnel did not know the identity of the administered treatments (double-blind study). Increasing doses were given, based on safety data collected during the initial weeks of treatment. In Part B, which was also double-blind, patients with SLE were randomly assigned to receive multiple IV doses of the highest well-tolerated dose, as determined in Part A, of CNTO 136, or placebo.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Diagnosis of cutaneous lupus erythematosus (CLE, including subacute cutaneous lupus erythematosus, discoid lupus erythematosus, or lupus erythematosus tumidus) or systemic lupus erythematosus (SLE)
  • Had a body weight less than or equal to 100 kg
  • Patients in Part A who were taking systemic medications for CLE had to be on a stable dose for 4 weeks before the first study agent infusion
  • Patients in Part B taking systemic medications for SLE had to be on a stable dose for at least 3 months before the first study agent infusion
  • Given informed consent and willing and able to adhere to the study visit schedule and other protocol requirements; agreed to avoid alcohol intake; and took adequate measures to prevent pregnancy

Exclusion criteria

  • Significant history of or concurrent medical condition (other than lupus)
  • Use of specific previous or concurrent medications or investigational therapies
  • Known or suspected allergy to the study agent or it constituents, having recently donated blood, or having any significant laboratory test values requiring intervention
  • Patients with SLE in Part B could not have active central nervous system lupus

Treatment and study plan

1 mg/kg CNTO 136

Drug

Type=exact number, unit=mg, number=1, form=powder for solution for infusion, route=intravenous use, every 2 weeks for 6 weeks.

4 mg/kg CNTO 136

Drug

Type=exact number, unit=mg, number=4, form=powder for solution for infusion, route=intravenous use, every 2 weeks for 6 weeks.

10 mg/kg CNTO 136

Drug

Type=exact number, unit=mg, number=10, form=powder for solution for infusion, route=intravenous use, every 2 weeks for 6 weeks.

Placebo

Drug

Form=liquid for infusion, route=intravenous use, every 2 weeks for 6 weeks.

Primary outcomes

  1. Number of participants with adverse events

    Time frame: Up to 26 weeks

  2. Pharmacokinetic profile of CNTO 136

    Time frame: Up to 22 weeks

    Blood serum concentration over time

  3. Physical examinations

    Time frame: Up to 26 weeks

    Assessment of head, eyes, ears, nose and throat, skin and neck, lungs, heart, abdomen, extremities, general neurologic status, and oral examination

  4. Electrocardiograms (ECGs)

    Time frame: Up to 26 weeks

  5. Sitting blood pressure

    Time frame: Up to 26 weeks

  6. Heart rate

    Time frame: Up to 26 weeks

  7. Respiration rate

    Time frame: Up to 26 weeks

  8. Oral temperature

    Time frame: Up to 26 weeks

  9. Hemoglobin

    Time frame: Up to 26 weeks

  10. Hematocrit

    Time frame: Up to 26 weeks

  11. Platelets and total white blood cells (WBC)

    Time frame: Up to 26 weeks

  12. Albumin and total protein

    Time frame: Up to 26 weeks

  13. Alkaline phosphatase, alanine aminotransferase (ALT), and aspartate aminotransferase (AST)

    Time frame: Up to 26 weeks

  14. Blood urea nitrogen (BUN), calcium, creatinine, and total bilirubin

    Time frame: Up to 26 weeks

  15. Chloride, potassium, and sodium

    Time frame: Up to 26 weeks

  16. Bicarbonate

    Time frame: Up to 26 weeks

  17. Creatine kinase

    Time frame: Up to 26 weeks

  18. Gamma-glutamyl-transferase

    Time frame: Up to 26 weeks

  19. Glucose

    Time frame: Up to 26 weeks

  20. Lymphocytes and neutrophils

    Time frame: Up to 26 weeks

  21. Inorganic phosphate

    Time frame: Up to 26 weeks

  22. Fasting Lipid Panel

    Time frame: Up to 8 weeks

    Total cholesterol, low-density lipoprotein (LDL), high-density lipoprotein (HDL), very low-density lipoprotein (VLDL), and triglycerides.

Secondary outcomes

  1. Pharmacodynamics evaluations

    Time frame: Up to 22 weeks

    Percentage change from baseline in serum and plasma biomarker data

  2. Immune response

    Time frame: Up to 22 weeks

    The formation of antibodies to CNTO 136

  3. Cutaneous Lupus Erythematosus Disease Area and Severity Index (CLASI)

    Time frame: Up to 22 weeks

    Measurement of disease activity, scored from 0 (absent) to 70 (severe), and damage, scored from 0 (absent) to 56 (severe)

  4. British Isles Lupus Assessment Group (BILAG) score

    Time frame: Up to 22 weeks

    Measures the need for alterations or intensification of therapy. The assessing physician considers each item as to its presence in the past month, and answers 0 = not present, 1 = improving; 2 = same; 3 = worse; or 4 = new.

  5. SELENA-SLEDAI Flare Composite

    Time frame: Up to 22 weeks

    Assesses the presence and severity of lupus flare. Scores range from 0 (mild) to 105 (severe).

Sponsors and collaborators

Lead sponsor

Centocor Research & Development, Inc.

Industry

Registry information

Official study title

A Phase 1, Double-blind, Placebo-controlled, Multiple Intravenous, Ascending-Dose Study of CNTO 136 to Evaluate Safety and Pharmacokinetics in Subjects With Cutaneous Lupus Erythematosus and to Evaluate Safety and Pharmacokinetics in a Cohort of Subjects With Systemic Lupus Erythematosus

Important dates

Study start
2007
Primary completion
2009
Study completion
2009
First posted
Oct 8, 2012
Registry last updated
Oct 8, 2012

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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